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Under-diagnosis of SARS-CoV-2 infections among children aged 0–15 years,a nationwide seroprevalence study,Israel, January 2020 to March 2021
Authors:Victoria Indenbaum  Yaniv Lustig  Ella Mendelson  Yael Hershkovitz  Aharona Glatman-Freedman  Lital Keinan-Boker  Ravit Bassal
Affiliation:1.Central Virology Laboratory, Ministry of Health, Ramat-Gan, Israel; 2.Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 3.Israel Center for Disease Control, Ministry of Health, Sheba Medical Center, Ramat-Gan, Israel; 4.School of Public Health, University of Haifa, Haifa, Israel
Abstract:
Until recently, children and adolescents were not eligible for COVID-19 vaccination. They may have been a considerable source of SARS-CoV-2 spread. We evaluated SARS-CoV-2 IgG antibody seroprevalence in Israeli children aged 0–15 years from January 2020 to March 2021. Seropositivity was 1.8–5.5 times higher than COVID-19 incidence rates based on PCR testing. We found that SARS-CoV-2 infection among children is more prevalent than previously thought and emphasise the importance of seroprevalence studies to accurately estimate exposure.
Keywords:SARS-CoV-2   COVID-19   seroprevalence study   Pfizer-BioNTech vaccine
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