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Estimating the impact of reopening schools on the reproduction number of SARS-CoV-2 in England, using weekly contact survey data

Estimating the impact of reopening schools on the reproduction number of SARS-CoV-2 in England, using weekly contact survey data
Estimating the impact of reopening schools on the reproduction number of SARS-CoV-2 in England, using weekly contact survey data
Background: schools were closed in England on 4 January 2021 as part of increased national restrictions to curb transmission of SARS-CoV-2. The UK government reopened schools on 8 March. Although there was evidence of lower individual-level transmission risk amongst children compared to adults, the combined effects of this with increased contact rates in school settings and the resulting impact on the overall transmission rate in the population were not clear.

Methods: we measured social contacts of > 5000 participants weekly from March 2020, including periods when schools were both open and closed, amongst other restrictions. We combined these data with estimates of the susceptibility and infectiousness of children compared with adults to estimate the impact of reopening schools on the reproduction number.

Results: our analysis indicates that reopening all schools under the same measures as previous periods that combined lockdown with face-to-face schooling would be likely to increase the reproduction number substantially. Assuming a baseline of 0.8, we estimated a likely increase to between 1.0 and 1.5 with the reopening of all schools or to between 0.9 and 1.2 reopening primary or secondary schools alone.

Conclusion: our results suggest that reopening schools would likely halt the fall in cases observed between January and March 2021 and would risk a return to rising infections, but these estimates relied heavily on the latest estimates or reproduction number and the validity of the susceptibility and infectiousness profiles we used at the time of reopening.
1741-7015
Munday, James D.
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Edmunds, W. John
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CMMID COVID-19 Working Group
Munday, James D.
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Jarvis, Christopher I.
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Gimma, Amy
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Liu, Yang
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Hellewell, Joel
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Villabona-Arenas, C. Julian
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Procter, Simon R.
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Waites, William
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Clifford, Samuel
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Munday, James D., Jarvis, Christopher I., Gimma, Amy, Wong, Kerry L.M., van Zandvoort, Kevin, Funk, Sebastian and Edmunds, W. John , CMMID COVID-19 Working Group (2021) Estimating the impact of reopening schools on the reproduction number of SARS-CoV-2 in England, using weekly contact survey data. BMC Medicine, 19, [233]. (doi:10.1186/s12916-021-02107-0).

Record type: Article

Abstract

Background: schools were closed in England on 4 January 2021 as part of increased national restrictions to curb transmission of SARS-CoV-2. The UK government reopened schools on 8 March. Although there was evidence of lower individual-level transmission risk amongst children compared to adults, the combined effects of this with increased contact rates in school settings and the resulting impact on the overall transmission rate in the population were not clear.

Methods: we measured social contacts of > 5000 participants weekly from March 2020, including periods when schools were both open and closed, amongst other restrictions. We combined these data with estimates of the susceptibility and infectiousness of children compared with adults to estimate the impact of reopening schools on the reproduction number.

Results: our analysis indicates that reopening all schools under the same measures as previous periods that combined lockdown with face-to-face schooling would be likely to increase the reproduction number substantially. Assuming a baseline of 0.8, we estimated a likely increase to between 1.0 and 1.5 with the reopening of all schools or to between 0.9 and 1.2 reopening primary or secondary schools alone.

Conclusion: our results suggest that reopening schools would likely halt the fall in cases observed between January and March 2021 and would risk a return to rising infections, but these estimates relied heavily on the latest estimates or reproduction number and the validity of the susceptibility and infectiousness profiles we used at the time of reopening.

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Accepted/In Press date: 26 August 2021
Published date: 10 September 2021

Identifiers

Local EPrints ID: 500287
URI: http://eprints.soton.ac.uk/id/eprint/500287
ISSN: 1741-7015
PURE UUID: e6b11c74-d231-49b3-93e4-950f3c614564
ORCID for William Waites: ORCID iD orcid.org/0000-0002-7759-6805

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Date deposited: 23 Apr 2025 16:55
Last modified: 22 Aug 2025 02:43

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Contributors

Author: James D. Munday
Author: Christopher I. Jarvis
Author: Amy Gimma
Author: Kerry L.M. Wong
Author: Kevin van Zandvoort
Author: Yang Liu
Author: Joel Hellewell
Author: Nicholas G. Davies
Author: C. Julian Villabona-Arenas
Author: Rosalind M. Eggo
Author: Akira Endo
Author: Nikos I. Bosse
Author: Hamish P. Gibbs
Author: Carl A.B. Pearson
Author: Fiona Yueqian Sun
Author: Mark Jit
Author: Kathleen O’Reilly
Author: Yalda Jafari
Author: Katherine E. Atkins
Author: Naomi R. Waterlow
Author: Alicia Rosello
Author: Yung Wai Desmond Chan
Author: Anna M. Foss
Author: Billy J. Quilty
Author: Timothy W. Russell
Author: Stefan Flasche
Author: Simon R. Procter
Author: William Waites ORCID iD
Author: Rosanna C. Barnard
Author: Adam J. Kucharski
Author: Thibaut Jombart
Author: Graham Medley
Author: Rachel Lowe
Author: Fabienne Krauer
Author: Damien C. Tully
Author: Kiesha Prem
Author: Jiayao Lei
Author: Oliver Brady
Author: Frank G. Sandmann
Author: Sophie R. Meakin
Author: Kaja Abbas
Author: Gwenan M. Knight
Author: Matthew Quaife
Author: Mihaly Koltai
Author: Sam Abbott
Author: Samuel Clifford
Author: Sebastian Funk
Author: W. John Edmunds
Corporate Author: CMMID COVID-19 Working Group

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