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International Journal of Infectious Diseases
International Society for Infectious Diseases
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  • Research Article
    Open Access

    High seroprevalence of SARS-CoV-2 but low infection fatality ratio eight months after introduction in Nairobi, Kenya

    International Journal of Infectious Diseases
    Vol. 112p25–34Published online: September 2, 2021
    • Isaac Ngere
    • Jeanette Dawa
    • Elizabeth Hunsperger
    • Nancy Otieno
    • Moses Masika
    • Patrick Amoth
    • and others
    Cited in Scopus: 14
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      Sixteen months after the emergence of the coronavirus disease of 2019 (COVID-19), severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection had been confirmed in almost 140 million people globally and led to >2.9 million deaths (WHO, 2021a). In April 2020, the World Bank expressed concern that high virus transmission posed the greatest risk in densely populated urban areas, especially those with poor infrastructure and service delivery systems (The World Bank, 2020). In Africa, the urban population stood at 588 million people in 2020, with 50% of this population living in informal settlements, while 70% of the population were self-employed or working in unregulated sectors, making them vulnerable to income losses and less able to adhere to COVID-19 restrictions and lockdowns (United Nations et al., 2019).
      High seroprevalence of SARS-CoV-2 but low infection fatality ratio eight months after introduction in Nairobi, Kenya
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