Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.

<h4>Background</h4>The 2009 A/H1N1 influenza pandemic has received a great deal of attention from public health authorities. Our study examines whether this pandemic and the resulting public health measures could have impacted acute diarrhea, a prevalent, highly transmissible and histori...

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Autores principales:	Pascal Crépey, Mathilde Pivette, Moïse Desvarieux
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fa07f732d78c42989adbd55ab5cbacd5
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spelling	oai:doaj.org-article:fa07f732d78c42989adbd55ab5cbacd52021-11-18T08:52:31ZPotential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.1932-620310.1371/journal.pone.0075226https://doaj.org/article/fa07f732d78c42989adbd55ab5cbacd52013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24124479/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The 2009 A/H1N1 influenza pandemic has received a great deal of attention from public health authorities. Our study examines whether this pandemic and the resulting public health measures could have impacted acute diarrhea, a prevalent, highly transmissible and historically monitored disease.<h4>Methods</h4>Using augmentation procedures of national data for the previous five years (2004-2009), we estimated the expected timing and incidence of acute diarrhea in France in 2009-2010 and evaluated differences with the observed. We also reviewed national hand gels for the same period.<h4>Findings</h4>Number of episodes of acute diarrhea in France in 2009-2010 was significantly lower than expected until the third week of December (-24%, 95% CI [-36%; -9%]), then significantly higher (+40%, 95% CI [22%; 62%]), leading to a surplus of 574,440 episodes. The epidemic was delayed by 5 weeks with a peak 1.3 times higher than expected. Hand-gels sales inversely correlated with incidence of both influenza-like illness and acute diarrheal disease. Among individuals >65 yo, no excess cases of influenza and no excess rebound in acute diarrhea were observed, despite similar delay in the onset of the seasonal diarrheal epidemic.<h4>Interpretation</h4>Our results suggest that at least one endemic disease had an unexpected behavior in 2009-2010. Acute diarrhea seems to have been controlled during the beginning of the pandemic in all age groups, but later peaked higher than expected in the younger population. The all-age delay in seasonal onset seems partly attributable to hand-gels use, while the differential magnitude of the seasonal epidemic between young and old, concurrent for both influenza and acute diarrhea, is compatible with disease interaction.Pascal CrépeyMathilde PivetteMoïse DesvarieuxPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 10, p e75226 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Pascal Crépey Mathilde Pivette Moïse Desvarieux Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.
description	<h4>Background</h4>The 2009 A/H1N1 influenza pandemic has received a great deal of attention from public health authorities. Our study examines whether this pandemic and the resulting public health measures could have impacted acute diarrhea, a prevalent, highly transmissible and historically monitored disease.<h4>Methods</h4>Using augmentation procedures of national data for the previous five years (2004-2009), we estimated the expected timing and incidence of acute diarrhea in France in 2009-2010 and evaluated differences with the observed. We also reviewed national hand gels for the same period.<h4>Findings</h4>Number of episodes of acute diarrhea in France in 2009-2010 was significantly lower than expected until the third week of December (-24%, 95% CI [-36%; -9%]), then significantly higher (+40%, 95% CI [22%; 62%]), leading to a surplus of 574,440 episodes. The epidemic was delayed by 5 weeks with a peak 1.3 times higher than expected. Hand-gels sales inversely correlated with incidence of both influenza-like illness and acute diarrheal disease. Among individuals >65 yo, no excess cases of influenza and no excess rebound in acute diarrhea were observed, despite similar delay in the onset of the seasonal diarrheal epidemic.<h4>Interpretation</h4>Our results suggest that at least one endemic disease had an unexpected behavior in 2009-2010. Acute diarrhea seems to have been controlled during the beginning of the pandemic in all age groups, but later peaked higher than expected in the younger population. The all-age delay in seasonal onset seems partly attributable to hand-gels use, while the differential magnitude of the seasonal epidemic between young and old, concurrent for both influenza and acute diarrhea, is compatible with disease interaction.
format	article
author	Pascal Crépey Mathilde Pivette Moïse Desvarieux
author_facet	Pascal Crépey Mathilde Pivette Moïse Desvarieux
author_sort	Pascal Crépey
title	Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.
title_short	Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.
title_full	Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.
title_fullStr	Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.
title_full_unstemmed	Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.
title_sort	potential impact of influenza a/h1n1 pandemic and hand-gels on acute diarrhea epidemic in france.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/fa07f732d78c42989adbd55ab5cbacd5
work_keys_str_mv	AT pascalcrepey potentialimpactofinfluenzaah1n1pandemicandhandgelsonacutediarrheaepidemicinfrance AT mathildepivette potentialimpactofinfluenzaah1n1pandemicandhandgelsonacutediarrheaepidemicinfrance AT moisedesvarieux potentialimpactofinfluenzaah1n1pandemicandhandgelsonacutediarrheaepidemicinfrance
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Potential impact of influenza A/H1N1 pandemic and hand-gels on acute diarrhea epidemic in France.

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