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COVID-19 and School Closures

Educational Objective
To understand how the short and long terms risks involved when discussing the continued closure or reopening schools
1 Credit CME

To mitigate the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the cause of coronavirus disease 2019 (COVID-19), US states enacted a suite of nonpharmaceutical interventions. School closures were among the most consistently applied of these interventions. Over a 10-day period in March, all 50 US states closed kindergarten-grade 12 schools and childcare centers; nearly all colleges and universities followed suit. These closures were unprecedented in scope, affecting 21 million children in childcare, 57 million students in kindergarten-grade 12, and 20 million college and university students.

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Article Information

Corresponding Author: Julie M. Donohue, PhD, Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto St, Crabtree Hall A635, Pittsburgh, PA 15261 (jdonohue@pitt.edu).

Published Online: July 29, 2020. doi:10.1001/jama.2020.13092

Conflict of Interest Disclosures: None reported.

References
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UNESCO. COVID-19 impact on education. Accessed July 13, 2020. https://en.unesco.org/covid19/educationresponse
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Cauchemez  S , Ferguson  NM , Wachtel  C ,  et al.  Closure of schools during an influenza pandemic.   Lancet Infect Dis. 2009;9(8):473-481. doi:10.1016/S1473-3099(09)70176-8PubMedGoogle ScholarCrossref
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Viner  RM , Russell  SJ , Croker  H ,  et al.  School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review.   Lancet Child Adolesc Health. 2020;4(5):397-404. doi:10.1016/S2352-4642(20)30095-XPubMedGoogle ScholarCrossref
4.
Auger  KA , Shah  SS , Richardson  T ,  et al.  Association between statewide school closure and COVID-19 incidence and mortality in the US.   JAMA. Published online July 29, 2020. doi:10.1001/jama.2020.14348Google Scholar
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National Academies of Sciences, Engineering, and Medicine.  Reopening K-12 Schools During the COVID-19 Pandemic: Prioritizing Health, Equity, and Communities. National Academies Press; 2020.
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Psacharopoulous  G , Patrinos  H , Collis  V , Vegas  E . The COVID-19 cost of school closures. Accessed July 22, 2020. https://www.brookings.edu/blog/education-plus-development/2020/04/29/the-covid-19-cost-of-school-closures/
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Esposito  S , Principi  N .  School closure during the coronavirus disease 2019 (COVID-19) pandemic: an effective intervention at the global level ?  JAMA Pediatr. Published online May 13, 2020. doi:10.1001/jamapediatrics.2020.1892Google Scholar
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AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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