The current issue of #schoolclosures is so complex I am loathed to add my opinion to the twitter soup
Massive uncertainties✅
High stakes✅
Huge health trade offs✅
Opposing opinions ✅
Easy answers 🚫
I'll just add a few simple thoughts
1/9
Firstly, don't be fooled by twitter
It has the most shouty and polarised opinions only, the moderates have been largely hounded out
Both public and scientific opinion is almost certainly much more nuanced and balanced than this platform would fool you into believing
2/9
Next, advocating for widespread closure is a legitimate opinion in the current environment
Massive, uncontrolled community transmission and looming hospital capacity issues, with high prevalence of infections among children (esp teens) are a bad mix
3/9
This data is difficult to interpret in a number of ways: 1. There is no denominator, either of institutions or populations 2. It counts the number of outbreaks, not cases 3. It doesn't tell you who had the infections
- 24,000 schools (9 million pupils) not inc. university
- 11,000 care homes (410,000 residents)
- 117 prisons (79,000 prisoners)
- 26,000 restaurants (many not/partially open)
It's time to clarify some things about children, schools and #COVID19 🧵
Summary: Young children seem significantly less susceptible, probably less likely to transmit. Less clear for teens. Schools mainly follow community trends, but secondary much higher risk than primary
1
The best way to determine susceptibility is through household contact tracing, as it controls for *exposure* - everyone gets more or less the same
There are many of these. Results vary, which we expect because infection is complicated
That's why we need to combine results
2
Here's 4 meta analyses; all find young children are much less susceptible than adults. Some that teens are too