SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.

<h4>Background</h4>Health personnel (HP) are on the frontlines during response to public health emergencies like COVID-19. This risk of exposure suggests the need for safety in responding to any pandemic. Therefore, to ascertain the rate of SARS-CoV-2 infection and immunity, and their de...

Full description

Saved in:
Bibliographic Details
Main Authors: Sen Claudine Henriette Ngomtcho, Blaise Mboringong Akenji, Ketina Hirma Tchio-Nighie, Joseph Fokam, Etienne Guenou, Carolle Nsa'Amang Eyebe, Yvan Junior Nzegni Kamkoum, Valdex Derick Ntale Tchoffo, Collins Buh Nkum, Hervé Christian Tchoudjin Paho, Yvette Marie Solange Ebogo, Aude Nanfak, Martin Maidadi-Foudi, Crescence Fouda, Angyiba Serge Andigema, Lilian Nsah Bongdze-Em, Beri Nadin Nfor, Judith Torimiro, Anne Cécile Zoung-Kanyi Bissek, Michel Noubom, Marie Claire Assoumou Okomo, Jérôme Ateudjieu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0304477
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841533129640116224
author Sen Claudine Henriette Ngomtcho
Blaise Mboringong Akenji
Ketina Hirma Tchio-Nighie
Joseph Fokam
Etienne Guenou
Carolle Nsa'Amang Eyebe
Yvan Junior Nzegni Kamkoum
Valdex Derick Ntale Tchoffo
Collins Buh Nkum
Hervé Christian Tchoudjin Paho
Yvette Marie Solange Ebogo
Aude Nanfak
Martin Maidadi-Foudi
Crescence Fouda
Angyiba Serge Andigema
Lilian Nsah Bongdze-Em
Beri Nadin Nfor
Judith Torimiro
Anne Cécile Zoung-Kanyi Bissek
Michel Noubom
Marie Claire Assoumou Okomo
Jérôme Ateudjieu
author_facet Sen Claudine Henriette Ngomtcho
Blaise Mboringong Akenji
Ketina Hirma Tchio-Nighie
Joseph Fokam
Etienne Guenou
Carolle Nsa'Amang Eyebe
Yvan Junior Nzegni Kamkoum
Valdex Derick Ntale Tchoffo
Collins Buh Nkum
Hervé Christian Tchoudjin Paho
Yvette Marie Solange Ebogo
Aude Nanfak
Martin Maidadi-Foudi
Crescence Fouda
Angyiba Serge Andigema
Lilian Nsah Bongdze-Em
Beri Nadin Nfor
Judith Torimiro
Anne Cécile Zoung-Kanyi Bissek
Michel Noubom
Marie Claire Assoumou Okomo
Jérôme Ateudjieu
author_sort Sen Claudine Henriette Ngomtcho
collection DOAJ
description <h4>Background</h4>Health personnel (HP) are on the frontlines during response to public health emergencies like COVID-19. This risk of exposure suggests the need for safety in responding to any pandemic. Therefore, to ascertain the rate of SARS-CoV-2 infection and immunity, and their determinants amongst HP become relevant.<h4>Methods</h4>A cross sectional health facility-based study was carried-out amongst HP in the Centre Region of Cameroon from 1st February to 30th June 2021. Characteristics and access to preventive tools were collected using face-to-face administered questionnaire. Nasopharyngeal swabs and whole blood were collected for PCR, IgG and IgM testing respectively. STATA version 17 software was used for data analysis. Determinants of COVID-19 infection were explored by estimating crude and adjusted Odd Ratio.<h4>Results</h4>Out of 510 HP reached, 458 were enrolled with mean age of 35 (±10) years. Thirty-four (7.4%) were PCR-positive to SARS-CoV-2 with 73.5% being clinicians versus 9 (26.4%) non-clinicians (p = 0.05). Sero-positivity to SARS-CoV-2 IgG/IgM was 40.2% (184/458), with 84.2% being clinicians versus 29 (15.8%) non-clinicians (p = 0.733). Amongst the 34 HP with PCR-positivity, 16 (47%) had no antibodies, while, 15 (44%) were IgG only. An estimate of HP (43.7%) had at least an evidence of PCR, IgG or IgM contact to COVID-19. Determinants of PCR-positivity was being clinical staff (AOR = 0.29, P = 0.039); and that of IgG/IgM were being non clinical staff (AOR = 0.41, p = 0.018) and regular use of face masks (AOR = 0.44, p = 0.001). HP trained on IPC (24%) were mainly from peripheral level (74.7%, p = 0.002).<h4>Conclusion</h4>Active infections were within the range of pandemic control (<10%). However, around two-fifths of participants have had contact with the virus, indicating that HP remains a population at risk of COVID-19 and other similarly-transmitted epidemic prone diseases, and also an important source of transmission. There is need of vaccine to achieve protectiveness, and optimal response also requires capacity building to improve the health system when challenged by a future pandemic.
format Article
id doaj-art-e5e477b4a48c44f2ba70d4f99459f0ad
institution Kabale University
issn 1932-6203
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-e5e477b4a48c44f2ba70d4f99459f0ad2025-01-17T05:32:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e030447710.1371/journal.pone.0304477SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.Sen Claudine Henriette NgomtchoBlaise Mboringong AkenjiKetina Hirma Tchio-NighieJoseph FokamEtienne GuenouCarolle Nsa'Amang EyebeYvan Junior Nzegni KamkoumValdex Derick Ntale TchoffoCollins Buh NkumHervé Christian Tchoudjin PahoYvette Marie Solange EbogoAude NanfakMartin Maidadi-FoudiCrescence FoudaAngyiba Serge AndigemaLilian Nsah Bongdze-EmBeri Nadin NforJudith TorimiroAnne Cécile Zoung-Kanyi BissekMichel NoubomMarie Claire Assoumou OkomoJérôme Ateudjieu<h4>Background</h4>Health personnel (HP) are on the frontlines during response to public health emergencies like COVID-19. This risk of exposure suggests the need for safety in responding to any pandemic. Therefore, to ascertain the rate of SARS-CoV-2 infection and immunity, and their determinants amongst HP become relevant.