Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures

Background/Aims Studies on the effectiveness of public health measures to prevent respiratory virus transmission in real-world settings are lacking. We investigated the effectiveness of universal mask use and adherence to other personal preventive measures on the changing viral respiratory infection...

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Main Authors: Ji Young Park, Hwan Il Kim, Joo-Hee Kim, Sunghoon Park, Yong Il Hwang, Seung Hun Jang, Yong Kyun Kim, Ki-Suck Jung
Format: Article
Language:English
Published: The Korean Association of Internal Medicine 2021-09-01
Series:The Korean Journal of Internal Medicine
Subjects:
Online Access:http://www.kjim.org/upload/pdf/kjim-2021-026.pdf
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author Ji Young Park
Hwan Il Kim
Joo-Hee Kim
Sunghoon Park
Yong Il Hwang
Seung Hun Jang
Yong Kyun Kim
Ki-Suck Jung
author_facet Ji Young Park
Hwan Il Kim
Joo-Hee Kim
Sunghoon Park
Yong Il Hwang
Seung Hun Jang
Yong Kyun Kim
Ki-Suck Jung
author_sort Ji Young Park
collection DOAJ
description Background/Aims Studies on the effectiveness of public health measures to prevent respiratory virus transmission in real-world settings are lacking. We investigated the effectiveness of universal mask use and adherence to other personal preventive measures on the changing viral respiratory infection patterns during the coronavirus disease 2019 (COVID-19) pandemic. Methods Data were extracted from the South Korean National Respiratory Virus Sentinel Surveillance System. During the COVID-19 pandemic, a cross-sectional survey on adherence to personal preventive measures was conducted. Additionally, the number of subway passengers was analyzed to estimate physical distancing compliance. Results During the pandemic, adherence to personal preventive measures significantly increased, particularly indoors and on public transportation. Respiratory virus trends were compared based on laboratory surveillance data of 47,675 patients with acute respiratory infections (2016 to 2020). The 2019 to 2020 influenza epidemic ended within 3 weeks, from the epidemic peak to the epidemic end, quickly ending the influenza season; with a 1.8- to 2.5-fold faster decline than in previous seasons. Previously, the overall respiratory virus positivity rate remained high after the influenza seasons had ended (47.7% to 69.9%). During the COVID-19 pandemic, this positive rate, 26.5%, was significantly lower than those in previous years. Hospital-based surveillance showed a decreased number of hospitalized patients with acute viral respiratory illnesses. Conclusions This study suggests that high compliance to the use of personal preventive measures in public might reduce the incidence of all respiratory virus infections and its hospitalization rates, with no additional quarantine, isolation, or contact screening.
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spelling doaj.art-77b39beb59504debb5b57e60d777d4de2022-12-21T20:41:04ZengThe Korean Association of Internal MedicineThe Korean Journal of Internal Medicine1226-33032005-66482021-09-013651157116810.3904/kjim.2021.026170597Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measuresJi Young Park0Hwan Il Kim1Joo-Hee Kim2Sunghoon Park3Yong Il Hwang4Seung Hun Jang5Yong Kyun Kim6Ki-Suck Jung7 Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Infectious Diseases, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, KoreaBackground/Aims Studies on the effectiveness of public health measures to prevent respiratory virus transmission in real-world settings are lacking. We investigated the effectiveness of universal mask use and adherence to other personal preventive measures on the changing viral respiratory infection patterns during the coronavirus disease 2019 (COVID-19) pandemic. Methods Data were extracted from the South Korean National Respiratory Virus Sentinel Surveillance System. During the COVID-19 pandemic, a cross-sectional survey on adherence to personal preventive measures was conducted. Additionally, the number of subway passengers was analyzed to estimate physical distancing compliance. Results During the pandemic, adherence to personal preventive measures significantly increased, particularly indoors and on public transportation. Respiratory virus trends were compared based on laboratory surveillance data of 47,675 patients with acute respiratory infections (2016 to 2020). The 2019 to 2020 influenza epidemic ended within 3 weeks, from the epidemic peak to the epidemic end, quickly ending the influenza season; with a 1.8- to 2.5-fold faster decline than in previous seasons. Previously, the overall respiratory virus positivity rate remained high after the influenza seasons had ended (47.7% to 69.9%). During the COVID-19 pandemic, this positive rate, 26.5%, was significantly lower than those in previous years. Hospital-based surveillance showed a decreased number of hospitalized patients with acute viral respiratory illnesses. Conclusions This study suggests that high compliance to the use of personal preventive measures in public might reduce the incidence of all respiratory virus infections and its hospitalization rates, with no additional quarantine, isolation, or contact screening.http://www.kjim.org/upload/pdf/kjim-2021-026.pdfcovid-19disease outbreakspreventive measuresmasks
spellingShingle Ji Young Park
Hwan Il Kim
Joo-Hee Kim
Sunghoon Park
Yong Il Hwang
Seung Hun Jang
Yong Kyun Kim
Ki-Suck Jung
Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures
The Korean Journal of Internal Medicine
covid-19
disease outbreaks
preventive measures
masks
title Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures
title_full Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures
title_fullStr Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures
title_full_unstemmed Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures
title_short Changes in respiratory virus infection trends during the COVID-19 pandemic in South Korea: the effectiveness of public health measures
title_sort changes in respiratory virus infection trends during the covid 19 pandemic in south korea the effectiveness of public health measures
topic covid-19
disease outbreaks
preventive measures
masks
url http://www.kjim.org/upload/pdf/kjim-2021-026.pdf
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