Publications by authors named "Ramya Madhavan"

Background: We measured the incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections and re-infections in an adult community-based cohort in southern India.

Methods: We conducted a 2-year follow-up on 1229 participants enrolled between May and October 2021. Participants provided vaccination histories, weekly saliva samples, and blood samples at 0, 6, 12, and 24 months.

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Detailed characterisation of immune responses induced by COVID-19 vaccines rolled out in India: COVISHIELD (CS) and COVAXIN® (CO) in a pre-exposed population is only recently being discovered. We addressed this issue in subjects who received their primary series of vaccination between November 2021 and January 2022. Both vaccines are capable of strongly boosting Wuhan Spike-specific neutralising antibody, polyfunctional Th1 cytokine producing CD4+ T-cells and single IFN-γ + CD8+ T-cells.

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Article Synopsis
  • The study examines the effects of different booster vaccines on immune responses in individuals who initially received either the ChAdOx1 nCov-19 or BBV152 vaccines, focusing on participants randomized into four groups for their booster shots.
  • Results showed that ChAd boosted individuals exhibited higher memory-B cell frequencies and anti-spike IgG levels compared to those receiving the BBV152 booster, regardless of their primary vaccine.
  • The findings also indicated that those in Group 3 (who received ChAd after two doses of BBV152) had a significantly better ability to inhibit the Omicron variant, suggesting the effectiveness of cross-boosting strategies in enhancing immune responses.
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Background: Primary SARS-CoV-2 vaccination has been shown to wane with time and provide lower protection from disease with new viral variants, prompting the WHO to recommend the administration of booster doses. We determined the safety and immunogenicity of homologous or heterologous boosters with ChAdOx1 nCoV-19 (COVISHIELD™) or BBV152 (COVAXIN®), the two vaccines used widely for primary immunization in India, in participants who had already received two primary doses of these vaccines.

Methods: Participants primed with two doses each of COVISHIELD™ or COVAXIN® 12-36 weeks previously, were randomised to receive either COVISHIELD™ or COVAXIN® booster in a 1:1 ratio.

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Introduction: The incidence of SARS-CoV-2 re-infection has not been widely evaluated in low-income and middle-income countries. Understanding immune responses elicited by SARS-CoV-2 natural infection and factors that lead to re-infection in a community setting is important for public health policy. We aim to investigate the risk of primary infection and re-infection among those without and with evidence of prior infection as defined by the presence of antibodies to SARS-CoV-2 spike protein.

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