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Published on: November 10, 2023
Epidemiology of Reported HIV and Other Sexually Transmitted Infections During the COVID-19 Pandemic, New York City
Sarah L Braunstein1, Jennifer Sanderson Slutsker2, Rachael Lazar1
1Bureau of HIV, New York City Department of Health and Mental Hygiene, New York, New York, USA.
Insights
The COVID-19 lockdown in New York significantly reduced diagnoses of HIV and other sexually transmitted infections. Cases declined sharply during the PAUSE order, with some changes in patient characteristics observed.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- The COVID-19 pandemic prompted unprecedented public health interventions, including lockdowns.
- The New York on PAUSE (Policies to Accelerate and Comprehend Our Economic response) order restricted movement from March 23 to June 7, 2020.
Purpose of the Study:
- To analyze the impact of the COVID-19 PAUSE order on the diagnosis and reporting of HIV and STIs in New York City.
- To identify trends and shifts in STI and HIV cases during the early pandemic period.
Main Methods:
- Utilized New York City surveillance data for HIV, chlamydia, gonorrhea, and syphilis.
- Described diagnostic and reporting trends during the PAUSE period (March 23–June 7, 2020).
Main Results:
- A substantial decline in the volume of positive HIV/STI tests and diagnoses occurred during the PAUSE order.
- Diagnoses reached a low point in April 2020 before beginning to rebound.
- Observed some shifts in the characteristics of reported cases during this period.
Conclusions:
- The COVID-19 PAUSE order was associated with a significant, albeit temporary, reduction in HIV and STI diagnoses in New York City.
- Understanding these trends is crucial for public health planning and resource allocation during public health emergencies.
Abstract:
Early in the coronavirus disease 2019 (COVID-19) crisis, a statewide executive order (PAUSE) severely restricted the movement of New Yorkers from 23 March to 7 June 2020. We used New York City surveillance data for human immunodeficiency virus (HIV), chlamydia, gonorrhea, and syphilis to describe trends in diagnosis and reporting surrounding PAUSE. During PAUSE, the volume of positive HIV/sexually transmitted infection tests, and diagnoses of HIV, chlamydia, gonorrhea, and syphilis declined substantially, reaching a nadir in April before rebounding. Some shifts in characteristics of reported cases were identified.
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