The Effect of Reactive School Closure on Community Influenza-Like Illness Counts in the State of Michigan During the 2009 H1N1 Pandemic
dc.contributor.author | Davis, Brian M | |
dc.contributor.author | Markel, Howard | |
dc.contributor.author | Navarro, Alex | |
dc.contributor.author | Wells, Eden | |
dc.contributor.author | Monto, Arnold S. | |
dc.contributor.author | Aiello, Allison E | |
dc.date.accessioned | 2015-06-03T15:35:11Z | |
dc.date.available | 2015-06-03T15:35:11Z | |
dc.date.issued | 2015-04-20 | |
dc.identifier.citation | Clin Infect Dis. 2015 Jun 15;60(12):e90-7. doi: 10.1093/cid/civ182. Epub 2015 Apr 20. | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/111817 | |
dc.description.abstract | BACKGROUND: In sum, 559 Michigan schools were closed as a nonpharmaceutical intervention during the influenza A 2009 (H1N1) pandemic. METHODS: 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. RESULTS: 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. CONCLUSIONS: These findings suggest that district level reactive school closures were ineffective. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Clinical Infectious Diseases | en_US |
dc.subject | Influenza; influenza-like illness; school closure; nonpharmaceutical interventions | en_US |
dc.title | The Effect of Reactive School Closure on Community Influenza-Like Illness Counts in the State of Michigan During the 2009 H1N1 Pandemic | en_US |
dc.type | Interview | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | History of Medicine, The Center for | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/111817/1/EffectReactiveSchoolClosureMarkel.pdf | |
dc.identifier.doi | 10.1093/cid/civ182 | |
dc.identifier.source | Clinical Infectious Diseases | en_US |
dc.owningcollname | History of Medicine, The Center for the |
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