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1.
Arch Public Health ; 81(1): 178, 2023 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-37789384

RESUMO

BACKGROUND: We present a dashboard for the evaluation of the impact of school closures on children and parents during the first wave of the COVID pandemic in 2020 on the various components of wellbeing. METHODS: Starting from an explorative literature search by a team of experts from diverse fields (e.g., epidemiology, virology, psychology, education, sociology), we developed a dashboard that allows for the quick evaluation of the general effect of school closures on various indicators of well-being in different groups and for the quality of the available research, at a time where a crisis is ongoing. RESULTS: It is concluded that there is evidence that the school closures reduced the transmission of COVID in the first wave in springtime 2020. Nevertheless, a multitude of studies show that the school closures also had a negative impact on different components of wellbeing such as academic achievement, time spent on learning and mental health. Furthermore, the school closures affected not only the children and adolescents, but also the parents that were forced to provide more childcare and help with schoolwork. Longitudinal studies on large representative samples with repeated assessments of wellbeing are necessary to understand the long-term effects of the school closures. CONCLUSIONS: The dashboard provides a first visual overview of the effects of school closures on wellbeing, and can serve as the basis for a future more systematic review and meta-analysis of the effects of school closures on wellbeing. It can be considered as a paradigm for rapid obtention of scientific evidence, during a quickly unfolding crisis, also in view of underpinning policy advice.

2.
Artigo em Inglês | MEDLINE | ID: mdl-36011602

RESUMO

Belgium is a geographically small country bordered by The Netherlands, France, Germany, and Luxembourg, with intense transborder mobility, defined as mobility in the border regions with neighboring countries. It is therefore of interest to examine how the 14-day COVID-19 confirmed case incidence in the border regions is influenced by that of the adjacent regions in the neighboring countries and thus, whether and how it differs from that in the adjacent non-border regions within Belgium. To this end, the 14-day COVID-19 confirmed case incidence is studied at the level of Belgian provinces, well-defined border areas within Belgium, and adjacent regions in the neighboring countries. Auxiliary information encompasses work-related border traffic, travel rates, the proportion of people with a different nationality, the stringency index of the non-pharmaceutical interventions, and the degree of urbanization at the level of the municipality. Especially in transnational urbanized areas such as between the Belgian and Dutch provinces of Limburg and between the Belgian province of Antwerp and the Dutch province of North Brabant, the impact on incidence is visible, at least at some points in time, especially when the national incidences differ between neighboring countries. In contrast, the intra-Belgian language border regions show very little transborder impact on the incidence curves, except around the Brussels capital region, leading to various periods where the incidences are very different in the Dutch-speaking north and the French-speaking south of Belgium. Our findings suggest that while travel restrictions may be needed at some points during a pandemic, a more fine-grained approach than merely closing national borders may be considered. At the same time, in border regions with considerable transborder mobility, it is recommended to coordinate the non-pharmaceutical interventions between the authorities of the various countries overlapping with the border region. While this seems logical, there are clear counterexamples, e.g., where non-essential shops, restaurants, and bars are closed in one country but not in the neighboring country.


Assuntos
COVID-19 , Bélgica/epidemiologia , COVID-19/epidemiologia , Alemanha , Humanos , Incidência , Países Baixos/epidemiologia
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