在COVID-19大流行期间,儿童感染性疾病的变化模式在COVID-19大流行期间发生变化
Ming-Chun Yang1,2, Yu-Tsun Su1,3, Ping-Hong Chen1
1Department of Pediatrics, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan.
Frontiers in cellular and infection microbiology
|July 17, 2023
概括
在COVID-19期间的公共卫生措施破坏了传染病模式. 取消这些措施导致儿童由于免疫债务而增加呼吸道病毒感染,从而冒着未来流行病的风险.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 传染病历史上表现出明显的流行病模式和季节性.
- COVID-19 流行病促使公共卫生干预措施改变了这些模式.
- 在严格的COVID-19缓解期间,各种病原体的循环减少发生.
研究的目的:
- 分析COVID-19缓解措施对儿童传染病动态的影响.
- 检查非SARS-CoV-2呼吸道病毒在流行后的复苏模式.
- 预测潜在的未来流行病情景,包括双重流行和三重流行.
主要方法:
- 对传染病流行病学数据的审查.
- 在COVID-19缓解之前,期间和之后对疾病发病率趋势的分析.
- 评估导致季节性变化和发病率增加的因素.
主要成果:
- 严格的COVID-19措施导致流感,RSV,肺炎球菌,肠道病毒和偏流感的发病率降低.
- 取消措施,加上SARS-CoV-2流行和疫苗接种,导致儿童其他呼吸道病毒的"非季节"和"激增"模式.
- 观察到一种"免疫债务"现象,增加了儿童对各种感染的易感性.
结论:
- 解除COVID-19的限制导致了儿童多种传染病的复苏,原因是免疫债务.
- 潜在的共循环病原体在未来几年构成"双重流行病"或"三重流行病"的风险.
- 对手部卫生和常规免疫接种的持续强调对于减轻传染病对儿童群体的影响至关重要.
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