French Lockdown Research Articles

Affiliation in times of pandemics: Determinants and consequences.

Affiliation is a basic human need, especially during difficult times. To what extent did the need to affiliate limit our capacity to abide by health guidelines, in particular regarding social distancing, during the COVID-19 pandemic? We investigated this issue using questionnaire data from two samples of the French population collected during the first French lockdown (April-May 2020). We found that in men, higher social comparison orientation (sensitivity to the needs of others and inclination to help) and higher perceived threat increased the frequency of reported affiliative activities. At the same time, men's reported affiliative activities were associated with a lower reported intention to abide by lockdown and protective measures and lower levels of reported compliance. This pattern was not found in women. The women in our samples, as has been observed elsewhere, were largely compliant, potentially precluding any effects of affiliative needs. Basic though they may seem, affiliative needs and reported affiliative activities may have played a significant role in the implementation of sanitary guidelines during the COVID-19 pandemic.

Why circadian rhythmicity matters: Associations between sleep irregularity and mental health conditions during the Covid-19 health crisis

Objective To assess the association between sleep irregularity, anxiety, and depression while controlling for other sleep dimensions and using a longitudinal design. Methods Longitudinal cohort study which started in April 2020 during the first French lockdown in the general population. Follow-up questionnaires were completed in June 2020, a period without lockdown measures. Participants were asked about their sleep (regularity, duration, timing, complaints) and their anxiety (General Anxiety Disorder-7) and depressive (Patient Health Questionnaire-9) symptoms. Results A total of 3745 participants were included (mean age: 28.9 years) with 2945 women (78.6%). At baseline, 38.1% (1428) of participants reported irregular sleep timing, 23.8% (891) anxiety and 28.9% (1081) depressive symptoms. In cross-sectional analyses, irregular sleep timing was associated with a 2.5-fold higher likelihood of anxiety and a 4-fold higher likelihood of depressive symptoms compared to regular sleepers. Associations were not explained by the other sleep dimensions and persisted in a longitudinal analysis, with irregular sleep timing at baseline being associated with anxiety (OR = 3.27[1.58–6.76]) and depressive symptoms (OR = 3.45[1.66–7.19]) during follow-up. Conclusion The results show a strong association between sleep irregularity and mental health. Furthers studies are needed to explore how sleep regularity could promote good mental health in non-clinical populations.

Emergency department CT examinations demonstrate no evidence of early viral circulation at the start of the COVID-19 pandemic—a multicentre epidemiological study

BackgroundBiological studies suggested that the COVID-19 outbreak in France occurred before the first official diagnosis on January 24, 2020. We investigated this controversial topic using a large collection of chest CTs performed throughout French emergency departments within 6 months before the 1st lockdown.ResultsOverall, 49,311 consecutive patients (median age: 60 years, 23,636/49,311 [47.9%] women) with available chest CT images and reports from 61 emergency departments between September 1, 2020, and March 16, 2020 (day before the 1st French lockdown), were retrospectively included in this multicentre study. In the macroscopic analysis of reports automatically (labelled for presence of ground glass opacities [GGOs], reticulations, and bilateral and subpleural abnormalities), we found a significant breakpoint on February 17, 2020, for the weekly time series with 1, 2 and ≥ 3 of these 4 radiological features, with 146/49,311 (0.3%) patients showing bilateral abnormalities and ground glass opacities (GGOs) from that day. According to radiologists, 22/146 (15.1%) CT images showed typical characteristics of COVID-19, including 4/146 (2.7%) before February 2020. According to hospital records, one patient remained without microbial diagnosis, two patients had proven influenza A and one patient had concomitant influenza A and mycoplasma infection.ConclusionThese results suggest that SARS-CoV-2 was not circulating in the areas covered by the 61 emergency departments involved in our study before the official beginning of the COVID-19 outbreak in France. In emergency patients, the strong resemblance among mycoplasma, influenza A and SARS-CoV-2 lung infections on chest CT and the nonspecificity of CT patterns in low prevalence periods is stressed.Critical relevance statementWe proposed here an innovative approach to revisit a controversial ‘real’ start of the COVID-19 pandemic in France based on (1) a population-level approach combining text mining, time series analysis and an epidemiological dataset and (2) a patient-level approach with careful retrospective reading of chest CT scans complemented by analysis of samples performed contemporarily to the chest CT. We showed no evidence that SARS-CoV-2 was actively circulating in France before February 2020.Graphical

National cross-sectional survey on psychological impact on French nursing homes of the first lockdown during the COVID-19 pandemic as observed by psychologists, psychomotor, and occupational therapists.

