The Burden of HMPV- and Influenza-Associated Hospitalizations in Adults in New Zealand Before and After the COVID-19 Pandemic, 2012–2023 - Summary - MDSpire

The Burden of HMPV- and Influenza-Associated Hospitalizations in Adults in New Zealand Before and After the COVID-19 Pandemic, 2012–2023

  • By

  • Nayyereh Aminisani

  • Briony Fanslow

  • Timothy Wood

  • Lauren Jelley

  • Louise Thorn

  • Ruth Seeds

  • Conroy Wong

  • Adrian Trenholme

  • Cameron C Grant

  • Q Sue Huang

  • on behalf of the SHIVERS Investigation Team

  • July 16, 2025

  • 0 min

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Objective:

To examine the temporal trends in incidence rates, hospital outcomes, and associated comorbidities of HMPV infections compared to influenza infections among adults aged ≥20 years from 2012 to 2023, and to assess the impact of COVID-19 on these infections, particularly in terms of their public health implications.

Key Findings:
  • HMPV accounted for 3.4% of tested cases, while influenza accounted for 15.0%, highlighting the relative burden of each virus.
  • Annual hospitalization rates were 9.7 per 100,000 for HMPV and 48.2 per 100,000 for influenza, indicating a significant difference in impact.
  • Influenza hospitalization rates increased significantly post-pandemic, from 43.0 per 100,000 before the pandemic to 79.5 in 2023, suggesting a resurgence in influenza cases.
  • HMPV-associated hospitalization rates were significantly higher in older adults due to chronic conditions, emphasizing the need for targeted interventions.
Interpretation:

The study indicates a notable increase in influenza-related hospitalizations post-COVID-19, while HMPV rates remained stable, emphasizing the need for targeted interventions for vulnerable populations, particularly older adults with comorbidities.

Limitations:
  • Data limited to Auckland, which may not represent national trends, and potential underreporting of HMPV cases due to lower testing rates.
  • Seasonal variations may impact hospitalization rates and should be considered in future analyses.
Conclusion:

The findings highlight the ongoing burden of influenza and the need for improved prevention strategies, particularly for older adults and those with comorbidities, while also addressing the significance of HMPV.

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