Background Following the full re-opening of schools in England and emergence of the SARS-CoV-2 Alpha variant, we investigated the risk of SARS-CoV-2 infection in students and staff who were contacts of a confirmed case in a school bubble (school groupings with limited interactions), along with their household members. Methods Primary and secondary school bubbles were recruited into sKIDsBUBBLE after being sent home to self-isolate following a confirmed case of COVID-19 in the bubble. Bubble participants and their household members were sent home-testing kits comprising nasal swabs for RT-PCR testing and whole genome sequencing, and oral fluid swabs for SARS-CoV-2 antibodies. Results During November-December 2020, 14 bubbles were recruited from 7 schools, including 269 bubble contacts (248 students, 21 staff) and 823 household contacts (524 adults, 299 children). The secondary attack rate was 10.0% (6/60) in primary and 3.9% (4/102) in secondary school students, compared to 6.3% (1/16) and 0% (0/1) among staff, respectively. The incidence rate for household contacts of primary school students was 6.6% (12/183) and 3.7% (1/27) for household contacts of primary school staff. In secondary schools, this was 3.5% (11/317) and 0% (0/1), respectively. Household contacts were more likely to test positive if their bubble contact tested positive although there were new infections among household contacts of uninfected bubble contacts. Interpretation Compared to other institutional settings, the overall risk of secondary infection in school bubbles and their household contacts was low. Our findings are important for developing evidence-based infection prevention guidelines for educational settings.
【초록키워드】 COVID-19, SARS-COV-2 infection, children, primary school, Sequencing, Infection, risk, secondary attack rate, Adults, Schools, Whole genome sequencing, SARS-CoV-2 antibodies, Secondary infection, household, attack rate, Infection prevention, incidence rate, Alpha, School, Swab, Alpha variant, household contact, nasal swab, England, interactions, household contacts, opening, Contact, new infections, secondary school, secondary schools, RT-PCR testing, participant, positive, nasal swabs, whole genome, self-isolate, uninfected, Result, tested, recruited, investigated, the SARS-CoV-2, 【제목키워드】 Surveillance, National, secondary,