The main objective was to explore the psychological impact of the French lockdown during the first wave of the COVID-19 pandemic on nursing home residents, their relatives, and healthcare teams, as observed by mental health professionals. A national online cross-sectional survey was conducted from May 11 to June 9, 2020. Respondents were psychologists, psychomotor therapists, and occupational therapists (mental health professionals). A total of 1,062 participants responded to the survey, encompassing 59.8% psychologists, 29.2% occupational therapists, and 11% psychomotor therapists. All mental health professionals felt fear (76.1%), fatigue and exhaustion (84.5%), and inability to manage the emotional burden (78.4%). In nursing homes with COVID-19 cases, residents felt significantly sadder (83.2%), more anxious (65.0%), experienced more anorexia (53.6%), resurgence of traumatic war memories (40.2%), and were more often disoriented (75.7%). The suffering of relatives did not vary between nursing homes with and without COVID-19 cases. The nursing staff was heavily impacted emotionally and was in need of psychological support particularly when working in nursing homes in a low COVID-19 spread zone with COVID-19 cases (41.8 vs. 34.6%). Primary prevention must be implemented to limit the psychological consequences in the event of a new crisis and to prevent the risk of psychological decompensation of residents and teams in nursing homes.

Relationship between Fear of COVID-19, Intolerance of Uncertainty, and Coping Strategies on University Students’ Mental Health

Background: the mental health of students was particularly affected by the COVID-19 pandemic. The present study therefore examined the relationships between anxiety and depressive symptoms, eating-related problems, coping, fear of COVID-19, and intolerance of uncertainty. Methods: 2139 French students of 54 universities were recruited in the different regions of France during a French lockdown (between 21 April and 3 May 2021). Six variables were measured: fear of COVID-19, intolerance of uncertainty, coping, anxiety and depressive symptoms, and eating-related problems. To explore the directions of the relationships between our variables of interest, we calculated a directed acyclic graph. Results: our data highlighted the central roles of intolerance of uncertainty in students’ anxiety and depressive symptoms, and the direct role of prospective intolerance of uncertainty on eating-related problems. Conclusions: these findings indicate that intolerance of uncertainty should be targeted by interventions designed to help students with high levels of anxiety, depressive symptoms, and/or eating-related problems.

Post-traumatic stress disorder symptoms and quality of life among older patients with cancer during the COVID-19 pandemic

IntroductionThe Coronavirus (COVID-19) pandemic and its associated health restrictions have harmed the population psychologically. We aimed to compare the post-traumatic stress disorder (PTSD) symptoms and Quality of Life (QoL) in older French patients with cancer to the younger ones. Materials and MethodsThis longitudinal multicenter study named COVIPACT began in April 2020 during the first French lockdown and has included 579 outpatients receiving treatment for a solid or hematological malignancy. Data were collected every three months, namely at the first release period (M3), at the second lockdown (M6), at the second release period (M9), and finally at the last curfew period (M12) in France. Standardized validated self-questionnaires were used to assess PTSD symptoms (using the Event Scale–Revised self-questionnaire), insomnia (through the Insomnia Severity Index questionnaire), QoL (using the Functional Assessment of Cancer Therapy - General questionnaire), and cognitive complaints (through the Functional Assessment of Cancer Therapy – Cognition questionnaire). Student (or Wilcoxon) tests and Chi-squared tests were used for continuous or discrete variables, respectively. We conducted linear mixed model to study the change during follow-up. ResultsOut of 579 included patients, 157 (27%) were ≥ 70 years old at baseline, of whom 104 participated in the longitudinal study. At baseline, older patients reported fewer PTSD symptoms (17% versus 23%, p = .06), insomnia (17% versus 27%, p = .02), and cognitive complaint (3% versus 16%, p < .01) than younger patients. QoL at baseline was similar between age subgroups. We observed no significant difference in the trajectory of PTSD symptoms, insomnia, or emotional well-being between both groups during the follow-up. Cognitive complaints were lower at baseline in older patients but steadily increased during the follow-up and reached the same level as younger patients at one year. DiscussionOne in five older patients reported PTSD symptoms, evolving similarly to younger patients during the first year of the COVID-19 pandemic. While cognitive complaints tend to recover in a bell-shaped curve at one year in younger patients, the trend is increasing in older ones. Screening for PTSD symptoms and late cognitive impairment should be given special attention in older patients.Trial Registration:Clinicaltrials.gov identifier: NCT04366154

