Influence of the COVID-19 pandemic on the incidence of tuberculosis and influenza
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
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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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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