Closure of schools during an influenza pandemic.
Closure of schools during an influenza pandemic.
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DOI：
10.1016/s1473-3099(09)70176-8
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发表时间：
2009-08
期刊：
影响因子：
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通讯作者：
Nicoll A
中科院分区：
文献类型：
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作者：
Cauchemez S;Ferguson NM;Wachtel C;Tegnell A;Saour G;Duncan B;Nicoll A
为了应对世卫组织将流感大流行警戒级别从五级提高到六级，世界各地的卫生官员正在仔细审查大流行缓解方案。学校停课(在北美也称为下课)是一种非药物干预措施，通常被建议用于缓解流感大流行。决定关闭学校的卫生官员必须权衡减少传播的潜在健康益处和高昂的经济和社会成本、棘手的伦理问题以及医疗保健等关键服务可能受到的干扰。此外，如果预计学校将停课作为一种刻意的政策选择，或者只是因为教职员工大量缺勤，那么制定计划缓解停课的负面特征是很重要的。在这种情况下，关于是否、何时以及如何使用学校关闭政策仍存在争议。在这篇综述中，我们从多学科和整体的角度，对学校关闭作为一项公共卫生政策的多个方面进行了审查。还讨论了对减轻猪源性甲型H1N1流感大流行的影响。
In response to WHO raising the influenza pandemic alert level from phase five to phase six, health officials around the world are carefully reviewing pandemic mitigation protocols. School closure (also called class dismissal in North America) is a non-pharmaceutical intervention that is commonly suggested for mitigating influenza pandemics. Health officials taking the decision to close schools must weigh the potential health benefits of reducing transmission and thus case numbers against high economic and social costs, difficult ethical issues, and the possible disruption of key services such as health care. Also, if schools are expected to close as a deliberate policy option, or just because of high levels of staff absenteeism, it is important to plan to mitigate the negative features of closure. In this context, there is still debate about if, when, and how school closure policy should be used. In this Review, we take a multidisciplinary and holistic perspective and review the multiple aspects of school closure as a public health policy. Implications for the mitigation of the swine-origin influenza A H1N1 pandemic are also discussed.