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Optimizing Masks and Random Screening Test Usage within K-12 Schools
Yiwei Zhang1, Maria E Mayorga2, Julie S Ivy3
1Operations Research Program, North Carolina State University, Raleigh, NC, USA.
MDM Policy & Practice
|January 22, 2025
Summary
Optimizing COVID-19 interventions in schools, this study found that random screening tests and masking can be used interchangeably to minimize infections. Rapid antigen tests proved as effective as PCR tests for school K-12 settings.
Area of Science:
- Epidemiology
- Public Health
- Infectious Disease Modeling
Background:
- COVID-19 significantly impacted global health systems and school operations.
- School closures raised concerns about children's physical and mental well-being.
- Previous research focused on intervention effectiveness, not optimization.
Purpose of the Study:
- To optimize random screening tests and masking requirements in K-12 schools.
- To identify efficient schedules for weekly screening tests and mask mandates.
- To minimize end-of-semester infections and resource utilization.
Main Methods:
- Simulated COVID-19 transmission within a school setting.
- Applied the nondominated sorting genetic algorithm II (NSGA-II) for multiobjective optimization.
- Compared the efficacy of polymerase chain reaction (PCR) and rapid antigen tests.
Main Results:
- Pareto solutions were identified for optimizing infections, test numbers, and masking duration.
- Screening tests and masks demonstrated substitutability in minimizing infections.
- Rapid antigen tests showed comparable effectiveness to PCR tests despite lower accuracy.
Conclusions:
- Provides policymakers with insights for K-12 school interventions.
- Offers a foundation for informed decisions on screening tests and masking policies.
- Highlights the trade-offs between testing and masking strategies.
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