Author
Listed:
- Meng-Jie Geng
(Chinese Center for Disease Control and Prevention)
- Hai-Yang Zhang
(Beijing Institute of Microbiology and Epidemiology
Center for Disease Control and Prevention of Central Theater Command, Shijingshan District)
- Lin-Jie Yu
(Beijing Institute of Microbiology and Epidemiology)
- Chen-Long Lv
(Beijing Institute of Microbiology and Epidemiology)
- Tao Wang
(Beijing Institute of Microbiology and Epidemiology)
- Tian-Le Che
(Beijing Institute of Microbiology and Epidemiology)
- Qiang Xu
(Beijing Institute of Microbiology and Epidemiology)
- Bao-Gui Jiang
(Beijing Institute of Microbiology and Epidemiology)
- Jin-Jin Chen
(Beijing Institute of Microbiology and Epidemiology)
- Simon I. Hay
(University of Washington
University of Washington)
- Zhong-Jie Li
(Chinese Center for Disease Control and Prevention)
- George F. Gao
(Chinese Center for Disease Control and Prevention)
- Li-Ping Wang
(Chinese Center for Disease Control and Prevention)
- Yang Yang
(College of Public Health and Health Professions, and Emerging Pathogens Institute, University of Florida)
- Li-Qun Fang
(Beijing Institute of Microbiology and Epidemiology)
- Wei Liu
(Beijing Institute of Microbiology and Epidemiology)
Abstract
Nationwide nonpharmaceutical interventions (NPIs) have been effective at mitigating the spread of the novel coronavirus disease (COVID-19), but their broad impact on other diseases remains under-investigated. Here we report an ecological analysis comparing the incidence of 31 major notifiable infectious diseases in China in 2020 to the average level during 2014-2019, controlling for temporal phases defined by NPI intensity levels. Respiratory diseases and gastrointestinal or enteroviral diseases declined more than sexually transmitted or bloodborne diseases and vector-borne or zoonotic diseases. Early pandemic phases with more stringent NPIs were associated with greater reductions in disease incidence. Non-respiratory diseases, such as hand, foot and mouth disease, rebounded substantially towards the end of the year 2020 as the NPIs were relaxed. Statistical modeling analyses confirm that strong NPIs were associated with a broad mitigation effect on communicable diseases, but resurgence of non-respiratory diseases should be expected when the NPIs, especially restrictions of human movement and gathering, become less stringent.
Suggested Citation
Meng-Jie Geng & Hai-Yang Zhang & Lin-Jie Yu & Chen-Long Lv & Tao Wang & Tian-Le Che & Qiang Xu & Bao-Gui Jiang & Jin-Jin Chen & Simon I. Hay & Zhong-Jie Li & George F. Gao & Li-Ping Wang & Yang Yang &, 2021.
"Changes in notifiable infectious disease incidence in China during the COVID-19 pandemic,"
Nature Communications, Nature, vol. 12(1), pages 1-11, December.
Handle:
RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-27292-7
DOI: 10.1038/s41467-021-27292-7
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