SARS-CoV-2 transmission patterns in educational settings during the Alpha wave in Reggio-Emilia, Italy

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved..

Different monitoring and control policies have been implemented in schools to minimize the spread of SARS-CoV-2. Transmission in schools has been hard to quantify due to the large proportion of asymptomatic carriers in young individuals. We applied a Bayesian approach to reconstruct the transmission chains between 284 SARS-CoV-2 infections ascertained during 87 school outbreak investigations conducted between March and April 2021 in Italy. Under the policy of reactive quarantines, we found that 42.5% (95%CrI: 29.5-54.3%) of infections among school attendees were caused by school contacts. The mean number of secondary cases infected at school by a positive individual during in-person education was estimated to be 0.33 (95%CrI: 0.23-0.43), with marked heterogeneity across individuals. Specifically, we estimated that only 26.0% (95%CrI: 17.6-34.1%) of students and school personnel who tested positive during in-person education caused at least one secondary infection at school. Positive individuals who attended school for at least 6 days before being isolated or quarantined infected on average 0.49 (95%CrI: 0.14-0.83) secondary cases. Our findings provide quantitative insights on the contribution of school transmission to the spread of SARS-CoV-2 in young individuals. Identifying positive cases within 5 days after exposure to their infector could reduce onward transmission at school by at least 30%.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Epidemics - 44(2023) vom: 15. Sept., Seite 100712

Sprache:

Englisch

Beteiligte Personen:

Molina Grané, Carla [VerfasserIn]
Mancuso, Pamela [VerfasserIn]
Vicentini, Massimo [VerfasserIn]
Venturelli, Francesco [VerfasserIn]
Djuric, Olivera [VerfasserIn]
Manica, Mattia [VerfasserIn]
Guzzetta, Giorgio [VerfasserIn]
Marziano, Valentina [VerfasserIn]
Zardini, Agnese [VerfasserIn]
d'Andrea, Valeria [VerfasserIn]
Trentini, Filippo [VerfasserIn]
Bisaccia, Eufemia [VerfasserIn]
Larosa, Elisabetta [VerfasserIn]
Cilloni, Silvia [VerfasserIn]
Cassinadri, Maria Teresa [VerfasserIn]
Pezzotti, Patrizio [VerfasserIn]
Ajelli, Marco [VerfasserIn]
Rossi, Paolo Giorgi [VerfasserIn]
Merler, Stefano [VerfasserIn]
Poletti, Piero [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Children
Journal Article
Research Support, Non-U.S. Gov't
SARS-CoV-2
School
Testing
Transmission model

Anmerkungen:

Date Completed 08.09.2023

Date Revised 26.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.epidem.2023.100712

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360666035