Evidence map›Paper›PMID 40667431›Full record

ArticleIndoor environments2025

School-informed risk calculator tool for reducing the spread of respiratory viral infection among school-aged children.

Amanda M Wilson, Ashley A Lowe, Nana Adwoa A Amoh-Asante, Yang Zhan, Ahamed Ashraf, Lynn B Gerald

Abstract read
In one paragraph

Article in Indoor environments, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Amanda M WilsonDepartment of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.ORCID 0000-0003-3259-8169
Ashley A LoweNursing & Health Sciences Division, College of Nursing, University of Arizona, Tucson, USA.
Nana Adwoa A Amoh-AsanteDepartment of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Yang ZhanDepartment of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Ahamed AshrafDepartment of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Lynn B GeraldOffice of Population Health Sciences, Office of the Vice Chancellor for Health Affairs, University of Illinois Chicago, Chicago, IL, USA.

Funding

SOUTHWEST ENVIRONMENTAL HEALTH SCIENCES CENTERP30ES006694 · NIEHS · UNIVERSITY OF ARIZONA · PI DEAN BILLHEIMER · 1994 to 2026
$36.7M
Work-related Asthma Risks for Nursing Staff Conducting Cleaning and Disinfection: Translation of Risk-risk Tradeoff MethodologyK01HL168014 · NHLBI · UNIVERSITY OF ARIZONA · PI Amanda Marie Wilson · 2024 to 2026
$435k
NHLBI NIH HHS K01 HL168014NIEHS NIH HHS P30 ES006694
6 · The paper itself

Abstract

School health staff need decision support for responding to respiratory viral outbreaks. Quantitative microbial risk assessment (QMRA) tools are an inexpensive and fast resource. Our objectives were to engage school districts to inform the development of a risk-based calculator tool, test the tool across hypothetical cases, and elicit feedback among school health staff. We administered an online survey for Kindergarten (K) - Grade 5 teachers, school health professionals, and other school staff to gather data about respiratory viral disease interventions and model parameters. A risk calculator tool was developed in which users choose hypothetical scenarios to estimate infection risk per individual and compare interventions. Three case studies (CS) were explored: CS1 - Rhinovirus transmission in a general education classroom with "poor" vs. "great" air quality, CS2 - Influenza A virus transmission in a music classroom with vs. without a portable air purifier, CS3 - SARS-CoV-2 transmission in a special education classroom with vs. without open doors/windows. The prototype tool was presented at a national school nursing meeting, and attendees were surveyed on (dis)likes and anticipated tool uses. For the initial survey of Arizona school personnel (n = 132), the top respiratory viral outbreak strategies reported by teachers were hand (94 %) and surface hygiene (85.1 %). For all case studies, infection risks were above thresholds used in other contexts but were comparable to published student respiratory illness incidence data. At the national meeting, school nurses (n = 12) identified potential uses including advocating for interventions to administrators. This work reflects a unique application of community partnership and QMRA to address school health decision support.

Indexed as

AsthmaQMRARisk managementSchool healthSchool nurse

Identifiers

PMID40667431
PMCPMC12263118

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.