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A Test-to-Stay Modified Quarantine Program for COVID-19 in Schools.

Elissa M Schechter-Perkins1, Shira Doron2, Russell Johnston3

  • 1Department of Emergency Medicine, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts.

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|February 8, 2022
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Summary

Massachusetts's test-to-stay program allowed students exposed to COVID-19 to continue in-person learning. This strategy saved hundreds of thousands of school days without increasing in-school transmission.

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Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • Educational Policy

Background:

  • Mandatory quarantine for coronavirus disease 2019 (COVID-19) exposure significantly disrupts student education.
  • A need exists for strategies to maintain in-person learning while mitigating COVID-19 spread in schools.

Purpose of the Study:

  • To evaluate the effectiveness of a state-wide test-to-stay (TTS) program in Massachusetts.
  • To determine if TTS could reduce lost school days without increasing in-school COVID-19 transmission.

Main Methods:

  • Implementation of an opt-in TTS program in Massachusetts for the 2020-2021 academic year.
  • Daily rapid antigen testing for students exposed to COVID-19 in school.
  • Monitoring participation, test results, and saved in-person learning days over 13 weeks.

Main Results:

  • Over 100,000 students participated in the TTS program across nearly 2,000 schools.
  • A total of 328,271 tests were performed, identifying 2,943 positive cases (2.9% positivity rate).
  • The program saved between 325,328 and 497,150 days of in-person schooling.

Conclusions:

  • Daily, rapid on-site antigen testing is a safe and feasible alternative to quarantine.
  • The test-to-stay program effectively maximized safe in-person learning time during the pandemic.
  • TTS programs can be a valuable tool for educational continuity during public health crises.