Incidence rate and burden of illness at the Pyeongchang 2018 Paralympic Winter Games

Wayne Derman, Phoebe Runciman, Esme Jordaan, Martin Schwellnus, Cheri Blauwet, Nick Webborn, Jan Lexell, Peter van de Vliet, James Kissick, Jaap Stomphorst, Young-Hee Lee, Keun-Suh Kim

    Research output: Contribution to journalArticlepeer-review


    To describe the incidence rate (IR) and illness burden (IB) at the Pyeongchang 2018 Paralympic Winter Games. Methods A total of 567 athletes from 49 countries were monitored for 12 days over the Pyeongchang 2018 Games (6804 athlete days). Illness data were obtained daily from teams with (41 teams, 557 athletes) and teams without (8 teams, 10 athletes) their own medical support, through electronic data capturing systems. Results There were 87 illnesses reported, with an illness IR of 12.8 illnesses per 1000 athlete days (95% CI 10.2 to 16.0) and IB of 6.8 days lost per 1000 athlete days (95% CI 3.4 to 13.5). The highest IR was reported for Para snowboard (IR of 19.7 [95% CI 12.0 to 32.2]). Illnesses in the respiratory system (IR of 4.1 [95% CI 2.9 to 5.9]; IB of 1.4 [95% CI 0.6 to 3.0]), skin and subcutaneous system (IR of 2.5 [95% CI 1.5 to 4.1]; IB of 0.6 [95% CI 0.1 to 2.9]), and eye and ocular adnexa (IR of 1.6 [95% CI 0.9 to 3.1]; IB of 0.5 [95% CI 0.1 to 3.3]) were the most common. Conclusion This is the first study to report both the IR and IB in this setting. There was a high IR of illness in the new sport of Para snowboard. The respiratory system had both the highest IR and IB.

    Original languageEnglish
    Pages (from-to)1099-1104
    Number of pages6
    JournalBritish Journal of Sports Medicine
    Issue number17
    Publication statusPublished - 13 Jan 2019

    Bibliographical note

    This article has been accepted for publication in British Journal of Sports Medicine, 2018 following peer review, and the Version of Record can be accessed online at © The Authors 2018. Reuse of this manuscript version (excluding any databases, tables, diagrams, photographs and other images or illustrative material included where a another copyright owner is identified) is permitted strictly pursuant to the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC-BY-NC 4.0)


    • athlete
    • disability
    • illness


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