The Impact of Social Distancing for COVID-19 upon Diagnosis of Kawasaki Disease

Stanford Shulman*, Bessey Geevarghese, Kwang Youn Kim, Anne Rowley

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mitigation policies have been associated with profound decreases in diagnoses of common childhood respiratory infections. A leading theory of etiology of Kawasaki disease (KD) is that it is triggered by presently unidentified ubiquitous respiratory agent. We document that mitigation policies instituted in mid-March 2020 were associated with strikingly fewer diagnoses of KD in April-December 2020 compared with the same period in the previous 8 years (P =. 01), a >67% decline. This finding supports the hypothesis that KD is caused by a respiratory-transmitted agent.

Original languageEnglish (US)
Pages (from-to)742-744
Number of pages3
JournalJournal of the Pediatric Infectious Diseases Society
Issue number6
StatePublished - Jun 1 2021
Externally publishedYes


  • COVID-19
  • Kawasaki disease
  • mitigation
  • respiratory transmission
  • social distancing

ASJC Scopus subject areas

  • Medicine(all)


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