ABSTRACT
Objectives: Routine monitoring of vaccine-induced anti-S responses following mRNA based SARS-CoV-2 vaccination is not recommended routinely as uncertainties exist about the critical threshold of antibody levels that correlate to protection and the optimal timepoint for determination. In our study, anti-S antibody were analysed over 24 weeks following a standard two-dose regimen of mRNA based anti-SARS-CoV-2 vaccines and correlated to the development and persistence of neutralizing activity against SARSCoV- 2 in patients with rheumatoid arthritis (RA) on DMARD therapy compared to healthy controls (HC). Method(s): The RECOVER study was a prospective, controlled, monocentric study. Assessments were performed before vaccination, and at three, six, 12 and 24 weeks after the first vaccine dose. Result(s): In RA patients, anti-S responses developed slower and resulted in lower peak titers compared to HC. A potent neutralizing activity (NT50) as assessed by a SARS-CoV-2 pseudoneutralization assay was observed in 60.3 % of all 73 RA patients and in all 21 HC after 12 weeks. A significant correlation between peak anti-S levels two weeks after the second vaccine dose and the development of a persistent neutralizing activity against SARS-CoV-2 was observed at week 12 and week 24. The analysis of IgG, IgA, and IgM isotype responses to RBD, S1, S2, and N proteins revealed a delayed IgG response, while IgA and IgM responses were maintained, suggesting a delayed isotype switch in RA patients. Conclusion(s): Peak anti-S IgG levels two weeks after the second vaccine dose significantly predicted the development and persistence of a potent neutralizing activity against SARS-CoV-2 after 12 and 24 weeks. Our data suggest that the early determination of anti- S levels allows the timely identification of non- or poor-responding patients.
ABSTRACT
Our understanding of the transmission of anthropozoonotic diseases between humans and non-human primates, particularly great apes due to their close genetic relationship with humans, highlights a serious potential threat to the survival of these species. This is particularly the case at tourism sites where risk of disease transmission is increased. We focus on the interaction between tourists and the Critically Endangered Sumatran orangutan (Pongo abelii) at Bukit Lawang in the Gunung Leuser National Park, Indonesia, before and after the park was closed due to the threat of COVID-19 in April 2020. Through analysis of posts on Instagram we determine the extent of compliance by visitors with the rule to keep a minimum distance of 10 m from orangutans and assess the positional behaviours of the orangutans. Of the 2,229 photographs we assessed between November 2019 and July 2020, 279 depicted one or more orangutans. Forty-two of these contained both a human and an orangutan, and of these all showed inappropriate behaviours (direct contact, feeding orangutans, close proximity <5 m) providing direct evidence of non-compliance with the 10-m distance rule. Most of these photographs additionally showed orangutans performing abnormal positional behaviours such as being low to or on the ground rather than their natural high position in the canopy; being near the ground and in close proximity to humans increases the risk of anthropozoonotic disease transmission. As expected, we found a significant decrease in number of photographs that were posted following the closure, and a decrease in the proportion of photographs that showed orangutans, or tourists feeding orangutans. Tourists do not seem to perceive that they pose risks to the orangutans and therefore increased awareness, education and enforcement of rules by all stakeholders, tourism bodies and government officials need to be actioned in order to safeguard this important population, which is crucial to the future survival of the Sumatran orangutan.