The effect of reactive school closure on community influenza-like illness counts in the state of Michigan during the 2009 H1N1 pandemic

In sum, 559 Michigan schools were closed as a nonpharmaceutical intervention during the influenza A 2009 (H1N1) pandemic. By linking the proportion of schools closed within a district to state influenza-like illness (ILI) surveillance data, we measured its effect on community levels of ILI. This ana...

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Veröffentlicht in:Clinical infectious diseases 2015-06, Vol.60 (12), p.e90-e97
Hauptverfasser: Davis, Brian M, Markel, Howard, Navarro, Alex, Wells, Eden, Monto, Arnold S, Aiello, Allison E
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container_end_page e97
container_issue 12
container_start_page e90
container_title Clinical infectious diseases
container_volume 60
creator Davis, Brian M
Markel, Howard
Navarro, Alex
Wells, Eden
Monto, Arnold S
Aiello, Allison E
description In sum, 559 Michigan schools were closed as a nonpharmaceutical intervention during the influenza A 2009 (H1N1) pandemic. By linking the proportion of schools closed within a district to state influenza-like illness (ILI) surveillance data, we measured its effect on community levels of ILI. This analysis was centered by the peak week of ILI for each school district, and a negative binomial model compared three levels of school closure: 0%, 1%-50%, and 51%-100% of schools closed from three weeks leading up to ILI peak to four weeks following ILI peak rate. We observed that school closures were reactive, and there was no statistically significant difference between ILI rates over the study period. There was an elevated rate ratio for ILI at 51%-100% closure, and a reduction in the rate ratio at the 1%-50% compared to the 0% closure level. These findings suggest that district level reactive school closures were ineffective.
doi_str_mv 10.1093/cid/civ182
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By linking the proportion of schools closed within a district to state influenza-like illness (ILI) surveillance data, we measured its effect on community levels of ILI. This analysis was centered by the peak week of ILI for each school district, and a negative binomial model compared three levels of school closure: 0%, 1%-50%, and 51%-100% of schools closed from three weeks leading up to ILI peak to four weeks following ILI peak rate. We observed that school closures were reactive, and there was no statistically significant difference between ILI rates over the study period. There was an elevated rate ratio for ILI at 51%-100% closure, and a reduction in the rate ratio at the 1%-50% compared to the 0% closure level. 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source MEDLINE; Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Child
Child, Preschool
Disease Outbreaks - prevention & control
Disease Outbreaks - statistics & numerical data
Humans
Influenza A Virus, H1N1 Subtype
Influenza, Human - epidemiology
Influenza, Human - prevention & control
Michigan - epidemiology
Pandemics
School closures
Schools
Swine flu
title The effect of reactive school closure on community influenza-like illness counts in the state of Michigan during the 2009 H1N1 pandemic
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