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   <dc:title>Schools as a Framework for COVID-19 Epidemiological Surveillance of Children in Catalonia, Spain: A Population-Based Study</dc:title>
   <dc:creator>Soriano-Arandes, Antoni</dc:creator>
   <dc:creator>Pino, David</dc:creator>
   <dc:creator>Soler Palacín, Pere</dc:creator>
   <dc:creator>Perramon, Aida</dc:creator>
   <dc:creator>Català, Martí</dc:creator>
   <dc:creator>Lazcano, Uxue</dc:creator>
   <dc:creator>Antón Pagarolas, Andrés</dc:creator>
   <dc:creator>Andrés Vergés, Cristina</dc:creator>
   <dc:contributor>Institut Català de la Salut</dc:contributor>
   <dc:contributor>[Perramon A] Universitat Pompeu Fabra, Barcelona, Spain. [Soriano-Arandes A, Soler-Palacin P] Unitat de Malalties Infeccioses i Immunodeficiències Pediàtriques, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Pino D] Department of Physics, Universitat Politècnica de Catalunya (UPC•BarcelonaTech), Barcelona, Spain. [Lazcano U] Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona, Spain. [Andrés C, Antón A] Unitat de Virus Respiratoris, Servei de Microbiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Català M] Department of Physics, Universitat Politècnica de Catalunya (UPC•BarcelonaTech), Barcelona, Spain. Comparative Medicine and Bioimage Centre of Catalonia (CMCiB), Fundació Institut d’Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP), Badalona, Spain</dc:contributor>
   <dc:contributor>Vall d'Hebron Barcelona Hospital Campus</dc:contributor>
   <dc:subject>COVID-19 (Malaltia) - Epidemiologia - Catalunya</dc:subject>
   <dc:subject>Salut ambiental - Catalunya</dc:subject>
   <dc:subject>DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections</dc:subject>
   <dc:subject>Other subheadings::Other subheadings::Other subheadings::/epidemiology</dc:subject>
   <dc:subject>HEALTH CARE::Environment and Public Health::Public Health::Environment and Public Health::Public Health::Public Health Practice::Population Surveillance::Public Health Surveillance</dc:subject>
   <dc:subject>GEOGRAPHICALS::Geographic Locations::Europe::Spain</dc:subject>
   <dc:subject>ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus</dc:subject>
   <dc:subject>Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología</dc:subject>
   <dc:subject>ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::ambiente y salud pública::salud pública::práctica de la salud pública::vigilancia de la población::vigilancia en salud pública</dc:subject>
   <dc:subject>DENOMINACIONES GEOGRÁFICAS::localizaciones geográficas::Europa (continente)::España</dc:subject>
   <dc:description>COVID-19; Niño; Escuelas</dc:description>
   <dc:description>COVID-19; Nen; Escoles</dc:description>
   <dc:description>COVID-19; Child; Schools</dc:description>
   <dc:description>Objective: We describe and analyze the childhood (&lt;18 years) COVID-19 incidence in Catalonia, Spain, during the first 36 weeks of the 2020-2021 school-year and to compare it with the incidence in adults.&#xd;
Methods: Data on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) tests were obtained from the Catalan Agency for Quality and Health Assessment. Overall, 7,203,663 SARS-CoV-2 tests were performed, of which 491,819 were positive (6.8%). We collected epidemiological data including age-group incidence, diagnostic effort, and positivity rate per 100,000 population to analyze the relative results for these epidemiological characteristics.&#xd;
Results: Despite a great diagnostic effort among children, with a difference of 1,154 tests per 100,000 population in relation to adults, the relative incidence of SARS-CoV-2 for &lt;18 years was slightly lower than for the general population, and it increased with the age of the children. Additionally, positivity of SARS-CoV-2 in children (5.7%) was lower than in adults (7.2%), especially outside vacation periods, when children were attending school (4.9%).&#xd;
Conclusions: A great diagnostic effort, including mass screening and systematic whole-group contact tracing when a positive was detected in the class group, was associated with childhood SARS-CoV-2 incidence and lower positivity rate in the 2020-2021 school year. Schools have been a key tool in epidemiological surveillance rather than being drivers of SARS-CoV-2 incidence in Catalonia, Spain.</dc:description>
   <dc:description>This study was partially supported by the Direcció General de Recerca i Innovació en Salut (DGRIS), Catalan Health Ministry, Generalitat de Catalunya through Vall d'Hebron Research Institute (VHIR).</dc:description>
   <dc:date>2022-04-25T14:44:54Z</dc:date>
   <dc:date>2022-04-25T14:44:54Z</dc:date>
   <dc:date>2021-09</dc:date>
   <dc:type>info:eu-repo/semantics/article</dc:type>
   <dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
   <dc:identifier>Perramon A, Soriano-Arandes A, Pino D, Lazcano U, Andrés C, Català M, et al. Schools as a Framework for COVID-19 Epidemiological Surveillance of Children in Catalonia, Spain: A Population-Based Study. Front Pediatr. 2021 Sep;9:754744.</dc:identifier>
   <dc:identifier>2296-2360</dc:identifier>
   <dc:identifier>https://hdl.handle.net/11351/7404</dc:identifier>
   <dc:identifier>10.3389/fped.2021.754744</dc:identifier>
   <dc:identifier>34568244</dc:identifier>
   <dc:identifier>000698002300001</dc:identifier>
   <dc:identifier>http://hdl.handle.net/11351/7404</dc:identifier>
   <dc:language>eng</dc:language>
   <dc:relation>Frontiers in Pediatrics;9</dc:relation>
   <dc:relation>https://doi.org/10.3389/fped.2021.754744</dc:relation>
   <dc:rights>Attribution 4.0 International</dc:rights>
   <dc:rights>http://creativecommons.org/licenses/by/4.0/</dc:rights>
   <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
   <dc:format>application/pdf</dc:format>
   <dc:format>application/pdf</dc:format>
   <dc:format>image/jpeg</dc:format>
   <dc:format>image/jpeg</dc:format>
   <dc:format>image/jpeg</dc:format>
   <dc:publisher>Frontiers Media</dc:publisher>
   <dc:source>Scientia</dc:source>
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