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Seasonal and inter-seasonal RSV activity in the European Region during the COVID-19 pandemic from Autumn 2020 to Summer 2022
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  • Margaux Meslé,
  • Mary Sinnathamby,
  • Piers Mook,
  • the European Region Respiratory Network,
  • Richard Pebody
Margaux Meslé
World Health Organization Regional Office for Europe
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Mary Sinnathamby
UK Health Security Agency
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Piers Mook
World Health Organization Regional Office for Europe
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the European Region Respiratory Network
Richard Pebody
World Health Organization Regional Office for Europe

Corresponding Author:[email protected]

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Background: The emergence of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in early 2020 and subsequent implementation of public health and social measures (PHSM) disrupted the epidemiology of respiratory viruses. This work describes the epidemiology of RSV observed during two winter seasons (weeks 40 to 20) and inter-seasonal periods (weeks 21 to 39) during the pandemic between October 2020 and September 2022. Methods: Using data submitted to The European Surveillance System (TESSy) by countries or territories in the World health Organization (WHO) European Region between weeks 40/2020 and 39/2022, we aggregated country-specific weekly RSV counts of sentinel, non-sentinel and Severe Acute Respiratory Infection (SARI) surveillance specimens and calculated percentage positivity. Results for both 2020/21 and 2021/22 seasons and inter-seasons were compared to pre-pandemic 2016/17 to 2019/20 seasons and inter-seasons. Results: Although more specimens were tested than in pre-COVID-19 pandemic seasons, very few RSV detections were reported during the 2020/21 season in all surveillance systems. During the 2021 inter-season, a gradual increase in detections was observed in all systems. In 2021/22, all systems saw early peaks of RSV infection, and during the 2022 inter-seasonal period, patterns of detections were closer to those seen before the COVID-19 pandemic. Conclusion: RSV surveillance continued throughout the COVID-19 pandemic, with an initial reduction in transmission, followed by very high and out-of-season RSV circulation (summer 2021) and then an early start of the 2021/22 season. RSV circulation during the 2022/23 season had not yet normalised.
22 Jun 2023Submitted to Influenza and other respiratory viruses
29 Jun 2023Assigned to Editor
29 Jun 2023Submission Checks Completed
20 Jul 2023Reviewer(s) Assigned
06 Sep 2023Review(s) Completed, Editorial Evaluation Pending
20 Sep 2023Editorial Decision: Revise Minor
09 Oct 20231st Revision Received