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Trop Med Int Health . Analysis of the incidence of influenza before and after the COVID-19 pandemic in South Korea

tetano

Editor, Senior Moderator
Trop Med Int Health


. 2024 Nov 6.
doi: 10.1111/tmi.14055. Online ahead of print. Analysis of the incidence of influenza before and after the COVID-19 pandemic in South Korea

Hayeon Kim[SUP] 1 2 [/SUP], Hyeon S Son[SUP] 1 2 3 [/SUP]



Affiliations
Abstract

Objectives: Influenza outbreaks of varying size occur every year, but during the COVID-19 pandemic, many countries experienced influenza at lower levels. However, following the relaxation of COVID-19 prevention measures in 2022, the incidence of influenza began to increase gradually. Thus, this study compared the occurrence of influenza from week 36 of 2017, before the COVID-19 outbreak, until 2023.
Methods: The analysis was conducted using influenza-like illness occurrence data available from the Korea Disease Control and Prevention Agency infectious disease website. Additionally, to examine the changes in COVID-19 and influenza occurrence during the pandemic, COVID-19 incidence data from 20 January 2020 to 31 August 2023 were obtained from the KDCA Coronavirus Disease 19 homepage.
Results: During the COVID-19 pandemic, which corresponds to the 2020/2021 and 2021/2022 influenza seasons, there was no seasonal influenza epidemic, and the incidence rates were below the usual outbreak levels. However, in the 2022/2023 season, when the spread of COVID-19 had eased, a seasonal pattern similar to that observed before the COVID-19 pandemic was noted. Furthermore, correlation analysis between the rates of influenza-like illness and COVID-19 incidence showed no significant correlation during the entire period. However, a significant correlation emerged in 2023 (r = 0.393, p <0.05). These results suggest that influenza was suppressed during the COVID-19 pandemic but returned to typical seasonal patterns after the COVID-19 prevention policies were eased.
Conclusion: The positive correlation observed between the incidences of COVID-19 and influenza in 2023 indicates that COVID-19, no longer a novel pandemic-causing infectious disease, may have transitioned to an endemic pattern similar to seasonal influenza.

Keywords: COVID‐19; endemic; incidence; influenza; influenza‐like illness (ILI).

 
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