TY - JOUR
T1 - The Impact of Coronavirus Disease 2019 Nonpharmaceutical Interventions on Incidence of Acute Gastroenteritis and Acute Respiratory Infections Among US Military and Dependents
AU - Manuelpillai, Bevin
AU - Lopman, Benjamin
AU - Doran, Charlotte R.
AU - Porter, Chad
N1 - Publisher Copyright:
© 2025 The Author(s). Published by Oxford University Press on behalf of Infectious Diseases Society of America.
PY - 2025/6/15
Y1 - 2025/6/15
N2 - Nonpharmaceutical interventions (NPIs) for coronavirus disease 2019 resulted in the reduction of many viral diseases aside from severe acute respiratory syndrome coronavirus 2, but their impact on the United States military or beneficiary population has not been assessed. Using TRICARE data (2016–2023), we modeled changes in acute gastroenteritis (AGE) and acute respiratory infection (ARI) encounters pre- and postpandemic. In 2020, AGE and ARI encounters decreased substantially (rate ratio [RR] = 0.50 [95% confidence interval {CI}, .31–.80]; RR = 0.60 [95% CI, .41–.88], respectively). By 2022, AGE remained suppressed while ARI had rebounded. Since 2022, AGE encounters among military personnel remained reduced compared to beneficiaries. NPIs had a greater, lasting effect on AGE than ARI encounters.
AB - Nonpharmaceutical interventions (NPIs) for coronavirus disease 2019 resulted in the reduction of many viral diseases aside from severe acute respiratory syndrome coronavirus 2, but their impact on the United States military or beneficiary population has not been assessed. Using TRICARE data (2016–2023), we modeled changes in acute gastroenteritis (AGE) and acute respiratory infection (ARI) encounters pre- and postpandemic. In 2020, AGE and ARI encounters decreased substantially (rate ratio [RR] = 0.50 [95% confidence interval {CI}, .31–.80]; RR = 0.60 [95% CI, .41–.88], respectively). By 2022, AGE remained suppressed while ARI had rebounded. Since 2022, AGE encounters among military personnel remained reduced compared to beneficiaries. NPIs had a greater, lasting effect on AGE than ARI encounters.
KW - US active duty military
KW - acute gastroenteritis
KW - acute respiratory infection
KW - military beneficiaries
KW - nonpharmaceutical interventions
UR - http://www.scopus.com/inward/record.url?scp=105010403182&partnerID=8YFLogxK
U2 - 10.1093/infdis/jiaf153
DO - 10.1093/infdis/jiaf153
M3 - Article
C2 - 40132639
AN - SCOPUS:105010403182
SN - 0022-1899
VL - 231
SP - e1075-e1079
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 6
ER -