scholarly journals Herd immunity of sars-cov-2 among the population of Kalinigrad region amid the COVID-19 epidemic

2021 ◽  
Vol 12 (5) ◽  
pp. 62-71
Author(s):  
A. Yu. Popova ◽  
E. B. Ezhlova ◽  
A. A. Melnikova ◽  
E. A. Babura ◽  
O. P. Mikheenko ◽  
...  
Keyword(s):  
Herd Immunity ◽  
Age Groups ◽  
Population Immunity ◽  
First Case ◽  
The Russian Federation ◽  
Kaliningrad Region ◽  
High Level ◽  
Representative Cohort ◽  
Representative Samples ◽  
Selection Of

Introduction. The COVID-19 pandemic was announced by WHO in February 2020. In the Kaliningrad region, the first case (imported) was registered in early March 2020, the beginning of the epidemic increase fell on the 14th week. 2020, and the peak incidence was reached in the 22nd week of the year, after which there was a steady decrease in the number of cases. The study of population immunity was carried out at the 32nd week during the period of the lowest level of intensity of the epidemic process.Purpose of the study. Assessment of the assessment of the level of population immunity to the SARS-CoV-2 virus among the population of the Kaliningrad region during the period of the epidemic incidence of the population of COVID-19.Materials and methods. The study was carried out as part of the first stage of the Rospotrebnadzor program to assess population immunity to SARS-CoV-2 among the population of the Russian Federation. The selection of volunteers for the study was carried out by a questionnaire survey and subsequent randomization. The analysis includes the results of a survey of 2675 people. The number of volunteers in age groups ranged from 314 to 493 people. The results obtained were processed by the methods of variation statistics.Results. The results obtained showed that the average seroprevalence in the population was 50.2%, while the highest seroprevalence was found in the child age group 1-17 years (66.9%) and among persons aged 18-29 (57.0). No significant gender differences were found (men – 48,3 ± 1,6%, women – 51,1 ± 1,1%). The distribution of the proportion of seropositive people in the settlements of the region varied from 33,9% to 59.6%. The largest share of seroprevalence in the representative samples was found among people engaged in art / creativity (55,3%), the smallest – among educational workers (42,0%). Among COVID-19 convalescents, the level of humoral immunity reached 94,6%. Most of the seropositive volunteers (95,2%) did not have any symptoms of COVID-19, that is, they belonged to the category of asymptomatic carriers.Output. The results of a survey of a representative cohort of volunteers in the Kaliningrad region showed that they are characterized by a high level of population immunity, which makes it possible to expect a decrease in.

Collective immunity to SARS-CoV-2 of Moscow residents during the COVID-19 epidemic period

2020 ◽  
Vol 18 (4) ◽  
pp. 8-16
Author(s):  
A.Yu. Popova ◽  
◽  
E.B. Yezhlova ◽  
A.A. Melnikova ◽  
E.E. Andreeva ◽  
...  
Keyword(s):  
Herd Immunity ◽  
Age Groups ◽  
Asymptomatic Infection ◽  
Administrative District ◽  
Cultural Workers ◽  
Population Immunity ◽  
The North ◽  
First Case ◽  
Epidemic Period ◽  
Structure Of Population

The coronavirus disease pandemic (COVID-19) was announced by WHO in February 2020. In Moscow, the first case of the disease was detected on March 2, 2020 in a man who arrived from Italy. Two weeks after the first case, there was an exponential increase in the number of cases. The incidence peaked in the 19th week of the year, followed by a steady decline, lasting 16 weeks. Objective. To investigate the level and structure of population immunity to the SARS-CoV-2 virus among the population of Moscow against the background of the incidence of COVID-19. Patients and methods. The study of population immunity of Moscow residents to SARS-CoV-2 was carried out in the period from July 1, 2020 to July 30, 2020 against the background of stabilization of the incidence rate. The work was conducted as part of the first stage of the Rospotrebnadzor project to assess population immunity to the SARS-CoV-2 virus among the population of the Russian Federation, taking into account the protocol recommended by WHO. Volunteers for the study were selected by the method of questioning and randomization. The results of the survey of 2688 people were included in the analysis. The number of volunteers in all age groups was 384–385 people. The content of specific IgG to the SARS-CoV-2 nucleocapsid was determined by the enzyme-linked immunosorbent assya using a kit produced by FBIS SRCAMB according to the manufacturer's instructions. Results. During the survey of volunteers it was found that the share of seroprevalent residents of Moscow was 22.1%. By age groups, the highest proportion of seroprevalent was found among children aged 14–17 years (44.6%), the lowest (15.9%) – among people aged 18–29 years. Seroprevalence had no gender differences. The lowest level of herd immunity was revealed in the North-Western Administrative District (16.8%), the highest – in the South-Eastern Administrative District, as well as in the Troitsky and Novomoskovsky Administrative Districts of Moscow (in both, 24.1%). The smallest number of seropositive persons was among cultural workers (5.8%), the largest – among medical workers (27.0%). In the presence of contacts with patients with COVID-19, the probability of seroconversion increases by 1.5 times, and among convalescing persons COVID-19 antibodies were detected in 60.0% of cases. The proportion of people with asymptomatic infection among seropositive residents was 82.4%. Conclusion. The results obtained make it possible to characterize the population immunity of Moscow residents and are essential for the planning and implementation of anti-epidemic measures during the incidence of COVID-19. Key words: coronaviruses, SARS-CoV-2, seroprevalence, population, COVID-19

