Applying lessons from influenza pandemics to the COVID‐19 pandemic

Hon, Kam Lun; Leung, Karen Ka Yan; Hui, Wun Fung; Ng, Daniel K.

doi:10.1002/ppul.25571

Pediatric Pulmonology

2021

DOI: 10.1002/ppul.25571

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Applying lessons from influenza pandemics to the COVID‐19 pandemic

Kam Lun Hon¹,

Karen Ka Yan Leung²,

Wun Fung Hui³

et al.

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Cited by 6 publications

(2 citation statements)

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“…When comparing the COVID-19 pandemic with past influenza pandemics, the only difference in management is that there are specific antiviral drugs for influenza but limited treatments with proven efficacy for severe COVID-19. 8 Quarantine or lockdown are not used in influenza outbreaks as they do not work. We also compared SARS-CoV-2 and the four common respiratory viruses of childhood and found that SARS-CoV-2 is probably the least severe in terms of morbidity, especially among children (online supplementary Table ).…”

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“…We also compared SARS-CoV-2 and the four common respiratory viruses of childhood and found that SARS-CoV-2 is probably the least severe in terms of morbidity, especially among children (online supplementary Table ). [8][9][10][11][12][13][14][15][16][17][18][19] Again, quarantine or lockdown are not used in outbreaks of these respiratory viruses as they do not work. With Christmas and New Year 2022 drawing near, the million-dollar question was when will Hong Kong be ready to embrace and accept the already very low mortality and morbidity of COVID-19 despite high transmission and potential upsurge of cases, even with mutant strains.…”

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confidence: 99%

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Waltzing with SARS-CoV-2 for Asia?

Hon,

Leung,

Hui

et al. 2024

Hong Kong Med J

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confidence: 99%

mentioning

confidence: 99%

Waltzing with SARS-CoV-2 for Asia?

Hon,

Leung,

Hui

et al. 2024

Hong Kong Med J

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Elimination, Containment, and Mitigation of COVID-19: A Personal Story about International Travels

Hon¹,

Leung²

2023

CPR

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Background: The author and his wife report their unique experience of international travels during the COVID-19 pandemic, and discuss issues encountered in various countries. Methods: Narrated discussion of issues encountered during the COVID-19 pandemic. Discussion: “Zero-COVID” versus “Living with COVID-19” strategies are compared. Children have unique issues with COVID-19 pandemic. Evaluation of efficacy of the approaches in pandemic with time should consider the main types of interventions (e.g., border management/quarantine; physical distancing; mask use; case isolation, testing and contract tracing; vaccination). The key metrics that can be used to compare the impacts of different strategies between the cities (e.g., cumulative case rate, cumulative mortality rate, case fatality risk, stringency index, economic performance) should be identified. Research in these approaches can help manage future pandemics in coronaviruses and emerging infections. The UK started with very loose mitigation ('herd immunity') and then switched to a suppression approach for periods, whereas HK has stuck with elimination throughout. In between, countries like Singapore, Australia and New Zealand have shifted from zero-COVID strategy. It is easier to have effective social control measures in Hong Kong because it has clear borders and an authoritarian government, but it did not have a clear exit policy when Omicron spread.

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Impact of “Long Covid” on Children: Global and Hong Kong Perspectives

Hon¹,

Leung

Leung³

et al. 2024

CPR

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Background: The coronavirus disease (COVID-19) pandemic spares no nation or city, and the virus is responsible for the escalating incidence and mortality all around the world. Objective: This article reviews the impact of “Long Covid” on Children. Methods: A PubMed search was conducted in December 2021 in Clinical Queries using the key terms "COVID-19" OR “long COVID”. The search was restricted to children and adolescent aged < 18 years, and English literature. Results: Many large-scale studies have provided strong scientific evidence as to the detrimental and irreversible sequelae of COVID-19 on the health, psychology, and development of affected children. Many insights to the management of this disease can be obtained from comparing the management of influenza disease. COVID-19 is generally a mild respiratory disease in children. Several syndromes such as multisystem inflammatory syndrome in children (MIS-C) and COVID toe are coined but are probably not specific to SARS-CoV-2. “Long COVID” or the long-term effects of SARS-CoV-2 infection, or the prolonged isolation and containment strategies on education and psychosocial influences on children associated with the pandemic, are significant. Conclusions: Healthcare providers must be aware of the potential effects of quarantine on children's mental health. More importantly, health care provides must appreciate the importance of the decisions and actions made by governments, non-governmental organizations, the community, schools, and parents in reducing the possible effects of this situation. Multifaceted age-specific and developmentally appropriate strategies must be adopted by health care authorities to lessen the negative impact of quarantine on the psychological wellbeing of children.

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Applying lessons from influenza pandemics to the COVID‐19 pandemic

Cited by 6 publications

References 9 publications

Waltzing with SARS-CoV-2 for Asia?

Waltzing with SARS-CoV-2 for Asia?

Elimination, Containment, and Mitigation of COVID-19: A Personal Story about International Travels

Impact of “Long Covid” on Children: Global and Hong Kong Perspectives

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