Point 3: schools are hard to study because we closed them quick, and at a point when we didn’t really have good testing. So what did happen is hard enough. What *would* have happened is even harder 4/n
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(btw pls note that statements that “there was an introduction to the school without transmission!” are not so helpful. The overdispersion means we expect that a lot of people won’t transmit. We need better population data not anecdotes) 5/n
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So this is what I think. Consistent data from household studies suggest that younger kids are less likely to get infected, and that if they do they are less likely to transmit. But that’s not enough… the contacts kids make in schools are different 6/n
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This is where this study comes in – it is mostly a comparison of Finland and Sweden. Two countries with very different approaches to the pandemic. Both shut down High Schools and colleges. But Sweden kept schools for younger kids open. https://www.folkhalsomyndigheten.se/contentassets/c1b78bffbfde4a7899eb0d8ffdb57b09/covid-19-school-aged-children.pdf … 7/n
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I’m not so interested in the data about the younger kids in this; as the report says they are probably massively underestimating infection in children given the fact that testing was diverted to severe cases elsewhere in older cohorts. As like - everywhere? So ignore that 8/n
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However that can’t explain the fact that people working with those younger kids were no more likely to be infected than people in the general community. I should point out that for Sweden, this has been a pretty high risk in the community - the per capita mortality is high 9/n
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It should be noted that Sweden has had a rather high force of infection in the community, and a resulting high per capita mortality rate. This just suggests that this was not *specifically* driven by schools for younger kids. Which should be comforting-ish 10/n
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Replying to @BillHanage
Do we have any data on the impact on teachers in Sweden?
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Replying to @DrPieterPeach @BillHanage
Yes, per the report, they had the same risk as the average of other professions.
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Replying to @MartinKulldorff @BillHanage
Are you confident in Sweden’s testing and data collection for schools? Did they have a comprehensive testing program then?
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It was not a specific school survey, but a general comparative evaluation of all profession, using population registry data. Not all countries can do such a study, but Scandinavia has some of the best epidemiological data in the world.
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Replying to @MartinKulldorff @BillHanage
Did Sweden have an active test trace and isolate strategy?
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In the beginning S did. Had to abandon due to testing shortage. Tests used for hospital triage...last 4 weeks tests have increased and test/trace is done where attack rate is so low it is feasible.
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