Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
Background: Kawasaki disease is suspected to be triggered by previous infection. The prevention measures for coronavirus disease 2019 (COVID-19) have reportedly reduced transmission of certain infectious diseases. Under these circumstances, the prevention measures for COVID-19 may reduce the inciden...
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Language: | English |
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Japan Epidemiological Association
2021-11-01
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Series: | Journal of Epidemiology |
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Online Access: | https://www.jstage.jst.go.jp/article/jea/31/11/31_JE20210132/_pdf |
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author | Nobuyuki Katsumata Daisuke Harama Takako Toda Yuto Sunaga Masashi Yoshizawa Yosuke Kono Yohei Hasebe Keiichi Koizumi Minako Hoshiai Tomohiro Saito Sho Hokibara Koji Kobayashi Miwa Goto Tomoaki Sano Makoto Tsuruta Makoto Nakamura Sonoko Mizorogi Masanori Ohta Mie Mochizuki Hiroki Sato Hiroshi Yokomichi Takeshi Inukai |
author_facet | Nobuyuki Katsumata Daisuke Harama Takako Toda Yuto Sunaga Masashi Yoshizawa Yosuke Kono Yohei Hasebe Keiichi Koizumi Minako Hoshiai Tomohiro Saito Sho Hokibara Koji Kobayashi Miwa Goto Tomoaki Sano Makoto Tsuruta Makoto Nakamura Sonoko Mizorogi Masanori Ohta Mie Mochizuki Hiroki Sato Hiroshi Yokomichi Takeshi Inukai |
author_sort | Nobuyuki Katsumata |
collection | DOAJ |
description | Background: Kawasaki disease is suspected to be triggered by previous infection. The prevention measures for coronavirus disease 2019 (COVID-19) have reportedly reduced transmission of certain infectious diseases. Under these circumstances, the prevention measures for COVID-19 may reduce the incidence of Kawasaki disease. Methods: We conducted a retrospective study using registration datasets of patients with Kawasaki disease who were diagnosed in all 11 inpatient pediatric facilities in Yamanashi Prefecture. The eligible cases were 595 cases that were diagnosed before the COVID-19 pandemic (from January 2015 through February 2020) and 38 cases that were diagnosed during the COVID-19 pandemic (from March through November 2020). Incidence of several infectious disease were evaluated using data from the Infectious Disease Weekly Report conducted by the National Institute of Infectious Diseases. Results: Epidemics of various infectious diseases generally remained at low levels during the first 9 months (March through November 2020) of the COVID-19 pandemic. Moreover, the incidence of COVID-19 was 50–80 times lower than the incidence in European countries and the United States. The total number of 38 cases with Kawasaki disease for the 9 months during the COVID-19 pandemic was 46.3% (−3.5 standard deviations [SDs] of the average [82.0; SD, 12.7 cases] for the corresponding 9 months of the previous 5 years. None of the 38 cases was determined to be triggered by COVID-19 based on their medical histories and negative results of severe acute respiratory syndrome coronavirus 2 testing at admission. Conclusion: These observations provide a new epidemiological evidence for the notion that Kawasaki disease is triggered by major infectious diseases in children. |
first_indexed | 2024-12-17T10:43:04Z |
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institution | Directory Open Access Journal |
issn | 0917-5040 1349-9092 |
language | English |
last_indexed | 2024-12-17T10:43:04Z |
publishDate | 2021-11-01 |
publisher | Japan Epidemiological Association |
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series | Journal of Epidemiology |
