EPIDEMIOLOGY OF INFLUENZA AND ABSENTEEISM IN AN ELEMENTARY SCHOOL SETTING

小学环境中的流感流行病学和缺勤情况

• 批准号: 7686093
• 负责人: Mandy Atlee Allison
• 金额: $ 15万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2010-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7686093
• 关键词: EPIDEMIOLOGY; INFLUENZA; ABSENTEEISM; ELEMENTARY; SETTING; EPIDEMIOLOGY; INFLUENZA; ABSENTEEISM; ELEMENTARY; SETTING

DESCRIPTION (provided by applicant): School-age children play a critical role in influenza transmission within communities. Therefore, schools are critical to strategies for influenza control. School absenteeism data is widely used by public health officials as an indicator of influenza activity in communities; however, the true relationship between influenza and school absenteeism is not clear. The goal of this proposal is to determine whether elementary school absenteeism is a marker for influenza activity in the school and whether elementary schools are sentinels for influenza activity in the community. My specific aims are to: 1) determine whether elementary school absenteeism rates during the winter respiratory illness season vary by school characteristics including urban or rural, economic status, and school policies of hand hygiene and exclusion of ill students, 2) determine whether elementary school absenteeism precedes other markers of influenza in the community by relating absenteeism data to: a) viral epidemiology data collected by a large regional health care delivery organization, Intermountain Healthcare (IH), and b) influenza-like illness and influenza-associated hospitalization data collected by the Utah Department of Health, and 3) determine whether school absenteeism reflects influenza virus activity in the school by determining the proportion of symptomatic children attending an elementary school who are shedding influenza virus versus other viruses and relating this data to the school's absenteeism rates. This knowledge will improve the value of school absenteeism data when used either for influenza surveillance or as an outcome measure of the effect of influenza prevention programs. The data obtained from the proposed studies will be vital for preparing evidence-based policies for schools and will be the basis for further interventional research regarding influenza mitigation in schools. In addition to my research aim, my specific career development aims include 1) expand my existing skills in study design, analysis, and interpretation of results, 2) develop epidemiologic skills including biologic sampling of closed populations and infectious disease epidemiology, 3) learn about theories of health care behavior and their application in a research setting, 4) develop mediation skills to enable me to foster collaboration between groups, 5) work with educators to build teaching tools that allow teachers to incorporate public health messages into their curricula, 6) develop research management skills to lead projects in the future, 7) develop leadership skills through leadership training. My overarching career goal is to improve the health of disadvantaged children and their communities by understanding and applying basic science to implement and evaluate effective interventions in a school setting. The research and career development aims of this proposal will prepare me to be an independent investigator able to lead both locally and nationally in pandemic planning to ensure safe schools and healthy communities.

描述（由申请人提供）：学龄儿童在社区内的流感传播中起着至关重要的作用。因此，学校对于流感控制的策略至关重要。公共卫生官员广泛使用学校旷工数据作为社区流感活动的指标；但是，流感与学校缺勤之间的真实关系尚不清楚。该提案的目的是确定小学缺勤是否是学校流感活动的标志，以及小学是否是社区流感活动的前哨。 My specific aims are to: 1) determine whether elementary school absenteeism rates during the winter respiratory illness season vary by school characteristics including urban or rural, economic status, and school policies of hand hygiene and exclusion of ill students, 2) determine whether elementary school absenteeism precedes other markers of influenza in the community by relating absenteeism data to: a) viral epidemiology data collected by a large regional health care delivery organization, Intermountain Healthcare (IH), and b) influenza-like illness and influenza-associated hospitalization data collected by the Utah Department of Health, and 3) determine whether school absenteeism reflects influenza virus activity in the school by determining the proportion of symptomatic children attending an elementary school who are shedding influenza virus versus other viruses and relating this data to the school's absenteeism rates.当用于流感监测或作为预防流感计划影响的结果度量时，这些知识将提高学校缺勤数据的价值。从拟议的研究中获得的数据对于准备学校的基于证据的政策至关重要，并且将成为有关学校减轻流感的进一步介入研究的基础。除了我的研究目标外，我的特定职业发展目标包括1）扩大我在研究设计，分析和结果解释方面的现有技能，2）发展流行病学技能，包括对封闭群体的生物学样本和传染病流行病学的生物学样本，3）学习，3）了解医疗保健行为的理论及其在研究中的应用程序，以促进教学工具，以促进教育的工具，以促进教育的工作，5）促进工作，5）促进工作，5）在5）中建立了教育，5）促进工作，5）促进工作，5）促进教育的工作。健康信息到他们的课程中，6）发展研究管理技能以在未来领导项目，7）通过领导培训发展领导能力。我的总体职业目标是通过理解和应用基础科学在学校环境中实施和评估有效的干预措施来改善弱势儿童及其社区的健康。该提案的研究和职业发展目标将使我成为一名独立研究者，能够在大流行计划中领导，以确保安全的学校和健康社区。