GITHUB mainitsee tänään että Laosin sars-2-sekvensseissä näyttää olevan BN.1.3 variantin alalinjaa runsaahkosti. Toisaaltt taas näiden pandemiavuosien aikan Laos on sekvensoinut vain runsaat 1000 varianttia. TAi siis tiedottanut ulkopuollel GISAIDiin asti. Katsoin tittoa Laosin kansasta. Kansaa on vajat 9 miljoonaa ja maa on toisten valtioiden ympäröimä ilman merirajaa. WHO jäsenlistassa ei näy Laosin nimeä. Suomalaisia on siellä käynyt ja on kontakteja seurakuntaelämään. www.irrtv.fi Laosia käsitteleviä katsauksia takavuosilta.
Background:
In 2020 Lao PDR had low reported COVID-19 cases but it was unclear
whether this masked silent transmission. A seroprevalence study was
done August - September 2020 to determine SARS-CoV-2 exposure.
Methods:
Participants were from the general community (n=2433) or
healthcare workers (n=666) in five provinces and bat/wildlife contacts
(n=74) were from Vientiane province. ELISAs detected anti- SARS-CoV-2
Nucleoprotein (N; n=3173 tested) and Spike (S; n=1417 tested)
antibodies. Double-positive samples were checked by IgM/IgG rapid tests.
Controls were confirmed COVID-19 cases (n=15) and pre-COVID-19 samples
(n=265). Seroprevalence for the general community was weighted to
account for complex survey sample design, age and sex.
Findings:
In pre-COVID-19 samples, 5·3%, [95% CI=3·1-8·7%] were anti-N
antibody single-positive and 1·1% [0·3-3·5%] were anti-S antibody single
positive. None were double positive. Anti-N and anti-S antibodies were
detected in 5·2% [4·2-6·5%] and 2·1% [1·1-3·9%] of the general
community, 2·0% [1·1-3·3%] and 1·4% [0·5-3·7%] of healthcare workers and
20·3% [12·6-31·0%] and 6·8% [2·8-15·3%] of bat/wildlife contacts. 0·1%
[0·02-0·3%] were double positive for anti-N and anti-S antibodies (rapid
test negative).
Interpretation:
We find no evidence for significant SARS-CoV-2 circulation in Lao
PDR before September 2020. This likely results from early decisive
measures taken by the government, social behavior, and low population
density. High anti-N /low anti-S seroprevalence in bat/wildlife contacts
may indicate exposure to cross-reactive animal coronaviruses with
threat of emerging novel viruses.
Funding:
Agence Française de Développement. Additional; Institut Pasteur du
Laos, Institute Pasteur, Paris and Luxembourg Ministry of Foreign and
European Affairs ("PaReCIDS II").
(3) WILDLIFE study, LAO PDR wildlife tutkimus:
. 2020 Aug;165(8):1869-1875.
doi: 10.1007/s00705-020-04683-7.
Epub 2020 Jun 1. Coronavirus surveillance of wildlife in the Lao People's Democratic Republic detects viral RNA in rodents
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