ArticleBMJ open2017
Effects of school breaks on influenza-like illness incidence in a temperate Chinese region: an ecological study from 2008 to 2015.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Spatio-temporal evolution patterns of influenza incidence and its nonlinear spatial correlation with environmental pollutants in China.BMC public health · 2023Article
- Combinational Recommendation of Vaccinations, Mask-Wearing, and Home-Quarantine to Control Influenza in Megacities: An Agent-Based Modeling Study With Large-Scale Trajectory Data.Frontiers in public health · 2022Article
- Association Between Statewide School Closure and COVID-19 Incidence and Mortality in the US.JAMA · 2020Observational
- Exposure to air pollution and scarlet fever resurgence in China: a six-year surveillance study.Nature communications · 2020Article
- The delayed effect of wildfire season particulate matter on subsequent influenza season in a mountain west region of the USA.Environment international · 2020Article
- Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-Social Distancing Measures.Emerging infectious diseases · 2020Article
- Article
- Incorporating calendar effects to predict influenza seasonality in Milwaukee, Wisconsin.Epidemiology and infection · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effects of winter/summer school breaks on occurrences of influenza-like illness (ILI).
methodsWe jointly analysed ILI surveillance data with the timing of school breaks in a temperate district in Beijing, China from 2008 to 2015. ILI incidence rate ratios (IRRs) of schoolchildren (5-14 and 15-24 years of age) to adults (25-59 and >60 years of age) were used to measure the age shift of ILI incidence before, during and after the 4-week winter/7-week summer breaks. Serfling-based Poisson regression model with adjustment for unmeasured confounders was built to further assess the effect of winter school breaks.
resultsILI incidences were consistently lower during winter breaks than before winter breaks for all age groups. IRRs of younger schoolchildren aged 5-14 to adults were higher during winter school breaks than before breaks, while the opposite was true for the IRRs of older schoolchildren aged 15-24 to adults. Schoolchildren-to-adults IRRs during summer breaks were significantly lower than before or after school breaks (p<0.001).
conclusionsBoth winter and summer breaks were associated with reductions of ILI incidences among schoolchildren and adults. Our study contributes additional evidence on the effects of school breaks on ILI incidence, suggesting school closure could be effective in controlling influenza transmission in developing countries.
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