Effects of School Closures, 2008 Winter Influenza Season, Hong Kong
2008

Effects of School Closures on Influenza in Hong Kong

publication Evidence: moderate

Author Information

Author(s): Cowling Benjamin J., Lau Eric H.Y., Lam Conrad L.H., Cheng Calvin K.Y., Kovar Jana, Chan Kwok Hung, Peiris J.S. Malik, Leung Gabriel M.

Primary Institution: University of Hong Kong

Hypothesis

Did school closures significantly affect community transmission of influenza during the 2008 winter season in Hong Kong?

Conclusion

The study found no substantial effect of school closures on community transmission of influenza.

Supporting Evidence

  • Surveillance data showed a decline in influenza cases before the school closures.
  • Laboratory data indicated that influenza circulation was already low by the time schools reopened.
  • Absenteeism rates in schools rose before the closures and returned to low levels afterward.

Takeaway

Closing schools for two weeks during the flu season didn't really help stop the spread of the flu in Hong Kong.

Methodology

The study reviewed prospective influenza surveillance data before, during, and after the school closures.

Potential Biases

Sentinel data may not reflect the true incidence of influenza due to other circulating viruses.

Limitations

The study was an uncontrolled natural experiment, and the data may not accurately represent the incidence of influenza.

Participant Demographics

The study focused on children and adults in Hong Kong.

Digital Object Identifier (DOI)

10.3201/eid1410.080646

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