Evidence map›Paper›PMID 36349284›Full record

ArticleHeliyon2022

Cross-sectional analysis of students and school workers reveals a high number of asymptomatic SARS-CoV-2 infections during school reopening in Brazilian cities.

Lysandro P Borges, Adriana G Guimarães, Dennyson Leandro M Fonseca, Paula P Freire, Íkaro D C Barreto, Daniela R V Souza, Ricardo Q Gurgel, Aline S A Lopes, José Melquiades de Rezende Neto, Kezia A Dos Santos and 26 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Heliyon, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 39% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors at 7 institutions in 4 countries.

Lysandro P BorgesDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Adriana G GuimarãesDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Dennyson Leandro M FonsecaInterunit Postgraduate Program on Bioinformatics, Institute of Mathematics and Statistics (IME), University of Sao Paulo (USP), Sao Paulo, SP, Brazil.
Paula P FreireDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Íkaro D C BarretoNuclear and Energy Technology Graduate Program (UFPE), Recife, Pernambuco, Brazil.
Daniela R V SouzaDepartment of Education in Health, Lagarto and Post-graduate Program in Health Sciences, Federal University of Sergipe, Sergipe, Brazil.
Ricardo Q GurgelDepartment of Medicine and Post-Graduate Programs in Parasitic Biology and Health Sciences, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
Aline S A LopesDepartment of Education in Health, Lagarto and Post-graduate Program in Health Sciences, Federal University of Sergipe, Sergipe, Brazil.
José Melquiades de Rezende NetoDepartment of Education in Health, Lagarto and Post-graduate Program in Health Sciences, Federal University of Sergipe, Sergipe, Brazil.
Kezia A Dos SantosDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Igor L S MatosDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Grazielly B da InvençãoDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Brenda M OliveiraDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Aryanne A SantosDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Daniele Almeida SoaresDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Pamela C de JesusDepartment of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
Cliomar A Dos SantosSergipe Central Public Health Laboratory, Aracaju, Sergipe, Brazil.
Marco A O GoesDepartment of Medicine and Post-Graduate Programs in Parasitic Biology and Health Sciences, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
Desirée Rodrigues PlaçaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Igor Salerno FilgueirasDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Alexandre H C MarquesDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Gabriela Crispim BaiocchiDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
William Cabral-MirandaThe Sabará Children´s Hospital and PENSI Institute, São Paulo, SP, Brazil.
Gustavo Cabral de MirandaDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Niels Olsen Saraiva CamaraDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Vera Lúcia Garcia CalichDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Rodrigo Nalio RamosLaboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil.
Helder I NakayaDepartment of Clinical and Toxicological Analyses, School of Pharmaceutical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Vanderson RochaLaboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil.
Lasse M GiilDepartment of Internal Medicine, Haraldsplass Deaconess Hospital, Bergen, Norway.
Hans D OchsDepartment of Pediatrics, University of Washington School of Medicine, Seattle Children's Research Institute, Seattle, WA, USA.
Lena F SchimkeDepartment of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Mércia S F de SouzaDepartment of Medicine and Post-Graduate Programs in Parasitic Biology and Health Sciences, Federal University of Sergipe, Aracaju, Sergipe, Brazil.
Luis E CuevasDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Aline F MartinsDepartment of Education in Health, Lagarto and Post-graduate Program in Health Sciences, Federal University of Sergipe, Sergipe, Brazil.
Otavio Cabral-MarquesInterunit Postgraduate Program on Bioinformatics, Institute of Mathematics and Statistics (IME), University of Sao Paulo (USP), Sao Paulo, SP, Brazil.
Universidade Federal de Sergipe · BRUniversidade de São Paulo · BRChurchill Hospital · GBD’Or Institute for Research and Education · BRHaraldsplass Diakonale Sykehus · NOLiverpool School of Tropical Medicine · GBSeattle Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brazil experienced one of the most prolonged periods of school closures, and reopening could have exposed students to high rates of SARS-CoV-2 infection. However, the infection status of students and school workers at the time of the reopening of schools located in Brazilian cities is unknown. Here we evaluated viral carriage by RT-PCR and seroprevalence of anti-SARS-CoV-2 antibodies (IgM and IgG) by immunochromatography in 2259 individuals (1139 students and 1120 school workers) from 28 schools in 28 Brazilian cities. We collected the samples within 30 days after public schools reopened and before the start of vaccination campaigns. Most students (n = 421) and school workers (n = 446) had active (qRT-PCR + IgM- IgG- or qRT-PCR + IgM + IgG-/+) SARS-CoV-2 infection. Regression analysis indicated a strong association between the infection status of students and school workers. Furthermore, while 45% (n = 515) of the students and 37% (n = 415) of the school workers were neither antigen nor antibody positive in laboratory tests, 16% of the participants (169 students and 193 school workers) were oligosymptomatic, including those reinfected. These individuals presented mild symptoms such as headache, sore throat, and cough. Notably, most of the individuals were asymptomatic (83.9%). These results indicate that many SARS-CoV-2 infections in Brazilian cities during school reopening were asymptomatic. Thus, our study highlights the need to promote a coordinated public health effort to guarantee a safe educational environment while avoiding exacerbating pre-existent social inequalities in Brazil, reducing social, mental, and economic losses for students, school workers, and their families.

Indexed as

Anti-SARS-CoV-2 antibodiesAsymptomatic SARS-CoV-2 infectionSchool reopeningSeroprevalence

Identifiers

PMID36349284
PMCPMC9633633
OpenAlexW4308203570

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.