Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza

Detalhes bibliográficos
Autor(a) principal: Pavlovic, Jovana Milan
Data de Publicação: 2021
Outros Autores: Pesut , Dragica Petar, Stosic, Maja Borivoje
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/189096
Resumo: We examined whether the COVID-19 pandemic has affected the incidence of tuberculosis (TB) and influenza in Serbia, a Southeast European country with a low TB incidence rate and a mandatory BCG vaccination at birth. The first case of COVID-19 was registered on March 6, 2020. Despite the need for a sudden adaptation of the health care system, routines of mycobacterial laboratories have never stopped. In 2020, the number of newly diagnosed TB patients was significantly lower than expected (p = 0.04), but the number of patients with influenza increased when compared to 2019. Although many patients with influenza A H1N1 were observed before the beginning of the COVID-19 pandemic, the increment of cases could also be a consequence of cases of influenza with COVID-like symptoms detected thereafter. It may also be attributed to misclassification of clinical cases that were negative for SARS-CoV-2 and reported as influenza. Difficulties to seek medical attention because of the COVID-19 pandemic and possible underreporting are considered as reasons for the decline in the incidence rate of TB. On the other hand, individual and social measures to prevent the spread of SARS-CoV-2 such as wearing face masks, social distancing, lockdown, which were strictly applied to COVID-19 patients, health care staffs and most of the population, could have hindered TB infections more than the two viral diseases, which appear to be more contagious. The increased motivation of the population to protect their health during the COVID-19 pandemic provided an opportunity for their effective education. This is crucial in further combating TB as a preventable disease.
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spelling Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenzaCOVID-19TuberculosisInfluenzaIncidenceWe examined whether the COVID-19 pandemic has affected the incidence of tuberculosis (TB) and influenza in Serbia, a Southeast European country with a low TB incidence rate and a mandatory BCG vaccination at birth. The first case of COVID-19 was registered on March 6, 2020. Despite the need for a sudden adaptation of the health care system, routines of mycobacterial laboratories have never stopped. In 2020, the number of newly diagnosed TB patients was significantly lower than expected (p = 0.04), but the number of patients with influenza increased when compared to 2019. Although many patients with influenza A H1N1 were observed before the beginning of the COVID-19 pandemic, the increment of cases could also be a consequence of cases of influenza with COVID-like symptoms detected thereafter. It may also be attributed to misclassification of clinical cases that were negative for SARS-CoV-2 and reported as influenza. Difficulties to seek medical attention because of the COVID-19 pandemic and possible underreporting are considered as reasons for the decline in the incidence rate of TB. On the other hand, individual and social measures to prevent the spread of SARS-CoV-2 such as wearing face masks, social distancing, lockdown, which were strictly applied to COVID-19 patients, health care staffs and most of the population, could have hindered TB infections more than the two viral diseases, which appear to be more contagious. The increased motivation of the population to protect their health during the COVID-19 pandemic provided an opportunity for their effective education. This is crucial in further combating TB as a preventable disease.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2021-08-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/18909610.1590/S1678-9946202163053Revista do Instituto de Medicina Tropical de São Paulo; Vol. 63 (2021); e53Revista do Instituto de Medicina Tropical de São Paulo; Vol. 63 (2021); e53Revista do Instituto de Medicina Tropical de São Paulo; v. 63 (2021); e531678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/189096/174755Copyright (c) 2021 Jovana Milan Pavlovic, Dragica Petar Pesut , Maja Borivoje Stosichttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessPavlovic, Jovana Milan Pesut , Dragica Petar Stosic, Maja Borivoje 2022-05-16T13:44:35Zoai:revistas.usp.br:article/189096Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:58.960434Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true
dc.title.none.fl_str_mv Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
title Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
spellingShingle Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
Pavlovic, Jovana Milan
COVID-19
Tuberculosis
Influenza
Incidence
title_short Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
title_full Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
title_fullStr Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
title_full_unstemmed Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
title_sort Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
author Pavlovic, Jovana Milan
author_facet Pavlovic, Jovana Milan
Pesut , Dragica Petar
Stosic, Maja Borivoje
author_role author
author2 Pesut , Dragica Petar
Stosic, Maja Borivoje
author2_role author
author
dc.contributor.author.fl_str_mv Pavlovic, Jovana Milan
Pesut , Dragica Petar
Stosic, Maja Borivoje
dc.subject.por.fl_str_mv COVID-19
Tuberculosis
Influenza
Incidence
topic COVID-19
Tuberculosis
Influenza
Incidence
description We examined whether the COVID-19 pandemic has affected the incidence of tuberculosis (TB) and influenza in Serbia, a Southeast European country with a low TB incidence rate and a mandatory BCG vaccination at birth. The first case of COVID-19 was registered on March 6, 2020. Despite the need for a sudden adaptation of the health care system, routines of mycobacterial laboratories have never stopped. In 2020, the number of newly diagnosed TB patients was significantly lower than expected (p = 0.04), but the number of patients with influenza increased when compared to 2019. Although many patients with influenza A H1N1 were observed before the beginning of the COVID-19 pandemic, the increment of cases could also be a consequence of cases of influenza with COVID-like symptoms detected thereafter. It may also be attributed to misclassification of clinical cases that were negative for SARS-CoV-2 and reported as influenza. Difficulties to seek medical attention because of the COVID-19 pandemic and possible underreporting are considered as reasons for the decline in the incidence rate of TB. On the other hand, individual and social measures to prevent the spread of SARS-CoV-2 such as wearing face masks, social distancing, lockdown, which were strictly applied to COVID-19 patients, health care staffs and most of the population, could have hindered TB infections more than the two viral diseases, which appear to be more contagious. The increased motivation of the population to protect their health during the COVID-19 pandemic provided an opportunity for their effective education. This is crucial in further combating TB as a preventable disease.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-03
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/189096
10.1590/S1678-9946202163053
url https://www.revistas.usp.br/rimtsp/article/view/189096
identifier_str_mv 10.1590/S1678-9946202163053
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/189096/174755
dc.rights.driver.fl_str_mv Copyright (c) 2021 Jovana Milan Pavlovic, Dragica Petar Pesut , Maja Borivoje Stosic
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2021 Jovana Milan Pavlovic, Dragica Petar Pesut , Maja Borivoje Stosic
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
dc.source.none.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo; Vol. 63 (2021); e53
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 63 (2021); e53
Revista do Instituto de Medicina Tropical de São Paulo; v. 63 (2021); e53
1678-9946
0036-4665
reponame:Revista do Instituto de Medicina Tropical de São Paulo
instname:Instituto de Medicina Tropical (IMT)
instacron:IMT
instname_str Instituto de Medicina Tropical (IMT)
instacron_str IMT
institution IMT
reponame_str Revista do Instituto de Medicina Tropical de São Paulo
collection Revista do Instituto de Medicina Tropical de São Paulo
repository.name.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)
repository.mail.fl_str_mv ||revimtsp@usp.br
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