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research article

Evolving Infectious Disease Dynamics Shape School-based Intervention Effectiveness

Perez-Saez, Javier
•
Bellon, Mathilde
•
Lessler, Justin
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July 17, 2025
Nature Communications

School-based interventions during epidemics are often controversial, as experienced during the COVID-19 pandemic, where reducing transmission had to be weighed against the adverse effects on young children. However, it remains unclear how the broader epidemiologic context influences the effectiveness of these interventions and when they should be implemented. Through integrated modeling of epidemiological and genetic data from a longitudinal school-based surveillance study of SARS-CoV-2 in 2021-2022 (N children = 336, N adults = 51) and scenario simulations, we show how transmission dynamics in schools changed markedly due to strong increases in community-acquired infections in successive periods of viral variants, ultimately undermining the potential impact of school-based interventions in reducing infection rates in the school-aged population. With pandemic preparedness in mind, this study advocates for a dynamic perspective on the role and importance of schools in infectious disease control, one that adapts to the evolving epidemiological landscape shaped by pathogen characteristics and evolution, shifting public health policies, and changes in human behavior.

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Type
research article
DOI
10.1038/s41467-025-61925-5
Web of Science ID

WOS:001531633000002

PubMed ID

40676002

Author(s)
Perez-Saez, Javier

Johns Hopkins University

Bellon, Mathilde

University of Geneva

Lessler, Justin

University of North Carolina

Berthelot, Julie

Swiss School of Public Health (SSPH+)

Hodcroft, Emma B.

University of Bern

Michielin, Gregoire  

École Polytechnique Fédérale de Lausanne

Pennacchio, Francesco

Swiss School of Public Health (SSPH+)

Lamour, Julien

Swiss School of Public Health (SSPH+)

Laubscher, Florian

University of Geneva

L'Huillier, Arnaud G.

University of Geneva

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Corporate authors
SEROCoV Sch Study Grp
Date Issued

2025-07-17

Publisher

NATURE PORTFOLIO

Published in
Nature Communications
Volume

16

Issue

1

Article Number

6597

Subjects

TRANSMISSION

•

OUTBREAK

•

COVID-19

•

CLOSURE

•

VARIANT

•

Science & Technology

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LBNC  
FunderFunding(s)Grant NumberGrant URL

Swiss National Science Foundation (SNSF)

Swiss Federal Office of Public Health, the Private Foundation of the Geneva University Hospitals

Fondation des Grangettes

78 Covid-19;198412

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Available on Infoscience
July 29, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/252724
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