Increased Dengue Transmissions in Singapore Attributable to SARS-CoV-2 Social Distancing Measures

Author:

Lim Jue Tao1ORCID,Chew Lawrence Zheng Xiong12,Choo Esther Li Wen13,Dickens Borame Sue Lee1,Ong Janet4,Aik Joel4,Ng Lee Ching4,Cook Alex R1

Affiliation:

1. Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore

2. Department of Geography, Faculty of Arts and Social Sciences, National University of Singapore, Singapore, Singapore

3. Department of Biological Sciences, Faculty of Science, National University of Singapore, Singapore, Singapore

4. Environmental Health Institute, National Environmental Agency, Singapore, Singapore

Abstract

Abstract Social distancing (SD) measures aimed at curbing the spread of SARS-CoV-2 remain an important public health intervention. Little is known about the collateral impact of reduced mobility on the risk of other communicable diseases. We used differences in dengue case counts pre- and post implementation of SD measures and exploited heterogeneity in SD treatment effects among different age groups in Singapore to identify the spillover effects of SD measures. SD policy caused an increase of over 37.2% in dengue cases from baseline. Additional measures to preemptively mitigate the risk of other communicable diseases must be considered before the implementation/reimplementation of SARS-CoV-2 SD measures.

Funder

National Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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