Kuhfeldt Kayla, Turcinovic Jacquelyn, Sullivan Madison, Landaverde Lena, Doucette-Stamm Lynn, Hamer Davidson H, Platt Judy, Klapperich Catherine, Landsberg Hannah E, Connor John H
Student Health Services, Boston University, Boston, MA USA.
Department of Microbiology, Boston University School of Medicine, Boston, MA, USA.
medRxiv. 2022 Mar 16:2022.03.16.22271983. doi: 10.1101/2022.03.16.22271983.
SARS-CoV-2, the causative agent of COVID-19, has displayed person to person transmission in a variety of indoor situations. This potential for robust transmission has posed significant challenges to day-to-day activities of colleges and universities where indoor learning is a focus. Concerns about transmission in the classroom setting have been of concern for students, faculty and staff. With the simultaneous implementation of both non-pharmaceutical and pharmaceutical control measures meant to curb the spread of the disease, defining whether in-class instruction without any physical distancing is a risk for driving transmission is important. We examined the evidence for SARS-CoV-2 transmission on a large urban university campus that mandated vaccination and masking but was otherwise fully open without physical distancing during a time of ongoing transmission of SARS-CoV-2 both at the university and in the surrounding counties. Using weekly surveillance testing of all on-campus individuals and rapid contact tracing of individuals testing positive for the virus we found little evidence of in-class transmission. Of more than 140,000 in-person class events, only nine instances of potential in-class transmission were identified. When each of these events were further interrogated by whole-genome sequencing of all positive cases significant genetic distance was identified between all potential in-class transmission pairings, providing evidence that all individuals were infected outside of the classroom. These data suggest that under robust transmission abatement strategies, in-class instruction is not an appreciable source of disease transmission.
新型冠状病毒肺炎(COVID-19)的病原体严重急性呼吸综合征冠状病毒2(SARS-CoV-2)已在多种室内环境中显示出人际传播。这种强大的传播潜力给以室内学习为重点的高校日常活动带来了重大挑战。对于学生、教师和工作人员而言,对课堂环境中传播的担忧一直存在。在同时实施旨在遏制疾病传播的非药物和药物控制措施的情况下,确定没有任何物理距离的课堂教学是否会推动疾病传播风险至关重要。我们调查了一所大型城市大学校园里SARS-CoV-2传播的证据,该校园强制要求接种疫苗和佩戴口罩,但在SARS-CoV-2在大学及周边县持续传播期间,在其他方面完全开放且没有保持物理距离。通过对所有校内人员进行每周监测检测以及对病毒检测呈阳性的人员进行快速接触者追踪,我们发现几乎没有课堂传播的证据。在超过140,000次面对面授课活动中,仅发现9起潜在的课堂传播事件。当通过对所有阳性病例进行全基因组测序对每起事件进行进一步调查时,在所有潜在的课堂传播配对之间发现了显著的遗传距离,这表明所有个体都是在教室外被感染的。这些数据表明,在强有力的传播缓解策略下,课堂教学不是疾病传播的重要来源。