scholarly journals Assessment of Population Immunity to SARS-CoV-2 Virus in the Rostov Region

2021 ◽  
pp. 117-124
Author(s):  
A. Yu. Popova ◽  
E. B. Ezhlova ◽  
A. A. Mel’nikova ◽  
A. K. Noskov ◽  
E. V. Kovalev ◽  
...  
Keyword(s):  
Herd Immunity ◽  
Age Groups ◽  
Incidence Rates ◽  
The State ◽  
Scientific Center ◽  
Education Professionals ◽  
Humoral Immune ◽  
Population Immunity ◽  
Rostov Region ◽  
High Level

By August 2020, more than 850000 cases of new coronavirus infection (COVID-19) caused by SARSCoV-2 were confirmed in the Russian Federation, with the Rostov Region as one of the ten most affected regions in Russia. The spread of the disease is largely determined by the state of population immunity in a certain area. Our research focuses on specific humoral immune response and estimates the level of herd immunity to SARS-CoV-2 virus among the population of the Rostov Region.Materials and methods. The study involved 3,048 people; the volunteers participating in the study were divided into seven age groups. The content of antibodies to SARS-CoV-2 was determined applying ELISA using a kit for the analysis of human serum or blood plasma for the presence of specific IgG to the nucleocapsid of the SARS-CoV-2 virus, manufactured by the State Scientific Center of Applied Microbiology and Biotechnology (Obolensk) in accordance with the instructions for use.Results and discussion. The assessment of seroprevalence to SARS-CoV-2 in the Rostov Region showed that the proportion of people positive for IgG to the new coronavirus was 16.5 %, the range of seropositive individuals in the general population was between 13.9 % and 19.1 % (p<0.05). There were no significant gender differences in the degree of seroprevalence with a positive result registered in 16.6 % of women and 16.5 % of men. A high level of humoral immunity to SARS-CoV-2 was established in individuals aged 1–17 against the background of low incidence rates, which may indicate the dominance of asymptomatic forms of the disease in this age group. The highest level of seropositivity was found in preschool children (33.6 %), students (29.3 %), employees (17.3 %), and education professionals (15.3 %). 

scholarly journals Herd Immunity to SARS-CoV-2 among the Population in Saint-Petersburg during the COVID-19 Epidemic

2020 ◽  
pp. 124-130 ◽  
Author(s):  
A. Yu. Popova ◽  
E. B. Ezhlova ◽  
A. A. Mel’nikova ◽  
N. S. Bashketova ◽  
R. K. Fridman ◽  
...  
Keyword(s):  
Herd Immunity ◽  
Age Groups ◽  
Active Phase ◽  
Asymptomatic Infection ◽  
Exclusion Criterion ◽  
Pcr Analysis ◽  
First Case ◽  
History Of ◽  
The Unemployed ◽  
Selection Of

