Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021
Summary: Background: There remains uncertainty about the epidemiology of SARS-CoV-2 among school students and staff and the extent to which non-pharmaceutical-interventions reduce the risk of school settings. Methods: We conducted an open cohort study in a sample of 59 primary and 97 secondary scho...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-10-01
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| Series: | The Lancet Regional Health. Europe |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666776222001673 |
| _version_ | 1828356878091943936 |
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| author | James R. Hargreaves Sinéad M. Langan William E. Oswald Katherine E. Halliday Joanna Sturgess Jody Phelan Patrick Nguipdop-Djomo Benjamin Ford Elizabeth Allen Neisha Sundaram Georgina Ireland John Poh Samreen Ijaz Ian Diamond Emma Rourke Fiona Dawe Alison Judd Charlotte Warren-Gash Taane G. Clark Judith R. Glynn W. John Edmunds Chris Bonell Punam Mangtani Shamez N. Ladhani Tanya Abramsky Shazaad Ahmad Felicity Aiano Frances Baawuah Urszula Bankiewicz Sarah Batt Joanne Beckmann Ami Bhavsar Bernadette Brent Andrew Brent Simon Brouwer Kevin Brown Richard Browne Kevin Childs Sarah Cook Simon Cousens Ieuan Day Antonio Felton Paul Fine David Foster Joanna Garstang David Gates Claire Grant Bethany Griffiths-Tong Claire Hele Rowan Hemsi Pete Jones Helena Jordan Adam Kucharski Andrea Lacey Rebecca Leeson Ffion Lelii Philip Lovely Madeleine Lunskey Chris McLanachan James Munday Ifeanyichukwu Okike Kathleen O'Reilly Penelope Parker Annabel Powell Sarah Proud Mary Ramsay Lee Rudd Timothy Russell Justin Shute Nerissa Tilouche Charmaine Virgin Sian-Elin Wyatt KELLY YEO |
| author_facet | James R. Hargreaves Sinéad M. Langan William E. Oswald Katherine E. Halliday Joanna Sturgess Jody Phelan Patrick Nguipdop-Djomo Benjamin Ford Elizabeth Allen Neisha Sundaram Georgina Ireland John Poh Samreen Ijaz Ian Diamond Emma Rourke Fiona Dawe Alison Judd Charlotte Warren-Gash Taane G. Clark Judith R. Glynn W. John Edmunds Chris Bonell Punam Mangtani Shamez N. Ladhani Tanya Abramsky Shazaad Ahmad Felicity Aiano Frances Baawuah Urszula Bankiewicz Sarah Batt Joanne Beckmann Ami Bhavsar Bernadette Brent Andrew Brent Simon Brouwer Kevin Brown Richard Browne Kevin Childs Sarah Cook Simon Cousens Ieuan Day Antonio Felton Paul Fine David Foster Joanna Garstang David Gates Claire Grant Bethany Griffiths-Tong Claire Hele Rowan Hemsi Pete Jones Helena Jordan Adam Kucharski Andrea Lacey Rebecca Leeson Ffion Lelii Philip Lovely Madeleine Lunskey Chris McLanachan James Munday Ifeanyichukwu Okike Kathleen O'Reilly Penelope Parker Annabel Powell Sarah Proud Mary Ramsay Lee Rudd Timothy Russell Justin Shute Nerissa Tilouche Charmaine Virgin Sian-Elin Wyatt KELLY YEO |
| author_sort | James R. Hargreaves |
| collection | DOAJ |
| description | Summary: Background: There remains uncertainty about the epidemiology of SARS-CoV-2 among school students and staff and the extent to which non-pharmaceutical-interventions reduce the risk of school settings. Methods: We conducted an open cohort study in a sample of 59 primary and 97 secondary schools in 15 English local authority areas that were implementing government guidance to schools open during the pandemic. We estimated SARS-CoV-2 infection prevalence among those attending school, antibody prevalence, and antibody negative to positive conversion rates in staff and students over the school year (November 2020–July 2021). Findings: 22,585 staff and students participated. SARS-CoV-2 infection prevalence among those attending school was highest during the first two rounds of testing in the autumn term, ranging from 0.7% (95% CI 0.2, 1.2) among primary staff in November 2020 to 1.6% (95% CI 0.9, 2.3) among secondary staff in December 2020. Antibody conversion rates were highest in the autumn term. Infection patterns were similar between staff and students, and between primary and secondary schools. The prevalence of nucleoprotein antibodies increased over the year and was lower among students than staff. SARS-CoV-2 infection prevalence in the North-West region was lower among secondary students attending school on normal school days than the regional estimate for secondary school-age children. Interpretation: SARS-CoV-2 infection prevalence in staff and students attending school varied with local community infection rates. Non-pharmaceutical interventions intended to prevent infected individuals attending school may have partially reduced the prevalence of infection among those on the school site. Funding: UK Department of Health and Social Care. |
| first_indexed | 2024-04-14T03:06:32Z |
| format | Article |
| id | doaj.art-c2531eab36ea48d88cd06e5dbf8d3e1c |
| institution | Directory Open Access Journal |
| issn | 2666-7762 |
| language | English |
| last_indexed | 2024-04-14T03:06:32Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Europe |
