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Herd immunity to SARS-CoV-2 among the population of the Republic of Belarus amid the COVID-19 pandemic

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1. Title Title of document Herd immunity to SARS-CoV-2 among the population of the Republic of Belarus amid the COVID-19 pandemic
2. Creator Author's name, affiliation, country A. Yu. Popova; Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; Россия
2. Creator Author's name, affiliation, country A. A. Tarasenko; Ministry of Health; Белоруссия
2. Creator Author's name, affiliation, country V. Yu. Smolensky; Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing; Россия
2. Creator Author's name, affiliation, country S. A. Egorova; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country V. S. Smirnov; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country A. M. Dashkevich; Republican Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country T. N. Svetogor; Republican Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country I. N. Glinskaya; Republican Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country A. L. Skuranovich; Republican Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country A. M. Milichkina; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country A. M. Dronina; Republican Scientific and Practical Center for Epidemiology and Microbiology; Белоруссия
2. Creator Author's name, affiliation, country E. O. Samoilovich; Republican Scientific and Practical Center for Epidemiology and Microbiology; Белоруссия
2. Creator Author's name, affiliation, country I. V. Khamitova; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country G. V. Semeiko; Republican Scientific and Practical Center for Epidemiology and Microbiology; Белоруссия
2. Creator Author's name, affiliation, country T. V. Amvrosyeva; Republican Scientific and Practical Center for Epidemiology and Microbiology; Белоруссия
2. Creator Author's name, affiliation, country N. P. Shmeleva; Republican Scientific and Practical Center for Epidemiology and Microbiology; Белоруссия
2. Creator Author's name, affiliation, country L. V. Rubanik; Republican Scientific and Practical Center for Epidemiology and Microbiology; Белоруссия
2. Creator Author's name, affiliation, country O. P. Esmanchik; Polyclinic No. 39; Белоруссия
2. Creator Author's name, affiliation, country I. A. Karaban; Ministry of Health; Белоруссия
2. Creator Author's name, affiliation, country V. G. Drobyshevskaya; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country G. V. Sadovnikova; Brest Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country M. V. Shilovich; Brest Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country E. A. Podushkina; Brest Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country V. V. Kireichuk; Vitebsk Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country O. A. Petrova; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country S. V. Bondarenko; Gomel Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country I. F. Salazhkova; Gomel Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country L. M. Tkach; Grodno Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country L. P. Shepelevich; Minsk City Center for Hygiene and Epidemiology; Белоруссия
2. Creator Author's name, affiliation, country N. L. Autukhova; Minsk Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country V. M. Ivanov; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country A. S. Babilo; Minsk Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country M. V. Navyshnaya; Minsk Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country N. N. Belyaev; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country E. V. Zueva; St-Petersburg Pasteur Institute; Leading Researcher; Россия
2. Creator Author's name, affiliation, country L. A. Volosar; Minsk City Center for Hygiene and Epidemiology; Белоруссия
2. Creator Author's name, affiliation, country V. N. Verbov; St-Petersburg Pasteur Institute; Leading Researcher; Россия
2. Creator Author's name, affiliation, country I. V. Likhachev; St-Petersburg Pasteur Institute; Leading Researcher; Россия
2. Creator Author's name, affiliation, country T. O. Zagorskaya; Minsk Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country N. F. Morozova; Mogilev Regional Center for Hygiene, Epidemiology and Public Health; Белоруссия
2. Creator Author's name, affiliation, country Z. R. Korobova; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country A. V. Gubanova; St. Petersburg Pasteur Institute; Россия
2. Creator Author's name, affiliation, country A. A. Totolian; St. Petersburg Pasteur Institute; Россия
3. Subject Discipline(s)
3. Subject Keyword(s) coronaviruses; SARS-CoV-2; COVID-19; morbidity; seroprevalence; asymptomatic course; Republic of Belarus; population; vaccination; anti-nucleocapsid antibodies; anti-RBD antibodies; Gam-COVID-Vac vaccine (Sputnik V); BBIBP-CorV vaccine
4. Description Abstract