Does COVID-19 pandemic impact cancer outcomes in metastatic setting? A comparative cohort study among metastatic patients treated at day care hospital.

COVID-19 outbreak rapidly spread since early 2020 leading to the implementation of nationwide lockdowns. To cope with this sudden change, management guidelines were quickly published to adapt oncological care, with potential impact on cancer outcomes. We conducted a retrospective comparative cohort study to assess the impact of the COVID-19 outbreak in 2020 on cancer outcomes in metastatic patients. Two cohorts of metastatic patients receiving intravenous (iv) therapy in a French oncological day care hospital were assessed: a 2020 cohort during the first French lockdown, and a 2018 historical cohort before the COVID-19 pandemic. We performed a propensity score analysis to match patients from the two cohorts. After one-year follow-up, we compared progression-free survival (PFS) and overall survival (OS) between cohorts. Adaptations of medical oncological treatments in 2020 were also analysed. The 376 patients of the 2020 cohort were matched with 376 of the 2018 cohort. No SARS-CoV-2 infection was observed in the 2020 cohort. The adjusted PFS was significantly shorter in 2020 compared to 2018 (HR = 1.23; 95% CI: 1.03-1.46), as well as among patients without treatment adaptation compared to matched patients of the 2018 cohort (HR = 1.33; 95% CI: 1.10-1.61). We did not observe any significant difference of PFS among the group with treatment adaptations. OS was not significantly different. Metastatic cancer patients treated during the first lockdown had a higher risk of disease progression 1 year after COVID-19 outbreak. However, oncological treatment adaptations or SARS-CoV-2 infections do not explain these results. A longer follow-up is needed to observe the impact on OS.

‘Running during the Covid-19 lockdown: reshuffling the pedestrian order’

In ordinary circumstances, many scholars take for granted the fact that pedestrians are mostly walkers, probably because they perceive runners as constituting a marginal population to whom they pay little attention. However, at the early stage of the coronavirus pandemic, runners became the focus of heated controversies. Could locked-down people be allowed to run for their health and mental wellbeing, or was the egoistic pleasure of runners unacceptable at such a time that called for solidarity? Given their increased exhalation, did runners pose a threat to walking pedestrians? This paper addresses these issues, based on a collection of 1,638 messages posted on an online forum, on the topic ‘Is it irresponsible to go running at this time?’ during the French lockdown and the subsequent weeks. The analysis of this material shows how walkers and runners became wary of each other because the other might be infected. The repetition of this experience led people to question their respective behaviors and identities, their right to occupy the public space and the meaning of their practice. It also led them to value part of it, such as the connection with nature – the Covid-19 experience thus contributed to reshuffle the pedestrian order.

