Respiratory Syncytial Virus Infection Notification Trends and Interpretation of the Reported Case Data, 2018-2021,

Miyako Otsuka1, Ayu Kasamatsu1, Yuzo Arima1

  • 1Center for Surveillance, Immunization, and Epidemiologic Research, National Institute of Infectious Diseases, Japan.

PubMed

Insights

The COVID-19 pandemic impacted respiratory syncytial virus (RSV) infection trends in Japan. While 2020 saw fewer RSV cases, 2021 experienced an early, high peak with more older children affected and milder presentations.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic has influenced the epidemiology of various infectious diseases globally.
  • Respiratory Syncytial Virus (RSV) is a common cause of respiratory infections in children, with significant public health implications.

Purpose of the Study:

  • To describe the epidemiological trends of RSV infection among children in Japan from 2018 to 2021.
  • To analyze the impact of the COVID-19 pandemic on RSV notification patterns, age distribution, and clinical presentation.

Main Methods:

  • Utilized national surveillance data for RSV cases in children across Japan (2018-2021).
  • Analyzed notification trends per sentinel site, age-specific case counts, and outpatient vs. hospital diagnoses.
  • Examined RSV-attributed deaths from vital statistics.

Main Results:

  • RSV notifications significantly decreased in 2020 compared to 2018-2019, likely due to COVID-19 countermeasures.
  • 2021 showed an unseasonably early and high RSV peak, with increased cases in older children (2-4+ years) and a higher proportion of milder outpatient cases.
  • RSV-attributed deaths decreased in 2020 and rebounded in 2021, but remained lower than pre-pandemic levels.

Conclusions:

  • The COVID-19 pandemic caused significant, albeit temporary, disruptions to RSV epidemiology in Japan.
  • The 2021 resurgence suggests a complex interplay of waning immunity and potential shifts in healthcare-seeking behavior.
  • Continuous surveillance and multifaceted assessments are crucial for understanding and managing RSV due to its unpredictable nature.

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