| spelling | doaj.art-c2531eab36ea48d88cd06e5dbf8d3e1c2022-12-22T02:15:43ZengElsevierThe Lancet Regional Health. Europe2666-77622022-10-0121100471Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021James R. Hargreaves0Sinéad M. Langan1William E. Oswald2Katherine E. Halliday3Joanna Sturgess4Jody Phelan5Patrick Nguipdop-Djomo6Benjamin Ford7Elizabeth Allen8Neisha Sundaram9Georgina Ireland10John Poh11Samreen Ijaz12Ian Diamond13Emma Rourke14Fiona Dawe15Alison Judd16Charlotte Warren-Gash17Taane G. Clark18Judith R. Glynn19W. John Edmunds20Chris Bonell21Punam Mangtani22Shamez N. Ladhani23Tanya AbramskyShazaad AhmadFelicity AianoFrances BaawuahUrszula BankiewiczSarah BattJoanne BeckmannAmi BhavsarBernadette BrentAndrew BrentSimon BrouwerKevin BrownRichard BrowneKevin ChildsSarah CookSimon CousensIeuan DayAntonio FeltonPaul FineDavid FosterJoanna GarstangDavid GatesClaire GrantBethany Griffiths-TongClaire HeleRowan HemsiPete JonesHelena JordanAdam KucharskiAndrea LaceyRebecca LeesonFfion LeliiPhilip LovelyMadeleine LunskeyChris McLanachanJames MundayIfeanyichukwu OkikeKathleen O'ReillyPenelope ParkerAnnabel PowellSarah ProudMary RamsayLee RuddTimothy RussellJustin ShuteNerissa TiloucheCharmaine VirginSian-Elin WyattKELLY YEODepartment of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK; Corresponding author at: Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place WC1H 9SH, Keppel Street, London, United Kingdom.Department of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK; Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UKDepartment of Medical Statistics, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UKDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKOffice for National Statistics, Government Buildings, Newport, UKDepartment of Medical Statistics, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UKNational Infection Service, UK Health Security Agency, London, UKNational Infection Service, UK Health Security Agency, London, UKNational Infection Service, UK Health Security Agency, London, UKOffice for National Statistics, Government Buildings, Newport, UKOffice for National Statistics, Government Buildings, Newport, UKOffice for National Statistics, Government Buildings, Newport, UKOffice for National Statistics, Government Buildings, Newport, UKDepartment of Non-communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK; Department of Infection Biology, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UKDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UKDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UKNational Infection Service, UK Health Security Agency, London, UK; Paediatric Infectious Diseases Research Group, St George's University of London, London, UKSummary: Background: There remains uncertainty about the epidemiology of SARS-CoV-2 among school students and staff and the extent to which non-pharmaceutical-interventions reduce the risk of school settings. Methods: We conducted an open cohort study in a sample of 59 primary and 97 secondary schools in 15 English local authority areas that were implementing government guidance to schools open during the pandemic. We estimated SARS-CoV-2 infection prevalence among those attending school, antibody prevalence, and antibody negative to positive conversion rates in staff and students over the school year (November 2020–July 2021). Findings: 22,585 staff and students participated. SARS-CoV-2 infection prevalence among those attending school was highest during the first two rounds of testing in the autumn term, ranging from 0.7% (95% CI 0.2, 1.2) among primary staff in November 2020 to 1.6% (95% CI 0.9, 2.3) among secondary staff in December 2020. Antibody conversion rates were highest in the autumn term. Infection patterns were similar between staff and students, and between primary and secondary schools. The prevalence of nucleoprotein antibodies increased over the year and was lower among students than staff. SARS-CoV-2 infection prevalence in the North-West region was lower among secondary students attending school on normal school days than the regional estimate for secondary school-age children. Interpretation: SARS-CoV-2 infection prevalence in staff and students attending school varied with local community infection rates. Non-pharmaceutical interventions intended to prevent infected individuals attending school may have partially reduced the prevalence of infection among those on the school site. Funding: UK Department of Health and Social Care.http://www.sciencedirect.com/science/article/pii/S2666776222001673SARS-CoV-2SchoolsEngland |
| spellingShingle | James R. Hargreaves Sinéad M. Langan William E. Oswald Katherine E. Halliday Joanna Sturgess Jody Phelan Patrick Nguipdop-Djomo Benjamin Ford Elizabeth Allen Neisha Sundaram Georgina Ireland John Poh Samreen Ijaz Ian Diamond Emma Rourke Fiona Dawe Alison Judd Charlotte Warren-Gash Taane G. Clark Judith R. Glynn W. John Edmunds Chris Bonell Punam Mangtani Shamez N. Ladhani Tanya Abramsky Shazaad Ahmad Felicity Aiano Frances Baawuah Urszula Bankiewicz Sarah Batt Joanne Beckmann Ami Bhavsar Bernadette Brent Andrew Brent Simon Brouwer Kevin Brown Richard Browne Kevin Childs Sarah Cook Simon Cousens Ieuan Day Antonio Felton Paul Fine David Foster Joanna Garstang David Gates Claire Grant Bethany Griffiths-Tong Claire Hele Rowan Hemsi Pete Jones Helena Jordan Adam Kucharski Andrea Lacey Rebecca Leeson Ffion Lelii Philip Lovely Madeleine Lunskey Chris McLanachan James Munday Ifeanyichukwu Okike Kathleen O'Reilly Penelope Parker Annabel Powell Sarah Proud Mary Ramsay Lee Rudd Timothy Russell Justin Shute Nerissa Tilouche Charmaine Virgin Sian-Elin Wyatt KELLY YEO Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021 The Lancet Regional Health. Europe SARS-CoV-2 Schools England |
| title | Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021 |
| title_full | Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021 |
| title_fullStr | Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021 |
| title_full_unstemmed | Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021 |
| title_short | Epidemiology of SARS-CoV-2 infection among staff and students in a cohort of English primary and secondary schools during 2020–2021 |
| title_sort | epidemiology of sars cov 2 infection among staff and students in a cohort of english primary and secondary schools during 2020 2021 |
| topic | SARS-CoV-2 Schools England |
| url | http://www.sciencedirect.com/science/article/pii/S2666776222001673 |
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