Efficiency of a psychiatric support for PTSD on a cohort of relatives of patients hospitalized in intensive care unit during the French lockdown – the OLAF (Opération Liaison et Aide aux Familles in French) dispositive

IntroductionHaving a family member admitted in Intensive Care Unit (ICU) can cause a severe psychological stress, and various psychological disorders gathered into the notion of Post intensive care syndrome-family (PICS-F). In this way, Family-centered care in ICU represents the aim of international accepted recommendations focusing on a partnership approach to health care decision-making between the family and health care provider to prevent PICS-F. During the first SARS-CoV-2 linked lockdown, social restrictions impaired the right application of these recommendations, increasing risk of PICS-F, particularly Post-Traumatic Stress Disorder (PTSD).ObjectivesThe main objective was to compare the PTSD prevalence at 6 months in a group of relatives including during OLAF implementation with a control group in a cohort of ICU-patient relatives.MethodsConsidering this, the psychiatric team and the ICU team of the Toulouse University, France, proposed the creation of a temporary device called OLAF (Opération de Liaison et d’Aide aux Familles in French), aiming to bring a psychological phone support to ICU-patient relatives. Besides this operational approach we designed a research approach that aimed to investigate the impact of OLAF device on PICS-F.ResultsWe noted that 12 participants (11.5 %) presented a PTSD at 6 months without statistically significant differences between the groups (p=0.8). Considering that OLAF group presented higher PDI (Peritraumatric Distress Inventory) score at screening we also considered a mediation model suggesting that OLAF could have played a role to diminish the PCL-5 score as a covariable. In the multinomial logistic regression analysis, we found that the only factor associated with the PTSD diagnosis was the level of Anxiety and Depression Signs measured with HADS (Hospital Anxiety and Depression Scale) at screening (OR= 1.2, p&lt;0.001).ConclusionsWe found no difference in PTSD prevalence according to OLAF intervention. Nevertheless, our result suggested that the intervention could have play a role in reducing PTSD by acting on anxiety and peri traumatic distress in a mediated model. We found that anxiety score could serve as a risk marker to predict PTSD and should probably be precociously screened and treated in this population.Disclosure of InterestNone Declared

The COVID-19 crisis and ART activity in France

Research questionWhat was the impact of the COVID-19 pandemic on assisted reproductive technology (ART) activity in public and private hospitals in France in 2020? DesignAll women who underwent oocyte retrieval in 2020 (study group, n = 40,759) or in 2019 (comparison group, n = 52,403) were selected from French national health insurance databases. The weekly ART activity in 2020 was compared with the weekly ART activity in 2019. ResultsIn 2020, annual ART activity dropped by nearly 30% compared with 2019. Whereas weekly ART activity was at its normal level at the beginning of 2020, it sharply decreased and was almost non-existent during the first French lockdown (March–May 2020) in both public and private hospitals. After the first lockdown, private hospitals returned to their normal activity level within 1 month. In contrast, the activity of public hospitals remained well below normal until the summer break, before peaking at 40% of normal activity compared with an expected level of 57%. During the second French lockdown, ART activity was only slightly affected, principally in public hospitals where ART activity was around 48% compared with an expected level of 57%. ConclusionsIn countries where intensive care units are principally in public hospitals, greater disruption in public than in private hospitals may have led to an increase in health inequalities for ART activity, as for other healthcare.

Follow-Up, Safety, and Satisfaction with Tele-bariatric Follow-Up Implemented During the COVID-19 French Lockdown: a 2-Year Follow-Up Study.

