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Front Public Health . The effect of nonpharmaceutical interventions on influenza virus transmission

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  • Front Public Health . The effect of nonpharmaceutical interventions on influenza virus transmission

    Front Public Health


    . 2024 Feb 8:12:1336077.
    doi: 10.3389/fpubh.2024.1336077. eCollection 2024. The effect of nonpharmaceutical interventions on influenza virus transmission

    Danlei Chen # 1 2 , Ting Zhang # 1 , Simiao Chen 2 , Xuanwen Ru 2 , Qingyi Shao 1 2 , Qing Ye 2 , Dongqing Cheng 1



    AffiliationsAbstract

    Background: The use of nonpharmaceutical interventions (NPIs) during severe acute respiratory syndrome 2019 (COVID-19) outbreaks may influence the spread of influenza viruses. This study aimed to evaluate the impact of NPIs against SARS-CoV-2 on the epidemiological features of the influenza season in China.
    Methods: We conducted a retrospective observational study analyzing influenza monitoring data obtained from the China National Influenza Center between 2011 and 2023. We compared the changes in influenza-positive patients in the pre-COVID-19 epidemic, during the COVID-19 epidemic, and post-COVID-19 epidemic phases to evaluate the effect of NPIs on influenza virus transmission.
    Results: NPIs targeting COVID-19 significantly suppressed influenza activity in China from 2019 to 2022. In the seventh week after the implementation of the NPIs, the number of influenza-positive patients decreased by 97.46% in southern regions of China and 90.31% in northern regions of China. However, the lifting of these policies in December 2022 led to an unprecedented surge in influenza-positive cases in autumn and winter from 2022 to 2023. The percentage of positive influenza cases increased by 206.41% (p < 0.001), with high positivity rates reported in both the northern and southern regions of China.
    Conclusion: Our findings suggest that NPIs against SARS-CoV-2 are effective at controlling influenza epidemics but may compromise individuals' immunity to the virus.

    Keywords: COVID-19; China; infection; influenza virus; nonpharmaceutical interventions (NPIs).

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