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Published on: September 24, 2020
Impact of Nonpharmaceutical Interventions During the COVID-19 Pandemic on Medically Attended Acute Respiratory
Eugene V Millar1,2, Stephen P Rossi3, Simon Pollett1,2
1Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, MD 20814, USA.
Introduction:
Medically attended acute respiratory infections (MAARI) at the U.S. Naval Academy increase during Plebe Summer, a training program for incoming freshmen. Because of COVID-19, extensive nonpharmaceutical interventions (NPI) were implemented during 2020 Plebe Summer.
Methods:
We reviewed MAARI counts in weeks 22-45 from 2012 to 2020 and compared counts in pandemic (2020) vs. pre-pandemic (2012-2019) periods.
Results:
From 2012 to 2019, an average of 1,642 MAARI cases occurred annually. In 2020, 443 MAARI cases occurred. NPI use was associated with a 77% reduction in MAARI.
Conclusions:
During a high-risk military training period, routine NPI use was associated with a major reduction in MAARI.
Insights
Nonpharmaceutical interventions (NPIs) significantly reduced medically attended acute respiratory infections (MAARI) during the U.S. Naval Academy's intensive Plebe Summer training program. This demonstrates the effectiveness of NPIs in controlling respiratory illness in high-risk environments.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Control
Background:
- Medically attended acute respiratory infections (MAARI) typically increase during Plebe Summer at the U.S. Naval Academy.
- The COVID-19 pandemic necessitated the implementation of extensive nonpharmaceutical interventions (NPIs) during the 2020 Plebe Summer training.
Approach:
- MAARI counts from weeks 22-45 between 2012 and 2020 were retrospectively reviewed.
- A comparative analysis was conducted between the pandemic year (2020) and the pre-pandemic period (2012-2019).
Key Points:
- The pre-pandemic average annual MAARI cases from 2012-2019 were 1,642.
- In 2020, MAARI cases significantly decreased to 443.
- NPI implementation correlated with a substantial 77% reduction in MAARI cases.
Conclusions:
- Routine NPI use was strongly associated with a significant reduction in MAARI during a high-risk military training period.
- These findings highlight the efficacy of NPIs in mitigating respiratory infections in demanding training environments.
- The study underscores the importance of public health interventions in safeguarding trainee health during intensive programs.
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