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Epidemiol Infect . Cumulative and undiagnosed SARS-CoV-2 infection among the staff of a medical research centre in Tokyo after the emergence of var

tetano

Editor, Senior Moderator
Epidemiol Infect


. 2023 Mar 8;151:e48.
doi: 10.1017/S0950268823000353.
Cumulative and undiagnosed SARS-CoV-2 infection among the staff of a medical research centre in Tokyo after the emergence of variants


Tetsuya Mizoue[SUP] 1 [/SUP], Shohei Yamamoto[SUP] 1 [/SUP], Yusuke Oshiro[SUP] 2 [/SUP], Natsumi Inamura[SUP] 2 [/SUP], Takashi Nemoto[SUP] 2 [/SUP], Kumi Horii[SUP] 3 [/SUP], Kaori Okudera[SUP] 4 [/SUP], Maki Konishi[SUP] 1 [/SUP], Mitsuru Ozeki[SUP] 2 [/SUP], Haruhito Sugiyama[SUP] 5 [/SUP], Nobuyoshi Aoyanagi[SUP] 6 [/SUP], Wataru Sugiura[SUP] 7 [/SUP], Norio Ohmagari[SUP] 8 [/SUP]



Affiliations

Abstract

To describe the trend of cumulative incidence of coronavirus disease 19 (COVID-19) and undiagnosed cases over the pandemic through the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants among healthcare workers in Tokyo, we analysed data of repeated serological surveys and in-house COVID-19 registry among the staff of National Center for Global Health and Medicine. Participants were asked to donate venous blood and complete a survey questionnaire about COVID-19 diagnosis and vaccine. Positive serology was defined as being positive on Roche or Abbott assay against SARS-CoV-2 nucleocapsid protein, and cumulative infection was defined as either being seropositive or having a history of COVID-19. Cumulative infection has increased from 2.0% in June 2021 (pre-Delta) to 5.3% in December 2021 (post-Delta). After the emergence of the Omicron, it has increased substantially during 2022 (16.9% in June and 39.0% in December). As of December 2022, 30% of those who were infected in the past were not aware of their infection. Results indicate that SARS-CoV-2 infection has rapidly expanded during the Omicron-variant epidemic among healthcare workers in Tokyo and that a sizable number of infections were undiagnosed.

Keywords: COVID-19; Japan; SARS-CoV-2; healthcare workers; seroprevalence.
 
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