SARS-CoV-2 in Rural Latin America. A Population-based Study in Coastal Ecuador.

Del Brutto, Oscar H; Costa, Aldo F; Mera, Robertino M; Recalde, Bettsy Y; Bustos, Javier A; García, Héctor H · Clin Infect Dis · 2021

cross_sectional · Level IV

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Abstract

Antibodies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were detected in 303/673 rural Ecuadorian adults (45%), 77% of whom had compatible clinical manifestations. Seropositivity was associated with the use of open latrines. Our findings support the fears of mass spread of SARS-CoV-2 in rural Latin America and cannot exclude a contributing role for fecal-oral transmission.

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