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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e36473</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/36473</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Seroprevalence of COVID-19 Among Health Care Workers in Primary Health Care Centers in Al-Sader City District, Baghdad, Iraq</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Khader</surname>
            <given-names>Yousef</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Hussein</surname>
            <given-names>Raheem</given-names>
          </name>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Public Health department</institution>
            <institution>Al-Rusafa Health Directorate</institution>
            <addr-line>Al-Rusafa</addr-line>
            <addr-line>Baghdad, 89WG+5P5</addr-line>
            <country>Iraq</country>
            <phone>964 07706858337</phone>
            <email>rhhu1965@gmail.com</email>
          </address>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Lami</surname>
            <given-names>Faris</given-names>
          </name>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-3673-3818</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Public Health department</institution>
        <institution>Al-Rusafa Health Directorate</institution>
        <addr-line>Baghdad</addr-line>
        <country>Iraq</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Ministry of Higher Education and Scientific research</institution>
        <addr-line>Baghdad</addr-line>
        <country>Iraq</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Raheem Hussein <email>rhhu1965@gmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>25</day>
        <month>2</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e36473</elocation-id>
      <history>
        <date date-type="received">
          <day>15</day>
          <month>1</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>19</day>
          <month>1</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Raheem Hussein, Faris Lami. Originally published in Iproceedings (https://www.iproc.org), 25.02.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e36473" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>The SARS-CoV-2 infection produces detectable immune responses in most cases reported to date. A serological test could capture previous asymptomatic infections and help to assess the immune status of a subject. Health care workers are highly vulnerable to COVID-19 infection, and providing personal protective equipment is the primary strategy to prevent disease transmission within the health care setting.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>The aim of this paper was to determinate the seroprevalence of COVID-19 among health care workers in primary health care centers in the AL-Sader city district.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>A cross-sectional study was conducted in 9 primary health care centers, which were selected using a cluster random sampling technique from November 1, 2020, to December 31, 2020.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>A total of 470 participants were enrolled in the study; 101 (21.5%) of them had a history of COVID-19 infection, and 76 (16.1%) were diagnosed by polymerase reaction chain. There was a significant association between rapid tests and history of COVID-19 infection (<italic>P</italic>&lt;.001). Rapid test sensitivity was 56.6%, and specificity was 79.2%. The rapid test was positive in 125 (26.6%) participants: IgG 104 (83.2%), IgM 5 (4%), and both IgG-IgM 16 (12.8%).</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>The percent of COVID-19 infection is higher than the expected level among participants. A significant association was found between rapid tests and COVID-19 infection, smoking, comorbidity, personal protective equipment training, and household infection.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>COVID-19</kwd>
        <kwd>cross-sectional</kwd>
        <kwd>health care workers</kwd>
        <kwd>infection</kwd>
      </kwd-group>
    </article-meta>
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