The first case of COVID-19 was diagnosed in St. Petersburg on March 2, 2020; the period of increase in the incidence lasted for 10 weeks, the maximum rates were recorded in mid-May, and subsequently there was a statistically significant decrease in the incidence.Objective: to determine the level and structure of community immunity to SARS-CoV-2 among the population of St. Petersburg during the period of intensive spread of COVID-19.Materials and methods. Selection of volunteers for the study was carried out through interviewing and randomization. The exclusion criterion was active COVID-19 infection at the time of the survey. 2713 people aged 1 to 70 years and above were  examined for the presence of specific antibodies to SARS-CoV-2. Antibodies were detected by enzyme immunoassay.Results and discussion. Studies have shown that in St. Petersburg, in the active phase of COVID-19 epidemic, there was a moderate seroprevalence to SARS-CoV-2, which amounted to 26 %, against the background of a high frequency (84.5 %) of asymptomatic infection in seropositive individuals who did not have a history of COVID-19 disease, positive PCR result and ARI symptoms on the day of examination. The maximum indicators of herd immunity were established in children 1–6 years old (31.1 %), 7–13 years old (37.7 %) and people over 70 years old (30.4 %). Differences in the level of seroprevalence in the age groups of 18–49 years are statistically significant. The highest level of seroprevalence was found among the unemployed (29.7 %), healthcare workers (27.1 %), education sector (26.4 %) and business sector personnel (25 %). In convalescents, COVID-19 antibodies are produced in 75 % of cases. In individuals with positive result of PCR analysis carried out earlier, antibodies are detected in 70 % of the cases. The results of the study of herd immunity to SARS-CoV-2 are essential to forecast the development of the epidemiological situation, as well as to plan measures for specific and non-specific prevention of COVID-19. 

scholarly journals Characteristic of herd immunity among the population of Stavropol region amid the COVID-19 epidemic

2021 ◽  
Vol 13 (4) ◽  
pp. 79-89
Author(s):  
A. Yu. Popova ◽  
E. B. Ezhlova ◽  
A. A. Melnikova ◽  
V. S. Smirnov ◽  
L. V. Lyalina ◽  
...  
Keyword(s):  
Herd Immunity ◽  
Age Groups ◽  
Population Level ◽  
Fold Increase ◽  
Disease Spread ◽  
Steady Increase ◽  
Epidemic Process ◽  
Population Immunity ◽  
First Case ◽  
Asymptomatic Volunteers

Introduction. The first pandemic in the 21st century, caused by the pathogenic representative of the coronavirus SARS-CoV-2, began in the Chinese city of Wuhan, where the first outbreak of coronavirus pneumonia was recorded in December 2019. The disease spread so quickly around the world that already on February 11, 2020, WHO was forced to declare a pandemic of the “coronavirus disease 2019” COVID-19. The first case of COVID-19 in the Stavropol Territory was registered on March 20, 2020, and three weeks later, starting from the 15th week of the year, a steady increase in the incidence began, which lasted until the 52nd week. During the study period, the incidence increased from 21.1 to 28.3 per hundred thousand of the population. Growth 1.3 times.Purpose: to determine the dynamics of population immunity among the population of the Stavropol Territory in 2020-2021. during the period of an epidemic increase in the incidence of COVID-19. Materials and methods. The SARS-CoV-2 study was carried out according to a unified methodology within the framework of the program for assessing the population immunity of the population of the Russian Federation, developed by Rospotrebnadzor with the participation of the St. Pasteur. In total, 2688 people were examined, divided into 7 age groups. In the examined individuals, the level of specific IgG to the SARS-CoV-2 nucleocapsid was determined by the enzyme immunoassay.Results. The level of seroprevalence among residents of the Stavropol Territory was 9.8%. The largest proportion of seropositive individuals was found in the age groups 1-6 and 7-13 years old (19.2% and 19.7%, respectively). Seroprevalence had no gender differences and ranged from 9.3% to 10.8%. When assessing the distribution of the proportion of seropositive persons in different geographic territories of the region, it was found that the maximum proportion was found in the Kochubeevsky district (23.1%), the minimum in Kislovodsk (7.7%). Among convalescents, the content of specific antibodies to SARS-CoV-2 was noted in 73.3%, which is 7.8 times higher than the average population level. When conducting seromonitoring in the 2nd half of 2020, a 10-fold increase in seroprevalence was recorded, accompanied by a decrease in incidence from the 5th week of 2021. Among asymptomatic volunteers in whom SARS-CoV-2 RNA was detected by the polymerase chain reaction, antibody titers to viruses were found in 78.6%, which corresponds to the seroprevalence of convalescents. The proportion of seropositive persons among those who have come into contact with COVID-19 patients was 16.4%, (1.8 times higher than the average for the population). Out of 262 seroprevalent volunteers, the asymptomatic form of SARS-CoV-2 was detected in 92% of the examined, which indicates a significant role of the number of asymptomatic forms of infection in the epidemic process of COVID-19.Conclusion. The results of assessing the population immunity of the population of the Stavropol Territory indicate that it has not yet reached the threshold level at which a decrease in the intensity of the COVID-19 epidemic process can be expected. 

