EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)

Background: The COVID-19 pandemic in Bulgaria was characterized by a high mortality rate and vaccination efforts yielded suboptimal results. Understanding population immunity is important as new SARS-CoV-2 variants continue to emerge. This study aimed to assess the seroprevalence of SARS-CoV-2 anti...

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Main Authors: Kim Ngoc, Iva Trifonova, Teodora Gladnishka, Elitsa Panayotova, Evgenia Taseva, Vladislava Ivanova, Eleonora Kutevа, Iva Vladimirova, Iva Christova
Format: Article
Language:English
Published: National Center of Infectious and Parasitic Diseases 2025-01-01
Series:Problems of Infectious and Parasitic Diseases
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Online Access:https://pipd.ncipd.org/index.php/pipd/article/view/145
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author Kim Ngoc
Iva Trifonova
Teodora Gladnishka
Elitsa Panayotova
Evgenia Taseva
Vladislava Ivanova
Eleonora Kutevа
Iva Vladimirova
Iva Christova
author_facet Kim Ngoc
Iva Trifonova
Teodora Gladnishka
Elitsa Panayotova
Evgenia Taseva
Vladislava Ivanova
Eleonora Kutevа
Iva Vladimirova
Iva Christova
author_sort Kim Ngoc
collection DOAJ
description Background: The COVID-19 pandemic in Bulgaria was characterized by a high mortality rate and vaccination efforts yielded suboptimal results. Understanding population immunity is important as new SARS-CoV-2 variants continue to emerge. This study aimed to assess the seroprevalence of SARS-CoV-2 antibodies in the general population of Bulgaria and examine demographic variations in antibody presence. Materials and methods: In December 2023, 1895 serum samples were randomly collected from healthy individuals across all 28 provinces. Samples were tested for SARS-CoV-2 spike protein-specific IgG antibodies using ELISA method. A subset of the positive samples was subsequently tested for neutralizing antibodies. Seroprevalence was analyzed by sex, age group, and geographic region. Statistical analyses were conducted using SPSS v.26. Results: Overall seroprevalence was 91.9%, with similar rates between males (91.6%) and females (92.0%). Seroprevalence was highest in the 18-39 age group (95.1%) and lowest in those over 65 (89.3%). Regional seroprevalence ranged from 80.0% to 98.3%. Among samples tested for presence of neutralizing antibodies, 90.5% were positive, indicating effective immune response. Conclusions: The high seroprevalence suggests widespread prior exposure to SARS-CoV-2 and/or vaccination among the Bulgarian population. The strong presence of neutralizing antibodies might provide potential protection against severe disease. Targeted interventions towards older age groups could be appropriate in order to sustain immunity as COVID-19 remains a public health concern.
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spelling doaj-art-ff2bb887588f4932bbea472d92fc38d22025-01-18T19:01:04ZengNational Center of Infectious and Parasitic DiseasesProblems of Infectious and Parasitic Diseases0204-91552815-28082025-01-0152310.58395/03r0mk42EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)Kim Ngoc0Iva Trifonova1Teodora Gladnishka2Elitsa Panayotova3Evgenia Taseva4Vladislava Ivanova5Eleonora Kutevа6Iva Vladimirova7Iva Christova8National Centre of Infectious and Parasitic DiseasesDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, BulgariaDepartment of Microbiology, National Center of Infectious and Parasitic Diseases, Sofia, Bulgaria Background: The COVID-19 pandemic in Bulgaria was characterized by a high mortality rate and vaccination efforts yielded suboptimal results. Understanding population immunity is important as new SARS-CoV-2 variants continue to emerge. This study aimed to assess the seroprevalence of SARS-CoV-2 antibodies in the general population of Bulgaria and examine demographic variations in antibody presence. Materials and methods: In December 2023, 1895 serum samples were randomly collected from healthy individuals across all 28 provinces. Samples were tested for SARS-CoV-2 spike protein-specific IgG antibodies using ELISA method. A subset of the positive samples was subsequently tested for neutralizing antibodies. Seroprevalence was analyzed by sex, age group, and geographic region. Statistical analyses were conducted using SPSS v.26. Results: Overall seroprevalence was 91.9%, with similar rates between males (91.6%) and females (92.0%). Seroprevalence was highest in the 18-39 age group (95.1%) and lowest in those over 65 (89.3%). Regional seroprevalence ranged from 80.0% to 98.3%. Among samples tested for presence of neutralizing antibodies, 90.5% were positive, indicating effective immune response. Conclusions: The high seroprevalence suggests widespread prior exposure to SARS-CoV-2 and/or vaccination among the Bulgarian population. The strong presence of neutralizing antibodies might provide potential protection against severe disease. Targeted interventions towards older age groups could be appropriate in order to sustain immunity as COVID-19 remains a public health concern. https://pipd.ncipd.org/index.php/pipd/article/view/145COVID-19seroprevalenceBulgaria
spellingShingle Kim Ngoc
Iva Trifonova
Teodora Gladnishka
Elitsa Panayotova
Evgenia Taseva
Vladislava Ivanova
Eleonora Kutevа
Iva Vladimirova
Iva Christova
EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)
Problems of Infectious and Parasitic Diseases
COVID-19
seroprevalence
Bulgaria
title EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)
title_full EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)
title_fullStr EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)
title_full_unstemmed EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)
title_short EVALUATION OF POPULATION-LEVEL IMMUNITY TO SARS-COV-2 ACROSS BULGARIA (END OF 2023)
title_sort evaluation of population level immunity to sars cov 2 across bulgaria end of 2023
topic COVID-19
seroprevalence
Bulgaria
url https://pipd.ncipd.org/index.php/pipd/article/view/145
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