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Lifting Covid-19-associated non-pharmaceutical interventions

Potential impact on notifications of infectious diseases transmitted from person to person in 2022 in Bavaria, Germany

Bibliographic Data

ID22084871
AuthorsJudith Hausmann (Zimmer Biomet (Germany), corresponding author), Achim Dörre (0000-0001-9297-3675, Robert Koch Institute), Katharina Katz, Sarah van de Berg (0000-0002-2917-8959)
Year2024
Volume12
Pages1437485-1437485
Publication date2024-07-31
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1437485
PMID39148653
OpenAlexW4401194013
LanguageEN
Citations received1
References cited23

Background: The COVID-19 pandemic and associated non-pharmaceutical interventions (NPIs) have led to substantial decreases in case numbers of infectious diseases in several countries worldwide. As NPIs were gradually lifted, intense or out-of-season outbreaks of respiratory and gastrointestinal diseases were reported, raising the hypothesis of a potential catch-up effect of infections. By analysing surveillance data from the federal reporting system for notifiable infectious diseases, we aimed to assess the potential impact of lifting COVID-19 associated NPIs on notifications of selected infectious diseases in Bavaria, 2022. Methods: We compared influenza, chickenpox, norovirus gastroenteritis, rotavirus gastroenteritis weekly case numbers in a pre-pandemic period (2016-2019) and 2022 using two time series analyses approaches: (i) a predictive model forecasting weekly case numbers for the pandemic years 2020-2022, based on 2016-2019 data, (ii) interrupted time series model, based on 2016-2022 data, including a term per pandemic period. Results: In 2022, incidence rates were higher compared to pre-pandemic period for influenza (IRR = 3.47, 95%CI: 1.49-7.94) and rotavirus gastroenteritis (IRR = 1.36, 95%CI: 0.95-1.93), though not significant for rotavirus gastroenteritis. Conversely, case numbers remained significantly below pre-pandemic levels for chickenpox (IRR = 0.52, 95%CI: 0.41-0.65) and norovirus gastroenteritis (IRR = 0.59, 95%CI: 0.42-0.82). Seasonality changed notably for influenza, showing an earlier influenza wave compared to pre-pandemic periods. Conclusion: The lifting of NPIs was associated with heterogenic epidemiological patterns depending on the selected disease. The full impact of NPIs and their discontinuation may only become clear with continued monitoring and assessment of potential additional contributing factors

Disease · Environmental health · Norovirus · Outbreak · Pandemic · Psychological intervention · Rotavirus · Virus · COVID-19 epidemiological studies · Medicine · Respiratory viral infections research · Viral gastroenteritis research and epidemiology · Epidemiology · Internal Medicine · Virology

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    Open Access•Achim Zeileis, Christian Kleiber et al.•Journal of Statistical Software•2008

  • The Rise in Norovirus-Related Acute Gastroenteritis During the Fight Against the Covid-19 Pandemic in Southern China

    Open Access•Ying Lu, Zhoubin Zhang et al.•Frontiers in Public Health•2022

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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