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Smith GD, Thomas SL, Orscheln RC, Reyes SM, Reyes SA, Rosen DA, Terrill CM, Dodd S, Plax K, Newland JG. Listserv to Support Community Pediatric Clinicians During the COVID-19 Pandemic. J Pediatric Infect Dis Soc 2023; 12:254-255. [PMID: 36915192 PMCID: PMC10146920 DOI: 10.1093/jpids/piad016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Indexed: 03/16/2023]
Affiliation(s)
- Gabrielle D Smith
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Sheridan L Thomas
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Rachel C Orscheln
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
- Department of Pediatrics, Washington University Pediatric & Adolescent Ambulatory Research Consortium, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Summer M Reyes
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Sydney A Reyes
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
| | - David A Rosen
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Cindy M Terrill
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Sherry Dodd
- Department of Pediatrics, Washington University Pediatric & Adolescent Ambulatory Research Consortium, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Katie Plax
- Department of Pediatrics, Washington University Pediatric & Adolescent Ambulatory Research Consortium, Washington University School of Medicine, St. Louis, Missouri, USA
- Department of Pediatrics, Division of Adolescent Medicine, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Jason G Newland
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri, USA
- Department of Pediatrics, Washington University Pediatric & Adolescent Ambulatory Research Consortium, Washington University School of Medicine, St. Louis, Missouri, USA
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Yuan G, Hayes S, Malone S, Akuse S, Watterson T, Reyes SM, Reyes SA, Evans C, Bonty B, Prater J, Shelley JT, Liu J, Fritz SA, Newland J. 1046. Assessing School-Based COVID-19 Transmission in Middle and High Schools in an Underserved Population through Qualitative Interviews. Open Forum Infect Dis 2022. [DOI: 10.1093/ofid/ofac492.887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Abstract
Background
Case and contact investigation is a mitigation strategy to understand transmission of diseases. The goal of this study is to assess COVID-19 transmission in schools that employ contact tracing.
Methods
Five middle and high schools provided a list of ongoing student and staff cases and their school contacts for the 2021-22 school year. Cases were eligible for interview if they had a known positive test or were a “presumed positive” by a practitioner. Contacts were eligible if they were identified as a close contact to a case within their school. Contacts who later became a case were eligible for a separate case interview. Trained interviewers contacted eligible individuals to offer COVID-19 resources and determine interests in participating in the study. Interested cases and contacts underwent a semi-structured interview with standardized questions.
Results
From 5/2021-4/2022, 360 cases (45% during Omicron surge) and their 412 contacts were identified (Fig 1). Among the 111 cases interviewed, 75% were students, half were in grades 6-8 (Fig 2). 61% of the cases were vaccinated with their primary series. 92% were symptomatic and fatigue, cough, and headaches were the most common symptoms. Transmission from school occurred in 29% (Fig 3) and most commonly occurred in the classroom. Among the 68 contacts interviewed, 96% were students. The two most reported activities contacts participated in were band (n=9) and sports (n=22), 10 from playing basketball. Three contacts reported exposure to COVID-19 within the household and five contacts reported exposure outside the home or school.
Conclusion
Case and contact investigation can be a valuable tool to assess COVID-19 transmission in schools. Almost one-third of cases reported school exposures, a greater school transmission rate than previous reported likely do to the increased transmissibility of Omicron. Assessing transmission events with this strategy alone may be limited by its reliance on self-reports. Case investigations can help schools identify potential areas to improve in limiting school-based COVID-19 transmission.
Disclosures
Sara Malone, PhD, LCSW, AHRQ: Grant/Research Support|NIH: Grant/Research Support Jason Newland, MD, AHRQ: Grant/Research Support|Merck: Grant/Research Support|NIH: Grant/Research Support|PEW Charitable Trust: Grant/Research Support|Pfizer: Grant/Research Support.
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Affiliation(s)
- Grace Yuan
- Washington University School of Medicine , St. Louis, Missouri
| | - Samantha Hayes
- Washington University in St. Louis School of Medicine , St. Louis, Missouri
| | - Sara Malone
- Washington University School of Medicine , St. Louis, Missouri
| | - Sewuese Akuse
- Washington University in St Louis , St Louis, Missouri
| | - Tremayne Watterson
- Washington University in St. Louis School of Medicine , St. Louis, Missouri
| | - Summer M Reyes
- Washington University School of Medicine , St. Louis, Missouri
| | - Sydney A Reyes
- Washington University in St. Louis School of Medicine , St. Louis, Missouri
| | - Christina Evans
- Washington University in St. Louis School of Medicine , St. Louis, Missouri
| | - Brittany Bonty
- Washington University School of Medicine in St. Louis , St. Louis, Missouri
| | - Jasmine Prater
- Washington University School of Medicine , St. Louis, Missouri
| | - Jamee T Shelley
- Washington University School of Medicine , St. Louis, Missouri
| | | | | | - Jason Newland
- Washington University School of Medicine , St. Louis, Missouri
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Hayes S, Malone S, Bonty B, Mueller N, Reyes SM, Reyes SA, Evans C, Wilcher-Roberts M, Watterson T, Akuse S, Shelley J, Yuan G, Lackey I, Prater J, Montgomery B, Williams C, Butler-Barnes ST, Harris K, Caburnay C, Dougherty NL, Liu J, Lai A, Neidich J, Fritz S, Newland JG. Correction: Assessing COVID-19 testing strategies in K-12 schools in underserved populations: study protocol for a cluster-randomized trial. BMC Public Health 2022; 22:1655. [PMID: 36050666 PMCID: PMC9434065 DOI: 10.1186/s12889-022-14059-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- Samantha Hayes
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Sara Malone
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA. .,Brown School, Washington University in St. Louis, St. Louis, MO, USA.