The COVID-19 pandemic was initially responsible for a global restricted access to healthcare resources including the follow-up of at-risk populations such as bariatric patients. We substituted face-to-face bariatric follow-up outpatient clinics (FTFC) with teleclinics (TC) during the lockdown. We retrospectively reviewed data collected on all patients scheduled for TC during the French lockdown period (March 15 to May 15, 2020) (N = 87). Our aims were to present the patients' outcomes at one and 2years post-TC implementation and describe patient/practitioner satisfaction. Seven (8%) patients required FTFC, and 80 (92%) underwent TC (study population) for preoperative bariatric assessment (N = 3) and postoperative follow-up (N = 77) after 23.6 ± 29months following surgery. TC was performed with video and audio (N = 46; 57.5%) or audio alone when video was impossible (N = 34; 42.5%). Sixteen (20%) patients presented at least one complication identified at the first TC and were managed accordingly. There were no readmissions at 30/90days post-TC. At 1-year after the first TC, overall follow-up rate was 94.9% (TC: 73% vs FTFC: 27%). Patients surveyed on the main advantages of TC over FTFC (N = 46) cited: saving time (97.8%) at a mean 3.9 ± 6.4h saved per TC, work-advantages (94.3%), and comparable relevance of TC (84.8%). At 2years post-TC implementation, follow-up rate was 93.5% and satisfaction rate was 80%, with 33% of patients preferring to return to FTFC. TC is a satisfactory substitute for FTFC, enabling continued bariatric follow-up during and beyond the pandemic setting without compromising patient safety. However, the modest satisfaction outcomes at 2years highlight a need to discuss follow-up preferences in order to achieve optimal outcomes.

The Social Representation of Coronavirus during the First French Lockdown

Introduction:More than two years ago, the world was hit by the health crisis of COVID-19. This crisis has had many impacts, some of which are not yet fully visible. Publications have increased in this field, but some subjects remain to be studied in depth, such as the question of territorial or social inequalities in the face of this health crisis and its illustration in the field of social thinking.Methods:This qualitative research is based on the hierarchical free association method used in Social Representations Theory (SRT). The survey was conducted on a French sample during the first lockdown between March and May, 2020. Different groups and social categories were questioned, including rural/urban, executives, employees, or unemployed people.The results showed a social representation of the coronavirus that differs in certain groups, with, for example, a greater perception of risk in the unemployed group.Results:These results confirm that the consequences of this health crisis since the first lockdown in March, 2020, had already impacted representations that reflected social and territorial inequalities.Conclusion:These results are discussed in the light of international experience and, in particular, that of Brazil, one of the countries most affected by the health crisis.

Data-driven Mobility Analysis and Modeling: Typical and Confined Life of a Metropolitan Population

The idea of using mobile phone data to understand the impact of the Covid-19 pandemic and that of the sanitary constraints associated with it on human mobility imposed itself as evidence in most countries. This work uses spatiotemporal aggregated mobile phone data provided by a major French telecom operator, covering a geographical region centered on Paris for early 2020, i.e., periods before and during the first French lockdown. An essential property of this data is its fine-grained spatial resolution, which, to the best of our knowledge, is unique in the COVID-related mobility literature. Contrarily to regions or country-wide resolution, it describes population mobility flows among zones ranging from 0.025~km 2 to 5.40~km 2 , corresponding to 326 aggregated zones over the total area of 93.76~km 2 of the city of Paris. We perform a data-driven mobility investigation and modeling to quantify (in space and time) the population attendance and visiting flows in different urban areas. Second, when looking at periods both before and during the lockdown, we quantify the consequences of mobility restrictions and decisions on an urban scale. For this, per zone, we define a so-called signature , which captures behaviors in terms of population attendance in the corresponding geographical region (i.e., their land use) and allows us to automatically detect activity, residential, and outlier areas. We then study three different types of graph centrality , quantifying the importance of each zone in a time-dependent weighted graph according to the habits in the mobility of the population. Combining the three centrality measures, we compute per zone of the city, its impact-factor , and employ it to quantify the global importance of zones according to the population mobility. Our results firstly reveal the population’s daily zone preferences in terms of attendance and mobility, with a high concentration on business and touristic zones. Second, results show that the lockdown mobility restrictions significantly reduced visitation and attendance patterns on zones, mainly in central Paris, and considerably changed the mobility habits of the population. As a side effect, most zones identified as mainly having activity-related population attendance in typical periods became residential-related zones during the lockdown, turning the entire city into a residential-like area. Shorter distance displacement restrictions imposed by the lockdown increased visitation to more “local” zones, i.e., close to the population’s primary residence. Decentralization was also favored by the paths preferences of the still-moving population. On the other side, “jogging activities” allowing people to be outside their residences impacted parks visitation, increasing their visitation during the lockdown. By combining the impact factor and the signatures of the zones, we notice that areas with a higher impact factor are more likely to maintain regular land use during the lockdown.

