Evidence map›Paper›PMID 34247845›Full record

ArticleHealth policy (Amsterdam, Netherlands)2021

School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method.

Vincenzo Alfano, Salvatore Ercolano, Lorenzo Cicatiello

Abstract read
In one paragraph

Article in Health policy (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Age-specific COVID-19 case dynamics during school closure periods: Evidence from 12 european countries.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  14. Work ethics, stay-at-home measures and COVID-19 diffusion : How is the pandemic affected by the way people perceive work?The European journal of health economics : HEPAC : health economics in prevention and care · 2022
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  15. Schools under mandatory testing can mitigate the spread of SARS-CoV-2.Proceedings of the National Academy of Sciences of the United States of America · 2022
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  16. Article
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  18. The Effects of School Closures on COVID-19: A Cross-Country Panel Analysis.Applied health economics and health policy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Vincenzo AlfanoDepartment of Structures for Engineering and Architecture, University of Naples Federico II, Via Mezzocannone, 4, 80138 Napoli, Italy; Center for Economic Studies - CESifo, Italy. Electronic address: vincenzo.alfano@unina.it.
Salvatore ErcolanoDepartment of Mathematics, Information Sciences and Economics, University of Basilicata, Italy; National University Centre for Applied Economic Studies - CMET 05, Italy. Electronic address: salvatore.ercolano@unibas.it.
Lorenzo CicatielloDepartment of Human and Social Science, University of Napoli L'Orientale, Italy. Electronic address: lcicatiello@unior.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schools have been central in the debate about COVID-19. On the one hand, many have argued that they should be kept open, given their importance to youngsters and the future of the country, and the effort many countries have made in establishing protocols to keep them safe. On the other hand, it has been argued that open schools further the spread of the virus, given that these are places with large-scale interaction between teenagers and adults accompanying their children, as well as a major source of congestion on public transportation. We aim to identify the effect of school openings on the spread of COVID-19 contagion. Italy offers an interesting quasi-experimental setting in this regard due to the scattered openings that schools have experienced. By means of a quantitative analysis, employing a synthetic control method approach, we find that Bolzano, the first province in Italy to open schools after the summer break, had far more cases than its synthetic counterfactual, built from a donor pool formed from the other Italian provinces. Results confirm the hypothesis that despite the precautions, opening schools causes an increase in the infection rate, and this must be taken into account by policymakers.

Indexed as

COVID-19AdolescentAdultChildDisease OutbreaksHumansItalySARS-CoV-2SchoolsCoronavirusCOVID-19ItalySchool openingsSynthetic control method

Identifiers

PMID34247845
PMCPMC8443404

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.