COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study

Background: Frequency indicators are used by epidemiologists to facilitate public health professionals in estimating the impact of diseases. As of April 2022, Romania had reported 2.8 million confirmed COVID-19 cases to the World Health Organization, equating to a prevalence rate of 13.94%. A more a...

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Main Authors: Réka Bodea, Toader Septimiu Voidăzan, Lorand Iozsef Ferencz, Zoltán Ábrám
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Epidemiologia
Subjects:
Online Access:https://www.mdpi.com/2673-3986/6/2/26
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author Réka Bodea
Toader Septimiu Voidăzan
Lorand Iozsef Ferencz
Zoltán Ábrám
author_facet Réka Bodea
Toader Septimiu Voidăzan
Lorand Iozsef Ferencz
Zoltán Ábrám
author_sort Réka Bodea
collection DOAJ
description Background: Frequency indicators are used by epidemiologists to facilitate public health professionals in estimating the impact of diseases. As of April 2022, Romania had reported 2.8 million confirmed COVID-19 cases to the World Health Organization, equating to a prevalence rate of 13.94%. A more accurate method for assessing the cumulative number of cases is the use of seroprevalence studies. This study retrospectively evaluates infection trends in Romania to enhance understanding of the virus’s spread and may support future comparative analyses of public health responses and community-level immunity. Methods: We analyzed 51,533 qualitative test results for high-affinity IgG antibodies targeting the SARS-CoV-2 nucleocapsid protein. Results: The largest proportion of tested individuals (59.4%) was aged 18–49 years. Among all serological tests, 18,980 were positive, corresponding to an adjusted seroprevalence rate of 40%. Conclusions: During the second year of the pandemic, seropositivity rates were highest among young adults, particularly in the western regions, and lowest among children and adolescents. These findings point out variations in exposure across age groups and geographic areas.
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spelling doaj-art-d0a7b9fc161c4971a8b67afb88d366b92025-06-25T13:48:47ZengMDPI AGEpidemiologia2673-39862025-06-01622610.3390/epidemiologia6020026COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody StudyRéka Bodea0Toader Septimiu Voidăzan1Lorand Iozsef Ferencz2Zoltán Ábrám3Department of Epidemiology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540142 Târgu Mureș, RomaniaDepartment of Epidemiology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540142 Târgu Mureș, RomaniaDepartment of Hygiene, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540142 Târgu Mureș, RomaniaDepartment of Hygiene, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540142 Târgu Mureș, RomaniaBackground: Frequency indicators are used by epidemiologists to facilitate public health professionals in estimating the impact of diseases. As of April 2022, Romania had reported 2.8 million confirmed COVID-19 cases to the World Health Organization, equating to a prevalence rate of 13.94%. A more accurate method for assessing the cumulative number of cases is the use of seroprevalence studies. This study retrospectively evaluates infection trends in Romania to enhance understanding of the virus’s spread and may support future comparative analyses of public health responses and community-level immunity. Methods: We analyzed 51,533 qualitative test results for high-affinity IgG antibodies targeting the SARS-CoV-2 nucleocapsid protein. Results: The largest proportion of tested individuals (59.4%) was aged 18–49 years. Among all serological tests, 18,980 were positive, corresponding to an adjusted seroprevalence rate of 40%. Conclusions: During the second year of the pandemic, seropositivity rates were highest among young adults, particularly in the western regions, and lowest among children and adolescents. These findings point out variations in exposure across age groups and geographic areas.https://www.mdpi.com/2673-3986/6/2/26seroepidemiological studySARS-CoV-2Immunoglobulin GRomaniapublic health
spellingShingle Réka Bodea
Toader Septimiu Voidăzan
Lorand Iozsef Ferencz
Zoltán Ábrám
COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study
Epidemiologia
seroepidemiological study
SARS-CoV-2
Immunoglobulin G
Romania
public health
title COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study
title_full COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study
title_fullStr COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study
title_full_unstemmed COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study
title_short COVID-19 Seroprevalence in Romania: Insights from a Nationwide Antibody Study
title_sort covid 19 seroprevalence in romania insights from a nationwide antibody study
topic seroepidemiological study
SARS-CoV-2
Immunoglobulin G
Romania
public health
url https://www.mdpi.com/2673-3986/6/2/26
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AT toaderseptimiuvoidazan covid19seroprevalenceinromaniainsightsfromanationwideantibodystudy
AT lorandiozsefferencz covid19seroprevalenceinromaniainsightsfromanationwideantibodystudy
AT zoltanabram covid19seroprevalenceinromaniainsightsfromanationwideantibodystudy