Article ; Online: Association of public health and social measures on the hand-foot-mouth epidemic in South Korea
Journal of Infection and Public Health, Vol 16, Iss 6, Pp 859-
2023 Volume 864
Abstract: Background: School based-measures such as school closure and school holidays have been considered a viable intervention during the hand-foot-mouth disease (HFMD) epidemic. The aim of this study was to explore the association of nationwide public health ... ...
Abstract | Background: School based-measures such as school closure and school holidays have been considered a viable intervention during the hand-foot-mouth disease (HFMD) epidemic. The aim of this study was to explore the association of nationwide public health and social measures (PHSMs) including planned school vacation on the transmissibility and attack rate of the HFMD epidemic in South Korea. Methods: In this study, we used Korean national surveillance data on HFMD from 2014 to 2019 to estimate the temporal changes in HFMD transmissibility (instantaneous reproductive number, Rt). Furthermore, to assess the changes in the HFMD attack rate, we used a stochastic transmission model to simulate the HFMD epidemic with no school vacation and nationwide PHSMs in 2015 South Korea. Results: We found that school vacations and 2015 PHSMs were associated with the reduced Rt by 2–7 % and 13 %, respectively. Model projections indicated school vacations and 2015 PHSMs were associated with reduced HFMD attack rate by an average of 1.10 % (range: 0.38–1.51 %). Conclusions: PHSMs likely have a larger association with reduced HFMD transmissibility than school-based measures alone (i.e. school vacations). Preventive measures targeting preschoolers could be considered as potential options for reducing the future burden of HFMD. |
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Keywords | Hand-foot-and-mouth disease ; School holidays ; Vacation ; Nonpharmaceutical measure ; Public health and social measures ; Transmissibility ; Infectious and parasitic diseases ; RC109-216 ; Public aspects of medicine ; RA1-1270 |
Subject code | 370 |
Language | English |
Publishing date | 2023-06-01T00:00:00Z |
Publisher | Elsevier |
Document type | Article ; Online |
Database | BASE - Bielefeld Academic Search Engine (life sciences selection) |
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