Sharon Brownie, Ema Tokolahi, Patrick Broman, Marrin Haggie, Patrea Andersen
Do Regulatory and Curriculum Requirements for Interprofessional Practice Align?
Journal of multidisciplinary healthcare
addition illness covid19 pandemic led historic educational disruptions march 2021 federal government allocated 10 billion covid19 testing us schools costs benefits covid19 testing strategies evaluated context fulltime inperson kindergarten eighth grade k8 education different community incidence levels updated version previously published agentbased network model used simulate transmission elementary middle school communities united states assuming dominance delta sarscov2 variant model simulated elementary school 638 students grades k5 60 staff middle school 460 students grades 68 51 staff multiple strategies testing students facultystaff including expanded diagnostic testing test stay designed avoid symptombased isolation contact quarantine screening routinely testing asymptomatic individuals identify infections contain transmission surveillance testing random sample students identify undetected transmission trigger additional investigation interventions projections included 30day cumulative incidence sarscov2 infection proportion cases detected proportion planned unplanned days school cost testing programs childcare costs associated different strategies screening policies cost per sarscov2 infection averted students staff estimated surveillance probability correctly falsely triggering outbreak response estimated different incidence attack rates compared quarantine policies testtostay policies associated similar modelprojected transmission mean less 025 student days per month quarantine isolation weekly universal screening associated approximately 50 less inschool transmission oneseventh onehalf societal cost hybrid remote schooling cost per infection averted students staff weekly screening lowest schools less vaccination fewer mitigation measures higher levels community transmission settings local student incidence unknown rapidly changing surveillance testing may detect moderate large inschool outbreaks fewer resources compared schoolwide screening modeling study simulated population primary school students simulated transmission covid19 testtostay policies andor screening tests facilitated consistent inperson school attendance low transmission risk across range community incidence surveillance useful reducedcost option detecting outbreaks identifying school environments would benefit increased mitigation