Effect of Social Distancing Due to the COVID-19 Pandemic on the Incidence of Viral Respiratory Tract Infections in Children in Finland During Early 2020
Tóm tắt
Social distancing measures are used to reduce the spreading of infection. Our aim was to assess the immediate effects of national lockdown orders due to coronavirus disease 2019 (COVID-19) on pediatric emergency room (ER) visits and respiratory tract infections in hospitals and nationwide in Finland.
This register-based study used hospital patient information systems and the Finnish national infectious disease register. The participants were all patients visiting pediatric ER in 2 Finnish hospitals (Kuopio University Hospital, Mikkeli Central Hospital) covering 1/5th of the Finnish children population, 4 weeks before and 4 weeks after the start of the nationwide lockdown on March 16, 2020. Nationwide weekly numbers of influenza (A + B) and respiratory syncytial virus (RSV) in children were assessed from the infectious disease register from 2015 to 2020.
A major decrease in the rate of daily median pediatric ER visits was detected in both hospitals in the study during the nationwide lockdown compared with the study period before the lockdown (Mikkeli, 19 vs. 7,
These results strongly suggest that social distancing and other lockdown strategies are effective to slow down the spreading of common respiratory viral diseases and decreasing the need for hospitalization among children.
Từ khóa
Tài liệu tham khảo
Wilder-Smith, 2020, Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak., J Travel Med, 27, taaa020, 10.1093/jtm/taaa020
Ahmed, 2018, Effectiveness of workplace social distancing measures in reducing influenza transmission: a systematic review., BMC Public Health, 18, 518, 10.1186/s12889-018-5446-1
Pan, 2020, Association of public health interventions with the epidemiology of the COVID-19 outbreak in Wuhan, China., JAMA, 323, 1915, 10.1001/jama.2020.6130
Sakamoto, 2020, Seasonal influenza activity during the SARS-CoV-2 outbreak in Japan., JAMA, 323, 1969, 10.1001/jama.2020.6173
Kim, 2019, Norovirus outbreak in a kindergarten: human to human transmission among children., Infect Chemother, 51, 171, 10.3947/ic.2019.51.2.171
Lu, 2018, Incidence of respiratory viral infections and associated factors among children attending a public kindergarten in Taipei City., J Formos Med Assoc, 117, 132, 10.1016/j.jfma.2017.02.020
Nesti, 2007, Infectious diseases and daycare and preschool education., J Pediatr (Rio J), 83, 299, 10.2223/JPED.1649
Kvaerner, 2000, Upper respiratory morbidity in preschool children: a cross-sectional study., Arch Otolaryngol Head Neck Surg, 126, 1201, 10.1001/archotol.126.10.1201
Domínguez Aurrecoechea, 2015, [Infectious diseases and use of health care resources in children less than 2 years-old who attend kindergarten]., An Pediatr (Barc), 83, 149, 10.1016/j.anpedi.2014.10.008
Bin Nafisah, 2018, School closure during novel influenza: a systematic review., J Infect Public Health, 11, 657, 10.1016/j.jiph.2018.01.003
Eames, 2014, The influence of school holiday timing on epidemic impact., Epidemiol Infect, 142, 1963, 10.1017/S0950268813002884
Earn, 2012, Effects of school closure on incidence of pandemic influenza in Alberta, Canada., Ann Intern Med, 156, 173, 10.7326/0003-4819-156-3-201202070-00005