PMID- 36560579 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221227 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 10 IP - 12 DP - 2022 Dec 16 TI - SARS-CoV-2 Seroprevalence in Unvaccinated Adults in Thailand in November 2021. LID - 10.3390/vaccines10122169 [doi] LID - 2169 AB - Between the first case of COVID-19 in January 2020 and the end of 2021, Thailand experienced four waves of the epidemic. The third and fourth waves were caused by the alpha and delta strains from April 2021 to November 2021. Serosurveillance studies provide snapshots of the true scale of the outbreak, including the asymptomatic infections that could not be fully captured by a hospital-based case detection system. We aimed to investigate the distribution of SARs-CoV-2 seroprevalence in unvaccinated adults after the delta wave outbreak. From November to December 2021, we conducted a cross-sectional survey study in 12 public health areas (PHAs) across Thailand. A total of 26,717 blood samples were collected and tested for SARs-CoV-2 antibodies (anti-S IgG) using a qualitative immunoassay. The results showed that seropositive prevalence in this cohort was 1.4% (95% CI: 1.24 to 1.52). The lowest prevalence was in the northern region (PHA 1) and in central Thailand (PHA 3) at 0.4% (95% CI: 0.15 to 0.95), while the highest was in the southern region of Thailand (PHA 12) at 5.8% (95% CI: 4.48 to 7.29). This seropositive prevalence was strikingly lower than the reports from other countries. Our serosurveillance results suggest that the vaccination of unvaccinated groups should be accelerated, especially in the public health areas with the lowest seroprevalence. FAU - Mahasirimongkol, Surakameth AU - Mahasirimongkol S AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Uppapong, Ballang AU - Uppapong B AD - Administrative Offices, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Puangtubtim, Wiroj AU - Puangtubtim W AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Dhepakson, Panadda AU - Dhepakson P AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Panyajai, Parnuphan AU - Panyajai P AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Thawong, Naphatcha AU - Thawong N AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Pinyosukhee, Nadthanan AU - Pinyosukhee N AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Rojanawiwat, Archawin AU - Rojanawiwat A AD - National Institute of Health, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Wichukchinda, Nuanjun AU - Wichukchinda N AD - Medical Sciences Technical Office, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Soonthorncharttrawat, Sakulrat AU - Soonthorncharttrawat S AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Larpardisorn, Kanisorn AU - Larpardisorn K AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Amonyingcharoen, Sumet AU - Amonyingcharoen S AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Juntaped, Kritchai AU - Juntaped K AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Chaiyakum, Tassanee AU - Chaiyakum T AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Tongkamsen, Chayada AU - Tongkamsen C AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Srilaket, Jeerapa AU - Srilaket J AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Chipatoom, Jiratikamon AU - Chipatoom J AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Wichajarn, Rattanawadee AU - Wichajarn R AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Chatchawankanpanich, Nutchanat AU - Chatchawankanpanich N AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Pattarapreeyakul, Lapasrada AU - Pattarapreeyakul L AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Chaiya, Porntip AU - Chaiya P AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Mongkolsiri, Kaveewan AU - Mongkolsiri K AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Tuntigumthon, Suthida AU - Tuntigumthon S AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Sophondilok, Kritsamon AU - Sophondilok K AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Saengtong, Nalinee AU - Saengtong N AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Jongpitisub, Kodcharad AU - Jongpitisub K AD - Medical Life Sciences Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Sirilak, Supakit AU - Sirilak S AD - Administrative Offices, Department of Medical Sciences, Ministry of Public Health, Nonthaburi 11000, Thailand. LA - eng GR - 1500000001/Department of Medical Sciences/ PT - Journal Article DEP - 20221216 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC9785861 OTO - NOTNLM OT - 2021 OT - COVID-19 OT - SARS-CoV-2 OT - Thailand OT - anti-S OT - antibody OT - seroprevalence OT - unvaccinated COIS- The authors declare no conflict of interest. EDAT- 2022/12/24 06:00 MHDA- 2022/12/24 06:01 PMCR- 2022/12/16 CRDT- 2022/12/23 02:05 PHST- 2022/09/30 00:00 [received] PHST- 2022/11/17 00:00 [revised] PHST- 2022/11/24 00:00 [accepted] PHST- 2022/12/23 02:05 [entrez] PHST- 2022/12/24 06:00 [pubmed] PHST- 2022/12/24 06:01 [medline] PHST- 2022/12/16 00:00 [pmc-release] AID - vaccines10122169 [pii] AID - vaccines-10-02169 [pii] AID - 10.3390/vaccines10122169 [doi] PST - epublish SO - Vaccines (Basel). 2022 Dec 16;10(12):2169. doi: 10.3390/vaccines10122169.