Health
Risk of severe pressure on healthcare systems from co-circulation of RSV, influenza and COVID-19
Several EU/EEA countries have high epidemics of respiratory syncytial virus (RSV) and an increasing number of severe acute respiratory infections (SARI) due to RSV infection. Her RSV infection at this time of the year is not uncommon, but it is affecting more children earlier this year than during the pre-pandemic period. EU/EEA countries are also experiencing an early flu season, with COVID-19 cases and hospitalizations likely to rebound after weeks of decline.
ECDC Director Dr. Andrea Amon said:
The year-end festive season is associated with activities such as social gatherings, shopping and travel, which pose a significant additional risk for transmission of RSV and other respiratory viruses. Strengthening health systems and supporting health workers must be a priority as the health system risks severe pressure in the coming weeks and months. Vaccination against influenza and his COVID-19 should also be a priority among risk groups.
In addition to increased hospitalizations, co-circulation of RSV, influenza virus, SARS-CoV-2, and other respiratory viruses may result in staff shortages due to sick leave. Especially in his ICU, maintaining an appropriate staff-to-patient ratio is critical to maintaining patient safety and quality of care. Depending on the epidemiological situation, increased capacity should be considered and reassessed frequently to manage the expected higher number of cases.
ECDC offers EU/EEA Member States the following response options:
- Conduct risk communication activities for the general public, including proactively promoting vaccination against seasonal influenza and COVID-19.
- Raise awareness among healthcare professionals to diagnose cases in a timely manner and improve hospital readiness to manage increased patient load in outpatient and inpatient settings. This is especially important for pediatric hospitals, intensive care units, and long-term care facilities (LTCF).
- Ensure RSV prophylaxis for high-risk infants according to national guidelines.
- implement appropriate infection prevention and control (IPC) measures based on the local epidemiological situation, especially for vulnerable groups within health facilities, including LTCF;
- Promoting good hygiene practices in the community, staying home when sick, proper use of face masks, proper ventilation of indoor spaces, and appropriate hand and respirator use, including the use of telecommuting where possible. Consider appropriate non-pharmaceutical interventions (NPIs), such as sanitation. Avoid crowded public spaces.
- Where possible, implement and improve RSV surveillance and respiratory pathogen testing.
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