RT Journal Article
SR Electronic
T1 Unravelling the role of the mandatory use of face covering masks for the control of SARS-CoV-2 in schools: a quasi-experimental study nested in a population-based cohort in Catalonia (Spain)
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 131
OP 136
DO 10.1136/archdischild-2022-324172
VO 108
IS 2
A1 Ermengol Coma
A1 Martí Català
A1 Leonardo Méndez-Boo
A1 Sergio Alonso
A1 Eduardo Hermosilla
A1 Enric Alvarez-Lacalle
A1 David Pino
A1 Manuel Medina
A1 Laia Asso
A1 Anna Gatell
A1 Quique Bassat
A1 Ariadna Mas
A1 Antoni Soriano-Arandes
A1 Francesc Fina Avilés
A1 Clara Prats
YR 2023
UL http://adc.bmj.com/content/108/2/131.abstract
AB Objective To assess the effectiveness of mandatory use of face covering masks (FCMs) in schools during the first term of the 2021–2022 academic year.Design A retrospective population-based study.Setting Schools in Catalonia (Spain).Population 599 314 children aged 3–11 years attending preschool (3–5 years, without FCM mandate) and primary education (6–11 years, with FCM mandate).Study period From 13 September to 22 December 2021 (before Omicron variant).Interventions A quasi-experimental comparison between children in the last grade of preschool (5 years old), as a control group, and children in year 1 of primary education (6 years old), as an interventional group.Main outcome measures Incidence of SARS-CoV-2, secondary attack rates (SARs) and effective reproductive number (R*).Results SARS-CoV-2 incidence was significantly lower in preschool than in primary education, and an increasing trend with age was observed. Six-year-old children showed higher incidence than 5 year olds (3.54% vs 3.1%; OR 1.15 (95% CI 1.08 to 1.22)) and slightly lower but not statistically significant SAR (4.36% vs 4.59%; incidence risk ratio 0.96 (95% CI 0.82 to 1.11)) and R* (0.9 vs 0.93; OR 0.96 (95% CI 0.87 to 1.09)). Results remained consistent using a regression discontinuity design and linear regression extrapolation approaches.Conclusions We found no significant differences in SARS-CoV-2 transmission due to FCM mandates in Catalonian schools. Instead, age was the most important factor in explaining the transmission risk for children attending school.Data are available upon reasonable request.