Although public health officials have warned that the presence of antibodies does not guarantee immunity from the disease, the common perception that this is the case makes the issue of bogus tests nothing short of a matter of life and death.
Take away: COVID-19 infections result in antibodies in almost all cases. These antibodies probably give immunity to future infection for at least some time, although how long is still not known.
The claim: The presence of antibodies to SARS-CoV2 does not guarantee future immunity from future COVID-19 infection.
The evidence: COVID-19 has not been present in the human population long enough to know how long immunity will last. There is some evidence to suggest that having COVID-19 typically leads to antibodies will provide at least some immunity to future infections. The vast majority (>90%) of serious (1-3) and mild (4,5) COVID-19 infections do result in the production of antibodies and it has been found that neutralizing antibodies provide immunity to reinfection in monkeys (6). We do not know how long immunity lasts. The best evidence is from the related coronavirus infections SARS and MERS. SARS and MERS infections result in antibodies that last for at least 1-3 years (7-9).
Source:
- https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa344/5812996
- https://erj.ersjournals.com/content/early/2020/05/13/13993003.00763-2020.abstract
- https://www.nature.com/articles/s41591-020-0897-1)
- https://www.sciencedirect.com/science/article/pii/S2352396420302905
- https://www.medrxiv.org/content/10.1101/2020.07.11.20151324v1
- https://www.biorxiv.org/content/10.1101/2020.03.13.990226v2.abstract
- https://www.jimmunol.org/content/jimmunol/181/8/5490.full.pdf
- https://wwwnc.cdc.gov/eid/article/13/10/07-0576_article,
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512479/