Abstract
Background Global COVID-19 vaccination programs effectively
contain the fast spread of the SARS-CoV-2. Characteristic the immunity
status of returned populations will favor for understanding the
achievement of herd immunity and long-term management of COVID-19 in
China. Methods Returning travellers were recruited from 7
quarantine stations in Guangzhou, China. The immunity statuses of
participants were determined through Competitive ELISA,
Micro-Neutralization Assay and Enzyme-Linked FluoroSpot Assay.
Results A total of 272 subjects were involved in questionnaire
survey, in which 235 (86.4%) were returning ex-patriot Chinese and 37
(13.6%) were foreigners. Blood and throat swabs specimens were
collected from each of 108 returning ex-patriot Chinese. The
neutralizing antibody against SARS-CoV-2 was detected in
~90% of returning ex-patriot Chinese, either in the
primary or the homologous and heterologous booster vaccination group.
The serum NAb titers of them were significantly decreased against
SARS-CoV-2 Omicron BA.5, BF.7, BQ.1 and XBB.1 compare with prototype
virus. However, memory T cell responses including specific IFN-γ and
IL-2 were no differences in either group. Smoking, drinking, SARS-CoV-2
infection, COVID-19 vaccination, and the time interval between last
vaccination and the sampling were independent influencing factors for
NAb titers against prototype SARS-CoV-2 and variants of concerns. The
dose of vaccination was the unique common influencing factor for Omicron
variants. Conclusions The herd immunity was established in
returning ex-patriot Chinese who exposure to the complicated infection
and vaccination circumstance. Domestic residents will benefit from
booster of COVID-19 vaccines either in homologous and heterologous
vaccination after re-opening of China, as well as breakthrough
infection.