Evidence map›Paper›PMID 35736988›Full record

ArticleTropical medicine and infectious disease2022

Trends in Influenza Infections in Three States of India from 2015-2021: Has There Been a Change during COVID-19 Pandemic?

Anup Jayaram, Anitha Jagadesh, Ajay M V Kumar, Hayk Davtyan, Pruthu Thekkur, Victor J Del Rio Vilas, Shrawan Kumar Mandal, Robin Sudandiradas, Naren Babu, Prasad Varamballi and 2 more

Abstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

12 authors.

Anup JayaramManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0002-4557-0555
Anitha JagadeshManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Ajay M V KumarInternational Union against Tuberculosis and Lung Disease, 2 Rue Jean Lantier, 75001 Paris, France.ORCID 0000-0003-1011-8531
Hayk DavtyanTuberculosis Research and Prevention Centre NGO, Yerevan 0014, Armenia.ORCID 0000-0002-9836-4261
Pruthu ThekkurInternational Union against Tuberculosis and Lung Disease, 2 Rue Jean Lantier, 75001 Paris, France.ORCID 0000-0001-5257-5074
Victor J Del Rio VilasWorld Health Organization, World Health Emergencies, Southeast Asia Regional Office, New Delhi 110011, India.
Shrawan Kumar MandalSukaraj Tropical and Infectious Disease Hospital, Teku, Kathmandu 44600, Nepal.ORCID 0000-0001-9475-2040
Robin SudandiradasManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Naren BabuManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0002-9420-1393
Prasad VaramballiManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.
Ujwal ShettyManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0002-7707-8186
Chiranjay MukhopadhyayManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

Funding

World Health Organization 001
6 · The paper itself

Abstract

The COVID-19 pandemic and public health response to the pandemic has caused huge setbacks in the management of other infectious diseases. In the present study, we aimed to (i) assess the trends in numbers of samples from patients with influenza-like illness and severe acute respiratory syndrome tested for influenza and the number and proportion of cases detected from 2015−2021 and (ii) examine if there were changes during the COVID-19 period (2020−2021) compared to the pre-COVID-19 period (2015−2019) in three states of India. The median (IQR) number of samples tested per month during the pre-COVID-19 period was 653 (395−1245), compared to 27 (11−98) during the COVID-19 period (p value < 0.001). The median (IQR) number of influenza cases detected per month during the pre-COVID-19 period was 190 (113−372), compared to 29 (27−30) during the COVID-19 period (p value < 0.001). Interrupted time series analysis (adjusting for seasonality and testing charges) confirmed a significant reduction in the total number of samples tested and influenza cases detected during the COVID-19 period. However, there was no change in the influenza positivity rate between pre-COVID-19 (29%) and COVID-19 (30%) period. These findings suggest that COVID-19-related disruptions, poor health-seeking behavior, and overburdened health systems might have led to a reduction in reported influenza cases rather than a true reduction in disease transmission.

Indexed as

COVID-19Indiainfluenzainfluenza-like illness (ILI)interrupted time series (ITS) analysisoperational researchsevere acute respiratory illness (SARI)SORT ITsurveillance

Identifiers

PMID35736988
PMCPMC9228248

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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.