Manuelpillai Bevin, Lopman Benjamin, Doran Charlotte R, Porter Chad
Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Translational and Clinical Research Department, Naval Medical Research Command, Silver Spring, Maryland, USA.
J Infect Dis. 2025 Jul 11;231(6):e1075-e1079. doi: 10.1093/infdis/jiaf153.
Nonpharmaceutical interventions (NPIs) for coronavirus disease 2019 resulted in the reduction of many viral diseases aside from severe acute respiratory syndrome coronavirus 2, but their impact on the United States military or beneficiary population has not been assessed. Using TRICARE data (2016-2023), we modeled changes in acute gastroenteritis (AGE) and acute respiratory infection (ARI) encounters pre- and postpandemic. In 2020, AGE and ARI encounters decreased substantially (rate ratio [RR] = 0.50 [95% confidence interval {CI}, .31-.80]; RR = 0.60 [95% CI, .41-.88], respectively). By 2022, AGE remained suppressed while ARI had rebounded. Since 2022, AGE encounters among military personnel remained reduced compared to beneficiaries. NPIs had a greater, lasting effect on AGE than ARI encounters.
2019年冠状病毒病的非药物干预措施(NPIs)除了能减少严重急性呼吸综合征冠状病毒2感染外,还能减少许多病毒性疾病,但尚未评估其对美国军队或受益人群的影响。利用三军医疗保健计划(TRICARE)的数据(2016 - 2023年),我们模拟了大流行前和大流行后急性胃肠炎(AGE)和急性呼吸道感染(ARI)就诊情况的变化。2020年,AGE和ARI就诊人数大幅下降(率比[RR]分别为0.50[95%置信区间{CI},0.31 - 0.80];RR = 0.60[95% CI,0.41 - 0.88])。到2022年,AGE就诊人数仍受到抑制,而ARI就诊人数已反弹。自2022年以来,与受益人群相比,军事人员中的AGE就诊人数持续减少。NPIs对AGE的影响比对ARI就诊人数的影响更大且更持久。