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      SEROPREVALENCE OF ANTI-SARS-CoV-2 ANTIBODIES IN THE NORTHERN ITALY POPULATION BEFORE THE COVID-19 SECOND WAVE

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          Abstract

          Objectives:

          The COVID-19 pandemic is due to SARS-CoV-2 coronavirus infections. It swept across the world in the spring of 2020, and so far it has caused a huge number of hospitalizations and deaths. In the present study, the authors investigated serum anti-SARS-CoV-2 antibody prevalence in the period of June 1–September 25, 2020, in 7561 subjects in Modena, Northern Italy.

          Material and Methods:

          The study population included 5454 workers referred to testing by their companies, and 2107 residents in the Modena area who accessed testing through self-referral.

          Results:

          The authors found the overall seroprevalence to be 4.7% (95% confidence interval [CI] 4.2–5.2%), which was higher in women (5.4%, 95% CI: 4.5–6.2%) than in men (4.3%, 95% CI: 3.7–4.9%), and in the oldest age groups (7.3%, 95% CI: 5.2–9.3% for persons aged 60–69 years, and 11.8%, 95% CI: 8.6–15.1%, for persons aged ≥70 years). Among the occupational categories, the highest seroprevalence was found in healthcare workers (8.8%, 95% CI: 7.0–10.5%), dealers and vehicle repairers (5.2%, 95% CI: 2.9–7.6%), and workers in the sports sector (4.0%, 95% CI: 1.8–6.1%), while there was little or no such evidence for those employed in sectors such as transport and storage, accommodation and restaurant services, and the school system.

          Conclusions:

          These results have allowed, for the first time, to assess population seroprevalence in this area of Italy severely hit by the epidemic, while at the same time identifying the subgroups at a higher risk of exposure to SARS-CoV-2.

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          Most cited references34

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          Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy

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            Clinical and immunological assessment of asymptomatic SARS-CoV-2 infections

            The clinical features and immune responses of asymptomatic individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have not been well described. We studied 37 asymptomatic individuals in the Wanzhou District who were diagnosed with RT-PCR-confirmed SARS-CoV-2 infections but without any relevant clinical symptoms in the preceding 14 d and during hospitalization. Asymptomatic individuals were admitted to the government-designated Wanzhou People's Hospital for centralized isolation in accordance with policy1. The median duration of viral shedding in the asymptomatic group was 19 d (interquartile range (IQR), 15-26 d). The asymptomatic group had a significantly longer duration of viral shedding than the symptomatic group (log-rank P = 0.028). The virus-specific IgG levels in the asymptomatic group (median S/CO, 3.4; IQR, 1.6-10.7) were significantly lower (P = 0.005) relative to the symptomatic group (median S/CO, 20.5; IQR, 5.8-38.2) in the acute phase. Of asymptomatic individuals, 93.3% (28/30) and 81.1% (30/37) had reduction in IgG and neutralizing antibody levels, respectively, during the early convalescent phase, as compared to 96.8% (30/31) and 62.2% (23/37) of symptomatic patients. Forty percent of asymptomatic individuals became seronegative and 12.9% of the symptomatic group became negative for IgG in the early convalescent phase. In addition, asymptomatic individuals exhibited lower levels of 18 pro- and anti-inflammatory cytokines. These data suggest that asymptomatic individuals had a weaker immune response to SARS-CoV-2 infection. The reduction in IgG and neutralizing antibody levels in the early convalescent phase might have implications for immunity strategy and serological surveys.
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              The ASA's Statement onp-Values: Context, Process, and Purpose

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                Author and article information

                Journal
                Int J Occup Med Environ Health
                Int J Occup Med Environ Health
                IJOMEH
                International Journal of Occupational Medicine and Environmental Health
                Nofer Institute of Occupational Medicine (Poland )
                1232-1087
                1896-494X
                2022
                01 January 2022
                : 35
                : 1
                : 63-74
                Affiliations
                [1 ] University of Modena and Reggio Emilia, Department of Biomedical, Metabolic and Neural Sciences, Modena, Italy
                [2 ] Test Laboratory, Modena, Italy
                [3 ] Boston University School of Public Health, Department of Epidemiology, Boston, Massachusetts, USA
                Author notes
                Corresponding author: Marco Vinceti, University of Modena and Reggio Emilia, Department of Biomedical, Metabolic and Neural Sciences, Via Campi 287, 41125 Modena, Italy (e-mail: marco.vinceti@ 123456unimore.it ).
                [*]

                Contributed equally as senior authors.

                Article
                ijomeh.1896.01826
                10.13075/ijomeh.1896.01826
                10464740
                34524275
                15806c1e-71a3-437d-8a94-e2832b3e67f8
                © 2006-2022 Journal hosting platform by Bentus

                This work is available in Open Access model and licensed under a Creative Commons Attribution-NonCommercial 3.0 Poland License – http://creativecommons.org/licenses/by-nc/3.0/pl/deed.en.

                History
                : 13 January 2021
                : 19 May 2021
                Funding
                Funded by: University of Modena and Reggio Emilia;
                Funded by: UNIMORE FAR Interdisciplinare Linea FOMO – Fondazione Cassa di Risparmio di Modena 2019;
                Categories
                Original Paper

                health personnel,sars-cov-2,covid-19,sars-cov-2 serological testing,seroepidemiologic studies,occupational groups

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