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. 2021 Mar 15;56(6):1342–1356. doi: 10.1002/ppul.25344

Table 2.

SARS‐CoV‐2 secondary transmission in the school setting

Study School types SARS‐CoV‐2 index cases (age) Contacts tested n (%) Secondary infections SAR
Yoon et al. 39 (South Korea) 5 kindergartens 5 students 670 0 0
15 elementary schools 19 students 2453 1 0.04%
8 middle schools 8 students 1962 0 0
12 high schools 13 students 4747 0 0
Yung et al. 45 (Singapore) Preschool A 1 student (5) 34 0 0
Preschool B 1 adult staff 77 (73) 16 staff 0 students 0
Secondary school 1 student (12) 8 0 0
Danis et al. 46 (French Alps) 3 schools

1 student (9) (visited all 3 schools while symptomatic)

55 (64) 0 0
Heavey et al. 41 (Rep. of Ireland) 1 primary school 2 seconday schoolsa 3 children 3 adult staff b 1 (staff to staff) 0
Macartney et al. 42 (Australia) 10 ECECsc15 schools 12 students 15 adult staff 633 (44) 8 staff 10 students 1.2%
Ehrhardt et al. 44 (Germany)

childcare facilities primary schools secondary schools vocational schools

137 students (only 6 cases led to secondary infection)

>2300

11 students (an additional 4 students were infected from 2 staff members)

Stein‐Zamir et al. 47 (Israel) 1 high school (grades 7–12) 2 students 1161 (99) students 151 (99) staff

153 students

25 staff

Students: 13.2%

Staff: 16.6%

Abbreviations: ECEC, early childhood education and care centers; SAR, secondary attack rate; SARS‐CoV‐2, severe acute respiratory syndrome coronavirus 2.

a

Author did not specify the type of schools at which the adult staff members worked. Also, no clarification was made about whether more than one of the six cases was present in a single school.

b

1025 contacts were monitored, symptomatic individuals were referred for testing, but exact numbers are unknown ± ECEC: early childhood education and care centers. Account for daycare, preschool and after‐school care programs.

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