SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey
Summary: Background: With the global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020, Mongolia implemented rapid emergency measures and did not report local transmission until November 2020. We conducted a national seroprevalence survey to monitor the burden of...
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oai:doaj.org-article:908f608d11284685ab8ab11de81d0e0b2021-11-24T04:34:52ZSARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey2666-606510.1016/j.lanwpc.2021.100317https://doaj.org/article/908f608d11284685ab8ab11de81d0e0b2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666606521002261https://doaj.org/toc/2666-6065Summary: Background: With the global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020, Mongolia implemented rapid emergency measures and did not report local transmission until November 2020. We conducted a national seroprevalence survey to monitor the burden of SARS-CoV-2 in Mongolia in the months surrounding the first local transmission. Methods: During October-December 2020, participants were randomly selected using age stratification and invited for interviews and blood samples at local primary health centres. We screened for total SARS-CoV-2 antibodies, followed by two-step quantitative SARS-CoV-2 IgG serology tests for positive samples. Weighted and test-adjusted seroprevalences were estimated. We used chi-square, Fisher's exact and other tests to identify variables associated with seropositivity. Findings: A total of 5000 subjects were enrolled. We detected SARS-CoV-2 IgG antibodies in 72 samples. Crude seroprevalence of SARS-CoV-2 antibodies was 1·44% (95%CI,1·21-1·67). Population weighted and test-adjusted seroprevalences were 1·36% (95%CI,1·11-1·63) and 1·45% (95%CI,1·11-1·63), respectively. Age, sex, geographical, and occupational factors were not associated with seropositivity (p>0·05). Symptoms and signs within past 3 months and seropositivity were not associated at the time of the survey (p>0·05). Interpretation: SARS-CoV-2 seroprevalence in Mongolia was low in the first year of the pandemic potentially due to strong public health measures, including border restrictions, educational facilities closure, earlier adoption of mask-wearing and others. Our findings suggest large-scale community transmission could not have occurred up to November 2020 in Mongolia. Additional serosurveys are needed to monitor the local pandemic dynamic and estimate how far from herd immunity Mongolia will be following-up with vaccination programme in 2021 and 2022. Funding: World Health Organisation, WHO UNITY Studies initiative, with funding by the COVID-19 Solidarity Response Fund and the German Federal Ministry of Health (BMG) COVID-19 Research and development. Translation: Cyrillic and Traditional Mongolian translation of abstract is available on appendix section.Battogtokh ChimeddorjUndram MandakhLinh-Vi LeBatzorig BayartsogtZolzaya DelegOyunsuren EnebishOyunbaatar AltanbayarBattur MagvanAnuujin GantumurOtgonjargal ByambaaGerelmaa EnebishBat-Erdene SaindooMandakhnaran DavaadorjAvarzed AmgalanbaatarKhangai EnkhtugsUsukhbayar MunkhbayarBatkhuu BayanjargalTuyajargal BadamsambuuMyagmartseren DashtserenZolmunkh NarmandakhKhongorzul TogooEnkh-Amar BoldbaatarAriunzaya Bat-ErdeneYerkyebulan MukhtarOyu-Erdene ShagdarsurenMandukhai GanbatOchbadrakh BatjargalBayasgalantai BavuusurenBatzaya BatchuluunGereltsetseg ZulmunkhGanbaatar ByambatsogtKhurelbaatar NyamdavaaTserendagva DalkhDamdindorj BoldbaatarTuvshinjargal TserenDarambazar GantulgaOtgonbayar DamdinbazarByambasuren VanchinLorenzo SubissiIsabel BergeriDavaalkham DambadarjaaNymadawa PagbajabynGregory GreifRyenchindorj ErkhembayarElsevierarticleSARS-CoV-2COVID-19PandemicsSeroepidemiological studiesMongoliaSeroprevalencePublic aspects of medicineRA1-1270ENThe Lancet Regional Health. Western Pacific, Vol 17, Iss , Pp 100317- (2021) |
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SARS-CoV-2 COVID-19 Pandemics Seroepidemiological studies Mongolia Seroprevalence Public aspects of medicine RA1-1270 |
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SARS-CoV-2 COVID-19 Pandemics Seroepidemiological studies Mongolia Seroprevalence Public aspects of medicine RA1-1270 Battogtokh Chimeddorj Undram Mandakh Linh-Vi Le Batzorig Bayartsogt Zolzaya Deleg Oyunsuren Enebish Oyunbaatar Altanbayar Battur Magvan Anuujin Gantumur Otgonjargal Byambaa Gerelmaa Enebish Bat-Erdene Saindoo Mandakhnaran Davaadorj Avarzed Amgalanbaatar Khangai Enkhtugs Usukhbayar Munkhbayar Batkhuu Bayanjargal Tuyajargal Badamsambuu Myagmartseren Dashtseren Zolmunkh Narmandakh Khongorzul Togoo Enkh-Amar Boldbaatar Ariunzaya Bat-Erdene Yerkyebulan Mukhtar Oyu-Erdene Shagdarsuren Mandukhai Ganbat Ochbadrakh Batjargal Bayasgalantai Bavuusuren Batzaya Batchuluun Gereltsetseg Zulmunkh Ganbaatar Byambatsogt Khurelbaatar Nyamdavaa Tserendagva Dalkh Damdindorj Boldbaatar Tuvshinjargal Tseren Darambazar Gantulga Otgonbayar Damdinbazar Byambasuren Vanchin Lorenzo Subissi Isabel Bergeri Davaalkham Dambadarjaa Nymadawa Pagbajabyn Gregory Greif Ryenchindorj Erkhembayar SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey |
