Table 2 Estimated number of true infections using different definitions of N-antibody seropositivity
 | N-antibody seropositivity defined by | ||||
---|---|---|---|---|---|
 | Trajectory | Trajectory (sensitivity reclassifying ≥60 days between infection dates) | Fixed threshold | Fourfold-rise ( >200 ng/mL=200) | Fourfold-rise ( >200 ng/mL =infection) |
Total observed infections (N-antibody or swab-positivity) | 31,716 | 31,716 | 39,511 | 30,047 | 31,577 |
N (%) (95% CI) identified by N-antibody | 24,440 77.1% (76.6–77.5%) | 24,139 76.1% (75.6–76.6%) | 32,702 82.8% (82.4–83.1%) | 20,999 69.9% (69.4–70.4%) | 23,161 73.3% (72.9–73.8%) |
N (%) (95% CI) identified by swab-positivity | 25,404 80.1% (79.7–80.5%) | 25,200 79.5% (79.0–79.9%) | 25,404 64.3% (63.8–64.8%) | 25,404 84.5% (84.1–85.0%) | 25,404 80.5% (80.0–80.9%) |
N (%) (95% CI) identified by both | 18,128 57.2% (56.6–57.7%) | 17,623 55.6% (55.0–56.1%) | 18,595 47.1% (46.6–47.6%) | 16,356 54.4% (53.9–55.0%) | 16,988 53.8% (53.2–54.3%) |
Estimated true infections* (95% CI) | 34,249 (34,115–34,383) | 34,517 (34,374–34,663) | 44,676 (44,460–44,874) | 32,615 (32,477-32,753) | 34,634 (34,482 – 34,784) |
% undetected by both methods (95% CI) | 7.4% (7.0–7.8%) | 8.1% (7.7–8.5%) | 11.6% (11.1–12.0%) | 7.9% (7.5–8.3%) | 8.8% (8.4–9.2%) |
% undetected by N-antibody (95% CI) | 28.6% (28.4–28.9%) | 30.1% (29.8–30.4%) | 26.8% (26.4–27.1%) | 35.6% (35.3–35.9%) | 33.1% (32.8 – 33.4%) |
% undetected by swab-positivity (95% CI) | 25.8% (25.5–26.1%) | 27.0% (26.7–27.3%) | 43.1% (42.9–43.4%) | 22.1% (21.8–22.4%) | 26.7% (26.3 – 27.0%) |