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Implications of the school-household network structure on SARS-CoV-2 transmission under school reopening strategies in England

In early 2020 many countries closed schools to mitigate the spread of SARS-CoV-2. Since then, governments have sought to relax the closures, engendering a need to understand associated risks. Using address records, we construct a network of schools in England connected through pupils who share house...

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Published in:Nature communications 2021-03, Vol.12 (1), p.1942-1942, Article 1942
Main Authors: Munday, James D., Sherratt, Katharine, Meakin, Sophie, Endo, Akira, Pearson, Carl A. B., Hellewell, Joel, Abbott, Sam, Bosse, Nikos I., Atkins, Katherine E., Wallinga, Jacco, Edmunds, W. John, van Hoek, Albert Jan, Funk, Sebastian
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Language:English
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Summary:In early 2020 many countries closed schools to mitigate the spread of SARS-CoV-2. Since then, governments have sought to relax the closures, engendering a need to understand associated risks. Using address records, we construct a network of schools in England connected through pupils who share households. We evaluate the risk of transmission between schools under different reopening scenarios. We show that whilst reopening select year-groups causes low risk of large-scale transmission, reopening secondary schools could result in outbreaks affecting up to 2.5 million households if unmitigated, highlighting the importance of careful monitoring and within-school infection control to avoid further school closures or other restrictions. Many countries have closed schools as part of their COVID-19 response. Here, the authors model SARS-CoV-2 transmission on a network of schools and households in England, and find that risk of transmission between schools is lower if primary schools are open than if secondary schools are open.
ISSN:2041-1723
2041-1723
DOI:10.1038/s41467-021-22213-0