Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201

Relatively few coronavirus disease cases and deaths have been reported from sub-Saharan Africa, although the extent of its spread remains unclear. During August 10–September 11, 2020, we recruited 2,214 participants for a representative household-based cross-sectional serosurvey in Juba, South Sud...

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Main Authors: Andrew, Baguma, Juma John, Hassen, Sheila, K. Baya, Joseph, F. Wamala
Format: Article
Published: Japan Cooperative Medical Sciences Program—Virtual Workshop 2021
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Online Access:http://hdl.handle.net/20.500.12493/516
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author Andrew, Baguma
Juma John, Hassen
Sheila, K. Baya
Joseph, F. Wamala
author_facet Andrew, Baguma
Juma John, Hassen
Sheila, K. Baya
Joseph, F. Wamala
author_sort Andrew, Baguma
collection KAB-DR
description Relatively few coronavirus disease cases and deaths have been reported from sub-Saharan Africa, although the extent of its spread remains unclear. During August 10–September 11, 2020, we recruited 2,214 participants for a representative household-based cross-sectional serosurvey in Juba, South Sudan. We found 22.3% of participants had severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) receptor binding domain IgG titers above prepandemic levels. After accounting for waning antibody levels, age, and sex, we estimated that 38.3% (95% credible interval 31.8%–46.5%) of the population had been infected with SARS-CoV-2. At this rate, for each PCR–confi rmed SARS-CoV-2 infection reported by the Ministry of Health, 103 (95% credible interval 86–126) infections would have been unreported, meaning SARS-CoV-2 has likely spread extensively within Juba. We also found diff erences in background reactivity in Juba compared with Boston, Massachusetts, USA, where the immunoassay was validated. Our fi ndings underscore the need to validate serologic tests in sub-Saharan Africa populations.
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spelling oai:idr.kab.ac.ug:20.500.12493-5162024-01-17T04:44:49Z Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201 Andrew, Baguma Juma John, Hassen Sheila, K. Baya Joseph, F. Wamala Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus Relatively few coronavirus disease cases and deaths have been reported from sub-Saharan Africa, although the extent of its spread remains unclear. During August 10–September 11, 2020, we recruited 2,214 participants for a representative household-based cross-sectional serosurvey in Juba, South Sudan. We found 22.3% of participants had severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) receptor binding domain IgG titers above prepandemic levels. After accounting for waning antibody levels, age, and sex, we estimated that 38.3% (95% credible interval 31.8%–46.5%) of the population had been infected with SARS-CoV-2. At this rate, for each PCR–confi rmed SARS-CoV-2 infection reported by the Ministry of Health, 103 (95% credible interval 86–126) infections would have been unreported, meaning SARS-CoV-2 has likely spread extensively within Juba. We also found diff erences in background reactivity in Juba compared with Boston, Massachusetts, USA, where the immunoassay was validated. Our fi ndings underscore the need to validate serologic tests in sub-Saharan Africa populations. Kabale University 2021-07-30T18:19:16Z 2021-07-30T18:19:16Z 2021 Article DOI: https://doi.org/10.3201/eid2706.210568 http://hdl.handle.net/20.500.12493/516 application/pdf Japan Cooperative Medical Sciences Program—Virtual Workshop
spellingShingle Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus
Andrew, Baguma
Juma John, Hassen
Sheila, K. Baya
Joseph, F. Wamala
Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201
title Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201
title_full Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201
title_fullStr Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201
title_full_unstemmed Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201
title_short Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus 2 IgG in Juba, South Sudan, 20201
title_sort seroprevalence of severe acute respiratory syndrome coronavirus 2 igg in juba south sudan 20201
topic Seroprevalence of Severe Acute Respiratory Syndrome Coronavirus
url http://hdl.handle.net/20.500.12493/516
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