scholarly journals A survey of examining herd measles immunity in adults over 35 years old

2020 ◽  
Vol 10 (2) ◽  
pp. 381-386 ◽  
Author(s):  
L. V. Rubis
Keyword(s):  
Measles Virus ◽  
High Titer ◽  
Herd Immunity ◽  
Age Groups ◽  
High Risk Group ◽  
Protective Level ◽  
Protective Antibody ◽  
The Republic ◽  
High Level ◽  
Post Infectious

A high measles incidence rate has been registered in Russia in recent years, with adults being actively involved in the epidemic process (about 40% of patients), thereby underlying relevance of assessing herd immunity in different  age groups to measure its risk. The data on examining serum antibodies to measles virus in 402 residents of Petrozavodsk are shown: 164 and 238 subjects were born in 1948–1968 (51–71 years) and 1970–1983 (36–50 years), respectively. It was found that the second group had significantly higher percentage not only of seropositive persons (94.1±1.5 vs. 77.4±3.3%, respectively), but also frequency of detected high IgG level (5 and more IU/l) reaching 39.7±3.5 vs. 15.4±5.8%, respectively. Analysis of vaccination history showed that of 351 people with protective antibody levels, 20.9% were vaccinated once or twice, 14 of them in childhood and 63 within the 15 years prior to the study. Of the 51 people with no measles antibodies or below protective level, 13.7% were vaccinated: five in childhood, and two within the last 15 years. Among those who was born in 1948–1968, 87.1±2.2% provided no information about previous vaccinations and probably were not vaccinated. In this group, percentage of those examined with a protective antibody level was significantly higher than in the 36–50 years group — 87.1±2.2 and 62.2±4.3%, respectively. In addition, 23 subjects confirmed that they recovered after measles in childhood. Of these, antibodies were detected in 21 subjects, including 9 having serum titer at level of 5 or more IU/ml. Until 1969, the Republic of Karelia registered a high level of measles morbidity (477–2176,0 per 100 thousand). The predominance in the group born before 1969, individuals seropositive to measles mainly at high titer, indicates that intense post-infectious immunity was preserved. The lack of protective level of antibodies to measles virus in 22.6% of persons aged 36–50 years (1969–1983 year of birth), due to the low level of post-infectious and insufficient durability of post-vaccination immunity allowing to definer them as a high risk group for measles infection.

WINTER WHEAT SELECTION IN CENTRAL CHERNOZEM REGION

1970 ◽  
pp. 45-49
Author(s):  
G. G. Goleva ◽  
Т. G. Vashchenko ◽  
N. Т. Pavlyuk ◽  
V. V. Znamenskaya ◽  
V. I. Pushkareva ◽  
...  
Keyword(s):  
Winter Wheat ◽  
Russian Federation ◽  
Selective Breeding ◽  
Forest Steppe ◽  
State Register ◽  
State Commission ◽  
The Russian Federation ◽  
High Yielding Varieties ◽  
High Level ◽  
Selection Of

Research results, which were conducted in the forest-steppe of the Central Black Earth Region in the years 2000-2016, are presented. They were carried out in order to find new approaches to the selection of parental components in hybridization to make varieties of winter soft wheat with a high level of productivity, resistant to abiotic environmental factors. Agrotechnology - generally accepted in the region, research material- is the crop structure data of variety samples and hybrids from breeding nurseries. The experiments were conducted according to generally accepted methods, statistical analysis of data was carried out using the Statistica 6.1. The contingency was estimated by the Spearman coefficient, the contribution of factor signs to the resultant one was estimated by the method of multiple regression using the coefficient Beta (β). It is established that hybrids of winter wheat are characterized by higher polymorphism, the appearance of favorable transgressions. Their parental forms are selected by morphological and biological features according to the principle of different quality. When selecting high-yielding varieties which are resistant to lodging, it is advisable to make crossing, contrasting in height, forms with different spike lengths. Using the proposed methods, hybrids which are responsive to environmental conditions were made. They were used in the selection of the intensive winter wheat cultivar Alaya Zarya (since 2011 it's included in the State Register of Selective Breeding Results of the Russian Federation in the fifth region). In a number of hybrids, the contribution to the productivity of their elements practically does not depend on the conditions of the growing season, they are the basis for making the Alexia variety for organic farming (it is in State Commission of the Russian Federation on Testing and Protection of Selective Breeding Results).

