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School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method

Schools have been central in the debate about COVID-19. On the one hand, many have argued that they should be kept open, given their importance to youngsters and the future of the country, and the effort many countries have made in establishing protocols to keep them safe. On the other hand, it has...

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Autores principales: Alfano, Vincenzo, Ercolano, Salvatore, Cicatiello, Lorenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443404/
https://www.ncbi.nlm.nih.gov/pubmed/34247845
http://dx.doi.org/10.1016/j.healthpol.2021.06.010
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author Alfano, Vincenzo
Ercolano, Salvatore
Cicatiello, Lorenzo
author_facet Alfano, Vincenzo
Ercolano, Salvatore
Cicatiello, Lorenzo
author_sort Alfano, Vincenzo
collection PubMed
description Schools have been central in the debate about COVID-19. On the one hand, many have argued that they should be kept open, given their importance to youngsters and the future of the country, and the effort many countries have made in establishing protocols to keep them safe. On the other hand, it has been argued that open schools further the spread of the virus, given that these are places with large-scale interaction between teenagers and adults accompanying their children, as well as a major source of congestion on public transportation. We aim to identify the effect of school openings on the spread of COVID-19 contagion. Italy offers an interesting quasi-experimental setting in this regard due to the scattered openings that schools have experienced. By means of a quantitative analysis, employing a synthetic control method approach, we find that Bolzano, the first province in Italy to open schools after the summer break, had far more cases than its synthetic counterfactual, built from a donor pool formed from the other Italian provinces. Results confirm the hypothesis that despite the precautions, opening schools causes an increase in the infection rate, and this must be taken into account by policymakers.
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spelling pubmed-84434042021-09-16 School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method Alfano, Vincenzo Ercolano, Salvatore Cicatiello, Lorenzo Health Policy Article Schools have been central in the debate about COVID-19. On the one hand, many have argued that they should be kept open, given their importance to youngsters and the future of the country, and the effort many countries have made in establishing protocols to keep them safe. On the other hand, it has been argued that open schools further the spread of the virus, given that these are places with large-scale interaction between teenagers and adults accompanying their children, as well as a major source of congestion on public transportation. We aim to identify the effect of school openings on the spread of COVID-19 contagion. Italy offers an interesting quasi-experimental setting in this regard due to the scattered openings that schools have experienced. By means of a quantitative analysis, employing a synthetic control method approach, we find that Bolzano, the first province in Italy to open schools after the summer break, had far more cases than its synthetic counterfactual, built from a donor pool formed from the other Italian provinces. Results confirm the hypothesis that despite the precautions, opening schools causes an increase in the infection rate, and this must be taken into account by policymakers. Elsevier B.V. 2021-09 2021-07-02 /pmc/articles/PMC8443404/ /pubmed/34247845 http://dx.doi.org/10.1016/j.healthpol.2021.06.010 Text en © 2021 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Alfano, Vincenzo
Ercolano, Salvatore
Cicatiello, Lorenzo
School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method
title School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method
title_full School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method
title_fullStr School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method
title_full_unstemmed School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method
title_short School openings and the COVID-19 outbreak in Italy. A provincial-level analysis using the synthetic control method
title_sort school openings and the covid-19 outbreak in italy. a provincial-level analysis using the synthetic control method
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443404/
https://www.ncbi.nlm.nih.gov/pubmed/34247845
http://dx.doi.org/10.1016/j.healthpol.2021.06.010
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