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Use of Nonpharmaceutical Interventions to Reduce Transmission of 2009 Pandemic Influenza A (pH1N1) in Pennsylvania Public Schools

Identifieur interne : 001B40 ( PascalFrancis/Curation ); précédent : 001B39; suivant : 001B41

Use of Nonpharmaceutical Interventions to Reduce Transmission of 2009 Pandemic Influenza A (pH1N1) in Pennsylvania Public Schools

Auteurs : Jeffrey R. Miller [États-Unis] ; Vanessa L. Short [États-Unis] ; Henry M. Wu ; Kirsten Waller ; Paul Mead ; Emily Kahn ; Beth A. Bahn ; Jon W. Dale ; Muazzam Nasrullah ; Sabrina E. Walton ; Veronica Urdaneta ; Stephen Ostroff ; Francisco Averhoff

Source :

RBID : Pascal:13-0187085

Descripteurs français

English descriptors

Abstract

BACKGROUND: School-based recommendations for nonpharmaceutical interventions (NPIs) were issued in response to the threat of 2009 pandemic influenza A (pHiNi). The implementation and effectiveness of these recommendations has not been assessed. METHODS: In November 2009, a Web-based survey of all Pennsylvania public schools was conducted to assess the use of recommended NPIs. RESULTS: Overall, 1040 (31%) of 3351 schools participated in the survey. By fall 2009, 820 (84%) of 979 respondents reported that their school had an influenza plan in place, a 44% higher proportion than in the spring 2009 (p < .01). Most schools communicated health messages (eg, staying home when sick), implemented return to school requirements, and made hand sanitizer available. Schools with a spring influenza plan (N = 568) were less likely to report substantial influenza-like illness (ILI) during the fall wave of influenza than the 299 schools without a spring influenza plan (63% vs 71%, p=.02). This association persisted after controlling for schools with substantial ILI in the spring. CONCLUSION: The reported use of NPIs in participating Pennsylvania public schools improved substantially from spring to fall and was generally consistent with issued recommendations. The proactive implementation of a number of NPIs and the early implementation of communication and education initiatives might have cumulatively reduced the impact of pH1N1 in some schools.
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A11 03  1    @1 WU (Henry M.)
A11 04  1    @1 WALLER (Kirsten)
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A11 06  1    @1 KAHN (Emily)
A11 07  1    @1 BAHN (Beth A.)
A11 08  1    @1 DALE (Jon W.)
A11 09  1    @1 NASRULLAH (Muazzam)
A11 10  1    @1 WALTON (Sabrina E.)
A11 11  1    @1 URDANETA (Veronica)
A11 12  1    @1 OSTROFF (Stephen)
A11 13  1    @1 AVERHOFF (Francisco)
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C01 01    ENG  @0 BACKGROUND: School-based recommendations for nonpharmaceutical interventions (NPIs) were issued in response to the threat of 2009 pandemic influenza A (pHiNi). The implementation and effectiveness of these recommendations has not been assessed. METHODS: In November 2009, a Web-based survey of all Pennsylvania public schools was conducted to assess the use of recommended NPIs. RESULTS: Overall, 1040 (31%) of 3351 schools participated in the survey. By fall 2009, 820 (84%) of 979 respondents reported that their school had an influenza plan in place, a 44% higher proportion than in the spring 2009 (p < .01). Most schools communicated health messages (eg, staying home when sick), implemented return to school requirements, and made hand sanitizer available. Schools with a spring influenza plan (N = 568) were less likely to report substantial influenza-like illness (ILI) during the fall wave of influenza than the 299 schools without a spring influenza plan (63% vs 71%, p=.02). This association persisted after controlling for schools with substantial ILI in the spring. CONCLUSION: The reported use of NPIs in participating Pennsylvania public schools improved substantially from spring to fall and was generally consistent with issued recommendations. The proactive implementation of a number of NPIs and the early implementation of communication and education initiatives might have cumulatively reduced the impact of pH1N1 in some schools.
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Pascal:13-0187085

