Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study

Background In January 2021, the Public Health Agency of Canada launched the Canadian COVID-19 Outbreak Surveillance System to monitor outbreaks by setting. Schools and childcare centres were identified as settings of interest, as children play a key role in the transmission chain of other respirator...

Full description

Saved in:
Bibliographic Details
Main Authors: Kaitlin Patterson, Erin McGill, Demy Dam, Anna Bellos, Cameron Mark Coulby, Rachel McCormick
Format: Article
Language:English
Published: BMJ Publishing Group 2024-05-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/2/1/e000248.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832583378565595136
author Kaitlin Patterson
Erin McGill
Demy Dam
Anna Bellos
Cameron Mark Coulby
Rachel McCormick
author_facet Kaitlin Patterson
Erin McGill
Demy Dam
Anna Bellos
Cameron Mark Coulby
Rachel McCormick
author_sort Kaitlin Patterson
collection DOAJ
description Background In January 2021, the Public Health Agency of Canada launched the Canadian COVID-19 Outbreak Surveillance System to monitor outbreaks by setting. Schools and childcare centres were identified as settings of interest, as children play a key role in the transmission chain of other respiratory illnesses. This paper describes outbreak trends observed in school and childcare settings from January to December 2021 when many public health measures were in place.Methods School and childcare outbreak data from five jurisdictions were included, representing 76% of the total Canadian population. Epidemiological curves were generated, trends in outbreak settings and cases’ age distribution over time were examined and descriptive statistics on outbreak size were calculated.Results In 2021, most school and childcare outbreaks were in primary schools (42%). Severity was low in school and childcare settings (0.40% of outbreak cases hospitalised, <0.01% of outbreak cases deceased). Most school and childcare outbreaks reported fewer than 10 cases per outbreak. During the start of the 2021–2022 school year (September 2021), there were fewer outbreaks in secondary schools and fewer cases among those aged 12+ years compared with January–June of 2021.Conclusion During the study period, there was no observed association between an increase in school and childcare outbreaks and an increase in incidence rates in community case data. Children remain a population of interest for SARS-CoV-2; however, severity in paediatric populations remained low throughout 2021 and the risk of transmission in Canadian schools was low.
format Article
id doaj-art-d3fea9fe6e584eb99c80b08b8ca1b281
institution Kabale University
issn 2753-4294
language English
publishDate 2024-05-01
publisher BMJ Publishing Group
record_format Article
series BMJ Public Health
spelling doaj-art-d3fea9fe6e584eb99c80b08b8ca1b2812025-01-28T16:45:08ZengBMJ Publishing GroupBMJ Public Health2753-42942024-05-012110.1136/bmjph-2023-000248Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance studyKaitlin Patterson0Erin McGill1Demy Dam2Anna Bellos3Cameron Mark Coulby4Rachel McCormick5Centre for Emerging and Respiratory Infections and Pandemic Preparedness, Public Health Agency of Canada, Ottawa, Ontario, CanadaCentre for Emerging and Respiratory Infections and Pandemic Preparedness, Public Health Agency of Canada, Ottawa, Ontario, CanadaCentre for Emerging and Respiratory Infections and Pandemic Preparedness, Public Health Agency of Canada, Ottawa, Ontario, CanadaCentre for Emerging and Respiratory Infections and Pandemic Preparedness, Public Health Agency of Canada, Ottawa, Ontario, CanadaCentre for Emerging and Respiratory Infections and Pandemic Preparedness, Public Health Agency of Canada, Ottawa, Ontario, CanadaCentre for Emerging and Respiratory Infections and Pandemic Preparedness, Public Health Agency of Canada, Ottawa, Ontario, CanadaBackground In January 2021, the Public Health Agency of Canada launched the Canadian COVID-19 Outbreak Surveillance System to monitor outbreaks by setting. Schools and childcare centres were identified as settings of interest, as children play a key role in the transmission chain of other respiratory illnesses. This paper describes outbreak trends observed in school and childcare settings from January to December 2021 when many public health measures were in place.Methods School and childcare outbreak data from five jurisdictions were included, representing 76% of the total Canadian population. Epidemiological curves were generated, trends in outbreak settings and cases’ age distribution over time were examined and descriptive statistics on outbreak size were calculated.Results In 2021, most school and childcare outbreaks were in primary schools (42%). Severity was low in school and childcare settings (0.40% of outbreak cases hospitalised, <0.01% of outbreak cases deceased). Most school and childcare outbreaks reported fewer than 10 cases per outbreak. During the start of the 2021–2022 school year (September 2021), there were fewer outbreaks in secondary schools and fewer cases among those aged 12+ years compared with January–June of 2021.Conclusion During the study period, there was no observed association between an increase in school and childcare outbreaks and an increase in incidence rates in community case data. Children remain a population of interest for SARS-CoV-2; however, severity in paediatric populations remained low throughout 2021 and the risk of transmission in Canadian schools was low.https://bmjpublichealth.bmj.com/content/2/1/e000248.full
spellingShingle Kaitlin Patterson
Erin McGill
Demy Dam
Anna Bellos
Cameron Mark Coulby
Rachel McCormick
Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study
BMJ Public Health
title Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study
title_full Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study
title_fullStr Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study
title_full_unstemmed Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study
title_short Characterising COVID-19 school and childcare outbreaks in Canada in 2021: a surveillance study
title_sort characterising covid 19 school and childcare outbreaks in canada in 2021 a surveillance study
url https://bmjpublichealth.bmj.com/content/2/1/e000248.full
work_keys_str_mv AT kaitlinpatterson characterisingcovid19schoolandchildcareoutbreaksincanadain2021asurveillancestudy
AT erinmcgill characterisingcovid19schoolandchildcareoutbreaksincanadain2021asurveillancestudy
AT demydam characterisingcovid19schoolandchildcareoutbreaksincanadain2021asurveillancestudy
AT annabellos characterisingcovid19schoolandchildcareoutbreaksincanadain2021asurveillancestudy
AT cameronmarkcoulby characterisingcovid19schoolandchildcareoutbreaksincanadain2021asurveillancestudy
AT rachelmccormick characterisingcovid19schoolandchildcareoutbreaksincanadain2021asurveillancestudy