Reactive School Closure During Increased Influenza-Like Illness (ILI) Activity in Western Kentucky, 2013: A Field Evaluation of Effect on ILI Incidence and Economic and Social Consequences for Families.
Reactive School Closure During Increased Influenza-Like Illness (ILI) Activity in Western Kentucky, 2013: A Field Evaluation of Effect on ILI Incidence and Economic and Social Consequences for Families.
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DOI：
10.1093/ofid/ofw113
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发表时间：
2016-09
影响因子：
4.2
通讯作者：
Uzicanin A
中科院分区：
文献类型：
--
作者：
Russell ES;Zheteyeva Y;Gao H;Shi J;Rainey JJ;Thoroughman D;Uzicanin A
在肯塔基州一个学区，在流感样疾病相关的学生缺勤率高之后，学校反应性关闭，但这并没有影响学生家庭中报告的流感样疾病传播。背景：在流感大流行期间，关闭学校是一项重要的缓解策略：如果在当地疫情爆发的早期实施，可以减缓疾病在周围社区的传播。 在季节性流感流行期间，在疾病已经在社区广泛传播之后，学校可能会被动关闭。这种反应性关闭往往为时已晚，无法减少流感传播。然而，他们可以提供数据，以确定在何种情况下他们可能有效地减少流感样疾病（ILI）的传播。方法：我们在肯塔基州的一个学区进行了家庭调查。 由于流感样疾病（ILI）导致学生缺勤率高，A区关闭，而邻近的B区和C区仍然开放。我们收集了这3个地区在A区关闭前2周、关闭期间和重新开放后2周的家庭成员自我报告的ILI数据，并评估了学校关闭对A区学生家庭的经济和社会影响。差异中的差异的方法被用来比较ILI率的变化，从关闭前到关闭后的地区之间。结果：当按年龄组（0-5岁、6-18岁和18岁以上）分层时，对于整个样本，A区估计的平均每日ILI率下降幅度小于B或C区。 25%的A区家庭报告了≥1个与关闭相关的经济或社会困难。结论：在A区广泛的ILI活动后关闭学校并没有减少ILI的传播，但对一些家庭造成了困难。
A reactive school closure following high influenza-like illness-related student absenteeism in a Kentucky school district did not influence reported influenza-like illness transmission in student households. Background. School closures are an important mitigation strategy during influenza pandemic: if implemented early in a local outbreak, they can slow the disease spread in the surrounding community. During seasonal influenza epidemics, school closures may occur reactively, after the disease is already widespread in the community. Such reactive closures are often too late to reduce influenza transmission. However, they can provide data to determine under which circumstances they might be effective in reducing influenza-like illness (ILI) transmission. Methods. We conducted a household survey in a school district in Kentucky. District A closed after high student absenteeism due to influenza-like illness (ILI), whereas adjacent Districts B and C remained open. We collected data on self-reported ILI among household members in these 3 districts 2 weeks before the District A closure, during closure, and 2 weeks after reopening, and we evaluated economic and social consequences of school closure on student households in District A. The difference-in-differences method was applied to compare changes in ILI rates from before to after closure between districts. Results. Estimated average daily ILI rate decreased less in District A than in District B or C for the entire sample and when stratified by age groups (0–5 years old, 6–18 years old, and above 18 years old). Twenty-five percent of District A households reported ≥1 closure-related economic or social difficulty. Conclusions. Closing schools after a widespread ILI activity in District A did not reduce ILI transmission but caused difficulties for some households.
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影响因子：
3.7
作者：
Milne, George J.;Kelso, Joel K.;Kelly, Heath A.;Huband, Simon T.;McVernon, Jodie
通讯作者：
McVernon, Jodie
影响因子：
120.7
作者：
Markel, Howard;Lipman, Harvey B.;Cetron, Martin S.
通讯作者：
Cetron, Martin S.
影响因子：
4.2
作者：
Vynnycky, E.;Edmunds, W. J.
通讯作者：
Edmunds, W. J.
影响因子：
11.8
作者：
Cowling, Benjamin J.;Lau, Eric H. Y.;Lam, Conrad L. H.;Cheng, Calvin K. Y.;Kovar, Jana;Chan, Kwok Hung;Peiris, J. S. Malik;Leung, Gabriel M.
通讯作者：
Leung, Gabriel M.
影响因子：
3.6
作者：
Principi, N;Esposito, S;Crovari, P
通讯作者：
Crovari, P