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Review

COVID-19 and School: To Open or Not to Open, That Is the Question. The First Review on Current Knowledge

Neonatal Intensive Care Unit, Department of Surgical Sciences, AOU and University of Cagliari, SS 554 km 4,500, 09042 Monserrato, Italy
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Author to whom correspondence should be addressed.
Academic Editor: Maurizio Aricò
Received: 22 April 2021 / Revised: 17 May 2021 / Accepted: 19 May 2021 / Published: 1 June 2021
(This article belongs to the Special Issue COVID-19: What Happens in Pediatric Research in the Era of Pandemic)
The COVID-19 pandemic has led to an unprecedented closure of schools in terms of duration. The option of school closure, SARS-CoV-2 initially being poorly known, was influenced by the epidemiological aspects of the influenza virus. However, school closure is still under debate and seems unsupported by sure evidence of efficacy in the COVID-19 era. The aim of our narrative review is to discuss the available literature on SARS-CoV-2 spread among children and adolescents, in the school setting, trying to explain why children appear less susceptible to severe disease and less involved in viral spreading. We also tried to define the efficacy of school closure, through an overview of the effects of the choices made by the various countries, trying to identify which preventive measures could be effective for a safe reopening. Finally, we focused on the psychological aspects of such a prolonged closure for children and adolescents. SARS-CoV-2, children, COVID-19, influenza, and school were used as key words in our literature research, updated to 29 March 2021. To our knowledge, this is the first review summarizing the whole current knowledge on SARS-CoV-2 spreading among children and adolescents in the school setting, providing a worldwide overview in such a pandemic context. View Full-Text
Keywords: SARS-CoV-2; COVID-19; children; adolescents; secondary transmission; molecular swab; non-therapeutic intervention; influenza virus; variants; recommendations; psychological aspects SARS-CoV-2; COVID-19; children; adolescents; secondary transmission; molecular swab; non-therapeutic intervention; influenza virus; variants; recommendations; psychological aspects
MDPI and ACS Style

Busa, F.; Bardanzellu, F.; Pintus, M.C.; Fanos, V.; Marcialis, M.A. COVID-19 and School: To Open or Not to Open, That Is the Question. The First Review on Current Knowledge. Pediatr. Rep. 2021, 13, 257-278. https://0-doi-org.brum.beds.ac.uk/10.3390/pediatric13020035

AMA Style

Busa F, Bardanzellu F, Pintus MC, Fanos V, Marcialis MA. COVID-19 and School: To Open or Not to Open, That Is the Question. The First Review on Current Knowledge. Pediatric Reports. 2021; 13(2):257-278. https://0-doi-org.brum.beds.ac.uk/10.3390/pediatric13020035

Chicago/Turabian Style

Busa, Francesco, Flaminia Bardanzellu, Maria C. Pintus, Vassilios Fanos, and Maria A. Marcialis 2021. "COVID-19 and School: To Open or Not to Open, That Is the Question. The First Review on Current Knowledge" Pediatric Reports 13, no. 2: 257-278. https://0-doi-org.brum.beds.ac.uk/10.3390/pediatric13020035

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