Department of Social and Preventive Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Korea.
Division of Infectious Disease Response, Gyeongnam Regional Center for Disease Control and Prevention, Korea Disease Control and Prevention Agency, Busan, Korea.
J Med Virol. 2021 Mar;93(3):1814-1816. doi: 10.1002/jmv.26614. Epub 2020 Nov 1.
While vaccination remains the cornerstone of controlling vaccine-preventive diseases (VPD), little is known about the effect of social distancing on incidence of VPDs. We investigated the impact of social distancing practiced during the coronavirus disease 2019 (COVID-19) pandemic on the incidence of selected VPDs in South Korea. National surveillance data on monthly incidence of hepatitis A, hepatitis B, varicella, mumps, invasive pneumococcal disease (IPD), and pertussis were retrieved and compared the VPD incidences in 2020 to the average of the last 4 years (2015-2019) of the corresponding months. In 2020, there were 44% decline for mumps, 44% decline for varicella, 28% decline for pertussis, 22% decline for IPD, 14% decline in incidence of hepatitis A, and no change for hepatitis B incidences, compared to baseline years (2015-2019). The largest decline of total VPDs was in April (65%) and in May (67%), during the intensified social distancing measures. In the setting of sustained vaccination coverage, social distancing may provide additional public health benefit in controlling the VPDs.
虽然疫苗接种仍然是控制疫苗可预防疾病(VPD)的基石,但对于社交距离措施对 VPD 发病率的影响知之甚少。我们研究了 2019 年冠状病毒病(COVID-19)大流行期间实施的社交距离措施对韩国选定 VPD 发病率的影响。检索了关于甲型肝炎、乙型肝炎、水痘、腮腺炎、侵袭性肺炎球菌病(IPD)和百日咳每月发病率的国家监测数据,并将 2020 年的 VPD 发病率与相应月份过去 4 年(2015-2019 年)的平均值进行了比较。与基线年份(2015-2019 年)相比,2020 年腮腺炎发病率下降 44%,水痘发病率下降 44%,百日咳发病率下降 28%,IPD 发病率下降 22%,甲型肝炎发病率下降 14%,乙型肝炎发病率无变化。在强化社交距离措施期间,总 VPD 的最大降幅出现在 4 月(65%)和 5 月(67%)。在持续的疫苗接种覆盖率的背景下,社交距离措施可能为控制 VPD 提供额外的公共卫生效益。