<h4>Methods</h4>A cross sectional health facility-based study was carried-out amongst HP in the Centre Region of Cameroon from 1st February to 30th June 2021. Characteristics and access to preventive tools were collected using face-to-face administered questionnaire. Nasopharyngeal swabs and whole blood were collected for PCR, IgG and IgM testing respectively. STATA version 17 software was used for data analysis. Determinants of COVID-19 infection were explored by estimating crude and adjusted Odd Ratio.<h4>Results</h4>Out of 510 HP reached, 458 were enrolled with mean age of 35 (±10) years. Thirty-four (7.4%) were PCR-positive to SARS-CoV-2 with 73.5% being clinicians versus 9 (26.4%) non-clinicians (p = 0.05). Sero-positivity to SARS-CoV-2 IgG/IgM was 40.2% (184/458), with 84.2% being clinicians versus 29 (15.8%) non-clinicians (p = 0.733). Amongst the 34 HP with PCR-positivity, 16 (47%) had no antibodies, while, 15 (44%) were IgG only. An estimate of HP (43.7%) had at least an evidence of PCR, IgG or IgM contact to COVID-19. Determinants of PCR-positivity was being clinical staff (AOR = 0.29, P = 0.039); and that of IgG/IgM were being non clinical staff (AOR = 0.41, p = 0.018) and regular use of face masks (AOR = 0.44, p = 0.001). HP trained on IPC (24%) were mainly from peripheral level (74.7%, p = 0.002).<h4>Conclusion</h4>Active infections were within the range of pandemic control (<10%). However, around two-fifths of participants have had contact with the virus, indicating that HP remains a population at risk of COVID-19 and other similarly-transmitted epidemic prone diseases, and also an important source of transmission. There is need of vaccine to achieve protectiveness, and optimal response also requires capacity building to improve the health system when challenged by a future pandemic.https://doi.org/10.1371/journal.pone.0304477
spellingShingle Sen Claudine Henriette Ngomtcho
Blaise Mboringong Akenji
Ketina Hirma Tchio-Nighie
Joseph Fokam
Etienne Guenou
Carolle Nsa'Amang Eyebe
Yvan Junior Nzegni Kamkoum
Valdex Derick Ntale Tchoffo
Collins Buh Nkum
Hervé Christian Tchoudjin Paho
Yvette Marie Solange Ebogo
Aude Nanfak
Martin Maidadi-Foudi
Crescence Fouda
Angyiba Serge Andigema
Lilian Nsah Bongdze-Em
Beri Nadin Nfor
Judith Torimiro
Anne Cécile Zoung-Kanyi Bissek
Michel Noubom
Marie Claire Assoumou Okomo
Jérôme Ateudjieu
SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.
PLoS ONE
title SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.
title_full SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.
title_fullStr SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.
title_full_unstemmed SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.
title_short SARS-CoV-2 active infection and antibodies amongst health personnel during the outbreak in Cameroon: Strengthening the health system for response to future public health emergencies.
title_sort sars cov 2 active infection and antibodies amongst health personnel during the outbreak in cameroon strengthening the health system for response to future public health emergencies
url https://doi.org/10.1371/journal.pone.0304477
work_keys_str_mv AT senclaudinehenriettengomtcho sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT blaisemboringongakenji sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT ketinahirmatchionighie sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT josephfokam sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT etienneguenou sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT carollensaamangeyebe sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT yvanjuniornzegnikamkoum sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT valdexderickntaletchoffo sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT collinsbuhnkum sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT hervechristiantchoudjinpaho sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT yvettemariesolangeebogo sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT audenanfak sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT martinmaidadifoudi sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT crescencefouda sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT angyibasergeandigema sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT liliannsahbongdzeem sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT berinadinnfor sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT judithtorimiro sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT annececilezoungkanyibissek sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT michelnoubom sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT marieclaireassoumouokomo sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies
AT jeromeateudjieu sarscov2activeinfectionandantibodiesamongsthealthpersonnelduringtheoutbreakincameroonstrengtheningthehealthsystemforresponsetofuturepublichealthemergencies