Improving prenatal care during lockdown: Comparing telehealth and in-person care for low-risk pregnant women in the PROTECT pilot study

Objectiveto compare telehealth and in-person care during the COVID-19 lockdown in a population of low-risk pregnant women for prenatal care received and perinatal outcome. MethodsThis single-center study began during the first French lockdown in 2020. Women with at least one telehealth (remote) prenatal care visit were compared with those who received care only in person. Data include results from self-administered surveys and perinatal outcomes. The main outcome was the prenatal care experience, assessed by the 5-point Quality of Prenatal Care Questionnaire (QPCQ) score. Exploratory analyses sought to identify connections between perinatal outcomes and any of their levels of QPCQ score, health/eHealth literacy, stress, and social deprivation scores . ResultsThe experimental group included 55 women and the control group 52. Maternal and neonatal outcomes were similar in both groups. The mean QPCQ scores did not support any difference between the mothers' experience of prenatal care in each group: 4.15±0.52 in the telehealth and 4.26±0.63 in the in-person groups. Similarly, levels of social deprivation, stress, and health and eHealth literacy did not differ between the groups. ConclusionRegardless of social deprivation or literacy level, both telehealth and in-person monitoring appeared to provide equivalent and good-quality prenatal care experiences during the pandemic, ClinicalTrial.gov registration NCT04368832 (30th April 2020)

Impact of the first lockdown related to the COVID-19 pandemic on ophthalmic emergencies in a French University Hospital

IntroductionAt the beginning of the COVID-19 pandemic, the French government implemented its first national lockdown between March and May 2020 in order to limit the dissemination of the virus. This historic measure affected patients’ daily lives and transportation, resulting in changes in the delivery of medical care, particularly emergency care. This study aimed to assess the impact of this restriction policy on the number and severity of ophthalmic emergencies seen in an ophthalmology emergency department.MethodsThis retrospective study conducted at the regional university Hospital of Tours included all patients presenting to the ophthalmology emergency department over four periods: lockdown (03/16/2020 to 05/10/2020), post-lockdown (05/11/2020 to 06/12/2020) and the two corresponding periods in 2019. The following data were recorded: sex, age, time of visit, reason for visit, diagnosis, severity of emergency graded on the BaSe SCOrE, time from first symptoms until visit, existence of a work-related injury, and referral source (ophthalmologist or other).ResultsA total of 1186 and 1905 patients were respectively included during the 2020 lockdown period and the corresponding period in 2019. The study populations for the 2019 and 2020 post-lockdown periods consisted of 1242 and 1086 patients respectively. During the lockdown, the number of consultations decreased significantly (−37.7%), affecting mild and severe emergencies similarly. During the post-lockdown period, the number of emergencies gradually increased but did not reach the level of the corresponding period in 2019 (−12.6%).ConclusionThe first French lockdown resulted in a significant decrease in ophthalmic emergency visits, similar for all levels of severity. All age groups were impacted similarly, without the expected exaggerated decrease for patients over 50 years of age, who are considered to be at greater risk for developing a severe form of COVID-19. The post-lockdown period showed a gradual increase in ophthalmic emergency visits, although these remained fewer than the previous year.

Beyond the Museum Walls: The Pandemic and the Prototypes Exhibit at the Conservatoire National des Arts et Métiers.

This article looks at the consequences of the health crisis for France's field of culture and its response since the first French lockdown from March to May 2020 and the second one between October 2020 and May 2021. One exhibition that had to close the day after it had just opened was Prototypes: From Experimentation to Innovation. The exhibition's organizers (the museum staff and a network to safeguard national scientific and technical heritage) quickly turned to technological tools to find alternative ways of reaching the public during the crisis: online and traveling exhibitions. Moving the exhibition online was successful; however, a review of the exhibition shows that to truly reach their audience, museum exhibits need to be seen in person.

