Low awareness of past SARS-CoV-2 infection in healthy plasma donors.

van den Hurk, Katja; Merz, Eva-Maria; Prinsze, Femmeke J; Spekman, Marloes L C; Quee, Franke A; Ramondt, Steven; Slot, Ed; Vrielink, Hans et al. · Cell Rep Med · 2021

cross_sectional · Level IV

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Abstract

Awareness of infection with SARS-CoV-2 is crucial for the effectiveness of COVID-19 control measures. Here, we investigate awareness of infection and symptoms in relation to antibodies against SARS-CoV-2 in healthy plasma donors. We asked individuals donating plasma across the Netherlands between May 11<sup>th</sup> and 18<sup>th</sup> 2020 to report COVID-19-related symptoms, and we tested for antibodies indicative of a past infection with SARS-CoV-2. Among 3,676 with antibodies, and from questionnaire data, 239 (6.5%) are positive for SARS-CoV-2 antibodies. Of those, 48% suspect no COVID-19, despite the majority reporting symptoms; 11% of seropositive individuals report no symptoms and 27% very mild symptoms at any time during the first peak of the epidemic. Anosmia/ageusia and fever are most strongly associated with seropositivity. Almost half of seropositive individuals do not suspect SARS-CoV-2 infection. Improved recognition of COVID-19 symptoms, in particular, anosmia/ageusia and fever, is needed to reduce widespread SARS-CoV-2 transmission.

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