Decrease of respiratory diseases in one social children welfare institute in Shanxi Province during COVID-19

Liu, Bin; Qf, Han; Wp, Liang; Xy, Shi; Wei, Jingjing

doi:10.1093/pubmed/fdaa150

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…2 , 3 , 4 Coincidently, previous studies have also shown a reduction in the prevalence of several other infectious diseases, such as influenza and dengue, during the period when various NPIs were implemented to control COVID-19. 5 , 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

Impact of the coronavirus disease 2019 interventions on the incidence of hand, foot, and mouth disease in mainland China

Zhao

Zheng

et al. 2022

The Lancet Regional Health - Western Pacific

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Background In early 2020, non-pharmaceutical interventions (NPIs) were implemented in China to reduce and contain the coronavirus disease 2019 (COVID-19) transmission. These NPIs might have also reduced the incidence of hand, foot, and mouth disease (HFMD). Methods The weekly numbers of HFMD cases and meteorological factors in 31 provincial capital cities and municipalities in mainland China were obtained from Chinese Center for Disease Control and Prevention (CCDC) and National Meteorological Information Center of China from 2016 to 2020. The NPI data were collected from local CDCs. The incidence rate ratios (IRRs) were calculated for the entire year of 2020, and for January–July 2020 and August–December 2020. The expected case numbers were estimated using seasonal autoregressive integrated moving average models. The relationships between kindergarten closures and incidence of HFMD were quantified using a generalized additive model. The estimated associations from all cities were pooled using a multivariate meta-regression model. Findings Stringent NPIs were widely implemented for COVID-19 control from January to July 2020, and the IRRs for HFMD were less than 1 in all 31 cities, and less than 0·1 for 23 cities. Overall, the proportion of HFMD cases reduced by 52·9% (95% CI: 49·3−55·5%) after the implementation of kindergarten closures in 2020, and this effect was generally consistent across subgroups. Interpretation The decrease in HFMD incidence was strongly associated with the NPIs for COVID-19. HFMD epidemic peaks were either absent or delayed, and the final epidemic size was reduced. Kindergarten closure is an intervention to prevent HFMD outbreaks. Funding This research was supported by the National Natural Science Foundation of China (81973102 & 81773487), Public Health Talents Training Program of Shanghai Municipality (GWV-10.2-XD21), the Shanghai New Three-year Action Plan for Public Health (GWV-10.1-XK16), the Major Project of Scientific and Technical Winter Olympics from National Key Research and Development Program of China (2021YFF0306000), 13th Five-Year National Science and Technology Major Project for Infectious Diseases (2018ZX10725-509) and Key projects of the PLA logistics Scientific research Program (BHJ17J013).

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Section: Introductionmentioning

confidence: 99%

Impact of the coronavirus disease 2019 interventions on the incidence of hand, foot, and mouth disease in mainland China

Zhao

Zheng

et al. 2022

The Lancet Regional Health - Western Pacific

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“…Studies have found that during the outbreak of COVID-19, reported cases of respiratory infectious diseases such as chickenpox, influenza, and pneumonia have been significantly reduced 7 , 8 , 9 , 10 . At the same time, studies have shown that the prevalence of several infectious diseases that occur in paediatric primary care, such as acute otitis media (AOM), influenza, pneumonia, and other diseases have also been significantly reduced 11 , 12 , 13 .…”

Section: Introductionmentioning

confidence: 99%

Control measures during the COVID-19 outbreak reduced the transmission of hand, foot, and mouth disease

Yan

Luo

Rui

et al. 2021

Journal of Safety Science and Resilience

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Control measures during the coronavirus disease 2019 (COVID-19) outbreak may have limited the spread of infectious diseases. This study aimed to analyse the impact of COVID-19 on the spread of hand, foot, and mouth disease (HFMD) in China. A mathematical model was established to fit the reported data of HFMD in six selected cities in mainland China from 2015 to 2020. The absolute difference (AD) and relative difference (RD) between the reported incidence in 2020, and simulated maximum, minimum, or median incidence of HFMD in 2015-2019 were calculated. The incidence and R eff of HFMD have decreased in six selected cities since the outbreak of COVID-19, and in the second half of 2020, the incidence and R eff of HFMD have rebounded. The results show that the total attack rate (TAR) in 2020 was lower than the maximum, minimum, and median TAR fitted in previous years in six selected cities (except Changsha city). For the maximum, median, minimum fitted TAR, the range of RD (%) is 42•20-99•20%, 36•35-98•41% 48•35-96•23% (except Changsha city) respectively. The preventive and control measures of COVID-19 have significantly contributed to the containment of HFMD transmission.

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Effects of different levels of non-pharmaceutical interventions on hand, foot and mouth disease in Guangzhou, China

Liu

et al. 2022

BMC Public Health

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Background Non-pharmaceutical interventions (NPIs) against coronavirus disease 2019 (COVID-19) may have suppressed the transmission of other infectious diseases. This study aimed to evaluate the impact of different degrees of NPIs during the COVID-19 pandemic on hand, foot and mouth disease (HFMD) in Guangzhou, China. Methods Weekly reported HFMD cases and pathogens information during 2015–2021 in Guangzhou were collected from the China National Notifiable Disease Reporting System. The observed number of HFMD cases in 2020 and 2021 was compared to the average level in the same period during 2015–2019. Then, an interrupted time-series segmented regression analysis was applied to estimate the impact of NPIs on HFMD, such as social distancing, suspension of schools, community management and mask wearing. The effects across different subgroups stratified by gender, children groups and enterovirus subtype of HFMD were also examined. Results A total of 13,224 and 36,353 HFMD cases were reported in 2020 and 2021, which decreased by 80.80% and 15.06% respectively compared with the average number of cases in the same period during 2015–2019. A significant drop in the number of HFMD cases during time when strict NPIs were applied (relative change: 69.07% [95% confidence interval (CI): 68.84%–69.30%]). The HFMD incidence rebounded to historical levels in 2021 as the lockdown eased. The slightest reduction of HFMD cases was found among children at kindergartens or childcare centres among the three children groups (children at kindergartens or childcare centres: 55.50% [95% CI: 54.96%–56.03%]; children living at home: 72.64% [95% CI: 72.38%–72.89%]; others: 74.06% [95% CI: 73.19%–74.91%]). Conclusions The strong NPIs during the COVID-19 epidemic may have a significant beneficial effect on mitigating HFMD. However, the incidence of HFMD rebounded as the NPIs became less stringent. Authorities should consider applying these NPIs during HFMD outbreaks and strengthening personal hygiene in routine prevention.

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Decrease of respiratory diseases in one social children welfare institute in Shanxi Province during COVID-19

Cited by 3 publications

References 25 publications

Impact of the coronavirus disease 2019 interventions on the incidence of hand, foot, and mouth disease in mainland China

Impact of the coronavirus disease 2019 interventions on the incidence of hand, foot, and mouth disease in mainland China

Control measures during the COVID-19 outbreak reduced the transmission of hand, foot, and mouth disease

Effects of different levels of non-pharmaceutical interventions on hand, foot and mouth disease in Guangzhou, China

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