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回归基础:在地方学区内开展 COVID-19 监测计划。

Back to the Basics: A COVID-19 Surveillance Program Within a Local School District.

机构信息

Department of Family Medicine and Community Health, University Hospitals Cleveland Medical Center, Cleveland, OH; Center for Community Health Integration, Case Western Reserve University School of Medicine, 11000 Cedar Avenue, Suite 402, Cleveland, OH, 44106-7136, USA.

Lorain City School District, 2601 Pole Avenue, Lorain, OH, 44052, USA.

出版信息

J Sch Health. 2022 May;92(5):469-473. doi: 10.1111/josh.13149. Epub 2022 Feb 23.

Abstract

BACKGROUND

A school district in Northern Ohio implemented a COVID-19 surveillance program from January 4 to May 21, 2021, as in-person school and extracurricular activities resumed.

METHODS

Among 560 staff members and >6300 students, random weekly testing was performed on 563 students and weekly for 204 students participating in extracurricular activities, and 553 staff.

RESULTS

Cases of COVID-19 were identified among 26 staff members and 23 students. Most of those infected were participating in extracurricular activities (14/23) and in the age range of 14-18. Percent positivity was low (range 0.2-2.4%) throughout the school surveillance program despite significant changes in positivity rate (2.8-19.8%).

CONCLUSION

This demonstrates that in a setting employing basic yet consistent mitigation strategies, there is low transmission among young children and adolescents as they return to in-person classes and activities. Maintaining layered prevention strategies implemented and sustained with fidelity can substantially limit transmission within schools.

摘要

背景

俄亥俄州北部的一个学区于 2021 年 1 月 4 日至 5 月 21 日实施了 COVID-19 监测计划,此时学校恢复了面授课程和课外活动。

方法

在 560 名教职员工和 6300 多名学生中,对 563 名学生进行了随机的每周检测,对 204 名参加课外活动的学生和 553 名教职员工进行了每周检测。

结果

在 26 名教职员工和 23 名学生中发现了 COVID-19 病例。大多数感染者都在参加课外活动(23 人中的 14 人),年龄在 14-18 岁之间。尽管阳性率有显著变化(2.8%-19.8%),但整个学校监测计划中的阳性率很低(范围为 0.2%-2.4%)。

结论

这表明,在采用基本但一致的缓解策略的环境中,当儿童和青少年重返面授课程和活动时,他们之间的传播率很低。通过忠实执行和维持分层预防策略,可以大大限制学校内的传播。

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