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Public Health Interventions for the COVID-19 Pandemic Reduce Respiratory Tract Infection-Related Visits at Pediatric Emergency Departments in Taiwan.
Front Public Health. 2020; 8:604089.FP

Abstract

Background and objective: Public health interventions such as social distancing, wearing surgical or N95 masks, and handwashing are effective in significantly reducing the risk of infection. The purpose of this article is to analyze the effect of public health interventions on respiratory tract infection-related visits to pediatric emergency departments during the COVID-19 pandemic in Taiwan. Method: Pediatric emergency department visits between January 1 2020 and April 30 2020 were included for trend analysis and compared to the same period during the past 3 years. The datasets were retrieved from Taiwan National Infectious Disease Statistics System and Kaohsiung Chang Gung Memorial Hospital. Respiratory tract infections with other diagnoses categories, including fever, asthma, and urinary tract infections, were included for subgroup analysis. Result: A significant decrease of more than 50% in respiratory tract infection-related visits was found from February to April 2020 in the national database. With regard to diagnosis category, the proportion of respiratory tract infections in Kaohsiung Chang Gung Hospital also became significantly lower in 2020 during the months of March (43.4 vs. 37.4%, p = 0.024) and April (40.1 vs. 32.2%, p < 0.001). On the other hand, the proportion of urinary tract infections was significantly higher in 2020 during March (3.7 vs. 5.2%, p = 0.033) and April (3.9 vs. 6.5%, p < 0.001), and that of asthma was also higher in April (1.6 vs. 2.6%, p = 0.025). Furthermore, the intensive care unit admission rate was relatively higher in 2020 from February, with significant differences noted in March (1.3 vs. 2.8%, p < 0.001).

Conclusion:

Due to public health interventions for the COVID-19 pandemic, the transmission of not only COVID-19 but also other air droplet transmitted diseases in children may have been effectively prevented.

Authors+Show Affiliations

Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. Chang Gung University College of Medicine, Taoyuan, Taiwan.Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. Department of Computer Science and Engineering, National Sun Yet-Sen University, Kaohsiung, Taiwan.Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.Department of Emergency Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. Department of Computer Science and Engineering, National Sun Yet-Sen University, Kaohsiung, Taiwan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33392141

Citation

Lin, Chien-Fu, et al. "Public Health Interventions for the COVID-19 Pandemic Reduce Respiratory Tract Infection-Related Visits at Pediatric Emergency Departments in Taiwan." Frontiers in Public Health, vol. 8, 2020, p. 604089.
Lin CF, Huang YH, Cheng CY, et al. Public Health Interventions for the COVID-19 Pandemic Reduce Respiratory Tract Infection-Related Visits at Pediatric Emergency Departments in Taiwan. Front Public Health. 2020;8:604089.
Lin, C. F., Huang, Y. H., Cheng, C. Y., Wu, K. H., Tang, K. S., & Chiu, I. M. (2020). Public Health Interventions for the COVID-19 Pandemic Reduce Respiratory Tract Infection-Related Visits at Pediatric Emergency Departments in Taiwan. Frontiers in Public Health, 8, 604089. https://doi.org/10.3389/fpubh.2020.604089
Lin CF, et al. Public Health Interventions for the COVID-19 Pandemic Reduce Respiratory Tract Infection-Related Visits at Pediatric Emergency Departments in Taiwan. Front Public Health. 2020;8:604089. PubMed PMID: 33392141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Public Health Interventions for the COVID-19 Pandemic Reduce Respiratory Tract Infection-Related Visits at Pediatric Emergency Departments in Taiwan. AU - Lin,Chien-Fu, AU - Huang,Ying-Hsien, AU - Cheng,Chi-Yung, AU - Wu,Kuan-Han, AU - Tang,Kuo-Shu, AU - Chiu,I-Min, Y1 - 2020/12/16/ PY - 2020/09/08/received PY - 2020/11/23/accepted PY - 2021/1/4/entrez PY - 2021/1/5/pubmed PY - 2021/1/21/medline KW - COVID-19 KW - SARS-CoV-2 KW - handwashing KW - pediatric emergency department KW - public health interventions KW - respiratory tract infection KW - social distancing KW - wearing masks SP - 604089 EP - 604089 JF - Frontiers in public health JO - Front Public Health VL - 8 N2 - Background and objective: Public health interventions such as social distancing, wearing surgical or N95 masks, and handwashing are effective in significantly reducing the risk of infection. The purpose of this article is to analyze the effect of public health interventions on respiratory tract infection-related visits to pediatric emergency departments during the COVID-19 pandemic in Taiwan. Method: Pediatric emergency department visits between January 1 2020 and April 30 2020 were included for trend analysis and compared to the same period during the past 3 years. The datasets were retrieved from Taiwan National Infectious Disease Statistics System and Kaohsiung Chang Gung Memorial Hospital. Respiratory tract infections with other diagnoses categories, including fever, asthma, and urinary tract infections, were included for subgroup analysis. Result: A significant decrease of more than 50% in respiratory tract infection-related visits was found from February to April 2020 in the national database. With regard to diagnosis category, the proportion of respiratory tract infections in Kaohsiung Chang Gung Hospital also became significantly lower in 2020 during the months of March (43.4 vs. 37.4%, p = 0.024) and April (40.1 vs. 32.2%, p < 0.001). On the other hand, the proportion of urinary tract infections was significantly higher in 2020 during March (3.7 vs. 5.2%, p = 0.033) and April (3.9 vs. 6.5%, p < 0.001), and that of asthma was also higher in April (1.6 vs. 2.6%, p = 0.025). Furthermore, the intensive care unit admission rate was relatively higher in 2020 from February, with significant differences noted in March (1.3 vs. 2.8%, p < 0.001). Conclusion: Due to public health interventions for the COVID-19 pandemic, the transmission of not only COVID-19 but also other air droplet transmitted diseases in children may have been effectively prevented. SN - 2296-2565 UR - https://www.unboundmedicine.com/medline/citation/33392141/Public_Health_Interventions_for_the_COVID_19_Pandemic_Reduce_Respiratory_Tract_Infection_Related_Visits_at_Pediatric_Emergency_Departments_in_Taiwan_ L2 - https://doi.org/10.3389/fpubh.2020.604089 DB - PRIME DP - Unbound Medicine ER -