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 : 001B41Use 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 AverhoffSource :
- Journal of school health [ 0022-4391 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Santé publique, Milieu scolaire, Homme.
English descriptors
- KwdEn :
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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<term>Prevention</term>
<term>Public health</term>
<term>Regulation(control)</term>
<term>School environment</term>
<term>Surveillance</term>
<term>Transmission</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Utilisation</term>
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<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>
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<front><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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, 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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