Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka

Background: As the Municipality Council area in Colombo (CMC) experienced the highest number of cases until the end of January 2021, in Sri Lanka, we carried out a serosurvey prior to initiation of the vaccination program to understand the extent of the SARS-CoV-2 outbreak.Methods: SARS-CoV-2 seropo...

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Autores principales: Chandima Jeewandara, Dinuka Guruge, Inoka Sepali Abyrathna, Saubhagya Danasekara, Banuri Gunasekera, Pradeep Darshana Pushpakumara, Deshan Madhusanka, Deshni Jayathilaka, Thushali Ranasinghe, Gayasha Somathilake, Shyrar Tanussiya, Tibutius Tanesh Jayadas, Heshan Kuruppu, Nimasha Thashmi, Michael Harvie, Ruwan Wijayamuni, Lisa Schimanski, T. K. Tan, Pramila Rijal, Julie Xiao, Graham S. Ogg, Alain Townsend, Gathsaurie Neelika Malavige
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/f7ab4bcfc1b940dca4f4af91b5a2bd0e
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spelling oai:doaj.org-article:f7ab4bcfc1b940dca4f4af91b5a2bd0e2021-11-12T05:01:01ZSeroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka2296-256510.3389/fpubh.2021.724398https://doaj.org/article/f7ab4bcfc1b940dca4f4af91b5a2bd0e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.724398/fullhttps://doaj.org/toc/2296-2565Background: As the Municipality Council area in Colombo (CMC) experienced the highest number of cases until the end of January 2021, in Sri Lanka, we carried out a serosurvey prior to initiation of the vaccination program to understand the extent of the SARS-CoV-2 outbreak.Methods: SARS-CoV-2 seropositivity was determined in 2,547 individuals between the ages of 10–86 years, by the Wantai total antibody ELISA. We also compared seroprevalence using the haemagglutination test (HAT) to evaluate its usefulness in carrying out serosurveys.Results: The overall seropositivity rate was 24.46%, while seropositivity by HAT was 18.90%. Although The SARS-CoV-2 infection detection rates by PCR were highest in the population between the ages of 20–60 years of age, there was no statistically significant difference in the seropositivity rates in different age groups. For instance, although the seropositivity rate was highest in the 10–20 age group (34.03%), the PCR positivity rate was 9.80%. Differences in the PCR positivity rates and seropositivity rates were also seen in 60–70-year-olds (8.90 vs. 30.4%) and in individuals >70 years (4.10 vs. 1.20%). The seropositivity rate of the females was 29.70% (290/976), which was significantly higher (p < 0.002) than in males 21.2% (333/1,571).Conclusions: A high seroprevalence rate (24.5%) was seen in all age groups in the CMC suggesting that a high level of transmission was seen during this time. The higher PCR positivity rates between the ages of 20–60 are likely to be due to increased testing carried out in the working population. Therefore, the PCR positivity rates, appear to underestimate the true extent of the outbreak and the age groups which were infected.Chandima JeewandaraDinuka GurugeInoka Sepali AbyrathnaSaubhagya DanasekaraBanuri GunasekeraPradeep Darshana PushpakumaraDeshan MadhusankaDeshni JayathilakaThushali RanasingheGayasha SomathilakeShyrar TanussiyaTibutius Tanesh JayadasHeshan KuruppuNimasha ThashmiMichael HarvieRuwan WijayamuniLisa SchimanskiLisa SchimanskiT. K. TanT. K. TanPramila RijalPramila RijalJulie XiaoJulie XiaoGraham S. OggAlain TownsendAlain TownsendGathsaurie Neelika MalavigeGathsaurie Neelika MalavigeFrontiers Media S.A.articleserosurveillanceSARS-CoV-2Sri LankaColomboantibodiesseropositivityPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic serosurveillance
SARS-CoV-2
Sri Lanka
Colombo
antibodies
seropositivity
Public aspects of medicine
RA1-1270
spellingShingle serosurveillance
SARS-CoV-2
Sri Lanka
Colombo
antibodies
seropositivity
Public aspects of medicine
RA1-1270
Chandima Jeewandara
Dinuka Guruge
