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• W2133999377 abstract "SUMMARY Proposed measures to contain pandemic influenza include school closure, although the effectiveness of this has not been investigated. We examined the effect of a nationwide elementary school strike in Israel in 2000 on the incidence of influenza-like illness. In this historical observational study of 1·7 million members of a preferred provider organization, we analysed diagnoses from primary-care visits during the winter months in 1998–2002. We calculated the weekly ratio of influenza-like diagnoses to non-respiratory diagnoses, and fitted regression models for school-aged children, children's household members, and all other individuals aged >12 years. For each population the steepest drop in the ratio of influenza-like diagnoses to non-respiratory diagnoses occurred in the strike year 2 weeks after the start of the strike. The changes in the weekly ratio of influenza-like diagnoses to non-respiratory diagnoses were statistically significant ( P =0·0074) for school children for the strike year compared to other years. A smaller decrease was also seen for the adults with no school-aged children in 1999 ( P =0·037). The Chanukah holiday had a negative impact on the ratio for school-aged children in 1998, 1999 and 2001 ( P =0·008, 0·006 and 0·045, respectively) and was statistically significant for both adult groups in 1999 and for adults with no school-aged children in 2001. School closure should be considered part of the containment strategy in an influenza pandemic." @default.
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• W2133999377 date "2009-04-07" @default.
• W2133999377 modified "2023-09-25" @default.
• W2133999377 title "School closure may be effective in reducing transmission of respiratory viruses in the community" @default.
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• W2133999377 doi "https://doi.org/10.1017/s0950268809002556" @default.
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