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Year : 2021  |  Volume : 35  |  Issue : 2  |  Page : 47

Outbreak of respiratory syncytial virus infection during COVID-19 strict control: An implication in pediatrics

1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Department of Community Medicine, Dr. DY Patil University, Pune, Maharashtra, India

Date of Submission16-Mar-2021
Date of Decision16-May-2021
Date of Acceptance09-Aug-2021
Date of Web Publication27-Nov-2021

Correspondence Address:
Beuy Joob
anitation 1 Medical Academic Center, Bangkok
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jms.jms_52_21

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How to cite this article:
Joob B, Wiwanitkit V. Outbreak of respiratory syncytial virus infection during COVID-19 strict control: An implication in pediatrics. J Med Soc 2021;35:47

How to cite this URL:
Joob B, Wiwanitkit V. Outbreak of respiratory syncytial virus infection during COVID-19 strict control: An implication in pediatrics. J Med Soc [serial online] 2021 [cited 2023 Jan 29];35:47. Available from:

Dear Editor,

COVID-19 is still a big global public health problem. At present, more than 40 million of world populations are already affected. There is still no vaccine for prevention of the disease. The pathogenic virus, SARS-CoV-2, still causes the problem in any age groups and sexes. The lockdown and strict control of population migration are the widely preventive measure for containment of COVID-19. In a recent publication from Thailand, it shows that the COVID-19 strict control might result in decreased incidence of other common respiratory infections and it was assumed that the strict control for COVID-19 is useful for controlling of other respiratory diseases.[1] Nevertheless, that report discusses on a short period of observation during summer and it is not possible to assess the exact situation of the problem in winter where many respiratory virus infections occur. Here, the authors would like to share information from the country that is the second country in chronological order of COVID-19 pandemic.[2] In this country, the strict COVID-19 control has been implemented since March 2020, and the specific legal control has been applied without withdrawal until present (November, 2020). Social distancing, closure of public places, limitation of movement, routine body temperature, thermoscanning screening, and mandatory facemask wearing are important measures. According to the preliminary observation,[1] the COVID-19 has been successfully controlled after a few months of strict control and there is also a decreased of respiratory syncytial virus (RSV) infection. The null incidence of COVID-19 was observed in 3 months before there is a reemergence in the country but the total intra-country infection is below 10 (without pediatric case). However, there is a rapid increasing of RSV infection when winter (end of October) starts. Many children are already got RSV infection. This might imply that the strict COVID-19 control might not have successful cross protection to RSV infection. In fact, there are many points to be discussed on pediatric RSV and COVID-19 infection. In pediatric population, COVID-19 is usually asymptomatic and if there is no active case screening, the passive observed incidence might be very low, which is not a true incidence. This is different from RSV infection that is usually serious in affected children. The standard COVID-19 prevention for adult might not have good effectiveness in the prevention of respiratory disease in pediatric population.

  References Top

Suntronwong N, Thongpan I, Chuchaona W, Budi Lestari F, Vichaiwattana P, Yorsaeng R, et al. Impact of COVID-19 public health interventions on influenza incidence in Thailand. Pathog Glob Health 2020;114:225-7.  Back to cited text no. 1
Yasri S, Wiwanitkit V. Editorial: Wuhan coronavirus outbreak and imported case. Adv Trop Med Public Health Int 2019;9:1-2.  Back to cited text no. 2


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