Cited by 67SARS-CoV-2 and COVID-19 ResearchCOVID-19 epidemiological studiesSARS-CoV-2 detection and testing

Temporal trends of SARS-CoV-2 seroprevalence during the first wave of the COVID-19 epidemic in Kenya

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Adetifa, Ifedayo M. O., Uyoga, Sophie, Gitonga, John N., Mugo, Daisy, Otiende, Mark, Nyagwange, James, Karanja, Henry K., Tuju, James +27 more·2021·Nature Communications

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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.

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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
Venue
Nature Communications
Published
2021-06-25
Volume
12
Issue
1
Pages
3966-3966
ISSN
2041-1723 (ISSN-L)
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
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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