Significant impact of nationwide SARS-CoV-2 lockdown measures on the circulation of other respiratory virus infections (preprint)

ABSTRACT

Since the worldwide spread of SARS-CoV-2, different European countries reacted with temporarily nationwide lockdowns with the aim to limit the virus transmission in the population. Also Austria started a lockdown of public life in March. In this study we investigated whether the circulation of different respiratory virus infections in Austria, as assessed by using the established respiratory virus surveillance system, is affected by these measures as well and may reflect the success of the lockdown in limiting respiratory virus transmission. Sentinel data obtained for influenza virus, respiratory syncytial virus, human metapneumovirus and rhinovirus cases were analyzed and compared between the season 2019/ 2020 and the five previous seasons. We observed a rapid and statistically significant reduction of cumulative cases for all these viruses within short time after the lockdown in March 2020, compared to previous seasons (each p<0.001). Also, sentinel screening for SARS-CoV-2 infections was performed and a decrease of SARS-CoV-2 was seen after the lockdown. While for the seasonally occurring viruses as influenza, respiratory syncytial virus or human metapneumovirus the lockdown led to the end of the annual epidemics, a re-increase of rhinovirus infections was observed after liberalization of numerous lockdown measures.  Our data provide evidence that occurrence of different respiratory virus infections reflect not only the efficiency of lockdown measures taken against SARS-CoV-2 but also the effects of their release on respiratory transmission.