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中国 COVID-19 大流行前后 24 种法定传染病的时间变化。

Temporal shifts in 24 notifiable infectious diseases in China before and during the COVID-19 pandemic.

机构信息

State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, China.

Health Care Departmen, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, China.

出版信息

Nat Commun. 2024 May 8;15(1):3891. doi: 10.1038/s41467-024-48201-8.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic, along with the implementation of public health and social measures (PHSMs), have markedly reshaped infectious disease transmission dynamics. We analysed the impact of PHSMs on 24 notifiable infectious diseases (NIDs) in the Chinese mainland, using time series models to forecast transmission trends without PHSMs or pandemic. Our findings revealed distinct seasonal patterns in NID incidence, with respiratory diseases showing the greatest response to PHSMs, while bloodborne and sexually transmitted diseases responded more moderately. 8 NIDs were identified as susceptible to PHSMs, including hand, foot, and mouth disease, dengue fever, rubella, scarlet fever, pertussis, mumps, malaria, and Japanese encephalitis. The termination of PHSMs did not cause NIDs resurgence immediately, except for pertussis, which experienced its highest peak in December 2023 since January 2008. Our findings highlight the varied impact of PHSMs on different NIDs and the importance of sustainable, long-term strategies, like vaccine development.

摘要

新型冠状病毒肺炎(COVID-19)大流行以及公共卫生和社会措施(PHSMs)的实施,显著改变了传染病的传播动态。我们使用时间序列模型分析了 PHSMs 对中国大陆 24 种法定传染病(NIDs)的影响,以预测没有 PHSMs 或大流行时的传播趋势。我们的研究结果显示,NID 发病率具有明显的季节性模式,呼吸道疾病对 PHSMs 的反应最大,而血液传播和性传播疾病的反应则较为温和。有 8 种 NIDs 被认为易受 PHSMs 影响,包括手足口病、登革热、风疹、猩红热、百日咳、腮腺炎、疟疾和乙型脑炎。除百日咳外,PHSMs 的终止并未立即导致 NIDs 复发,百日咳的发病率在 2023 年 12 月达到自 2008 年 1 月以来的最高峰值。我们的研究结果突出了 PHSMs 对不同 NIDs 的不同影响,以及制定可持续的长期策略(如疫苗开发)的重要性。

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