2021
DOI: 10.1001/jamainternmed.2020.7976
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Estimated SARS-CoV-2 Seroprevalence in the US as of September 2020

Abstract: IMPORTANCE Case-based surveillance of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection likely underestimates the true prevalence of infections. Large-scale seroprevalence surveys can better estimate infection across many geographic regions. OBJECTIVE To estimate the prevalence of persons with SARS-CoV-2 antibodies using residual sera from commercial laboratories across the US and assess changes over time. DESIGN, SETTING, AND PARTICIPANTS This repeated, cross-sectional study conducted acr… Show more

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Cited by 301 publications
(387 citation statements)
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“…Especially among older adults, it is often safe to assume that they have already encountered certain antigens and therefore mount a secondary immune response ( Cohen et al, 2001 ). This is a key consideration for the SARS-CoV-2 vaccine, given that around 10% of Americans had prior exposure as of September 2020 ( Bajema et al, 2020 ). Many more have had exposure to other coronaviruses, which may influence immune responses to SARS-CoV-2 ( Poland et al, 2020 ), and some of the current vaccine candidates require multiple doses.…”
Section: The Immune System’s Immediate and Delayed Vaccine Responsementioning
confidence: 99%
“…Especially among older adults, it is often safe to assume that they have already encountered certain antigens and therefore mount a secondary immune response ( Cohen et al, 2001 ). This is a key consideration for the SARS-CoV-2 vaccine, given that around 10% of Americans had prior exposure as of September 2020 ( Bajema et al, 2020 ). Many more have had exposure to other coronaviruses, which may influence immune responses to SARS-CoV-2 ( Poland et al, 2020 ), and some of the current vaccine candidates require multiple doses.…”
Section: The Immune System’s Immediate and Delayed Vaccine Responsementioning
confidence: 99%
“…Therefore, serologic assays to detect specific antibodies against SARS-CoV‑2 can better evaluate the number of infections and identify subjects who may still contribute to ongoing virus transmission. Results from seroprevalence studies in the general population suggest that most persons remained uninfected during the first epidemic wave, far away from reaching herd immunity [ 12 , 13 ]. In the present study, we report the first follow-up results of the efficacy of longitudinal preventive measures as well as the seroprevalence of anti-SARS-CoV‑2 IgG antibodies in cancer patients on active treatment from a tertiary care hospital in northern Italy.…”
Section: Introductionmentioning
confidence: 99%
“…While population based surveillance is getting some attention 32 34 , the need to understand how asymptomatic patients transmit the virus, and whether they sustain any cryptic physiological damage has driven scientists to random sampling of the population to identify these subjects 35 , 36 . While the range of physiological impact is being expanded, most such studies are focused on staging for identifying treatment efficacy of disease 37 40 .…”
Section: Resultsmentioning
confidence: 99%