SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return

In this paper, we present work on SARS-CoV-2 transmission in UK higher education settings using multiple approaches to assess the extent of university outbreaks, how much those outbreaks may have led to spillover in the community, and the expected effects of control measures. Firstly, we found that...

Full description

Bibliographic Details
Main Authors: Jessica Enright, Edward M. Hill, Helena B. Stage, Kirsty J. Bolton, Emily J. Nixon, Emma L. Fairbanks, Maria L. Tang, Ellen Brooks-Pollock, Louise Dyson, Chris J. Budd, Rebecca B. Hoyle, Lars Schewe, Julia R. Gog, Michael J. Tildesley
Format: Article
Language:English
Published: The Royal Society 2021-08-01
Series:Royal Society Open Science
Subjects:
Online Access:https://royalsocietypublishing.org/doi/10.1098/rsos.210310
_version_ 1818331517236019200
author Jessica Enright
Edward M. Hill
Helena B. Stage
Kirsty J. Bolton
Emily J. Nixon
Emma L. Fairbanks
Maria L. Tang
Ellen Brooks-Pollock
Louise Dyson
Chris J. Budd
Rebecca B. Hoyle
Lars Schewe
Julia R. Gog
Michael J. Tildesley
author_facet Jessica Enright
Edward M. Hill
Helena B. Stage
Kirsty J. Bolton
Emily J. Nixon
Emma L. Fairbanks
Maria L. Tang
Ellen Brooks-Pollock
Louise Dyson
Chris J. Budd
Rebecca B. Hoyle
Lars Schewe
Julia R. Gog
Michael J. Tildesley
author_sort Jessica Enright
collection DOAJ
description In this paper, we present work on SARS-CoV-2 transmission in UK higher education settings using multiple approaches to assess the extent of university outbreaks, how much those outbreaks may have led to spillover in the community, and the expected effects of control measures. Firstly, we found that the distribution of outbreaks in universities in late 2020 was consistent with the expected importation of infection from arriving students. Considering outbreaks at one university, larger halls of residence posed higher risks for transmission. The dynamics of transmission from university outbreaks to wider communities is complex, and while sometimes spillover does occur, occasionally even large outbreaks do not give any detectable signal of spillover to the local population. Secondly, we explored proposed control measures for reopening and keeping open universities. We found the proposal of staggering the return of students to university residence is of limited value in terms of reducing transmission. We show that student adherence to testing and self-isolation is likely to be much more important for reducing transmission during term time. Finally, we explored strategies for testing students in the context of a more transmissible variant and found that frequent testing would be necessary to prevent a major outbreak.
first_indexed 2024-12-13T13:21:06Z
format Article
id doaj.art-d6a7266b02904981bfa8d6abca464235
institution Directory Open Access Journal
issn 2054-5703
language English
last_indexed 2024-12-13T13:21:06Z
publishDate 2021-08-01
publisher The Royal Society
record_format Article
series Royal Society Open Science
spelling doaj.art-d6a7266b02904981bfa8d6abca4642352022-12-21T23:44:25ZengThe Royal SocietyRoyal Society Open Science2054-57032021-08-018810.1098/rsos.210310SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student returnJessica Enright0Edward M. Hill1Helena B. Stage2Kirsty J. Bolton3Emily J. Nixon4Emma L. Fairbanks5Maria L. Tang6Ellen Brooks-Pollock7Louise Dyson8Chris J. Budd9Rebecca B. Hoyle10Lars Schewe11Julia R. Gog12Michael J. Tildesley13School of Computing Science, University of Glasgow, Glasgow G12 8QQ, UKThe Zeeman Institute for Systems Biology and Infectious Disease Epidemiology Research, School of Life Sciences and Mathematics Institute, University of Warwick, Coventry CV4 7AL, UKJoint UNIversities Pandemic and Epidemiological Research, UKCentre for Mathematical Medicine and Biology, School of Mathematical Sciences, University of Nottingham, University Park, Nottingham, UKJoint UNIversities Pandemic and Epidemiological Research, UKCentre for Mathematical Medicine and Biology, School of Mathematical Sciences, University of Nottingham, University Park, Nottingham, UKSchool of Veterinary Medicine and Science, University of Nottingham, Loughborough, UKJoint UNIversities Pandemic and Epidemiological Research, UKThe Zeeman Institute for Systems Biology and Infectious Disease Epidemiology Research, School of Life Sciences and Mathematics Institute, University of Warwick, Coventry CV4 7AL, UKSchool of Mathematical Sciences, University of Bath, Claverton Down, Bath, UKSchool of Mathematical Sciences, University of Southampton, Southampton, UKUniversity of Edinburgh, School of Mathematics, James Clerk Maxwell Building, Peter Guthrie Tait Road, Edinburgh, UKJoint UNIversities Pandemic and Epidemiological Research, UKThe Zeeman Institute for Systems Biology and Infectious Disease Epidemiology Research, School of Life Sciences and Mathematics Institute, University of Warwick, Coventry CV4 7AL, UKIn this paper, we present work on SARS-CoV-2 transmission in UK higher education settings using multiple approaches to assess the extent of university outbreaks, how much those outbreaks may have led to spillover in the community, and the expected effects of control measures. Firstly, we found that the distribution of outbreaks in universities in late 2020 was consistent with the expected importation of infection from arriving students. Considering outbreaks at one university, larger halls of residence posed higher risks for transmission. The dynamics of transmission from university outbreaks to wider communities is complex, and while sometimes spillover does occur, occasionally even large outbreaks do not give any detectable signal of spillover to the local population. Secondly, we explored proposed control measures for reopening and keeping open universities. We found the proposal of staggering the return of students to university residence is of limited value in terms of reducing transmission. We show that student adherence to testing and self-isolation is likely to be much more important for reducing transmission during term time. Finally, we explored strategies for testing students in the context of a more transmissible variant and found that frequent testing would be necessary to prevent a major outbreak.https://royalsocietypublishing.org/doi/10.1098/rsos.210310epidemic modellingpandemic modellingCOVID-19SARS-CoV-2higher education
spellingShingle Jessica Enright
Edward M. Hill
Helena B. Stage
Kirsty J. Bolton
Emily J. Nixon
Emma L. Fairbanks
Maria L. Tang
Ellen Brooks-Pollock
Louise Dyson
Chris J. Budd
Rebecca B. Hoyle
Lars Schewe
Julia R. Gog
Michael J. Tildesley
SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return
Royal Society Open Science
epidemic modelling
pandemic modelling
COVID-19
SARS-CoV-2
higher education
title SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return
title_full SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return
title_fullStr SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return
title_full_unstemmed SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return
title_short SARS-CoV-2 infection in UK university students: lessons from September–December 2020 and modelling insights for future student return
title_sort sars cov 2 infection in uk university students lessons from september december 2020 and modelling insights for future student return
topic epidemic modelling
pandemic modelling
COVID-19
SARS-CoV-2
higher education
url https://royalsocietypublishing.org/doi/10.1098/rsos.210310
work_keys_str_mv AT jessicaenright sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT edwardmhill sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT helenabstage sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT kirstyjbolton sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT emilyjnixon sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT emmalfairbanks sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT marialtang sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT ellenbrookspollock sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT louisedyson sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT chrisjbudd sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT rebeccabhoyle sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT larsschewe sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT juliargog sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn
AT michaeljtildesley sarscov2infectioninukuniversitystudentslessonsfromseptemberdecember2020andmodellinginsightsforfuturestudentreturn