Background: This community-based study was conducted to determine the proportion of individuals in the population that had been infected by the SARS-CoV-2 virus and developed antibodies before the second wave and introduction of COVID-19 vaccines in Nigeria.
Methods:Between December 2020 and March 2021, 2,244 markets sellers and shoppers aged ≤ 70 years across six states [two northern (Kano and Kaduna), two eastern (Ebonyi and Imo), and two western (Oyo and Lagos)] regions were enrolled in the study. Demographic information was collected from the participants as well as whole blood which was separated into serum and tested for SARS-CoV-2 total antibodies with a validated ELISA kit (WANTAI SARS-CoV-2 Ab ELISA) approved by the U.S. Food and Drug Administration.Results: Overall, 1, 453 participants tested positive for the antibodies giving a seroprevalence of 66.8%. The antibodies were significantly (P = 0.0001) detected across the six states with the highest rate in Kano (83%) and the lowest rate in Lagos (39%). Participants who were ≤ 19 years and those between 60 and 69 years had the highest (68.42% (104/152) and lowest (56.20%: 68/121) seroprevalence rates respectively. In terms of religion, higher antibody levels were significantly (χ2 =17.4664, P = 0.0001) detected among Christians (75%: 576/766) compared to Muslims (65%: 395/609). There were no significant relationships between antibody positivity rates and gender, education, economic as well as marital status (p > 0.05).
Conclusion:Six out of every ten participants in this study had antibodies against SARS-CoV-2 before the second wave and introduction of COVID-19 vaccines. Increased activities and mobility may be responsible for high levels of SARS-CoV-2 antibodies among young persons while differences in religious practices may account for the low prevalence of SARS-CoV-2 antibodies among Muslims compared to Christians.