Evidence map›Paper›PMID 42231923›Full record

ArticleBMJ public health2026

Leveraging remnant viral load samples for SARS-CoV-2 antibody seroprevalence trends among PLHIV in Kenya, February 2021-October 2022: a cross-sectional surveillance survey.

Helen Chun, Anthony Waruru, Rose Wafula, Ernest Makokha, Erastus Cheti, Valarie Sarah Opollo, Rachael Joseph, Emilio Dirlikov, Marc Bulterys, Hetal Patel and 18 more

Abstract read
In one paragraph

Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

28 authors.

Helen Chun *Centers for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-1050-7361
Anthony Waruru *Centers for Disease Control and Prevention Global Health Center, Nairobi, Kenya.
Rose WafulaKenya Ministry of Health, Nairobi, Nairobi County, Kenya.
Ernest MakokhaCenters for Disease Control and Prevention Global Health Center, Nairobi, Kenya.
Erastus ChetiAmref Health Africa, Nairobi, Nairobi County, Kenya.
Valarie Sarah OpolloKenya Medical Research Institute, Kisumu, Nyanza, Kenya.ORCID https://orcid.org/0000-0002-5931-1685
Rachael JosephCenters for Disease Control and Prevention Global Health Center, Nairobi, Kenya.ORCID https://orcid.org/0000-0003-4644-1568
Emilio DirlikovCenters for Disease Control and Prevention Global Health Center, Maputo, Mozambique.ORCID https://orcid.org/0000-0003-4631-2643
Marc BulterysCenters for Disease Control and Prevention Global Health Center, Nairobi, Kenya.
Hetal PatelCenters for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-5468-2591
Muthoni JunghaeCenters for Disease Control and Prevention Global Health Center, Nairobi, Kenya.
John KiiruKenya Medical Research Institute, Kisumu, Nyanza, Kenya.
Dominic KariukiKenya Medical Research Institute, Kisumu, Nyanza, Kenya.
Rebecca AchiengKenya Medical Research Institute, Kisumu, Nyanza, Kenya.ORCID https://orcid.org/0009-0004-1406-5275
Martha WezumaKenya Medical Research Institute, Kisumu, Nyanza, Kenya.
Ann MainaAmref Health Africa, Nairobi, Nairobi County, Kenya.
Elvis KiruiAmref Health Africa, Nairobi, Nairobi County, Kenya.
Noel OdhiamboAmref Health Africa, Nairobi, Nairobi County, Kenya.
Jane Y CarterAmref Health Africa, Nairobi, Nairobi County, Kenya.ORCID https://orcid.org/0000-0003-4671-3519
Mary SchmitzCenters for Disease Control and Prevention Global Health Center, Nairobi, Kenya.
Rashid AmanKenya Ministry of Health, Nairobi, Nairobi County, Kenya.ORCID https://orcid.org/0000-0002-7296-5608
Nancy BowenKenya Ministry of Health, Nairobi, Nairobi County, Kenya.
Leonard KingwaraKenya Ministry of Health, Nairobi, Nairobi County, Kenya.
Mamo UmuroKenya Ministry of Health, Nairobi, Nairobi County, Kenya.
Denis WanyamaAmref Health Africa, Nairobi, Nairobi County, Kenya.
Kenneth Ouma NdiegeAmref Health Africa, Nairobi, Nairobi County, Kenya.
Appolonia AokoCenters for Disease Control and Prevention Global Health Center, Nairobi, Kenya.ORCID https://orcid.org/0000-0001-6597-607X
Ray ShiraishiCenters for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0001-7640-0666

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: People living with HIV (PLHIV) are at increased risk of COVID-19-related mortality. However, the burden of and immune response to SARS-CoV-2 infection among PLHIV, particularly in sub-Saharan Africa, remains poorly understood. Methods: We conducted a four-round serial cross-sectional surveillance survey using HIV viral load testing remnant samples from PLHIV on antiretroviral treatment (ART) in Kenya to assess trends in SARS-CoV-2 antibody seroprevalence from February 2021 to October 2022. SARS-CoV-2 IgG antibodies were detected using a validated two-assay ELISA serial algorithm. Samples with ELISA-positive or borderline result samples were further tested using a multiplex bead assay (MBA) to distinguish potential infection and/or vaccination status. Results: National SARS-CoV-2 antibody seroprevalence among PLHIV on ART increased from 16.1% in round 1 to 91.7% in round 4: round 1: 16.1% (95% CI 6.9% to 33.1%), round 2: 29.6% (95% CI 13.7% to 52.7%), round 3: 84.2% (95% CI 67.7% to 93.1%) and round 4: 91.7% (95% CI 86.5% to 95.0%). These estimates corresponded to approximately 186 891 (95% CI 38 639 to 3 35 143), 363 590 (95% CI 114 267 to 612 913), 1 072 496 (95% CI 914 449 to 1 230 452) and 1 173 399 (95% CI 1 120 224 to 1 226 574) PLHIV on ART with SARS-CoV-2 antibodies across the four rounds. MBA testing of ELISA-positive and borderline samples showed that 97% had evidence of probable infection and/or vaccination while 3% tested negative by MBA. Conclusions: Monitoring SARS-CoV-2 infection in PLHIV is essential. Seroprevalence among PLHIV on ART in Kenya increased substantially during 2021-2022, reflecting both infection and vaccination. Protecting the health of PLHIV through sustained prevention, treatment and vaccination strategies remains critical in mitigating the threat of COVID-19.

Indexed as

COVID-19HIVSARS-CoV-2

Identifiers

PMID42231923
PMCPMC13223627

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.