Le document en format XML

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<name sortKey="Nasrullah, Muazzam" sort="Nasrullah, Muazzam" uniqKey="Nasrullah M" first="Muazzam" last="Nasrullah">Muazzam Nasrullah</name>
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<name sortKey="Walton, Sabrina E" sort="Walton, Sabrina E" uniqKey="Walton S" first="Sabrina E." last="Walton">Sabrina E. Walton</name>
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<term>2009</term>
<term>Check</term>
<term>Human</term>
<term>Influenza A</term>
<term>Pennsylvania</term>
<term>Prevention</term>
<term>Public health</term>
<term>Regulation(control)</term>
<term>School environment</term>
<term>Surveillance</term>
<term>Transmission</term>
<term>Use</term>
</keywords>
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<term>Utilisation</term>
<term>Transmission</term>
<term>2009</term>
<term>Santé publique</term>
<term>Grippe A</term>
<term>Pennsylvanie</term>
<term>Milieu scolaire</term>
<term>Homme</term>
<term>Prévention</term>
<term>Surveillance</term>
<term>Régulation</term>
<term>Contrôle</term>
<term>Pandémie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Santé publique</term>
<term>Milieu scolaire</term>
<term>Homme</term>
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<div type="abstract" xml:lang="en">BACKGROUND: School-based recommendations for nonpharmaceutical interventions (NPIs) were issued in response to the threat of 2009 pandemic influenza A (pHiNi). The implementation and effectiveness of these recommendations has not been assessed. METHODS: In November
<sub>2009</sub>
, a Web-based survey of all Pennsylvania public schools was conducted to assess the use of recommended NPIs. RESULTS: Overall,
<sub>1040</sub>
(
<sub>31</sub>
%) of
<sub>3351</sub>
schools participated in the survey. By fall
<sub>2009</sub>
, 8
<sub>20</sub>
(8
<sub>4</sub>
%) of
<sub>979</sub>
respondents reported that their school had an influenza plan in place, a
<sub>44</sub>
% higher proportion than in the spring
<sub>2009</sub>
(p < .
<sub>01</sub>
). Most schools communicated health messages (eg, staying home when sick), implemented return to school requirements, and made hand sanitizer available. Schools with a spring influenza plan (N =
<sub>5</sub>
68) were less likely to report substantial influenza-like illness (ILI) during the fall wave of influenza than the
<sub>299</sub>
schools without a spring influenza plan (6
<sub>3</sub>
% vs
<sub>71</sub>
%, p=.02
<sub>).</sub>
This association persisted after controlling for schools with substantial ILI in the spring. CONCLUSION: The reported use of NPIs in participating Pennsylvania public schools improved substantially from spring to fall and was generally consistent with issued recommendations. The proactive implementation of a number of NPIs and the early implementation of communication and education initiatives might have cumulatively reduced the impact of pH1N1 in some schools.</div>
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<s0>BACKGROUND: School-based recommendations for nonpharmaceutical interventions (NPIs) were issued in response to the threat of 2009 pandemic influenza A (pHiNi). The implementation and effectiveness of these recommendations has not been assessed. METHODS: In November
<sub>2009</sub>
, a Web-based survey of all Pennsylvania public schools was conducted to assess the use of recommended NPIs. RESULTS: Overall,
<sub>1040</sub>
(
<sub>31</sub>
%) of
<sub>3351</sub>
schools participated in the survey. By fall
<sub>2009</sub>
, 8
<sub>20</sub>
(8
<sub>4</sub>
%) of
<sub>979</sub>
respondents reported that their school had an influenza plan in place, a
<sub>44</sub>
% higher proportion than in the spring
<sub>2009</sub>
(p < .
<sub>01</sub>
). Most schools communicated health messages (eg, staying home when sick), implemented return to school requirements, and made hand sanitizer available. Schools with a spring influenza plan (N =
<sub>5</sub>
68) were less likely to report substantial influenza-like illness (ILI) during the fall wave of influenza than the
<sub>299</sub>
schools without a spring influenza plan (6
<sub>3</sub>
% vs
<sub>71</sub>
%, p=.02
<sub>).</sub>
This association persisted after controlling for schools with substantial ILI in the spring. CONCLUSION: The reported use of NPIs in participating Pennsylvania public schools improved substantially from spring to fall and was generally consistent with issued recommendations. The proactive implementation of a number of NPIs and the early implementation of communication and education initiatives might have cumulatively reduced the impact of pH1N1 in some schools.</s0>
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<s0>Transmission</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Transmisión</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>2009</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>2009</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>2009</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Santé publique</s0>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Public health</s0>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Salud pública</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Grippe A</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Influenza A</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Gripe A</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Pennsylvanie</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Pennsylvania</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Pensilvania</s0>
<s2>NG</s2>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Milieu scolaire</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>School environment</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Medio escolar</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Homme</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Human</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Prévention</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Prevention</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Prevención</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Surveillance</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Surveillance</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Vigilancia</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE">
<s0>Régulation</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG">
<s0>Regulation(control)</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA">
<s0>Regulación</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE">
<s0>Contrôle</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG">
<s0>Check</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA">
<s0>Control</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE">
<s0>Pandémie</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Etats-Unis</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>United States</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Estados Unidos</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Amérique du Nord</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>North America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>America del norte</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Amérique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>America</s0>
<s2>NG</s2>
</fC07>
<fN21>
<s1>168</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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