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Association Between K–12 School Mask Policies and School-Associated COVID-19 Outbreaks — Maricopa and Pima Counties, Arizona, July–August 2021

Megan Jehn, J. Mac McCullough, Ariella P. Dale, Matthew Gue, Brian Eller, Theresa Cullen, Sarah Scott

2021MMWR Morbidity and Mortality Weekly Report81 citationsDOIOpen Access PDF

Abstract

CDC recommends universal indoor masking by students, staff members, faculty, and visitors in kindergarten through grade 12 (K-12) schools, regardless of vaccination status, to reduce transmission of SARS-CoV-2, the virus that causes COVID-19 (1). Schools in Maricopa and Pima Counties, which account for >75% of Arizona's population (2), resumed in-person learning for the 2021-22 academic year during late July through early August 2021. In mid-July, county-wide 7-day case rates were 161 and 105 per 100,000 persons in Maricopa and Pima Counties, respectively, and 47.6% of Maricopa County residents and 59.2% of Pima County residents had received at least 1 dose of a COVID-19 vaccine. School districts in both counties implemented variable mask policies at the start of the 2021-22 academic year (Table). The association between school mask policies and school-associated COVID-19 outbreaks in K-12 public noncharter schools open for in-person learning in Maricopa and Pima Counties during July 15-August 31, 2021, was evaluated.

Topics & Concepts

Coronavirus disease 2019 (COVID-19)MedicineOutbreak2019-20 coronavirus outbreakDemographyPublic healthSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Environmental healthPopulationSchool districtVirologyDiseaseMathematics educationInfectious disease (medical specialty)PsychologyNursingPathologySociologyInfection Control and VentilationSARS-CoV-2 and COVID-19 ResearchCOVID-19 epidemiological studies