Department of Bioenvironmental Systems Engineering, National Taiwan University, Taipei, Taiwan.
Department of Public Health, Chung Shan Medical University, Taichung, Taiwan.
PeerJ. 2024 Sep 9;12:e18048. doi: 10.7717/peerj.18048. eCollection 2024.
This study aimed to assess the impact of the COVID-19 pandemic on the disease burden of Taiwan's notifiable infectious diseases (NIDs). We compared disease burdens between the pandemic and pre-pandemic year of 2020 (with non-pharmaceutical interventions (NPIs)) and 2010 (without NPIs), respectively, to understand the overall pandemic impact on NIDs in Taiwan.
Forty-three national NIDs were analyzed using the Statistics of Communicable Diseases and Surveillance Report by estimating the premature death and disability different transmission categories, sex, and age groups. The study evaluated the impact of diseases by assessing the years lost due to death (YLLs), the duration of living with disability (YLDs), and the overall disability-adjusted life years (DALYs) by measuring both the severity of the illness and its duration.
Taiwan recorded 1,577 (2010) and 1,260 (2020) DALYs per million population and lost 43 NIDs, decreasing 317 DALYs per million population. Tuberculosis, HIV/AIDS and acute hepatitis B/D were the leading causes of DALYs, accounting for 89% (2010) and 77% (2020).
Overall, this study provided the first insight of changes in disease burdens in NIDs between pre- and post-COVID-19 based on a nationwide viewpoint for further preventive measures and interventions to be focused on specific diseases by associated health administrations and policies.
本研究旨在评估 COVID-19 大流行对台湾法定传染病（NIDs）疾病负担的影响。我们分别比较了大流行年份 2020 年（有非药物干预措施（NPIs））和 2010 年（无 NPIs）的疾病负担，以了解 COVID-19 对台湾 NIDs 的总体影响。
使用传染病统计和监测报告，通过估计不同传播类别的、性别和年龄组的过早死亡和残疾，对 43 种国家法定传染病进行分析。该研究通过评估因疾病导致的死亡而损失的年限（YLLs）、残疾持续时间（YLDs）以及总伤残调整生命年（DALYs），来评估疾病的影响，同时衡量疾病的严重程度及其持续时间。
台湾每百万人口记录了 1577 例（2010 年）和 1260 例（2020 年）的 DALYs，并损失了 43 种 NIDs，每百万人口减少了 317 个 DALYs。结核病、艾滋病毒/艾滋病和急性乙型肝炎/丙型肝炎是 DALYs 的主要原因，占 2010 年的 89%和 2020 年的 77%。
总体而言，这项研究从全国角度首次提供了 COVID-19 前后法定传染病疾病负担变化的见解，以便相关卫生管理部门和政策进一步关注特定疾病的预防措施和干预措施。
