Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence

Background: Kawasaki disease is suspected to be triggered by previous infection. The prevention measures for coronavirus disease 2019 (COVID-19) have reportedly reduced transmission of certain infectious diseases. Under these circumstances, the prevention measures for COVID-19 may reduce the inciden...

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Autores principales:	Nobuyuki Katsumata, Daisuke Harama, Takako Toda, Yuto Sunaga, Masashi Yoshizawa, Yosuke Kono, Yohei Hasebe, Keiichi Koizumi, Minako Hoshiai, Tomohiro Saito, Sho Hokibara, Koji Kobayashi, Miwa Goto, Tomoaki Sano, Makoto Tsuruta, Makoto Nakamura, Sonoko Mizorogi, Masanori Ohta, Mie Mochizuki, Hiroki Sato, Hiroshi Yokomichi, Takeshi Inukai
Formato:	article
Lenguaje:	EN
Publicado:	Japan Epidemiological Association 2021
Materias:	covid-19 kawasaki disease retrospective database infectious disease Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7b875633c0b2443a9fb079f56fc878e4
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spelling	oai:doaj.org-article:7b875633c0b2443a9fb079f56fc878e42021-11-05T08:43:52ZPrevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence0917-50401349-909210.2188/jea.JE20210132https://doaj.org/article/7b875633c0b2443a9fb079f56fc878e42021-11-01T00:00:00Zhttps://www.jstage.jst.go.jp/article/jea/31/11/31_JE20210132/_pdfhttps://doaj.org/toc/0917-5040https://doaj.org/toc/1349-9092Background: Kawasaki disease is suspected to be triggered by previous infection. The prevention measures for coronavirus disease 2019 (COVID-19) have reportedly reduced transmission of certain infectious diseases. Under these circumstances, the prevention measures for COVID-19 may reduce the incidence of Kawasaki disease. Methods: We conducted a retrospective study using registration datasets of patients with Kawasaki disease who were diagnosed in all 11 inpatient pediatric facilities in Yamanashi Prefecture. The eligible cases were 595 cases that were diagnosed before the COVID-19 pandemic (from January 2015 through February 2020) and 38 cases that were diagnosed during the COVID-19 pandemic (from March through November 2020). Incidence of several infectious disease were evaluated using data from the Infectious Disease Weekly Report conducted by the National Institute of Infectious Diseases. Results: Epidemics of various infectious diseases generally remained at low levels during the first 9 months (March through November 2020) of the COVID-19 pandemic. Moreover, the incidence of COVID-19 was 50–80 times lower than the incidence in European countries and the United States. The total number of 38 cases with Kawasaki disease for the 9 months during the COVID-19 pandemic was 46.3% (−3.5 standard deviations [SDs] of the average [82.0; SD, 12.7 cases] for the corresponding 9 months of the previous 5 years. None of the 38 cases was determined to be triggered by COVID-19 based on their medical histories and negative results of severe acute respiratory syndrome coronavirus 2 testing at admission. Conclusion: These observations provide a new epidemiological evidence for the notion that Kawasaki disease is triggered by major infectious diseases in children.Nobuyuki KatsumataDaisuke HaramaTakako TodaYuto SunagaMasashi YoshizawaYosuke KonoYohei HasebeKeiichi KoizumiMinako HoshiaiTomohiro SaitoSho HokibaraKoji KobayashiMiwa GotoTomoaki SanoMakoto TsurutaMakoto NakamuraSonoko MizorogiMasanori OhtaMie MochizukiHiroki SatoHiroshi YokomichiTakeshi InukaiJapan Epidemiological Associationarticlecovid-19kawasaki diseaseretrospective databaseinfectious diseaseMedicine (General)R5-920ENJournal of Epidemiology, Vol 31, Iss 11, Pp 573-580 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	covid-19 kawasaki disease retrospective database infectious disease Medicine (General) R5-920
spellingShingle	covid-19 kawasaki disease retrospective database infectious disease Medicine (General) R5-920 Nobuyuki Katsumata Daisuke Harama Takako Toda Yuto Sunaga Masashi Yoshizawa Yosuke Kono Yohei Hasebe Keiichi Koizumi Minako Hoshiai Tomohiro Saito Sho Hokibara Koji Kobayashi Miwa Goto Tomoaki Sano Makoto Tsuruta Makoto Nakamura Sonoko Mizorogi Masanori Ohta Mie Mochizuki Hiroki Sato Hiroshi Yokomichi Takeshi Inukai Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
description	Background: Kawasaki disease is suspected to be triggered by previous infection. The prevention measures for coronavirus disease 2019 (COVID-19) have reportedly reduced transmission of certain infectious diseases. Under these circumstances, the prevention measures for COVID-19 may reduce the incidence of Kawasaki disease. Methods: We conducted a retrospective study using registration datasets of patients with Kawasaki disease who were diagnosed in all 11 inpatient pediatric facilities in Yamanashi Prefecture. The eligible cases were 595 cases that were diagnosed before the COVID-19 pandemic (from January 2015 through February 2020) and 38 cases that were diagnosed during the COVID-19 pandemic (from March through November 2020). Incidence of several infectious disease were evaluated using data from the Infectious Disease Weekly Report conducted by the National Institute of Infectious Diseases. Results: Epidemics of various infectious diseases generally remained at low levels during the first 9 months (March through November 2020) of the COVID-19 pandemic. Moreover, the incidence of COVID-19 was 50–80 times lower than the incidence in European countries and the United States. The total number of 38 cases with Kawasaki disease for the 9 months during the COVID-19 pandemic was 46.3% (−3.5 standard deviations [SDs] of the average [82.0; SD, 12.7 cases] for the corresponding 9 months of the previous 5 years. None of the 38 cases was determined to be triggered by COVID-19 based on their medical histories and negative results of severe acute respiratory syndrome coronavirus 2 testing at admission. Conclusion: These observations provide a new epidemiological evidence for the notion that Kawasaki disease is triggered by major infectious diseases in children.
format	article
author	Nobuyuki Katsumata Daisuke Harama Takako Toda Yuto Sunaga Masashi Yoshizawa Yosuke Kono Yohei Hasebe Keiichi Koizumi Minako Hoshiai Tomohiro Saito Sho Hokibara Koji Kobayashi Miwa Goto Tomoaki Sano Makoto Tsuruta Makoto Nakamura Sonoko Mizorogi Masanori Ohta Mie Mochizuki Hiroki Sato Hiroshi Yokomichi Takeshi Inukai
author_facet	Nobuyuki Katsumata Daisuke Harama Takako Toda Yuto Sunaga Masashi Yoshizawa Yosuke Kono Yohei Hasebe Keiichi Koizumi Minako Hoshiai Tomohiro Saito Sho Hokibara Koji Kobayashi Miwa Goto Tomoaki Sano Makoto Tsuruta Makoto Nakamura Sonoko Mizorogi Masanori Ohta Mie Mochizuki Hiroki Sato Hiroshi Yokomichi Takeshi Inukai
author_sort	Nobuyuki Katsumata
title	Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
title_short	Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
title_full	Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
title_fullStr	Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
title_full_unstemmed	Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence
title_sort	prevention measures for covid-19 and changes in kawasaki disease incidence
publisher	Japan Epidemiological Association
publishDate	2021
url	https://doaj.org/article/7b875633c0b2443a9fb079f56fc878e4
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Prevention Measures for COVID-19 and Changes in Kawasaki Disease Incidence

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