Evidence map›Paper›PMID 34032997›Full record

Trial reportInfection2021

SARS-CoV-2: big seroprevalence data from Pakistan-is herd immunity at hand?

Mohsina Haq, Asif Rehman, Junaid Ahmad, Usman Zafar, Sufyan Ahmed, Mumtaz Ali Khan, Asif Naveed, Hala Rajab, Fawad Muhammad, Wasifa Naushad and 5 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Mohsina HaqPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Asif RehmanPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan. asifrehman173@gmail.com.ORCID http://orcid.org/0000-0002-6133-3349
Junaid AhmadPrime Institute of Public Health, Peshawar Medical College, Warsak Road, Peshawar, Pakistan.
Usman ZafarIslamabad Medical and Dental College, Islamabad, Pakistan.
Sufyan AhmedAl-Khidmat Health Foundation, Lahore, Pakistan.
Mumtaz Ali KhanNational Institute of Health, Islamabad, Pakistan.
Asif NaveedUniversity of Health Sciences, Lahore, Pakistan.
Hala RajabPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Fawad MuhammadPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Wasifa NaushadPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Muhammad AmanPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Hafeez Ur RehmanPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Sajjad AhmadPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Saeed AnwarPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Najib Ul HaqPeshawar Medical College, Riphah International University, Warsak Road, Peshawar, Pakistan.
Riphah International University · PKKarachi Medical and Dental College · PKNational Institute of Health · PKUniversity of Health Sciences Lahore · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeroprevalence surveys from different countries have reported SARS CoV-2 antibodies below 20% even in the most adversely affected areas and herd immunity cannot be predicted till more than half of the population gets the disease. The purpose of this survey was to estimate the magnitude of community-based spread of the infection, associated immunity, and the future prospects and proximity to a 'herd community'.

methodsThe study was undertaken as a cluster randomized, cross-sectional countrywide survey. This largest community-based seroprevalence data of SARS-CoV-2 were collected between 15th and 31st July, 2020 from seven randomly selected cities belonging to the three most populous provinces of Pakistan. The FDA approved kit of ROCHE was used for detection of SARS-CoV-2 antibodies.

resultsSerum samples of 15,390 participants were tested for SARS CoV-2 antibodies with an overall seroprevalence of 42.4%. The seroprevalence ranged from 31.1% to 48.1% in different cities with the highest in Punjab province (44.5%). In univariable analysis, the odds of seropositivity was higher in men compared to women (OR: 1.10, 95% CI: 1.01-1.19, P < 0.05). In multivariable analysis, the risk of being seropositive was lower (OR 0.72, 95% CI: 0.60-0.87, P < 0.01) in younger group (≤ 20 years) than in those aged above 60 years.

conclusionThe study concluded that despite a reasonable seroprevalence, the country is yet to reach the base minimum of estimations for herd immunity. The durability of immunity though debated at the moment, has shown an evidenced informed shift towards longer side.

Indexed as

COVID-19SARS-CoV-2AgedAntibodies, ViralCross-Sectional StudiesFemaleHumansImmunity, HerdMalePakistanSeroepidemiologic StudiesAntibodies, ViralAntibodyCoV-2HerdImmunitySarsSeroprevalence

Identifiers

PMID34032997
PMCPMC8145183
OpenAlexW3164252835

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.