Objective was to investigate the SARS-CoV-2 collective immunity status of the population of Belarus within the context of the COVID-19 pandemic. Materials and methods. The work was carried out according to the methodology for assessing SARS-CoV-2 population immunity, developed by Rospotrebnadzor Russia and the Ministry of Health of Belarus with the participation of the St. Petersburg Pasteur Institute, taking into account WHO recommendations. The Bioethics Committee of Belarus and the local ethics committee of the St. Petersburg Pasteur Institute approved the study. Selection of participants was carried out using a questionnaire method and online technology (internet, cloud server). Volunteers were randomized into seven age groups (years of age): 1–17; 18–29; 30–39; 40–49; 50–59; 60–69; and 70+. Regional randomization ensured proportional representation of volunteers from each region, and no more than 30 people were included from one enterprise. In accordance with manufacturer instructions, blood plasma samples were analyzed for: IgG antibodies (Abs) to the SARS-CoV-2 nucleocapsid (Nc) using a quantitative ELISA test system; and IgG Abs to the receptor binding domain (RBD) of the SARS-CoV-2 S (spike) surface glycoprotein using a qualitative ELISA test system. Statistical processing was carried out using Excel 2010 and other software. Statistical differences were designated as significant when p < 0.05, unless otherwise indicated. Results. The level of seroprevalence, in terms of Abs to Nc among the Belarusian population, was 38.4% (95% CI 37.6–45.4). The highest Ab levels were found among individuals in older age groups (50-70+ years old). The lowest were found in children 1–17 years old and in young people 18–39 years old The distribution of seroprevalence across Belarusian regions was relatively homogeneous, with the exception of the Minsk Region, where a statistically significant decrease in the indicator was noted. In terms of profession, the largest share of seropositive individuals was found among transportation workers; the smallest was found in business. The moderate COVID-19 incidence has not led to a dramatic increase in the number of contacts. The base reproduction number (R0) was 1.3. In the Republic of Belarus, there was a moderate level of asymptomatic COVID-19 among seropositive individuals (45.3% [95% CI 44.0–46.7]). This form of infection was observed most often among children aged 1–17 years old (65.0% [95% CI 61.3–68.6]). In parallel with seroprevalence assessment, SARS-CoV-2 vaccination was carried out. We used two vaccines: Gam-COVID-Vac (also known as Sputnik V, developed by Gamaleya National Center for Epidemiology and Microbiology, Russia); and BBIBP-CorV (Sinopharm, PRC). Vaccination against SARS-CoV-2 was accompanied by an increase in the level of anti-RBD Abs (95% [95% CI 94.7–96.7]). Taking into account the vaccination of a subset of the population with BBIBP-CorV, the overall herd immunity, inferred from the analyzed indicators (presence of anti-Nc or anti-RBD Abs), was 47.1% (95% CI 46.3–48.0). Conclusion. COVID-19 in Belarus was characterized by a moderately pronounced course of the epidemic process. The threshold level of herd immunity to SARS-CoV-2 has not yet been reached, as a result of which the conditions for progression of the epidemic remain.

5. Publisher Organizing agency, location SPb RAACI
6. Contributor Sponsor(s) The work was financed from the state budgets of Belarus and Russia.
7. Date (DD-MM-YYYY) 07.10.2021
8. Type Status & genre Peer-reviewed Article
8. Type Type
9. Format File format
10. Identifier Uniform Resource Identifier https://iimmun.ru/iimm/article/view/1798
10. Identifier Digital Object Identifier (DOI) 10.15789/2220-7619-HIT-1798
11. Source Title; vol., no. (year) Russian Journal of Infection and Immunity; Vol 11, No 5 (2021)
12. Language English=en en
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2021 Popova A.Y., Tarasenko A.A., Smolensky V.Y., Egorova S.A., Smirnov V.S., Dashkevich A.M., Svetogor T.N., Glinskaya I.N., Skuranovich A.L., Milichkina A.M., Dronina A.M., Samoilovich E.O., Khamitova I.V., Semeiko G.V., Amvrosyeva T.V., Shmeleva N.P., Rubanik L.V., Esmanchik O.P., Karaban I.A., Drobyshevskaya V.G., Sadovnikova G.V., Shilovich M.V., Podushkina E.A., Kireichuk V.V., Petrova O.A., Bondarenko S.V., Salazhkova I.F., Tkach L.M., Shepelevich L.P., Autukhova N.L., Ivanov V.M., Babilo A.S., Navyshnaya M.V., Belyaev N.N., Zueva E.V., Volosar L.A., Verbov V.N., Likhachev I.V., Zagorskaya T.O., Morozova N.F., Korobova Z.R., Gubanova A.V., Totolian A.A.
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