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Maria Pac-Sa
Public Health Center, 12540 Castelló de la Plana, Spain

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Journal article
Published: 30 June 2021 in COVID
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In March 2020, several mass gathering events were related to the Falles festival in Borriana (Spain), resulting in a 536 laboratory-confirmed COVID-19 cases outbreak among participants. This article estimates anti-SARS-CoV-2 antibodies persistence six months after and factors associated with antibody response. A prospective population-based cohort study was carried out by the Public Health Centre of Castellon and the Emergency and Clinical Analysis and Microbiology Services of Hospital de la Plana in Vila-real. In October 2020, a seroepidemiologic study was used to estimate the persistence of anti-SARS-CoV-2 antibodies against nucleocapsid protein (N) by an electrochemiluminescence immunoassay (ECLIA) was implemented. We enrolled 484 (90.2%) of the 536 members of the initial outbreak cohort and detected persistent antibodies in 479 (99%) without reinfection episodes. Five participants had a negative antibody test. Factors associated with a negative result were a lower body mass index (BMI), and less contact with other COVID-19 cases. Among the 469 participants with two ECLIA tests, 96 (20.5%) had an increase of antibodies and 373 (79.5%) a decline. Increased antibodies were associated with older age, higher BMI, more severe illness, and low current smokers. Our results show that after a COVID-19 infection, a high proportion of cases maintain detectable anti-SARS-CoV-2 antibodies.

ACS Style

Salvador Domènech-Montoliu; Joan Puig-Barberà; Maria Pac-Sa; Paula Vidal-Utrillas; Marta Latorre-Poveda; Alba Del Rio-González; Sara Ferrando-Rubert; Gema Ferrer-Abad; Manuel Sánchez-Urbano; Laura Aparisi-Esteve; Gema Badenes-Marques; Belén Cervera-Ferrer; Ursula Clerig-Arnau; Claudia Dols-Bernad; Maria Fontal-Carcel; Lorna Gomez-Lanas; David Jovani-Sales; Maria León-Domingo; Maria Llopico-Vilanova; Mercedes Moros-Blasco; Cristina Notari-Rodríguez; Raquel Ruíz-Puig; Sonia Valls-López; Alberto Arnedo-Pena. Persistence of Anti-SARS-CoV-2 Antibodies Six Months after Infection in an Outbreak with Five Hundred COVID-19 Cases in Borriana (Spain): A Prospective Cohort Study. COVID 2021, 1, 71 -82.

AMA Style

Salvador Domènech-Montoliu, Joan Puig-Barberà, Maria Pac-Sa, Paula Vidal-Utrillas, Marta Latorre-Poveda, Alba Del Rio-González, Sara Ferrando-Rubert, Gema Ferrer-Abad, Manuel Sánchez-Urbano, Laura Aparisi-Esteve, Gema Badenes-Marques, Belén Cervera-Ferrer, Ursula Clerig-Arnau, Claudia Dols-Bernad, Maria Fontal-Carcel, Lorna Gomez-Lanas, David Jovani-Sales, Maria León-Domingo, Maria Llopico-Vilanova, Mercedes Moros-Blasco, Cristina Notari-Rodríguez, Raquel Ruíz-Puig, Sonia Valls-López, Alberto Arnedo-Pena. Persistence of Anti-SARS-CoV-2 Antibodies Six Months after Infection in an Outbreak with Five Hundred COVID-19 Cases in Borriana (Spain): A Prospective Cohort Study. COVID. 2021; 1 (1):71-82.

Chicago/Turabian Style

Salvador Domènech-Montoliu; Joan Puig-Barberà; Maria Pac-Sa; Paula Vidal-Utrillas; Marta Latorre-Poveda; Alba Del Rio-González; Sara Ferrando-Rubert; Gema Ferrer-Abad; Manuel Sánchez-Urbano; Laura Aparisi-Esteve; Gema Badenes-Marques; Belén Cervera-Ferrer; Ursula Clerig-Arnau; Claudia Dols-Bernad; Maria Fontal-Carcel; Lorna Gomez-Lanas; David Jovani-Sales; Maria León-Domingo; Maria Llopico-Vilanova; Mercedes Moros-Blasco; Cristina Notari-Rodríguez; Raquel Ruíz-Puig; Sonia Valls-López; Alberto Arnedo-Pena. 2021. "Persistence of Anti-SARS-CoV-2 Antibodies Six Months after Infection in an Outbreak with Five Hundred COVID-19 Cases in Borriana (Spain): A Prospective Cohort Study." COVID 1, no. 1: 71-82.

Journal article
Published: 10 September 2020 in International Journal of Environmental Research and Public Health
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Mortality due to cardiovascular disease (CVD), including cerebrovascular disease (CED) and ischaemic heart disease (IHD), was considerably different in eight municipalities of the province of Castellón, Community of Valencia (Spain) during the period of 1991–2011. In addition, these villages showed differences in agricultural practices and production. Since high vegetable consumption has been linked to decreased all-cause, CVD, and CED mortalities, we hypothesized that the diversity in vegetable and artichoke production, used as proxies for their consumption, could be associated with the diversity of mortality rates. In order to test our hypothesis, we estimated the smoothed standardized mortality ratios (SMRs) of CVD, CED, and IHD mortalities and a directed, age-adjusted mortality rate (AMR). We used a multilevel linear regression analysis to account for the ecological nature of our study. After adjustment, the CVD and CED SMRs were inversely associated with vegetable and artichoke production, with a reduction in SMRs for CVD: −0.19 (95% Confidence Interval [CI] −0.31 to −0.07) and −0.42 (95% CI −0.70 to −0.15) per hectare/103 inhabitants, respectively. The SMRs for CED also decreased: −0.68 (95% CI −1.61 to −0.19) and −1.47 (95% CI −2.57 to −0.36) per hectare/103 inhabitants, respectively. The SMRs for IHD were not associated with vegetal and artichoke production. When the directed AMR was used, CED mortality was consistent with the previous results, whereas the CVD mortality association was lost. Our results indicate that vegetable and artichoke production may act as protective factors of CED and CVD mortalities.

ACS Style

Alberto Arnedo-Pena; Joan Puig-Barberà; Juan Bellido-Blasco; MªAngeles Romeu-Garcia; Mª Rosario Pac-Sa; Francisco Guillen-Grima. Production of Vegetables and Artichokes Is Associated with Lower Cardiovascular Mortality: An Ecological Study. International Journal of Environmental Research and Public Health 2020, 17, 6583 .

AMA Style

Alberto Arnedo-Pena, Joan Puig-Barberà, Juan Bellido-Blasco, MªAngeles Romeu-Garcia, Mª Rosario Pac-Sa, Francisco Guillen-Grima. Production of Vegetables and Artichokes Is Associated with Lower Cardiovascular Mortality: An Ecological Study. International Journal of Environmental Research and Public Health. 2020; 17 (18):6583.

Chicago/Turabian Style

Alberto Arnedo-Pena; Joan Puig-Barberà; Juan Bellido-Blasco; MªAngeles Romeu-Garcia; Mª Rosario Pac-Sa; Francisco Guillen-Grima. 2020. "Production of Vegetables and Artichokes Is Associated with Lower Cardiovascular Mortality: An Ecological Study." International Journal of Environmental Research and Public Health 17, no. 18: 6583.