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Prevalence of anti-SARS-CoV-2 antibodies in people attending the two main Goma markets in the eastern Democratic Republic of the Congo.

Title: Prevalence of anti-SARS-CoV-2 antibodies in people attending the two main Goma markets in the eastern Democratic Republic of the Congo.
Authors: Mitangala, Prudence Ndeba; Irenge Mwana Wa Bene, Léonid; Musubao, Edgar Tsongo; Kahindo, Jean Bosco Mbeva; Ayonga Ndeba, Patrick; Kyembwa Safari, Israël; Kubuya, Janvier Bonane; Ntabe, Edmon Namegabe; Kabangwa Senga, Raphaël Kakongo; Mutombo, Guy Ndongala; Ambroise, Jérôme; Gala, Jean-Luc
Contributors: UCL - SSS/IREC/CTMA - Centre de technologies moléculaires appliquées (plate-forme technologique)
Source: Epidemiology and infection, Vol. 151, p. e167 [1-6] (2023)
Publisher Information: Cambridge University Press
Publication Year: 2023
Collection: DIAL@USL-B (Université Saint-Louis, Bruxelles)
Subject Terms: Humans; Female; Male; Prevalence; Democratic Republic of the Congo; Cross-Sectional Studies; Seroepidemiologic Studies; COVID-19; SARS-CoV-2; Antibodies; Viral; African paradox; COVID-19 infection; DRC; city markets; customers; seroprevalence; urban settlement; vendors
Description: The Democratic Republic of the Congo (DRC) officially reports low coronavirus disease 19 (COVID-19) prevalence. This cross-sectional study, conducted between September and November 2021, assessed the COVID-19 seroprevalence in people attending Goma's two largest markets, Kituku and Virunga. A similar study in a slum of Bukavu overlapped for 1 month using identical methods. COVID-19-unvaccinated participants (n = 796 including 454 vendors and 342 customers, 60% of whom were women) were surveyed. The median age of vendors and customers was 34.2 and 30.1 years, respectively. The crude and adjusted anti-SARS-CoV-2 antibody seroprevalence rates were 70.2% (95% CI 66.9-73.4%) and 98.8% (95% CI 94.1-100%), respectively, with no difference between vendors and customers. COVID-19 symptoms reported by survey participants in the previous 6 months were mild or absent in 58.9% and 41.1% of participants with anti-SARS-CoV-2 antibodies, respectively. No COVID-19-seropositive participants reported hospitalisation in the last 6 months. These findings are consistent with those reported in Bukavu. They confirm that SARS-CoV-2 spread without causing severe symptoms in densely populated settlements and markets and suggest that many COVID-19 cases went unreported. Based on these results, the relevance of an untargeted hypothetical vaccination programme in these communities should be questioned.
Document Type: article in journal/newspaper
Language: English
Relation: boreal:283994; http://hdl.handle.net/2078.1/283994; info:pmid/37724000
DOI: 10.1017/S0950268823001498
Availability: http://hdl.handle.net/2078.1/283994; https://doi.org/10.1017/S0950268823001498
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.B487CAEE
Database: BASE