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Seasonal Hyperacute Panuveitis (SHAPU) Outbreak Amidst COVID-19 Pandemic
Haramaya Gurung1, Ranju Kharel Sitaula2, Pratap Karki2
1Himalaya Eye Hospital, Eye Care Foundation, Pokhara University, Pokhara, Nepal.
Ocular Immunology and Inflammation
|September 12, 2023
Summary
The 2021 SHAPU outbreak saw a surge in cases, particularly among children, with some atypical presentations. COVID-19 pandemic restrictions complicated timely management, impacting visual outcomes.
Area of Science:
- Ophthalmology
- Epidemiology
- Public Health
Background:
- The study addresses the demographic profile of a Sharpshooter-associated hemorrhagic conjunctivitis (SHAPU) outbreak.
- Investigates the outbreak during the COVID-19 pandemic, a period of significant global health challenges.
Purpose of the Study:
- To document the demographic profile of the SHAPU outbreak.
- To understand the outbreak's characteristics amidst the ongoing COVID-19 pandemic.
Main Methods:
- A multicentric cross-sectional study was conducted.
- Data was collected during the 2021 SHAPU outbreak, coinciding with the second phase of the COVID-19 outbreak.
Main Results:
- 135 SHAPU patients were diagnosed between August and December 2021.
- 57% of patients were children (<16 years), with 54.8% males. 34.8% reported contact with white moths, and 41.5% had severe SHAPU.
- Increased moth abundance was observed, alongside atypical ocular presentations. COVID-19 restrictions hindered timely management, affecting visual outcomes.
Conclusions:
- A significant increase in SHAPU cases was observed, including in previously unreported areas.
- Atypical presentations and the surge in cases raised suspicion of a potential link between COVID-19 and SHAPU.
- Timely management was challenging due to pandemic restrictions, impacting visual outcomes, especially in severe cases.
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