COVID-19 infections in English schools and the households of students and staff 2020-21: a self-controlled case-series analysis
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Accepted version
Supporting information
Author(s)
Type
Journal Article
Abstract
BACKGROUND: The role of children and staff in SARS-CoV-2 transmission outside and within households is still not fully understood when large numbers are in regular, frequent contact in schools. METHODS: We used the self-controlled case-series method during the alpha- and delta-dominant periods to explore the incidence of infection in periods around a household member infection, relative to periods without household infection, in a cohort of primary and secondary English schoolchildren and staff from November 2020 to July 2021. RESULTS: We found the relative incidence of infection in students and staff was highest in the 1-7 days following household infection, remaining high up to 14 days after, with risk also elevated in the 6--12 days before household infection. Younger students had a higher relative incidence following household infection, suggesting household transmission may play a more prominent role compared with older students. The relative incidence was also higher among students in the alpha variant dominant period. CONCLUSIONS: This analysis suggests SARS-CoV2 infection in children, young people and staff at English schools were more likely to be associated with within-household transmission than from outside the household, but that a small increased risk of seeding from outside is observed.
Date Issued
2024-08
Date Acceptance
2024-07-24
Citation
International Journal of Epidemiology, 2024, 53 (4)
ISSN
0300-5771
Publisher
Oxford University Press
Journal / Book Title
International Journal of Epidemiology
Volume
53
Issue
4
Copyright Statement
Copyright © The Author(s) 2024; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association. This is the author’s accepted manuscript made available under a CC-BY licence in accordance with Imperial’s Research Publications Open Access policy (www.imperial.ac.uk/oa-policy)
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/39096097
Subjects
Adolescent
Adult
Child
COVID-19
England
Family Characteristics
Female
Humans
Incidence
Male
Middle Aged
SARS-CoV-2
Schools
Students
Young Adult
Coronavirus
SARS-CoV-2
schools
self-controlled case-series
transmission
Publication Status
Published
Coverage Spatial
England
Article Number
dyae105
Date Publish Online
2024-08-02