description |
Summary: Background: With the global spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in early 2020, Mongolia implemented rapid emergency measures and did not report local transmission until November 2020. We conducted a national seroprevalence survey to monitor the burden of SARS-CoV-2 in Mongolia in the months surrounding the first local transmission. Methods: During October-December 2020, participants were randomly selected using age stratification and invited for interviews and blood samples at local primary health centres. We screened for total SARS-CoV-2 antibodies, followed by two-step quantitative SARS-CoV-2 IgG serology tests for positive samples. Weighted and test-adjusted seroprevalences were estimated. We used chi-square, Fisher's exact and other tests to identify variables associated with seropositivity. Findings: A total of 5000 subjects were enrolled. We detected SARS-CoV-2 IgG antibodies in 72 samples. Crude seroprevalence of SARS-CoV-2 antibodies was 1·44% (95%CI,1·21-1·67). Population weighted and test-adjusted seroprevalences were 1·36% (95%CI,1·11-1·63) and 1·45% (95%CI,1·11-1·63), respectively. Age, sex, geographical, and occupational factors were not associated with seropositivity (p>0·05). Symptoms and signs within past 3 months and seropositivity were not associated at the time of the survey (p>0·05). Interpretation: SARS-CoV-2 seroprevalence in Mongolia was low in the first year of the pandemic potentially due to strong public health measures, including border restrictions, educational facilities closure, earlier adoption of mask-wearing and others. Our findings suggest large-scale community transmission could not have occurred up to November 2020 in Mongolia. Additional serosurveys are needed to monitor the local pandemic dynamic and estimate how far from herd immunity Mongolia will be following-up with vaccination programme in 2021 and 2022. Funding: World Health Organisation, WHO UNITY Studies initiative, with funding by the COVID-19 Solidarity Response Fund and the German Federal Ministry of Health (BMG) COVID-19 Research and development. Translation: Cyrillic and Traditional Mongolian translation of abstract is available on appendix section. |
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Battogtokh Chimeddorj Undram Mandakh Linh-Vi Le Batzorig Bayartsogt Zolzaya Deleg Oyunsuren Enebish Oyunbaatar Altanbayar Battur Magvan Anuujin Gantumur Otgonjargal Byambaa Gerelmaa Enebish Bat-Erdene Saindoo Mandakhnaran Davaadorj Avarzed Amgalanbaatar Khangai Enkhtugs Usukhbayar Munkhbayar Batkhuu Bayanjargal Tuyajargal Badamsambuu Myagmartseren Dashtseren Zolmunkh Narmandakh Khongorzul Togoo Enkh-Amar Boldbaatar Ariunzaya Bat-Erdene Yerkyebulan Mukhtar Oyu-Erdene Shagdarsuren Mandukhai Ganbat Ochbadrakh Batjargal Bayasgalantai Bavuusuren Batzaya Batchuluun Gereltsetseg Zulmunkh Ganbaatar Byambatsogt Khurelbaatar Nyamdavaa Tserendagva Dalkh Damdindorj Boldbaatar Tuvshinjargal Tseren Darambazar Gantulga Otgonbayar Damdinbazar Byambasuren Vanchin Lorenzo Subissi Isabel Bergeri Davaalkham Dambadarjaa Nymadawa Pagbajabyn Gregory Greif Ryenchindorj Erkhembayar |
author_facet |
Battogtokh Chimeddorj Undram Mandakh Linh-Vi Le Batzorig Bayartsogt Zolzaya Deleg Oyunsuren Enebish Oyunbaatar Altanbayar Battur Magvan Anuujin Gantumur Otgonjargal Byambaa Gerelmaa Enebish Bat-Erdene Saindoo Mandakhnaran Davaadorj Avarzed Amgalanbaatar Khangai Enkhtugs Usukhbayar Munkhbayar Batkhuu Bayanjargal Tuyajargal Badamsambuu Myagmartseren Dashtseren Zolmunkh Narmandakh Khongorzul Togoo Enkh-Amar Boldbaatar Ariunzaya Bat-Erdene Yerkyebulan Mukhtar Oyu-Erdene Shagdarsuren Mandukhai Ganbat Ochbadrakh Batjargal Bayasgalantai Bavuusuren Batzaya Batchuluun Gereltsetseg Zulmunkh Ganbaatar Byambatsogt Khurelbaatar Nyamdavaa Tserendagva Dalkh Damdindorj Boldbaatar Tuvshinjargal Tseren Darambazar Gantulga Otgonbayar Damdinbazar Byambasuren Vanchin Lorenzo Subissi Isabel Bergeri Davaalkham Dambadarjaa Nymadawa Pagbajabyn Gregory Greif Ryenchindorj Erkhembayar |
author_sort |
Battogtokh Chimeddorj |
title |
SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey |
title_short |
SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey |
title_full |
SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey |
title_fullStr |
SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey |
title_full_unstemmed |
SARS-CoV-2 seroprevalence in Mongolia: Results from a national population survey |
title_sort |
sars-cov-2 seroprevalence in mongolia: results from a national population survey |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/908f608d11284685ab8ab11de81d0e0b |
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