Modeling the Transmission of COVID-19: Impact of Mitigation Strategies in Prekindergarten-Grade 12 Public Schools, United States, 2021
| Autor: | Aziza Arifkhanova, Fátima Coronado, Ketra Rice, Bradford Greening, Gabrielle F. Miller, Martin I. Meltzer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Coronavirus disease 2019 (COVID-19) media_common.quotation_subject Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) education Population Psychological intervention Article law.invention Hygiene law Environmental health Humans Child Students media_common education.field_of_study Schools SARS-CoV-2 Health Policy Social distance Public Health Environmental and Occupational Health COVID-19 United States Transmission (mechanics) Business Contact Tracing Contact tracing |
| Zdroj: | J Public Health Manag Pract |
| ISSN: | 1078-4659 |
| DOI: | 10.1097/phh.0000000000001373 |
| Popis: | BACKGROUND: Schools are an integral part of the community; however, congregate settings facilitate transmission of SARS-CoV-2, presenting a challenge to school administrators to provide a safe, in-school environment for students and staff. METHODS: We adapted the Centers for Disease Control and Prevention's COVIDTracer Advanced tool to model the transmission of SARS-CoV-2 in a school of 596 individuals. We estimate possible reductions in cases and hospitalizations among this population using a scenario-based analysis that accounts for (a) the risk of importation of infection from the community; (b) adherence to key Centers for Disease Control and Prevention-recommended mitigation strategies: mask wearing, cleaning and disinfection, hand hygiene, and social distancing; and (c) the effectiveness of contact tracing interventions at limiting onward transmission. RESULTS: Low impact and effectiveness of mitigation strategies (net effectiveness: 27%) result in approximately 40% of exposed staff and students becoming COVID-19 cases. When the net effectiveness of mitigation strategies was 69% or greater, in-school transmission was mostly prevented, yet importation of cases from the surrounding community could result in nearly 20% of the school's population becoming infected within 180 days. The combined effects of mitigation strategies and contact tracing were able to prevent most onward transmission. Hospitalizations were low among children and adults ( |
| Databáze: | OpenAIRE |
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