Clinical effects of non-pharmaceutical interventions for COVID-19 on other nationally notifiable infectious diseases in South Korea.

IF 2.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Korean Journal of Internal Medicine Pub Date : 2024-09-01 Epub Date: 2024-08-13 DOI:10.3904/kjim.2023.501
Hyun-Jin Lee, Beom Seuk Hwang, Seong Ho Im, Seog-Kyun Mun, Munyoung Chang
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Abstract

Background/aims: This study aimed to assess the impact of non-pharmaceutical interventions (NPIs) implemented during the COVID-19 pandemic on nationally notifiable infectious diseases (NNIDs) in South Korea.

Methods: Long-term data on seven NNIDs from 2018 to 2021 were analyzed to identify trends and change points using a change point detection technique. The timings of the NPI implementations were compared to the identified change points to determine their association.

Results: Varicella, mumps, and scarlet fever showed a significant decrease in incidence following the implementation of NPIs during the COVID-19 pandemic. These diseases, which are primarily transmitted through respiratory droplets, demonstrated a clear response to NPIs. However, carbapenem-resistant Enterobacterales (CRE) showed an increasing trend unrelated to the timing of NPI implementation, suggesting the complex nature of controlling healthcare-associated infections. Hepatitis A, hepatitis C, and scrub typhus did not show significant changes associated with NPIs, likely due to their non-respiratory route of transmission.

Conclusion: NPIs effectively controlled NNIDs, particularly those transmitted through respiratory infections. However, the impact varied depending on the disease. Understanding the effectiveness and limitations of NPIs is crucial for developing comprehensive public health strategies during infectious disease outbreaks.

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针对 COVID-19 的非药物干预措施对韩国其他国家通报传染病的临床影响。
背景/目的本研究旨在评估 COVID-19 大流行期间实施的非药物干预措施(NPIs)对韩国全国应报传染病(NNIDs)的影响:对 2018 年至 2021 年七种 NNID 的长期数据进行分析,利用变化点检测技术确定趋势和变化点。将 NPI 的实施时间与确定的变化点进行比较,以确定其关联性:结果:在 COVID-19 大流行期间实施 NPI 后,水痘、腮腺炎和猩红热的发病率显著下降。这些疾病主要通过呼吸道飞沫传播,对 NPIs 有明显的反应。然而,耐碳青霉烯类肠杆菌(CRE)的发病率呈上升趋势,与实施 NPI 的时间无关,这表明控制医疗相关感染的复杂性。甲型肝炎、丙型肝炎和恙虫病未显示出与 NPI 相关的显著变化,这可能是由于它们的传播途径与呼吸道无关:NPIs 有效控制了非传染性疾病,尤其是通过呼吸道感染传播的非传染性疾病。结论:非传染性疾病药物能有效控制非传染性疾病,尤其是通过呼吸道感染传播的非传染性疾病。了解非呼吸道感染药物的有效性和局限性对于在传染病爆发期间制定全面的公共卫生策略至关重要。
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来源期刊
Korean Journal of Internal Medicine
Korean Journal of Internal Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.10
自引率
4.20%
发文量
129
审稿时长
20 weeks
期刊介绍: The Korean Journal of Internal Medicine is an international medical journal published in English by the Korean Association of Internal Medicine. The Journal publishes peer-reviewed original articles, reviews, and editorials on all aspects of medicine, including clinical investigations and basic research. Both human and experimental animal studies are welcome, as are new findings on the epidemiology, pathogenesis, diagnosis, and treatment of diseases. Case reports will be published only in exceptional circumstances, when they illustrate a rare occurrence of clinical importance. Letters to the editor are encouraged for specific comments on published articles and general viewpoints.
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