Temporal trends of SARS-CoV-2 seroprevalence during the first wave of the COVID-19 epidemic in Kenya
Open accessPublished version of a preprint
Abstract
Observed SARS-CoV-2 infections and deaths are low in tropical Africa raising questions about the extent of transmission. We measured SARS-CoV-2 IgG by ELISA in 9,922 blood donors across Kenya and adjusted for sampling bias and test performance. By 1st September 2020, 577 COVID-19 deaths were observed nationwide and seroprevalence was 9.1% (95%CI 7.6-10.8%). Seroprevalence in Nairobi was 22.7% (18.0-27.7%). Although most people remained susceptible, SARS-CoV-2 had spread widely in Kenya with apparently low associated mortality.
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Several serosurveys suggest that Africa experienced large waves of infection but that most cases went unreported, in part because they did not lead to severe disease.
“Several serosurveys suggest that Africa experienced large waves of infection but that most cases went unreported, in part because they did not lead to severe disease.”
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Cites
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Seroprevalence of anti–SARS-CoV-2 IgG antibodies in Kenyan blood donors
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The Lancet Commission on lessons for the future from the COVID-19 pandemic
Sachs, J. D., Karim, S. S. A., Aknin, L., Allen, J., Brosbøl, K., Colombo, F., Barron, G. C., Espinosa, M. F., Gaspar, V., Gaviria, A., et al. (2022) · The Lancet · doi:10.1016/s0140-6736(22)01585-9 · Cited by 842 · see citing works
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- Authors
- Adetifa, I. M. O., Uyoga, S., Gitonga, J. N., Mugo, D., Otiende, M., Nyagwange, J., Karanja, H. K., Tuju, J., Wanjiku, P., Aman, R., Mwangangi, M., Amoth, P., Kasera, K., Ng’ang’a, W., Rombo, C., Yegon, C., Kithi, K., Odhiambo, E., Rotich, T., Orgut, I., Kihara, S., Bottomley, C., Kagucia, E. W., Gallagher, K. E., Etyang, A., Voller, S., Lambe, T., Wright, D., Barasa, E., Tsofa, B., Bejon, P., Ochola-Oyier, L. I., Agweyu, A., Scott, J. A. G., & Warimwe, G. M.
- Affiliations
- Kenya Medical Research Institute (KE)
- Ministry of Health (KE)
- Government of Kenya (KE)
- Kenya National Blood Transfusion Services (KE)
- London School of Hygiene & Tropical Medicine (GB)
- University of Oxford (GB)
- Corresponding author
- Adetifa, Ifedayo M. O.
- Uyoga, Sophie
- ORCID
- Adetifa, Ifedayo M. O.
- Uyoga, Sophie
- Gitonga, John N.
- Mugo, Daisy
- Otiende, Mark
- Nyagwange, James
- Karanja, Henry K.
- Tuju, James
- Wanjiku, Perpetual
- Aman, Rashid
- Amoth, Patrick
- Kasera, Kadondi
- Ng’ang’a, Wangari
- Rotich, Thomas
- Bottomley, Christian
- Kagucia, Eunice W.
- Gallagher, Katherine E.
- Etyang, Anthony
- Voller, Shirine
- Lambe, Teresa
- Wright, Daniel
- Barasa, Edwine
- Tsofa, Benjamin
- Bejon, Philip
- Agweyu, Ambrose
- Scott, J. Anthony G.
- Warimwe, George M.
- Venue
- Nature Communications
- Published
- 2021-06-25
- Volume
- 12
- Issue
- 1
- Pages
- 3966-3966
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC8233334
- OpenAlex
- W3173607783
- Cited by
- 67
- References
- 5
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 11 · 2023: 8 · 2022: 25 · 2021: 12
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Greater South Information System
- Funders
- Wellcome Trust (220991/Z/20/Z, 203077/Z/16/Z)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 detection and testing
- Keywords
- SARS-CoV-2, COVID-19 pandemic, seroprevalence, IgG, blood donors, Kenya, Nairobi, COVID-19 mortality, population susceptibility, first wave
- MeSH terms
- COVID-19, SARS-CoV-2, Adolescent, Adult, Antibodies, Viral, Bayes Theorem, Enzyme-Linked Immunosorbent Assay, Female, Humans, Immunoglobulin G, Kenya, Male, Middle Aged, Prevalence, Seroepidemiologic Studies, Young Adult, Epidemics, Spike Glycoprotein, Coronavirus
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