The structure of seroprevalence to the SARS-CoV-2 virus among residents of the Moscow Region during the period of epidemic incidence of COVID-19

2020 ◽  
Vol 18 (4) ◽  
pp. 17-26
Author(s):  
A.Yu. Popova ◽  
◽  
E.B. Ezhlova ◽  
A.A. Melnikova ◽  
O.M. Mikailova ◽  
...  
Keyword(s):  
Large Scale ◽  
Medical Center ◽  
Age Groups ◽  
Maximum Level ◽  
Test System ◽  
Moscow Region ◽  
Pcr Analysis ◽  
Enzyme Linked Immunosorbent Assay ◽  
Population Immunity ◽  
First Case

A pandemic of the disease caused by the SARS-CoV-2 virus (hereinafter referred to as COVID-19) was announced by WHO in February 2020. In the Moscow Region (MR), the first case of the disease was detected on March 7, 2020 in a woman who arrived from Switzerland. Four weeks later, a rapid rise began, the peak of which fell on the 20th week (May 11, 2020 – May 17, 2020), which was replaced by a gradual steady decline that lasted for 13 weeks. Objective. To determine the level and structure of population immunity to the SARS-CoV-2 virus among the population of the Moscow Region between June 22, 2020 and July 11, 2020. Patients and methods. A serological study of seroprevalence among residents of MR to COVID-19 was carried out from June 22, 2020 till July 11, 2020 during the period of a steady decline in the incidence. The work was conducted as part of the first stage of the large-scale Rospotrebnadzor program to assess population immunity to the COVID-19 virus among the population of the Russian Federation. Volunteers for the study were selected by the method of questioning and randomization. The analysis included the results of a survey of 2688 people. The number of volunteers in all age groups was equal. The content of specific IgG to the COVID-19 nucleocapsid was determined by the enzyme-linked immunosorbent assay using a test system manufactured by the FBIS SRCAMB according to the manufacturer's instructions. Results. The results of the study showed that the collective immunity of the total population of the Moscow Region was 21.0%. The maximum level of population immunity was established in children aged 14–17 years (30.7%) and 1–6 years old (25.2%). There were no statistically significant differences in the level of seroprevalence between men and women. As a result of seroepidemiological research, it was shown that in the medical center, in the presence of contacts with patients with COVID-19, the risk of infection increases by 2.5 times. After infection with COVID-19, antibodies were detected in 78.7% of cases. In persons with a positive result of the PCR analysis obtained earlier, antibodies were detected in 82.8% of cases. A high proportion of asymptomatic infection among seropositive volunteers was found, which amounted to 83.4%. Key words: coronaviruses, SARS-CoV-2, incidence, seroprevalence, the Moscow Region, population, COVID-19

The need to strengthen the physical fitness of the special operations military forces and the Main Intelligence Directorate of the Russian Federation

2020 ◽  
pp. 153-165
Author(s):  
Yurii Y. Korablev ◽  
Igor Y. Pugachev ◽  
Esedulla M. Osmanov ◽  
Sergey Y. Dutov
Keyword(s):  
Physical Fitness ◽  
Special Operations ◽  
Modern Computer ◽  
Special Groups ◽  
Massive Scale ◽  
Special Operations Forces ◽  
The Russian Federation ◽  
High Selection ◽  
High Level ◽  
Selection Of

We consider the provisions of the need to strengthen the physical fitness of the special operations forces and the Main Intelligence Directorate, caused by the tendency to add to the special groups lineup people who possess high-level skills in modern computer technologies. In the special operations forces units and the Main Intelligence Directorate, there is a high selection of employees in terms of physical condition and perfect mastery of the electronic equipment skills, while at the same time, the equipment is constantly being improved. On a massive scale, objectively team cannot equally possess the skills of working with computer technology, only particularly unique specialists are able to perfectly work in this direction. The life of these military personnel in the process of warfare must be preserved first of all. This causes a tendency to increase the level of physical fitness of the personnel of these special forces, especially when exercising the load against the backdrop of complex fatigue.

