Immunity to and Common Respiratory Viruses at Age 0 to 4 Years After COVID-19 Restrictions
JAMA Network Open 10.1001/jamanetworkopen.2025.37808October 15, 2025 at 11:00 AM EDT
Why did rates of life-threatening invasive infections increase among children after the COVID-19 pandemic?In this cross-sectional study of 1942 children, 452 were tested for acquisition of antibody-mediated immunity to S pyogenes; the 67 children aged 3 to 4 years sampled after the introduction of nonpharmaceutical interventions early in the COVID-19 pandemic had significantly lower immunity compared with 87 similar children sampled before the pandemic. Acquisition of immunity to respiratory syncytial virus was similarly affected.The findings of this study suggest that nonpharmaceutical interventions aimed at limiting SAR-CoV-2 infections during the COVID-19 pandemic may have had a profound impact on the development of immunity to , exposing the young children to this infection.
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