Lisa Schmitz, Christian S Betz, Arne Böttcher, Sophia M Häußler, Mark Praetorius
[How much digitization do ENT curricula need? : Opportunities and limits from the perspective of students and teachers]
HNO
recent surges covid19 incidence vaccine authorization children aged 5 11 years elementary schools face decisions requirements masking mitigation measures decisions require explicit determination community objectives eg acceptable risk level inschool sarscov2 transmission quantitative estimates consequences changing mitigation measures estimate association adding removing inschool mitigation measures eg masks covid19 outcomes within elementary school community varying student vaccination local incidence rates decision analytic model used agentbased model simulate sarscov2 transmission within school community simulated population students teachers staff household members ie immediate school community transmission evaluated range observed local covid19 incidence 050 cases per 100 000 residents per day assuming 33 infections detected population used model reflected mean size us elementary school including 638 students 60 educators staff members 6 grades 5 classes per grade variant infectiousness representing wildtype virus alpha variant delta variant mitigation effectiveness 0100 reduction inschool secondary attack rate representing increasingly intensive combinations mitigations including masking ventilation student vaccination levels varied main outcomes 1 probability least 1 inschool transmission per month 2 mean increase total infections per month among immediate school community associated reduction mitigation multiple decision thresholds estimated objectives associated outcome sensitivity analyses adult vaccination uptake vaccination effectiveness testing approaches selected scenarios conducted student vaccination coverage 70 less moderate assumptions mitigation effectiveness eg masking mitigation could reduced local case incidence 14 fewer cases per 100 000 residents per day keep mean additional cases associated reducing mitigation 5 fewer cases per month keep probability inschool transmission less 50 per month local case incidence would 4 fewer cases per 100 000 residents per day study inschool mitigation measures eg masks student vaccinations associated substantial reductions transmissions infections level reduction varied across local incidence findings underscore potential role responsive plans deploy mitigation strategies based local covid19 incidence vaccine uptake explicit consideration community objectives