Coronavirus Disease 2019 Pandemic: Impact Caused by School Closure and National Lockdown on Pediatric Visits and Admissions for Viral and Nonviral Infections-a Time Series Analysis

François Angoulvant; Naïm Ouldali; David Dawei Yang; Mathilde Filser; Vincent Gajdos; Alexis Rybak; Romain Guedj; Valérie Soussan-Banini; Romain Basmaci; Alain Lefevre-Utile; Dominique Brun-Ney; Laure Beaujouan; David Skurnik

doi:10.1093/cid/ciaa710

Coronavirus Disease 2019 Pandemic: Impact Caused by School Closure and National Lockdown on Pediatric Visits and Admissions for Viral and Nonviral Infections-a Time Series Analysis

Clin Infect Dis. 2021 Jan 27;72(2):319-322. doi: 10.1093/cid/ciaa710.

Authors

François Angoulvant^{1

2}, Naïm Ouldali^{3

4

5}, David Dawei Yang^{1

2}, Mathilde Filser⁶, Vincent Gajdos^{7

8}, Alexis Rybak⁹, Romain Guedj^{10

11}, Valérie Soussan-Banini¹², Romain Basmaci^{13

14}, Alain Lefevre-Utile^{15

16}, Dominique Brun-Ney^{17

18}, Laure Beaujouan^{17

18}, David Skurnik^{6

19

20}

Affiliations

¹ Assistance Publique-Hôpitaux de Paris, Pediatric Emergency Department, Necker-Enfants Malades University Hospital, Université de Paris, Paris, France.
² Inserm, Centre de Recherche des Cordeliers, UMRS 1138, Sorbonne Université, Université de Paris, Paris, France.
³ Assistance Publique-Hôpitaux de Paris, Department of General Pediatrics, Pediatric Infectious Disease and Internal Medicine, Robert Debré University Hospital, Université de Paris, Paris, France.
⁴ Assistance Publique-Hôpitaux de Paris, Clinical Epidemiology Unit, Robert Debré University Hospital, ECEVE Inserm UMR 1123, Université de Paris, Paris, France.
⁵ Association Clinique et Thérapeutique Infantile du Val-de-Marne, Créteil, France.
⁶ Assistance Publique-Hôpitaux de Paris, Department of Clinical Microbiology, Necker-Enfants Malades University Hospital, Université de Paris, Paris, France.
⁷ Assistance Publique-Hôpitaux de Paris, Pediatric Department, Antoine Béclère University Hospital, Université de Paris Saclay, Clamart, France.
⁸ Centre for Research in Epidemiology and Population Health, Inserm UMR1018, Villejuif, France.
⁹ Assistance Publique-Hôpitaux de Paris, Pediatric Emergency Department, Robert Debré University Hospital, Université de Paris, Paris, France.
¹⁰ Assistance Publique-Hôpitaux de Paris, Pediatric Emergency Department, Armand Trousseau University Hospital, Sorbonne Université, Paris, France.
¹¹ Obstetrical, Perinatal and Pediatric Epidemiology Research Team, Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité, Inserm UMR1153 , Université de Paris, Paris, France.
¹² Assistance Publique-Hôpitaux de Paris, Service de Pédiatrie, Hôpital Ambroise Paré, Boulogne-Billancourt, France.
¹³ Assistance Publique-Hôpitaux de Paris, Service de Pédiatrie-Urgences, Hôpital Louis-Mourier, Université de Paris, Colombes, France.
¹⁴ IAME , Inserm UMR1137, Université de Paris, Paris, France.
¹⁵ Assistance Publique-Hôpitaux de Paris, General Pediatric and Pediatric Emergency Department, Jean Verdier Hospital, Bondy, France.
¹⁶ Inserm U976, Human Systems Immunology and Inflammatory Networks, Saint Louis Research Institute, Université de Paris, Paris, France.
¹⁷ Assistance Publique-Hôpitaux de Paris, Strategy and Transformation Management Department-Emergencies and Intensive Cares, Paris, France.
¹⁸ Assistance Publique-Hôpitaux de Paris, Patient Quality Medical Organisation Departement-Health Crisis Management, Paris, France.
¹⁹ Inserm U1151, Equipe 11, Institut Necker-Enfants Malades, Université de Paris, Paris, France.
²⁰ Division of Infectious Diseases, Harvard Medical School, Boston, Massachusetts, USA.

Abstract

A time series analysis of 871 543 pediatric emergency visits revealed that the coronavirus disease 2019 (COVID-19) lockdown and school closures were associated with a significant decrease in infectious diseases disseminated through airborne or fecal-oral transmission: common cold, gastroenteritis, bronchiolitis, and acute otitis. No change was found for urinary tract infections.

Keywords: COVID-19; emergency; epidemic; lockdown; pediatric.

MeSH terms

COVID-19*
Child
Communicable Disease Control
Humans
Pandemics*
SARS-CoV-2
Schools