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. 2022 Sep:210:160-162.
doi: 10.1016/j.puhe.2022.06.030. Epub 2022 Aug 13.

Implementation of Test-to-Stay programming to minimize learning loss in a pre-K-8 school district

R Royan  1 , G Daly  2 , S Musilli  3 , S Gadd  3 , S Ceja  2 , R Pescatore  4
Affiliations

Implementation of Test-to-Stay programming to minimize learning loss in a pre-K-8 school district

R Royan et al. Public Health. 2022 Sep.

Abstract

Objectives: Determine if a school-based Test-to-Stay (TTS) program designed to minimize learning loss reduced the incidence of COVID-19 in a US primary school district.

Study design: Observational, simple summary analysis of attendance and effectiveness of a TTS program implemented in a California school district.

Methods: Retrospective analysis of nested medical and demographic data. Survival curves were plotted using a cumulative hazard function to compare the probability of infection among close contacts exposed at school at different points of time between participants who participated in TTS versus those who did not participate in TTS. A Cox proportional hazards regression model with time-dependent covariates was used to estimate the association of TTS status with the incidence of SARS-CoV-2 infection.

Results: Univariate Cox regression analysis revealed that after adjustment, enrollment in TTS was negatively correlated with the risk of SARS-CoV-2 infection (hazard ratio 0.096; 95% confidence interval [CI], 0.024-0.390; P < 0.001).

Conclusions: TTS is an effective component of a layered protection strategy to prevent COVID-19 transmission in schools and communities, while minimizing the loss of in-person instruction in primary schools.

Keywords: COVID-19; Education; K-12; Quarantine; School closure; Test-to-Stay.

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Figures

Fig. 1
Fig. 1
Proportional hazard of COVID-19 infection for Test-to-Stay participants.
See this image and copyright information in PMC

References

    1. Chen C.Y.-C., Byrne E., Vélez T. Impact of the 2020 pandemic of COVID-19 on families with school-aged children in the United States: roles of income level and race. J Fam Issues. 2022;43(3):719–740. doi: 10.1177/0192513X21994153. - DOI - PMC - PubMed
    1. Rajmil L., Hjern A., Boran P., Gunnlaugsson G., Kraus de Camargo O., Raman S., et al. Impact of lockdown and school closure on children's health and well-being during the first wave of COVID-19: a narrative review. BMJ Paediatr Open. 2021 May 25;5(1) - PMC - PubMed
    1. Lanier W.A., Babitz K.D., Collingwood A., Graul M.F., Dickson S., Cunningham L., et al. COVID-19 testing to sustain in-person instruction and extracurricular activities in high schools - Utah, November 2020-March 2021. MMWR Morb Mortal Wkly Rep. 2021 May 28;70(21):785–791. - PMC - PubMed
    1. Centers for Disease Control and Prevention . 2021. Science brief: transmission of SARS-CoV-2 in K-12 schools and early care and education programs – updated.https://www.cdc.gov/coronavirus/2019-ncov/science/science-briefs/transmi... [Internet] [cited 2022 Jan 4]. Available from: - PubMed
    1. Lincoln county school district [Internet]. [cited 2022 Mar 2]. Available from: https://www.usnews.com/education/k12/nevada/districts/lincoln-county-sch....