Inoka Sepali Abyrathna
Saubhagya Danasekara
Banuri Gunasekera
Pradeep Darshana Pushpakumara
Deshan Madhusanka
Deshni Jayathilaka
Thushali Ranasinghe
Gayasha Somathilake
Shyrar Tanussiya
Tibutius Tanesh Jayadas
Heshan Kuruppu
Nimasha Thashmi
Michael Harvie
Ruwan Wijayamuni
Lisa Schimanski
Lisa Schimanski
T. K. Tan
T. K. Tan
Pramila Rijal
Pramila Rijal
Julie Xiao
Julie Xiao
Graham S. Ogg
Alain Townsend
Alain Townsend
Gathsaurie Neelika Malavige
Gathsaurie Neelika Malavige
Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka
description Background: As the Municipality Council area in Colombo (CMC) experienced the highest number of cases until the end of January 2021, in Sri Lanka, we carried out a serosurvey prior to initiation of the vaccination program to understand the extent of the SARS-CoV-2 outbreak.Methods: SARS-CoV-2 seropositivity was determined in 2,547 individuals between the ages of 10–86 years, by the Wantai total antibody ELISA. We also compared seroprevalence using the haemagglutination test (HAT) to evaluate its usefulness in carrying out serosurveys.Results: The overall seropositivity rate was 24.46%, while seropositivity by HAT was 18.90%. Although The SARS-CoV-2 infection detection rates by PCR were highest in the population between the ages of 20–60 years of age, there was no statistically significant difference in the seropositivity rates in different age groups. For instance, although the seropositivity rate was highest in the 10–20 age group (34.03%), the PCR positivity rate was 9.80%. Differences in the PCR positivity rates and seropositivity rates were also seen in 60–70-year-olds (8.90 vs. 30.4%) and in individuals >70 years (4.10 vs. 1.20%). The seropositivity rate of the females was 29.70% (290/976), which was significantly higher (p < 0.002) than in males 21.2% (333/1,571).Conclusions: A high seroprevalence rate (24.5%) was seen in all age groups in the CMC suggesting that a high level of transmission was seen during this time. The higher PCR positivity rates between the ages of 20–60 are likely to be due to increased testing carried out in the working population. Therefore, the PCR positivity rates, appear to underestimate the true extent of the outbreak and the age groups which were infected.
format article
author Chandima Jeewandara
Dinuka Guruge
Inoka Sepali Abyrathna
Saubhagya Danasekara
Banuri Gunasekera
Pradeep Darshana Pushpakumara
Deshan Madhusanka
Deshni Jayathilaka
Thushali Ranasinghe
Gayasha Somathilake
Shyrar Tanussiya
Tibutius Tanesh Jayadas
Heshan Kuruppu
Nimasha Thashmi
Michael Harvie
Ruwan Wijayamuni
Lisa Schimanski
Lisa Schimanski
T. K. Tan
T. K. Tan
Pramila Rijal
Pramila Rijal
Julie Xiao
Julie Xiao
Graham S. Ogg
Alain Townsend
Alain Townsend
Gathsaurie Neelika Malavige
Gathsaurie Neelika Malavige
author_facet Chandima Jeewandara
Dinuka Guruge
Inoka Sepali Abyrathna
Saubhagya Danasekara
Banuri Gunasekera
Pradeep Darshana Pushpakumara
Deshan Madhusanka
Deshni Jayathilaka
Thushali Ranasinghe
Gayasha Somathilake
Shyrar Tanussiya
Tibutius Tanesh Jayadas
Heshan Kuruppu
Nimasha Thashmi
Michael Harvie
Ruwan Wijayamuni
Lisa Schimanski
Lisa Schimanski
T. K. Tan
T. K. Tan
Pramila Rijal
Pramila Rijal
Julie Xiao
Julie Xiao
Graham S. Ogg
Alain Townsend
Alain Townsend
Gathsaurie Neelika Malavige
Gathsaurie Neelika Malavige
author_sort Chandima Jeewandara
title Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka
title_short Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka
title_full Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka
title_fullStr Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka
title_full_unstemmed Seroprevalence of SARS-CoV-2 Infection in the Colombo Municipality Region, Sri Lanka
title_sort seroprevalence of sars-cov-2 infection in the colombo municipality region, sri lanka
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f7ab4bcfc1b940dca4f4af91b5a2bd0e
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