Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India

Abstract This study employs repeated, large panels of serological surveys to document rapid and substantial waning of SARS-CoV-2 antibodies at the population level and to calculate the extent to which infection and vaccination separately contribute to seroprevalence estimates. Four rounds of serolog...

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Main Authors: T. S. Selvavinayagam, Anavarathan Somasundaram, Jerard Maria Selvam, P. Sampath, V. Vijayalakshmi, C. Ajith Brabhu Kumar, Sudharshini Subramaniam, Parthipan Kumarasamy, S. Raju, R. Avudaiselvi, V. Prakash, N. Yogananth, Gurunathan Subramanian, A. Roshini, D. N. Dhiliban, Sofia Imad, Vaidehi Tandel, Rajeswari Parasa, Stuti Sachdeva, Sabareesh Ramachandran, Anup Malani
Format: Article
Language:English
Published: Nature Portfolio 2024-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-50338-3
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author T. S. Selvavinayagam
Anavarathan Somasundaram
Jerard Maria Selvam
P. Sampath
V. Vijayalakshmi
C. Ajith Brabhu Kumar
Sudharshini Subramaniam
Parthipan Kumarasamy
S. Raju
R. Avudaiselvi
V. Prakash
N. Yogananth
Gurunathan Subramanian
A. Roshini
D. N. Dhiliban
Sofia Imad
Vaidehi Tandel
Rajeswari Parasa
Stuti Sachdeva
Sabareesh Ramachandran
Anup Malani
author_facet T. S. Selvavinayagam
Anavarathan Somasundaram
Jerard Maria Selvam
P. Sampath
V. Vijayalakshmi
C. Ajith Brabhu Kumar
Sudharshini Subramaniam
Parthipan Kumarasamy
S. Raju
R. Avudaiselvi
V. Prakash
N. Yogananth
Gurunathan Subramanian
A. Roshini
D. N. Dhiliban
Sofia Imad
Vaidehi Tandel
Rajeswari Parasa
Stuti Sachdeva
Sabareesh Ramachandran
Anup Malani
author_sort T. S. Selvavinayagam
collection DOAJ
description Abstract This study employs repeated, large panels of serological surveys to document rapid and substantial waning of SARS-CoV-2 antibodies at the population level and to calculate the extent to which infection and vaccination separately contribute to seroprevalence estimates. Four rounds of serological surveys were conducted, spanning two COVID waves (October 2020 and April–May 2021), in Tamil Nadu (population 72 million) state in India. Each round included representative populations in each district of the state, totaling ≥ 20,000 persons per round. State-level seroprevalence was 31.5% in round 1 (October–November 2020), after India’s first COVID wave. Seroprevalence fell to 22.9% in round 2 (April 2021), a roughly one-third decline in 6 months, consistent with dramatic waning of SARS-Cov-2 antibodies from natural infection. Seroprevalence rose to 67.1% by round 3 (June–July 2021), with infections from the Delta-variant induced second COVID wave accounting for 74% of the increase. Seroprevalence rose to 93.1% by round 4 (December 2021–January 2022), with vaccinations accounting for 63% of the increase. Antibodies also appear to wane after vaccination. Seroprevalence in urban areas was higher than in rural areas, but the gap shrunk over time (35.7 v. 25.7% in round 1, 89.8% v. 91.4% in round 4) as the epidemic spread even in low-density rural areas.
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spelling doaj.art-1887d6fcf99e4a5eab04d3290c113d872024-03-05T18:47:28ZengNature PortfolioScientific Reports2045-23222024-01-0114111110.1038/s41598-023-50338-3Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, IndiaT. S. Selvavinayagam0Anavarathan Somasundaram1Jerard Maria Selvam2P. Sampath3V. Vijayalakshmi4C. Ajith Brabhu Kumar5Sudharshini Subramaniam6Parthipan Kumarasamy7S. Raju8R. Avudaiselvi9V. Prakash10N. Yogananth11Gurunathan Subramanian12A. Roshini13D. N. Dhiliban14Sofia Imad15Vaidehi Tandel16Rajeswari Parasa17Stuti Sachdeva18Sabareesh Ramachandran19Anup Malani20Directorate of Public Health and Preventative Medicine, Government of Tamil NaduInstitute of Community Medicine, Madras Medical CollegeDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduInstitute of Community Medicine, Madras Medical CollegeDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduDirectorate of Public Health and Preventative Medicine, Government of Tamil NaduArtha GlobalUniversity of ManchesterArtha GlobalWorld BankUniversity of CaliforniaUniversity of ChicagoAbstract This study employs repeated, large panels of serological surveys to document rapid and substantial waning of SARS-CoV-2 antibodies at the population level and to calculate the extent to which infection and vaccination separately contribute to seroprevalence estimates. Four rounds of serological surveys were conducted, spanning two COVID waves (October 2020 and April–May 2021), in Tamil Nadu (population 72 million) state in India. Each round included representative populations in each district of the state, totaling ≥ 20,000 persons per round. State-level seroprevalence was 31.5% in round 1 (October–November 2020), after India’s first COVID wave. Seroprevalence fell to 22.9% in round 2 (April 2021), a roughly one-third decline in 6 months, consistent with dramatic waning of SARS-Cov-2 antibodies from natural infection. Seroprevalence rose to 67.1% by round 3 (June–July 2021), with infections from the Delta-variant induced second COVID wave accounting for 74% of the increase. Seroprevalence rose to 93.1% by round 4 (December 2021–January 2022), with vaccinations accounting for 63% of the increase. Antibodies also appear to wane after vaccination. Seroprevalence in urban areas was higher than in rural areas, but the gap shrunk over time (35.7 v. 25.7% in round 1, 89.8% v. 91.4% in round 4) as the epidemic spread even in low-density rural areas.https://doi.org/10.1038/s41598-023-50338-3
spellingShingle T. S. Selvavinayagam
Anavarathan Somasundaram
Jerard Maria Selvam
P. Sampath
V. Vijayalakshmi
C. Ajith Brabhu Kumar
Sudharshini Subramaniam
Parthipan Kumarasamy
S. Raju
R. Avudaiselvi
V. Prakash
N. Yogananth
Gurunathan Subramanian
A. Roshini
D. N. Dhiliban
Sofia Imad
Vaidehi Tandel
Rajeswari Parasa
Stuti Sachdeva
Sabareesh Ramachandran
Anup Malani
Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India
Scientific Reports
title Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India
title_full Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India
title_fullStr Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India
title_full_unstemmed Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India
title_short Contribution of infection and vaccination to population-level seroprevalence through two COVID waves in Tamil Nadu, India
title_sort contribution of infection and vaccination to population level seroprevalence through two covid waves in tamil nadu india
url https://doi.org/10.1038/s41598-023-50338-3
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