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Cumulative incidence and diagnosis of SARS-CoV-2 infection in New York.
Rosenberg, Eli S; Tesoriero, James M; Rosenthal, Elizabeth M; Chung, Rakkoo; Barranco, Meredith A; Styer, Linda M; Parker, Monica M; John Leung, Shu-Yin; Morne, Johanne E; Greene, Danielle; Holtgrave, David R; Hoefer, Dina; Kumar, Jessica; Udo, Tomoko; Hutton, Brad; Zucker, Howard A.
  • Rosenberg ES; University at Albany School of Public Health, State University of New York, Rensselaer. Electronic address: erosenberg2@albany.edu.
  • Tesoriero JM; New York State Department of Health, Albany, NY.
  • Rosenthal EM; University at Albany School of Public Health, State University of New York, Rensselaer.
  • Chung R; New York State Department of Health, Albany, NY.
  • Barranco MA; University at Albany School of Public Health, State University of New York, Rensselaer.
  • Styer LM; Wadsworth Center, New York State Department of Health, Albany, NY.
  • Parker MM; Wadsworth Center, New York State Department of Health, Albany, NY.
  • John Leung SY; New York State Department of Health, Albany, NY.
  • Morne JE; New York State Department of Health, Albany, NY.
  • Greene D; New York State Department of Health, Albany, NY.
  • Holtgrave DR; University at Albany School of Public Health, State University of New York, Rensselaer.
  • Hoefer D; New York State Department of Health, Albany, NY.
  • Kumar J; New York State Department of Health, Albany, NY.
  • Udo T; University at Albany School of Public Health, State University of New York, Rensselaer.
  • Hutton B; New York State Department of Health, Albany, NY.
  • Zucker HA; New York State Department of Health, Albany, NY.
Ann Epidemiol ; 48: 23-29.e4, 2020 08.
Artículo en Inglés | MEDLINE | ID: covidwho-599930
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ABSTRACT

PURPOSE:

New York State (NYS) is an epicenter of the SARS-CoV-2 pandemic in the United States. Reliable estimates of cumulative incidence in the population are critical to tracking the extent of transmission and informing policies.

METHODS:

We conducted a statewide seroprevalence study in a 15,101 patron convenience sample at 99 grocery stores in 26 counties throughout NYS. SARS-CoV-2 cumulative incidence was estimated from antibody reactivity by first poststratification weighting and then adjusting by antibody test characteristics. The percent diagnosed was estimated by dividing the number of diagnoses by the number of estimated infection-experienced adults.

RESULTS:

Based on 1887 of 15,101 (12.5%) reactive results, estimated cumulative incidence through March 29 was 14.0% (95% confidence interval [CI] 13.3%-14.7%), corresponding to 2,139,300 (95% CI 2,035,800-2,242,800) infection-experienced adults. Cumulative incidence was highest in New York City 22.7% (95% CI 21.5%-24.0%) and higher among Hispanic/Latino (29.2%), non-Hispanic black/African American (20.2%), and non-Hispanic Asian (12.4%) than non-Hispanic white adults (8.1%, P < .0001). An estimated 8.9% (95% CI 8.4%-9.3%) of infections in NYS were diagnosed, with diagnosis highest among adults aged 55 years or older (11.3%, 95% CI 10.4%-12.2%).

CONCLUSIONS:

From the largest U.S. serosurvey to date, we estimated >2 million adult New York residents were infected through late March, with substantial disparities, although cumulative incidence remained less than herd immunity thresholds. Monitoring, testing, and contact tracing remain essential public health strategies.
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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones por Coronavirus Tipo de estudio: Estudios diagnósticos / Estudio observacional / Estudio pronóstico Tópicos: Covid persistente Límite: Adolescente / Adulto / Femenino / Humanos / Masculino / Middle aged / Young_adult País/Región como asunto: America del Norte Idioma: Inglés Revista: Ann Epidemiol Asunto de la revista: Epidemiología Año: 2020 Tipo del documento: Artículo

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Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Neumonía Viral / Infecciones por Coronavirus Tipo de estudio: Estudios diagnósticos / Estudio observacional / Estudio pronóstico Tópicos: Covid persistente Límite: Adolescente / Adulto / Femenino / Humanos / Masculino / Middle aged / Young_adult País/Región como asunto: America del Norte Idioma: Inglés Revista: Ann Epidemiol Asunto de la revista: Epidemiología Año: 2020 Tipo del documento: Artículo