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强制检测的学校可以减轻 SARS-CoV-2 的传播。

Schools under mandatory testing can mitigate the spread of SARS-CoV-2.

机构信息

Department of Economics, Johannes Gutenberg-University Mainz, 55128 Mainz, Germany.

Institute of Labor Economics, 53113 Bonn, Germany.

出版信息

Proc Natl Acad Sci U S A. 2022 Jun 28;119(26):e2201724119. doi: 10.1073/pnas.2201724119. Epub 2022 Jun 22.

DOI:10.1073/pnas.2201724119
PMID:35733261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9245666/
Abstract

We use event study models based on staggered summer vacations in Germany to estimate the effect of school reopenings after the summer of 2021 on the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Estimations are based on daily counts of confirmed coronavirus infections across all 401 German counties. A central antipandemic measure in German schools included mandatory rapid testing multiple times per week. Our results are consistent with mandatory testing contributing to the containment of the viral spread. We find a short-term increase in infection rates right after summer breaks, indicating the uncovering of otherwise undetected (asymptomatic) cases through the testing. After a period of about 2 wk after school reopenings, the growth of case numbers is smaller in states that reopened schools compared with the control group of states still in summer break. The results show a similar pattern for older age groups as well, arguably as a result of detected clusters through the school testing. This means that under certain conditions, open schools can play a role in containing the spread of the virus. Our results suggest that closing schools as a means to reduce infections may have unintended consequences by giving up surveillance and should be considered only as a last resort.

摘要

我们利用德国错开的暑假事件研究模型来估计 2021 年暑假后学校重新开学对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)传播的影响。估计是基于德国 401 个县的每日确诊冠状病毒感染病例数。德国学校的一项主要防疫措施包括每周多次强制快速检测。我们的结果表明,强制检测有助于控制病毒的传播。我们发现暑假结束后不久感染率就会短期上升,这表明通过检测发现了原本未被发现的(无症状)病例。在学校重新开学大约两周后,与仍在暑假的对照组相比,重新开学的州的病例数增长较小。对于年龄较大的群体,结果也呈现出类似的模式,这可能是通过学校检测发现了聚集性病例。这意味着在某些条件下,开放学校可以在一定程度上控制病毒的传播。我们的研究结果表明,关闭学校以减少感染的做法可能会因放弃监测而产生意想不到的后果,因此应仅作为最后的手段考虑。

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