| | - Brittany Bonty
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Nancy Mueller
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | - Summer M Reyes
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Sydney A Reyes
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Christina Evans
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Myisha Wilcher-Roberts
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Tremayne Watterson
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Sewuese Akuse
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Jamee Shelley
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Grace Yuan
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Ian Lackey
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Jasmine Prater
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Brock Montgomery
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Cynthia Williams
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | | | - Kelly Harris
- Department of Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Charlene Caburnay
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | | | - Jingxia Liu
- Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Albert Lai
- Department of Medicine, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Julie Neidich
- Department of Pathology and Immunology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Stephanie Fritz
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
| | - Jason G Newland
- Department of Pediatrics, Washington University in St. Louis School of Medi- cine, St. Louis, MO, USA
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Hayes S, Malone S, Bonty B, Mueller N, Reyes SM, Reyes SA, Evans C, Wilcher-Roberts M, Watterson T, Akuse S, Shelley J, Yuan G, Lackey I, Prater J, Montgomery B, Williams C, Butler-Barnes ST, Caburnay C, Dougherty NL, Liu J, Lai A, Neidich J, Fritz S, Newland JG. Assessing COVID-19 testing strategies in K-12 schools in underserved populations: study protocol for a cluster-randomized trial. BMC Public Health 2022; 22:1177. [PMID: 35698094 PMCID: PMC9189793 DOI: 10.1186/s12889-022-13577-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 06/02/2022] [Indexed: 11/15/2022] Open
Abstract
Background Since March 2020, COVID-19 has disproportionately impacted communities of color within the United States. As schools have shifted from virtual to in-person learning, continual guidance is necessary to understand appropriate interventions to prevent SARS-CoV-2 transmission. Weekly testing of students and staff for SARS-CoV-2 within K-12 school setting could provide an additional barrier to school-based transmission, especially within schools unable to implement additional mitigation strategies and/or are in areas of high transmission. This study seeks to understand the role that weekly SARS-CoV-2 testing could play in K-12 schools. In addition, through qualitative interviews and listening sessions, this research hopes to understand community concerns and barriers regarding COVID-19 testing, COVID-19 vaccine, and return to school during the COVID-19 pandemic. Methods/design Sixteen middle and high schools from five school districts have been randomized into one of the following categories: (1) Weekly screening + symptomatic testing or (2) Symptomatic testing only. The primary outcome for this study will be the average of the secondary attack rate of school-based transmission per case. School-based transmission will also be assessed through qualitative contact interviews with positive contacts identified by the school contact tracers. Lastly, new total numbers of weekly cases and contacts within a school-based quarantine will provide guidance on transmission rates. Qualitative focus groups and interviews have been conducted to provide additional understanding to the acceptance of the intervention and barriers faced by the community regarding SARS-CoV-2 testing and vaccination. Discussion This study will provide greater understanding of the benefit that weekly screening testing can provide in reducing SARS-CoV-2 transmission within K-12 schools. Close collaboration with community partners and school districts will be necessary for the success of this and similar studies. Trial Registration NCT04875520. Registered May 6, 2021.
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Affiliation(s)
- Samantha Hayes
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Sara Malone
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA. .,Brown School, Washington University in St. Louis, St. Louis, MO, USA.
| | - Brittany Bonty
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Nancy Mueller
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | - Summer M Reyes
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Sydney A Reyes
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Christina Evans
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | | | - Tremayne Watterson
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Sewuese Akuse
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Jamee Shelley
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Grace Yuan
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Ian Lackey
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Jasmine Prater
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Brock Montgomery
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Cynthia Williams
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | | | - Charlene Caburnay
- Brown School, Washington University in St. Louis, St. Louis, MO, USA
| | | | - Jingxia Liu
- Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Albert Lai
- Department of Medicine, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Julie Neidich
- Department of Pathology and Immunology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Stephanie Fritz
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
| | - Jason G Newland
- Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA
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