key: cord-0852143-fz8zoro4 authors: Lim, Dwee Wee; Htun, Htet Lin; Wang, Yinchu; Li, Anthony Lianjie; Kyaw, Win Mar; Lee, Lay Tin; Chow, Angela title: Healthcare workers as “canaries” for acute respiratory infections and pathogens during the COVID-19 pandemic date: 2021-03-26 journal: J Hosp Infect DOI: 10.1016/j.jhin.2021.03.019 sha: 2c50cce9014314c09394486bd6088287ac062551 doc_id: 852143 cord_uid: fz8zoro4 nan Sir, 25 During the Coronavirus disease (COVID-19) pandemic, there was a decline in the 26 detection of respiratory viruses including influenza during winter in temperate regions 27 [1, 2] . Prior to 2020, influenza viruses circulated year-round in Singapore, with bimodal 28 peaks corresponding to the winter seasons in the Northern hemisphere (December to 29 February) and Southern hemisphere (May to July) [3]. In healthcare workers (HCWs), 30 acute respiratory infection (ARI) could be acquired in the course of work or from the 31 community during social activities. As such, HCWs may serve as sentinels for the 32 surveillance of ARI and circulating respiratory pathogens in the community. 33 We described the changing epidemiology of ARI among HCWs during the In Singapore, the weekly ARI incidence per 10,000 staff declined across "Circuit Physical distancing in schools for 105 SARS-CoV-2 and the resurgence of rhinovirus Moving Into Phase Three Of Re-opening Analysis of Covid-19 and non-Covid-19 viruses, including influenza viruses, to 121 determine the influence of intensive preventive measures in Japan WHO World Health 124 Organization Ministry of Health Singapore. Additional Measures For Travellers To Reduce 128 Further Importation Of Covid-19 Cases None