scholarly journals Results of routine medical examinations of the children’s population of the russian federation in 2014

2017 ◽  
Vol 8 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Alexander A. Baranov ◽  
Leila S. Namazova-Baranova ◽  
Rimma N. Terletskaya ◽  
Elena V. Antonova ◽  
Natalya V. Ustinova ◽  
...  
Keyword(s):  
Russian Federation ◽  
Age Groups ◽  
Medical Examination ◽  
Muscular System ◽  
Medical Institutions ◽  
High Prevalence ◽  
Federal Districts ◽  
The Russian Federation ◽  
High Level ◽  
Medical Examinations

The relevance of this research was determined by the need for enhancement and increase in the efficiency of routine medical examinations of minors in the Russian Federation. The information and statistical materials of medical examination of the children’s population in 2014 in terms of the health of various age groups in a section of federal districts and subjects were studied. The following indicators were studied: coverage of the children’s population by routine medical examination; level and structure of the revealed general and primary morbidity; frequency of dispensary registration; need for additional consultations; and researches and treatment in an outpatient clinic, a day hospital, a hospital with round-the-clock services, and sanatorium organizations as well as coverage by these medical services. A high level of coverage of minors by routine medical examinations was registered. More than one-third of the healthy children’s population passed the medical examination. The revealed general and primary morbidity of the children’s population in more than one-third of subjects is above mean Russian levels. Diseases of the respiratory organs, bone, and muscular and nervous systems are the most common among children, whereas diseases of the bone and muscular system, eyes, and respiratory organs are common among teenagers. Despite the high prevalence of chronic diseases among the children’s population, recommendations for treatment and rehabilitation were given insufficiently during routine medical examinations. Regional characteristics of the medical examination results, which allowed for the identification of the most disadvantaged areas and defects in its organization and the lack of continuity between medical institutions providing this type of service, have been established.

scholarly journals Characteristics of the Herd Immunity to SARS-CoV-2 in Residents of the Saratov Region under COVID-19 Epidemic

2021 ◽  
pp. 106-116
Author(s):  
A. Yu. Popova ◽  
E. B. Ezhlova ◽  
A. A. Mel’nikova ◽  
V. V. Kutyrev ◽  
O. I. Kozhanova ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Herd Immunity ◽  
Age Groups ◽  
Pcr Analysis ◽  
Maximum Increase ◽  
Scientific Center ◽  
Saratov Region ◽  
Infected People ◽  
First Case ◽  
Coronavirus Infection

The global community is experiencing one of the largest infectious disease outbreaks in the 21st century. In the Saratov Region, the first case of new coronavirus infection was confirmed on March 19, 2020.The maximum increase in cases was noted between May 15 and June 30, during that time the total number of infected people in the region increased from 1526 to 6444. Since July 2020, a stable incidence level of new coronavirus infection has been observed in the Saratov Region, without a steady decline.The aim of the study was to assess the status of population immunity to the SARS-CoV-2 virus among residents of Saratov and the Saratov Region under the COVID-19 epidemic.Materials and methods. In the period from June 23 to July 26, 2020, a serological study of blood samples from 3372 volunteers of different age groups was conducted. The content of antibodies to SARS-CoV-2 was determined by ELISA using a set of reagents “ELISA anti-SARS-CoV-2 IgG” produced by the State Scientific Center of Applied Microbiology and Biotechnology of the Rospotrebnadzor (Russia).Results and discussion. In general, the incidence of COVID-19 in the Saratov Region is taking place against the background of moderate seroprevalence to the SARS-CoV-2 virus, accompanied by a high incidence of non-apparent (asymptomatic) forms of the infectious process. The absence of clinical symptoms of the disease, in the context of the limited use of methods for determining the RNA of the SARS-CoV-2 virus in PCR (11 % of the region’s population) makes it difficult to assess the real spread of the virus in the population and to establish the timing of the formation of persistent herd immunity. A low rate of antibody response among individuals with a positive result of PCR analysis, as well as among volunteers who had an infection in May, June 2020, indicates a weak formation of the immune response, or the prevalence of individuals reacting mainly by activating the cellular link of the immune system in the population. The obtained results, although they need to be explained in a number of respects, can be applied to the organization of preventive measures, including vaccination, in the region. 

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