Insights from a Pan India Sero-Epidemiological survey (Phenome-India Cohort) for SARS-CoV2

Elife. 2021 Apr 20:10:e66537. doi: 10.7554/eLife.66537.

Abstract

To understand the spread of SARS-CoV2, in August and September 2020, the Council of Scientific and Industrial Research (India) conducted a serosurvey across its constituent laboratories and centers across India. Of 10,427 volunteers, 1058 (10.14%) tested positive for SARS-CoV2 anti-nucleocapsid (anti-NC) antibodies, 95% of which had surrogate neutralization activity. Three-fourth of these recalled no symptoms. Repeat serology tests at 3 (n = 607) and 6 (n = 175) months showed stable anti-NC antibodies but declining neutralization activity. Local seropositivity was higher in densely populated cities and was inversely correlated with a 30-day change in regional test positivity rates (TPRs). Regional seropositivity above 10% was associated with declining TPR. Personal factors associated with higher odds of seropositivity were high-exposure work (odds ratio, 95% confidence interval, p value: 2.23, 1.92-2.59, <0.0001), use of public transport (1.79, 1.43-2.24, <0.0001), not smoking (1.52, 1.16-1.99, 0.0257), non-vegetarian diet (1.67, 1.41-1.99, <0.0001), and B blood group (1.36, 1.15-1.61, 0.001).

Keywords: SARS-CoV2; antibody stability; medicine; neutralizing antibody; sero-prevalence; virus.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Neutralizing / blood*
  • Antibodies, Viral / blood*
  • Biomarkers / blood
  • COVID-19 / diagnosis
  • COVID-19 / epidemiology*
  • COVID-19 / immunology
  • COVID-19 / virology
  • COVID-19 Serological Testing*
  • Female
  • Host-Pathogen Interactions
  • Humans
  • Immunity, Humoral
  • India / epidemiology
  • Longitudinal Studies
  • Male
  • Predictive Value of Tests
  • Risk Assessment
  • Risk Factors
  • SARS-CoV-2 / immunology*
  • Seroepidemiologic Studies
  • Time Factors

Substances

  • Antibodies, Neutralizing
  • Antibodies, Viral
  • Biomarkers

Grants and funding

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.