tetano
Editor, Senior Moderator
PLoS One
. 2025 Feb 10;20(2):e0316340.
doi: 10.1371/journal.pone.0316340. eCollection 2025. Type 1 diabetes incidence during COVID-19 pandemic has not been influenced by COVID-19 vaccination in northern Italy region, Lombardy
Chiara Mameli[SUP] 1 2 [/SUP], Camilla Valsecchi[SUP] 1 [/SUP], Danilo Cereda[SUP] 3 [/SUP], Simona Scarioni[SUP] 4 [/SUP], Lucia Barcellini[SUP] 1 [/SUP], Catia Boriello[SUP] 3 [/SUP], Riccardo Bonfanti[SUP] 5 [/SUP], Ilaria Brambilla[SUP] 6 [/SUP], Valeria Calcaterra[SUP] 1 7 [/SUP], Elena Calzi[SUP] 8 [/SUP], Roberta Cardani[SUP] 9 [/SUP], Anna Cogliardi[SUP] 10 [/SUP], Barbara Felappi[SUP] 11 [/SUP], Giorgia Florini[SUP] 1 [/SUP], Giulio Frontino[SUP] 5 [/SUP], Lucia Paola Guerraggio[SUP] 12 [/SUP], Adelina Hajro[SUP] 1 [/SUP], Maddalena Macedoni[SUP] 1 [/SUP], Patrizia Macellaro[SUP] 13 [/SUP], Agnese Petitti[SUP] 1 [/SUP], Carmelo Pistone[SUP] 6 [/SUP], Cristina Provero[SUP] 10 [/SUP], Silvia Radaelli[SUP] 14 [/SUP], Francesca Chiara Redaelli[SUP] 1 [/SUP], Andrea Rigamonti[SUP] 5 [/SUP], Andrea Scaramuzza[SUP] 15 [/SUP], Silvia Sordelli[SUP] 16 [/SUP], Daniele Spiri[SUP] 13 [/SUP], Ciretta Pelliccia[SUP] 14 [/SUP], Maria Zampolli[SUP] 17 [/SUP], Gian Vincenzo Zuccotti[SUP] 1 2 [/SUP]
Affiliations
Objective: To describe the trends of type 1 diabetes(T1D) incidence in 0-17-year-olds over the years 2020-2023, and the COVID-19 vaccination uptake in Lombardy region.
Methods: Data about children and adolescents aged 0-17 years who received a diagnosis of T1D from 2020 to 2023 were extracted from the public computerized registry of the healthcare system of the Lombardy Region (Italy). After calculating the annual T1D incidence, the incidence in 2020, prior to the availability of vaccination, was compared to subsequent years. A separate analysis was conducted for the 12-17 age group, the first to receive vaccination.
Results: One thousand two hundred seventy-three T1D onsets were recorded. The distribution of T1D showed no significant annual variation by sex (p-trend = 0.338), mean age (9 years, p = 0.537) and age distribution (p-trend = 0.563). T1D incidence [95% CI/100.000] did not significantly change comparing 2020 [18.94/100.000 (CI 16.88-21.18)] with 2021 [21.82/100.000 (CI 18.90-23.44)], 2022 [20.77/100.000 (CI 18.59-23.13)] and 2023 [19.68/100.000 (CI 16.61-20.94)]. No differences in incidence were observed in the 12-17 age group during 2021-2023 when COVID-19 vaccination was available when compared to 2020 (p-wald > 0.05). The COVID-19 vaccination coverage was lower in children with diabetes onset compared to the same-age general population (38 vs 42%).
Conclusions: The incidence of T1D in children remained stable during the COVID-19 pandemic, regardless of the uptake of the vaccination.
. 2025 Feb 10;20(2):e0316340.
doi: 10.1371/journal.pone.0316340. eCollection 2025. Type 1 diabetes incidence during COVID-19 pandemic has not been influenced by COVID-19 vaccination in northern Italy region, Lombardy
Chiara Mameli[SUP] 1 2 [/SUP], Camilla Valsecchi[SUP] 1 [/SUP], Danilo Cereda[SUP] 3 [/SUP], Simona Scarioni[SUP] 4 [/SUP], Lucia Barcellini[SUP] 1 [/SUP], Catia Boriello[SUP] 3 [/SUP], Riccardo Bonfanti[SUP] 5 [/SUP], Ilaria Brambilla[SUP] 6 [/SUP], Valeria Calcaterra[SUP] 1 7 [/SUP], Elena Calzi[SUP] 8 [/SUP], Roberta Cardani[SUP] 9 [/SUP], Anna Cogliardi[SUP] 10 [/SUP], Barbara Felappi[SUP] 11 [/SUP], Giorgia Florini[SUP] 1 [/SUP], Giulio Frontino[SUP] 5 [/SUP], Lucia Paola Guerraggio[SUP] 12 [/SUP], Adelina Hajro[SUP] 1 [/SUP], Maddalena Macedoni[SUP] 1 [/SUP], Patrizia Macellaro[SUP] 13 [/SUP], Agnese Petitti[SUP] 1 [/SUP], Carmelo Pistone[SUP] 6 [/SUP], Cristina Provero[SUP] 10 [/SUP], Silvia Radaelli[SUP] 14 [/SUP], Francesca Chiara Redaelli[SUP] 1 [/SUP], Andrea Rigamonti[SUP] 5 [/SUP], Andrea Scaramuzza[SUP] 15 [/SUP], Silvia Sordelli[SUP] 16 [/SUP], Daniele Spiri[SUP] 13 [/SUP], Ciretta Pelliccia[SUP] 14 [/SUP], Maria Zampolli[SUP] 17 [/SUP], Gian Vincenzo Zuccotti[SUP] 1 2 [/SUP]
Affiliations
- PMID: 39928666
- DOI: 10.1371/journal.pone.0316340
Objective: To describe the trends of type 1 diabetes(T1D) incidence in 0-17-year-olds over the years 2020-2023, and the COVID-19 vaccination uptake in Lombardy region.
Methods: Data about children and adolescents aged 0-17 years who received a diagnosis of T1D from 2020 to 2023 were extracted from the public computerized registry of the healthcare system of the Lombardy Region (Italy). After calculating the annual T1D incidence, the incidence in 2020, prior to the availability of vaccination, was compared to subsequent years. A separate analysis was conducted for the 12-17 age group, the first to receive vaccination.
Results: One thousand two hundred seventy-three T1D onsets were recorded. The distribution of T1D showed no significant annual variation by sex (p-trend = 0.338), mean age (9 years, p = 0.537) and age distribution (p-trend = 0.563). T1D incidence [95% CI/100.000] did not significantly change comparing 2020 [18.94/100.000 (CI 16.88-21.18)] with 2021 [21.82/100.000 (CI 18.90-23.44)], 2022 [20.77/100.000 (CI 18.59-23.13)] and 2023 [19.68/100.000 (CI 16.61-20.94)]. No differences in incidence were observed in the 12-17 age group during 2021-2023 when COVID-19 vaccination was available when compared to 2020 (p-wald > 0.05). The COVID-19 vaccination coverage was lower in children with diabetes onset compared to the same-age general population (38 vs 42%).
Conclusions: The incidence of T1D in children remained stable during the COVID-19 pandemic, regardless of the uptake of the vaccination.