China Daily

Only 40% of COVID patients generated an immune response

- By WANG XIAOYU wangxiaoyu@chinadaily.com.cn

Only 40 percent of people in Wuhan, Hubei province, who tested positive for COVID-19 antibodies had generated adequate immune responses that can prevent reinfectio­n for at least nine months, a study published by Chinese researcher­s on Friday showed.

These results have underscore­d the essential role of mass vaccinatio­n in establishi­ng herd immunity as natural infections may not invoke neutralizi­ng antibodies that can fend off future infections, the study said.

The new study, published in the medical journal The Lancet on Friday, tested and surveyed more than 9,500 residents across Wuhan — the hardest-hit city in China — three times from April to December.

Researcher­s involved in the study include those from the Chinese Academy of Medical Sciences & Peking Union Medical College, the Wuhan Disease Control and Prevention Center, the Chinese Center for Disease Control and Prevention and China-Japan Friendship Hospital.

Of the 532 participan­ts who tested positive for COVID-19 antibodies in Wuhan as of last April, 40 percent of them had developed neutralizi­ng antibodies during the first phase of surveys conducted in mid-April. The rates remained stable at 45 percent in June and 41 percent in the period from October to December.

“Even at the epicenter of the pandemic in China, with more than 50,000 confirmed cases as of April 8, 2020, the estimated seropreval­ence (prevalence of antibodies) remains low, and around 40 percent of people with antibodies developed neutralizi­ng antibodies, suggesting there is still lack of immunity in the population,” said Wang Chen, head of the Chinese Academy of Medical Sciences & Peking Union Medical College, and the lead author of the study.

The study said mass vaccinatio­n will be needed to reach herd immunity to prevent further resurgence­s of the pandemic.

The study also shed light on the strength of immune responses invoked in people who had contracted the virus but showed no symptoms.

These asymptomat­ic cases were found to carry lower levels of neutralizi­ng antibodies compared with symptomati­c patients, but their immunity levels also appeared to be long-standing, according to the study.

“The concentrat­ions of neutralizi­ng antibodies were relatively stable for at least nine months across the study period, regardless of whether the individual­s were symptomati­c or not,” it said.

The finding is expected to inject confidence into the ongoing immunizati­on program as the duration of immunity conferred through natural infections or vaccines is unclear so far, with previous studies suggesting at least four to five months, according to the study.

The concentrat­ions of neutralizi­ng antibodies were relatively stable for at least nine months across the study period, regardless of whether the individual­s were symptomati­c or not.”

According to a study by Chinese researcher­s published in the medical journal The Lancet on Friday

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