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Influenza Other Respir Viruses . Impact of the COVID-19 related border restrictions on influenza and other common respiratory viral infections in Ne

tetano

Editor, Senior Moderator
Influenza Other Respir Viruses


. 2024 Feb;18(2):e13247.
doi: 10.1111/irv.13247. Impact of the COVID-19 related border restrictions on influenza and other common respiratory viral infections in New Zealand

Q Sue Huang[SUP] 1 [/SUP], Nikki Turner[SUP] 2 [/SUP], Tim Wood[SUP] 1 [/SUP], Andrew Anglemyer[SUP] 1 3 [/SUP], Peter McIntyre[SUP] 3 [/SUP], Nayyereh Aminisani[SUP] 1 [/SUP], Tony Dowell[SUP] 3 [/SUP], Adrian Trenholme[SUP] 4 [/SUP], Cass Byrnes[SUP] 5 [/SUP], Michelle Balm[SUP] 6 [/SUP], Christine McIntosh[SUP] 4 [/SUP], Sarah Jefferies[SUP] 1 [/SUP], Cameron C Grant[SUP] 2 5 [/SUP], Annette Nesdale[SUP] 7 [/SUP], Hazel C Dobinson[SUP] 6 [/SUP], Priscilla Campbell-Stokes[SUP] 7 [/SUP], Karen Daniells[SUP] 1 [/SUP], Jemma Geoghegan[SUP] 1 3 [/SUP], Joep de Ligt[SUP] 1 [/SUP], Lauren Jelley[SUP] 1 3 [/SUP], Ruth Seeds[SUP] 1 [/SUP], Tineke Jennings[SUP] 7 [/SUP], Megan Rensburg[SUP] 7 [/SUP], Jort Cueto[SUP] 7 [/SUP], Ernest Caballero[SUP] 7 [/SUP], Joshma John[SUP] 7 [/SUP], Emmanuel Penghulan[SUP] 7 [/SUP], Chor Ee Tan[SUP] 1 [/SUP], Xiaoyun Ren[SUP] 1 [/SUP], Klarysse Berquist[SUP] 1 [/SUP], Meaghan O'Neill[SUP] 1 [/SUP], Maritza Marull[SUP] 1 [/SUP], Chang Yu[SUP] 1 [/SUP], Andrea McNeill[SUP] 1 [/SUP], Tomasz Kiedrzynski[SUP] 8 [/SUP], Sally Roberts[SUP] 5 [/SUP], Colin McArthur[SUP] 5 [/SUP], Alicia Stanley[SUP] 5 [/SUP], Susan Taylor[SUP] 4 [/SUP], Conroy Wong[SUP] 4 [/SUP], Shirley Lawrence[SUP] 4 [/SUP], Michael G Baker[SUP] 3 [/SUP], Amanda Kvalsvig[SUP] 3 [/SUP], Koen Van Der Werff[SUP] 6 [/SUP], Gary McAuliffe[SUP] 5 [/SUP], Hanna Antoszewska[SUP] 5 [/SUP], Meik Dilcher[SUP] 9 [/SUP], Jennifer Fahey[SUP] 9 [/SUP], Anja Werno[SUP] 9 [/SUP], Juliet Elvy[SUP] 10 [/SUP], Jenny Grant[SUP] 10 [/SUP], Michael Addidle[SUP] 11 [/SUP], Nicolas Zacchi[SUP] 11 [/SUP], Chris Mansell[SUP] 12 [/SUP], Marc-Alain Widdowson[SUP] 13 [/SUP], Paul G Thomas[SUP] 14 [/SUP]; BorderRestrictionImpactOnFluRSV Consortium[SUP] 1 4 5 7 9 [/SUP]; Richard J Webby[SUP] 14 [/SUP]



Affiliations
Abstract

Background: New Zealand's (NZ) complete absence of community transmission of influenza and respiratory syncytial virus (RSV) after May 2020, likely due to COVID-19 elimination measures, provided a rare opportunity to assess the impact of border restrictions on common respiratory viral infections over the ensuing 2 years.
Methods: We collected the data from multiple surveillance systems, including hospital-based severe acute respiratory infection surveillance, SHIVERS-II, -III and -IV community cohorts for acute respiratory infection (ARI) surveillance, HealthStat sentinel general practice (GP) based influenza-like illness surveillance and SHIVERS-V sentinel GP-based ARI surveillance, SHIVERS-V traveller ARI surveillance and laboratory-based surveillance. We described the data on influenza, RSV and other respiratory viral infections in NZ before, during and after various stages of the COVID related border restrictions.
Results: We observed that border closure to most people, and mandatory government-managed isolation and quarantine on arrival for those allowed to enter, appeared to be effective in keeping influenza and RSV infections out of the NZ community. Border restrictions did not affect community transmission of other respiratory viruses such as rhinovirus and parainfluenza virus type-1. Partial border relaxations through quarantine-free travel with Australia and other countries were quickly followed by importation of RSV in 2021 and influenza in 2022.
Conclusion: Our findings inform future pandemic preparedness and strategies to model and manage the impact of influenza and other respiratory viral threats.

Keywords: acute respiratory illness; common respiratory viral infections; influenza infection; public health and social measures; respiratory syncytial viral infection; severe acute respiratory infections.

 
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