From first to second wave: follow-up of the prospective COVID-19 cohort (KoCo19) in Munich (Germany)
Medical microbiology
2019-20 coronavirus outbreak
Parasitology
Tropical Medicine
Coronavirus Infections
DOI:
10.1186/s12879-021-06589-4
Publication Date:
2021-09-08T03:30:28Z
AUTHORS (125)
ABSTRACT
Abstract Background In the 2nd year of COVID-19 pandemic, knowledge about dynamics infection in general population is still limited. Such information essential for health planners, as many those infected show no or only mild symptoms and thus, escape surveillance system. We therefore aimed to describe course pandemic Munich living private households from April 2020 January 2021. Methods The KoCo19 baseline study took place June including 5313 participants (age 14 years above). From November 2021, we could again measure SARS-CoV-2 antibody status 4433 (response 83%). Participants were offered a self-sampling kit take capillary blood sample (dry spot; DBS). Blood was analysed using Elecsys ® Anti-SARS-CoV-2 assay (Roche). Questionnaire on socio-demographics potential risk factors assessed at available all participants. addition, follow-up health-risk taking behaviour number personal contacts outside household (N = 2768) well leisure time activities 1263) collected summer 2020. Results Weighted adjusted (for specificity sensitivity) sero-prevalence 3.6% (95% CI 2.9–4.3%) compared 1.8% 1.3–3.4%) baseline. 91% tested positive also antibody-positive follow-up. While increased early indication geospatial clustering across city found, although cases clustered within households. Taking result into account, men age group 20–34 highest sero-positivity. sensitivity analyses, differences behaviour, partly explained these differences. Conclusion citizens with antibodies below 5% during wave pandemic. Antibodies remained present majority sero-positive Besides sex, potentially confounded by major be identified. Non-pharmaceutical public measures are thus important.
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