spelling | doaj.art-7b875633c0b2443a9fb079f56fc878e42022-12-21T21:52:11ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922021-11-01311157358010.2188/jea.JE20210132Prevention Measures for COVID-19 and Changes in Kawasaki Disease IncidenceNobuyuki Katsumata0Daisuke Harama1Takako Toda2Yuto Sunaga3Masashi Yoshizawa4Yosuke Kono5Yohei Hasebe6Keiichi Koizumi7Minako Hoshiai8Tomohiro Saito9Sho Hokibara10Koji Kobayashi11Miwa Goto12Tomoaki Sano13Makoto Tsuruta14Makoto Nakamura15Sonoko Mizorogi16Masanori Ohta17Mie Mochizuki18Hiroki Sato19Hiroshi Yokomichi20Takeshi Inukai21Department of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, Fujiyoshida Municipal Hospital, Yamanashi, JapanDepartment of Pediatrics, Yamanashi Central Prefectural Hospital, Yamanashi, JapanDepartment of Pediatrics, Yamanashi Central Prefectural Hospital, Yamanashi, JapanDepartment of Pediatrics, Kofu Municipal Hospital, Kofu, Yamanashi, JapanDepartment of Pediatrics, Yamanashi Kosei Hospital, Yamanashi, JapanDepartment of Pediatrics, National Hospital Organization Kofu National Hospital, Yamanashi, JapanDepartment of Pediatrics, Yamanashi Red Cross Hospital, Yamanashi, JapanDepartment of Pediatrics, Kofu-kyoritsu Hospital, Yamanashi, JapanDepartment of Pediatrics, Fujiyoshida Municipal Hospital, Yamanashi, JapanDepartment of Pediatrics, Nirasaki City Hospital, Yamanashi, JapanDepartment of Pediatrics, Tsuru Municipal General Hospital, Yamanashi, JapanDepartment of Pediatrics, Kyonan Medical Center Fujikawa Hospital, Yamanashi, JapanDepartment of Pediatrics, Suwa Central Hospital, Nagano, JapanDepartment of Health Sciences, University of Yamanashi, Yamanashi, JapanDepartment of Pediatrics, University of Yamanashi, Yamanashi, JapanBackground: Kawasaki disease is suspected to be triggered by previous infection. The prevention measures for coronavirus disease 2019 (COVID-19) have reportedly reduced transmission of certain infectious diseases. Under these circumstances, the prevention measures for COVID-19 may reduce the incidence of Kawasaki disease. Methods: We conducted a retrospective study using registration datasets of patients with Kawasaki disease who were diagnosed in all 11 inpatient pediatric facilities in Yamanashi Prefecture. The eligible cases were 595 cases that were diagnosed before the COVID-19 pandemic (from January 2015 through February 2020) and 38 cases that were diagnosed during the COVID-19 pandemic (from March through November 2020). Incidence of several infectious disease were evaluated using data from the Infectious Disease Weekly Report conducted by the National Institute of Infectious Diseases. Results: Epidemics of various infectious diseases generally remained at low levels during the first 9 months (March through November 2020) of the COVID-19 pandemic. Moreover, the incidence of COVID-19 was 50–80 times lower than the incidence in European countries and the United States. The total number of 38 cases with Kawasaki disease for the 9 months during the COVID-19 pandemic was 46.3% (−3.5 standard deviations [SDs] of the average [82.0; SD, 12.7 cases] for the corresponding 9 months of the previous 5 years. None of the 38 cases was determined to be triggered by COVID-19 based on their medical histories and negative results of severe acute respiratory syndrome coronavirus 2 testing at admission. Conclusion: These observations provide a new epidemiological evidence for the notion that Kawasaki disease is triggered by major infectious diseases in children.https://www.jstage.jst.go.jp/article/jea/31/11/31_JE20210132/_pdfcovid-19kawasaki diseaseretrospective databaseinfectious disease |
spellingShingle | Nobuyuki Katsumata Daisuke Harama Takako Toda Yuto Sunaga Masashi Yoshizawa Yosuke Kono Yohei Hasebe Keiichi Koizumi Minako Hoshiai Tomohiro Saito Sho Hokibara Koji Kobayashi Miwa Goto Tomoaki Sano Makoto Tsuruta Makoto Nakamura Sonoko Mizorogi Masanori Ohta Mie Mochizuki Hiroki Sato Hiroshi Yokomichi Takeshi Inukai Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence Journal of Epidemiology covid-19 kawasaki disease retrospective database infectious disease |
title | Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence |
title_full | Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence |
title_fullStr | Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence |
title_full_unstemmed | Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence |
title_short | Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence |
title_sort | prevention measures for covid 19 and changes in kawasaki disease incidence |
topic | covid-19 kawasaki disease retrospective database infectious disease |
url | https://www.jstage.jst.go.jp/article/jea/31/11/31_JE20210132/_pdf |
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