Tanja Cufer, Michael P Kosty
ESMO/ASCO Recommendations for a Global Curriculum in Medical Oncology Edition 2023
JCO global oncology
march 2021 biden administration allocated 10 billion covid19 testing schools evaluate costs benefits testing strategies reduce infection risks fulltime inperson k8 education different levels community incidence used agentbased network model simulate transmission elementary middle school communities parameterized us school structure assuming dominance delta covid19 variant assess value different strategies testing students facultystaff including expanded diagnostic testing test stay policies take place isolation symptomatic students quarantine exposed classrooms screening routinely testing asymptomatic individuals identify infections contain transmission surveillance testing random sample students signaling undetected transmission trigger additional investigation interventions project 30day cumulative incidence sarscov2 infection proportion cases detected proportion planned unplanned days school cost testing programs childcare costs associated different strategies screening policies estimate cost per sarscov2 infection averted students staff surveillance probability correctly falsely triggering outbreak response different incidence attack rates accounting programmatic childcare costs test stay policies achieve similar modelprojected transmission quarantine policies reduced overall costs weekly universal screening prevents approximately 50 inschool transmission lower projected societal cost hybrid remote schooling cost per infection averted students staff weekly screening lower older students schools higher mitigation declines community transmission rises settings local student incidence unknown rapidly changing surveillance may trigger detection moderatetolarge inschool outbreaks fewer resources compared screening test stay policies andor screening tests facilitate consistent inperson school attendance low transmission risk across range community incidence surveillance may useful reducedcost option detecting outbreaks identifying school environments may benefit increased mitigation