ArticlePediatrics2022
Masking Adherence in K-12 Schools and SARS-CoV-2 Secondary Transmission.
Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence of Face Masks and Masking Policies for the Prevention of SARS-CoV-2 Transmission and COVID-19 in Real-World Settings: A Systematic Literature Review.International journal of environmental research and public health · 2025Pooled it
- Impact of in-school antigen testing on the prevalence of asymptomatic SARS-CoV-2 carriers during the COVID-19 pandemic era.Frontiers in public health · 2026Article
- School masking and COVID-19 community transmission: a synthetic control study.Health affairs scholar · 2025Article
- Observed Mask Use in Kindergarten Through Grade 12 Schools in Georgia-Fall, 2021.The Journal of school health · 2023Article
- Lessons Learned From the COVID-19 Pandemic in K-12 Education.Pediatrics · 2023Article
- SARS-CoV-2 Screening Testing Programs for Safe In-person Learning in K-12 Schools.Journal of the Pediatric Infectious Diseases Society · 2023Article
- Observational
- Increased transmissibility of SARS-CoV-2 alpha variant (B.1.1.7) in children: three large primary school outbreaks revealed by whole genome sequencing in the Netherlands.BMC infectious diseases · 2022Article
- School Masking Policies and Secondary SARS-CoV-2 Transmission.Pediatrics · 2022Article
- School-Academic Partnerships in Support of Safe Return to Schools During the COVID-19 Pandemic.Pediatrics · 2022Article
- Modeling the Impact of Nonpharmaceutical Interventions on COVID-19 Transmission in K-12 Schools.MDM policy & practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
Abstract
objectivesMasking is an essential coronavirus 2019 mitigation tool assisting in the safe return of kindergarten through 12th grade children and staff to in-person instruction; however, masking adherence, compliance evaluation methods, and potential consequences of surveillance are currently unknown. We describe 2 school districts' approaches to promote in-school masking and the consequent impact on severe acute respiratory syndrome coronavirus 2 secondary transmission.
methodsTwo North Carolina school districts developed surveillance programs with daily versus weekly interventions to monitor in-school masking adherence. Safety teams recorded the proportion of students and staff appropriately wearing masks and provided real-time education after observation of improper masking. Primary infections, within-school transmission, and county-level severe acute respiratory syndrome coronavirus 2 infection rates were assessed.
resultsProper mask use was high in both intervention groups and districts. There were variations by grade level, with lower rates in elementary schools, and proper adherence being higher in the weekly surveillance group. Rates of secondary transmission were low in both districts with surveillance programs, regardless of intervention frequency.
conclusionsMasking surveillance interventions are effective at ensuring appropriate masking at all school levels. Creating a culture of safety within schools led by local leadership is important and a feasible opportunity for school districts with return to in-person school. In our study of schools with high masking adherence, secondary transmission was low.
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