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A Tale of Many Cities: A Contemporary Historical Study of the Implementation of School Closures during the 2009 pA(H1N1) Influenza Pandemic.
J Health Polit Policy Law. 2016 Jun; 41(3):393-421.JH

Abstract

Applying qualitative historical methods, we examined the consideration and implementation of school closures as a nonpharmaceutical intervention (NPI) in thirty US cities during the spring 2009 wave of the pA(H1N1) influenza pandemic. We gathered and performed close textual readings of official federal, state, and municipal government documents; media coverage; and academic publications. Lastly, we conducted oral history interviews with public health and education officials in our selected cities. We found that several local health departments pursued school closure plans independent of CDC guidance, that uncertainty of action and the rapidly evolving understanding of pA(H1N1) contributed to tension and pushback from the public, that the media and public perception played a significant role in the response to school closure decisions, and that there were some notable instances of interdepartmental communication breakdown. We conclude that health departments should continue to develop and fine-tune their action plans while also working to develop better communication methods with the public, and work more closely with education officials to better understand the complexities involved in closing schools. Lastly, state and local governments should work to resolve lingering issues of legal authority for school closures in times of public health crises.

Authors+Show Affiliations

University of Michigan.No affiliation info availableUnited States Centers for Disease Control and Prevention.University of Michigan.

Pub Type(s)

Historical Article
Journal Article

Language

eng

PubMed ID

26921384

Citation

Navarro, J Alexander, et al. "A Tale of Many Cities: a Contemporary Historical Study of the Implementation of School Closures During the 2009 pA(H1N1) Influenza Pandemic." Journal of Health Politics, Policy and Law, vol. 41, no. 3, 2016, pp. 393-421.
Navarro JA, Kohl KS, Cetron MS, et al. A Tale of Many Cities: A Contemporary Historical Study of the Implementation of School Closures during the 2009 pA(H1N1) Influenza Pandemic. J Health Polit Policy Law. 2016;41(3):393-421.
Navarro, J. A., Kohl, K. S., Cetron, M. S., & Markel, H. (2016). A Tale of Many Cities: A Contemporary Historical Study of the Implementation of School Closures during the 2009 pA(H1N1) Influenza Pandemic. Journal of Health Politics, Policy and Law, 41(3), 393-421. https://doi.org/10.1215/03616878-3523958
Navarro JA, et al. A Tale of Many Cities: a Contemporary Historical Study of the Implementation of School Closures During the 2009 pA(H1N1) Influenza Pandemic. J Health Polit Policy Law. 2016;41(3):393-421. PubMed PMID: 26921384.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Tale of Many Cities: A Contemporary Historical Study of the Implementation of School Closures during the 2009 pA(H1N1) Influenza Pandemic. AU - Navarro,J Alexander, AU - Kohl,Katrin S, AU - Cetron,Martin S, AU - Markel,Howard, Y1 - 2016/02/26/ PY - 2016/2/28/entrez PY - 2016/2/28/pubmed PY - 2017/11/29/medline KW - nonpharmaceutical intervention KW - pA(H1N1) influenza KW - pandemic preparedness KW - school closure SP - 393 EP - 421 JF - Journal of health politics, policy and law JO - J Health Polit Policy Law VL - 41 IS - 3 N2 - Applying qualitative historical methods, we examined the consideration and implementation of school closures as a nonpharmaceutical intervention (NPI) in thirty US cities during the spring 2009 wave of the pA(H1N1) influenza pandemic. We gathered and performed close textual readings of official federal, state, and municipal government documents; media coverage; and academic publications. Lastly, we conducted oral history interviews with public health and education officials in our selected cities. We found that several local health departments pursued school closure plans independent of CDC guidance, that uncertainty of action and the rapidly evolving understanding of pA(H1N1) contributed to tension and pushback from the public, that the media and public perception played a significant role in the response to school closure decisions, and that there were some notable instances of interdepartmental communication breakdown. We conclude that health departments should continue to develop and fine-tune their action plans while also working to develop better communication methods with the public, and work more closely with education officials to better understand the complexities involved in closing schools. Lastly, state and local governments should work to resolve lingering issues of legal authority for school closures in times of public health crises. SN - 1527-1927 UR - https://www.unboundmedicine.com/medline/citation/26921384/A_Tale_of_Many_Cities:_A_Contemporary_Historical_Study_of_the_Implementation_of_School_Closures_during_the_2009_pA_H1N1__Influenza_Pandemic_ L2 - https://read.dukeupress.edu/jhppl/article-lookup/doi/10.1215/03616878-3523958 DB - PRIME DP - Unbound Medicine ER -