1. SARS-CoV-2 IgG Seroprevalence in the Okinawa Main Island and Remote Islands in Okinawa, Japan, 2020-2021.
- Author
-
Takayama Y, Shimakawa Y, Aizawa Y, Butcher C, Chibana N, Collins M, Kamegai K, Kim TG, Koyama S, Matsuyama R, Matthews MM, Mori T, Nagamoto T, Narita M, Omori R, Shibata N, Shibata S, Shiiki S, Takakura S, Toyozato N, Tsuchiya H, Wolf M, Yamamoto T, Yokoyama S, Yonaha S, and Mizumoto K
- Subjects
- Humans, Seroepidemiologic Studies, Japan epidemiology, Adult, Middle Aged, Male, Female, Aged, Young Adult, Adolescent, Cross-Sectional Studies, Child, Child, Preschool, Aged, 80 and over, Infant, Islands epidemiology, COVID-19 epidemiology, Immunoglobulin G blood, Antibodies, Viral blood, SARS-CoV-2 immunology
- Abstract
We estimated the seroprevalence of anti-severe acute respiratory syndrome coronavirus 2 (anti-SARS-CoV-2) immunoglobulin G (IgG) in different island groups in Okinawa. A cross-sectional serosurvey was conducted over three periods between July 2020 and February 2021. A total of 2,683 serum samples were collected from six referral medical centers, each covering a separate region in Okinawa. In the main island, the seroprevalence was 0.0% (0/392; 95% confidence interval (CI), 0.0- 0.9%), 0.6% (8/1,448, 0.2-1.1%), and 1.4% (8/582, 0.6-2.7%) during the 1st, 2nd, and 3rd serosurvey, respectively. In remote islands, the seroprevalence was 0.0% (0/144; 95% CI, 0.0-2.5%) and 1.6% (2/123, 0.2-5.8%) during the 2nd and 3rd survey, respectively. The case detection ratio was 2.7 (95% CI, 1.3-5.3) in the main island and 2.8 (0.7-11.1) in remote islands during the 3rd survey. The case detection ratio was the highest in individuals aged 20-29 years (8.3; 95% CI, 3.3-21.4) in the main island and in those aged 50-59 years (14.1; 2.1-92.7) in remote islands, suggesting underreporting of clinical cases by the surveillance system in these subgroups. A serosurvey conducted during an emerging infectious disease epidemic can be useful for validating the reliability of the surveillance system by providing case detection ratio.
- Published
- 2025
- Full Text
- View/download PDF