SARS-CoV-2 control on a large urban college campus without mass testing.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of American College Health Pub Date : 2024-11-01 Epub Date: 2023-01-03 DOI:10.1080/07448481.2022.2153600

Christopher O'Donnell, Katherine Brownlee, Elise Martin, Joe Suyama, Steve Albert, Steven Anderson, Sai Bhatte, Kenyon Bonner, Chad Burton, Micaela Corn, Heather Eng, Bethany Flage, Jay Frerotte, Goundappa K Balasubramani, Catherine Haggerty, Joel Haight, Lee H Harrison, Amy Hartman, Thomas Hitter, Wendy C King, Kate Ledger, Jane W Marsh, Margaret C McDonald, Bethany Miga, Kimberly Moses, Anne Newman, Meg Ringler, Mark Roberts, Theresa Sax, Anantha Shekhar, Matthew Sterne, Tyler Tenney, Marian Vanek, Alan Wells, Sally Wenzel, John Williams

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Abstract

Objective: A small percentage of universities and colleges conducted mass SARS-CoV-2 testing. However, universal testing is resource-intensive, strains national testing capacity, and false negative tests can encourage unsafe behaviors.

Participants: A large urban university campus.

Methods: Virus control centered on three pillars: mitigation, containment, and communication, with testing of symptomatic and a random subset of asymptomatic students.

Results: Random surveillance testing demonstrated a prevalence among asymptomatic students of 0.4% throughout the term. There were two surges in cases that were contained by enhanced mitigation and communication combined with targeted testing. Cumulative cases totaled 445 for the term, most resulting from unsafe undergraduate student behavior and among students living off-campus. A case rate of 232/10,000 undergraduates equaled or surpassed several peer institutions that conducted mass testing.

Conclusions: An emphasis on behavioral mitigation and communication can control virus transmission on a large urban campus combined with a limited and targeted testing strategy.

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在没有进行大规模检测的情况下，在一个大型城市大学校园里控制 SARS-CoV-2

目标一小部分大学和学院进行了大规模的 SARS-CoV-2 检测。然而，普遍检测需要大量资源，国家检测能力有限，而且假阴性检测会鼓励不安全行为：方法病毒控制以三大支柱为中心：缓解、遏制和沟通，对有症状的学生和随机抽取的无症状学生进行检测：随机监测测试显示，整个学期无症状学生的感染率为 0.4%。通过加强缓解和沟通，并结合有针对性的检测，病例数出现了两次激增。本学期累计病例总数为 445 例，大部分病例是由于本科生的不安全行为和住在校外的学生造成的。每千名本科生 232 例的案例发生率等于或超过了几所进行大规模测试的同行院校：结论：在大型城市校园中，强调行为缓解和沟通，并结合有限的、有针对性的检测策略，可以控制病毒传播。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of American College Health Multiple-

CiteScore

5.40

自引率

12.50%

发文量

388

期刊介绍： Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.