Prior home learning environment is associated with adaptation to homeschooling during COVID lockdown

The COVID-19 crisis in 2020 led to exceptional measures to contain the spread of the virus. In France as in many countries around the world, the government ordered a lockdown with school closure for several weeks. A growing number of studies suggest that family socio-economic status might be an important predictor of how families adapted to homeschooling during lockdown. However, socio-economic status is a distal factor that does not necessarily inform on the specific characteristics of the home learning environment that may more directly influence parental adaptation to homeschooling during lockdown. Here we aimed to examine how parental adaptation to homeschooling during lockdown was influenced by prior parental attitudes and expectations towards academic learning, as well as prior familiarity with literacy and numeracy activities at home. The present study involves 52 families who participated in a study about the home learning environment in 2018. At that time, parents completed an extensive questionnaire assessing their beliefs and attitudes towards academic learning and the frequency of literacy and numeracy activities are home. At the end of the first 2020 French lockdown, we again asked the same parents to complete a questionnaire, this time assessing homeschooling conditions during lockdown as well as parental confidence towards academic domains. Over and above a range of background variables, correlation analyses revealed that parental expectations towards academic learning as well as frequency of prior shared activities were related to daily homeschooling time during lockdown. Both parental attitudes and expectations towards numeracy and literacy were also related to parental confidence in homeschooling. Our results suggest that several aspects of the home learning environment may have influenced how families adapted to homeschooling during the 2020 COVID lockdown.

Impact of the early 2020 COVID-19 crisis and lockdown on PrEP use among men who have sex with men (MSM) in France

ObjectiveTo describe changes in pre-exposure prophylaxis (PrEP) use during and following the COVID-19 lockdown in France (March–May 2020) and identify the factors associated with PrEP discontinuation among men who have...

Impact of the 2020 French lockdown due to the SARS-CoV-2 pandemic on emergency consultations for pediatric burns in a regional referral hospital

IntroductionSARS-CoV-2 pandemic required the establishment of total lockdown in France from March 17 to May 11, 2020. We analyzed the impact of this lockdown on the pediatric burn population consulting in our burn unit during this period compared to data from previous years in order to analyze our model of emergency care for children burned during this unprecedented situation.Material and methodsWe carried out a retrospective single-center study by reviewing files concerning emergency consultations for children burns during the total lockdown in France in 2020 (COVID group) compared to the same weeks of 2018 and 2019 (no-COVID group).ResultsWe find a significant decrease in the number of consultations (P = 0.02) during the confinement period. In the “COVID” group, we found a significant increase in burn to the hand (P = 0.03) and lower limbs (P = 0.03). The other criteria evaluated did not find any difference between the groups. Assessment of a possible rebound effect within 2 weeks of total lockdown found an increased incidence of the children burn consultation, an increased number of older children and mainly male.ConclusionThe decrease in the number of consultations alerts us to a potential increase in the functional sequelae of burns in these patients at risk. Longer-term follow-up will allow us to assess the consequences of this lockdown on this particularly at-risk population.

Multidimensional analyses of the noise impacts of COVID-19 lockdown.

As part of the Agence Nationale de Recherche Caractérisation des ENvironnements SonorEs urbains (Characterization of urban sound environments) project, a questionnaire was sent in January 2019 to households in a 1 km2 study area in the city of Lorient, France, to which about 318 responded. The main objective of this questionnaire was to collect information about the inhabitants' perception of the sound environments in their neighborhoods, streets, and dwellings. In the same study area, starting mid-2019, about 70 sensors were continuously positioned, and 15 of them were selected for testing sound source recognition models. The French lockdown due to the COVID-19 crisis occurred during the project, and the opportunity was taken to send a second questionnaire during April 2020. About 31 of the first 318 first survey respondents answered this second questionnaire. This unique longitudinal dataset, both physical and perceptual, allows the undertaking of an analysis from different perspectives of such a period. The analysis reveals the importance of integrating source recognition tools, soundscape observation protocol, in addition to physical level analysis, to accurately describe the changes in the sound environment.