Closing schools for SARS-CoV-2: A pragmatic rapid Recommendation
| Autor: | Alexandra Seghers, Tinne Lernout, Elke Wollants, Lode Sweldens, Lise Rans, Jaan Toelen, Nore Milissen, Sigrid Aertgeerts, Ignaas Devisch, Pedro De Bruyckere, Geert Molenberghs, Marc Raes, Patrik Vankrunkelsven, Sofie Crommen, Annelies Pascal, Bert Aertgeerts, Guido Vanham, Katrien Masschalck, Geertruida E Bekkering, Jeroen Vandenbussche, Nicolas Delvaux, Oscar Plomteux |
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| Přispěvatelé: | Seghers, A, Lernout , T, Sweldens, L, Delvaux, N, MOLENBERGHS, Geert, Masschalck, K, RAES, Marc, Devisch, I, Rans, L, Aertgeerts, B, Vandenbussche, Jeroen, Milissen, N, Plomteux, O, Toelen, J, Wollants, E, Vanham, G, CROMMEN, Sofie, Aertgeerts, S, Pascal, A, Vankrunkelsven, P, Bekkering, G, De Bruyckere, P |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Child abuse
medicine.medical_specialty International studies media_common.quotation_subject Population education schools 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Evidence Based Medicine medicine Humans 030212 general & internal medicine media_common education.field_of_study child SARS-CoV-2 practice guideline Closing (real estate) COVID-19 Guideline adolescent health Mental health Family medicine adolescent Pediatrics Perinatology and Child Health Communicable Disease Control Position (finance) Educational Personnel epidemiology Psychology Adolescent health |
| Zdroj: | BMJ Paediatrics Open |
| DOI: | 10.5281/zenodo.4959056 |
| Popis: | In Belgium schools closed during the first lockdown in March 2020, with a partial re-opening in May. They fully re-opened in September. During the summer, infections started to increase in the general population, speeding up in September. Some measures were taken to limit social contacts but those were insufficient to mitigate the exponential rise of infections in October. Children were still receiving all lessons at school at that time and it was questioned whether this position was tenable. We systematically compared the benefits and harms of closing primary and secondary schools and developed a recommendation. A multidisciplinary panel, including school pupils and teachers, educational experts, clinicians and researchers produced this recommendation in compliance with the standards for trustworthy rapid guidelines. The recommendation is based on data collected through national surveillance or studies from Belgium, and supported by a rapid literature review. Closing schools during the first lockdown probably resulted in a large learning delay and possibly led to more cases of child abuse. We are uncertain about the effect of the school closure on the infection rate, hospitalisations, and transmission rates, mental health of children, teachers, and parents. The panel concluded that the balance of benefits and harms of closing schools clearly shifts against closing schools. Detrimental effects are even worse for vulnerable children. This recommendation is affected by the local virus circulation. The guideline panel issues a strong recommendation against closing schools when the virus circulation is low to moderate, and a weak recommendation against closing schools when the virus circulation is high. It does not apply when the school system cannot function due to lack of teachers, too many children who are at home, or a shortage of support services. As the results of international studies are consistent with Belgian study results, this recommendation may also be relevant internationally. Keywords: COVID-19; practice guideline; schools; child; adolescent NOTE: This research was presented byBekkering G.E. (Academic Centre of General Parctice, KU Leuven, Belgium) at 2nd World Pediatrics Congress held on June 08-09, 2021. For more details visit:https://www.pediatrics-conference.com/ |
| Databáze: | OpenAIRE |
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