Evidence map›Paper›PMID 34343203›Full record

ArticlePloS one2021

Seasonal influenza during the COVID-19 pandemic in Bangladesh.

Zubair Akhtar, Fahmida Chowdhury, Mahmudur Rahman, Probir Kumar Ghosh, Md Kaousar Ahmmed, Md Ariful Islam, Joshua A Mott, William Davis

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  18. The impact of the COVID-19 preventive measures on influenza transmission: molecular and epidemiological evidence.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Zubair AkhtarInternational Center for Diarrheal Diseases, Bangladesh, (icddr,b) Programme for Emerging Infections, Dhaka, Bangladesh.ORCID 0000-0001-5054-9243
Fahmida ChowdhuryInternational Center for Diarrheal Diseases, Bangladesh, (icddr,b) Programme for Emerging Infections, Dhaka, Bangladesh.
Mahmudur RahmanInternational Center for Diarrheal Diseases, Bangladesh, (icddr,b) Programme for Emerging Infections, Dhaka, Bangladesh.
Probir Kumar GhoshInternational Center for Diarrheal Diseases, Bangladesh, (icddr,b) Programme for Emerging Infections, Dhaka, Bangladesh.
Md Kaousar AhmmedInternational Center for Diarrheal Diseases, Bangladesh, (icddr,b) Programme for Emerging Infections, Dhaka, Bangladesh.
Md Ariful IslamInternational Center for Diarrheal Diseases, Bangladesh, (icddr,b) Programme for Emerging Infections, Dhaka, Bangladesh.ORCID 0000-0002-0734-5832
Joshua A MottInfluenza Division, Centers for Disease Control and Prevention Regional Influenza Program, Bangkok, Thailand.
William DavisInfluenza Division, Centers for Disease Control and Prevention Regional Influenza Program, Bangkok, Thailand.
International Centre for Diarrhoeal Disease Research · BD

Funding

NCIRD CDC HHS H23 IP000852
6 · The paper itself

Abstract

introductionDuring the 2019 novel coronavirus infectious disease (COVID-19) pandemic in 2020, limited data from several countries suggested reduced seasonal influenza viruses' circulation. This was due to community mitigation measures implemented to control the pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We used sentinel surveillance data to identify changes in the 2020 influenza season compared with previous seasons in Bangladesh.

methodsWe used hospital-based influenza surveillance (HBIS) data of Bangladesh that are generated year-round and are population-representative severe acute respiratory infection (SARI) data for all age groups from seven public and two private tertiary care level hospitals data from 2016 to 2019. We applied the moving epidemic method (MEM) by using R language (v4.0.3), and MEM web applications (v2.14) on influenza-positive rates of SARI cases collected weekly to estimate an average seasonal influenza curve and establish epidemic thresholds.

resultsThe 2016-2019 average season started on epi week 18 (95% CI: 15-25) and lasted 12.5 weeks (95% CI: 12-14 weeks) until week 30.5. The 2020 influenza season started on epi week 36 and ended at epi week 41, lasting for only five weeks. Therefore, influenza epidemic started 18 weeks later, was 7.5 weeks shorter, and was less intense than the average epidemic of the four previous years. The 2020 influenza season started on the same week when COVID-19 control measures were halted, and 13 weeks after the measures were relaxed.

conclusionOur findings suggest that seasonal influenza circulation in Bangladesh was delayed and less intense in 2020 than in previous years. Community mitigation measures may have contributed to this reduction of seasonal influenza transmission. These findings contribute to a limited but growing body of evidence that influenza seasons were altered globally in 2020.

Indexed as

BangladeshCOVID-19Databases, FactualHumansInfluenza, HumanPandemicsSARS-CoV-2SeasonsTertiary Care Centers

Identifiers

PMID34343203
PMCPMC8330950
OpenAlexW3189732827

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.