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High school COVID-19 testing programs in Utah associated with 3.2% positivity and preserved activitiesCan COVID testing keep high school sports and classes running?

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Key Takeaway
Interpret high school COVID-19 testing program data cautiously due to observational design and lack of comparator.

This observational study evaluated two COVID-19 testing programs implemented in Utah high schools from November 30, 2020, to March 20, 2021. The study population included 59,552 high school students who were tested. No specific comparator or control group was reported for the analysis.

The main results showed that among the students tested, 1,886 had a positive result, representing a positivity rate of 3.2%. The programs were associated with the completion of approximately 95% of scheduled high school athletic events. An estimated 109,752 in-person instruction student-days were saved during the study period. No effect sizes, p-values, or confidence intervals were reported for these outcomes.

Safety and tolerability data, including adverse events and discontinuations, were not reported. Key limitations include the observational design, the absence of a reported comparator group, and the lack of primary outcome specification. The study did not report funding sources or conflicts of interest. The findings suggest a potential association between testing programs and maintaining school operations, but the observational nature precludes establishing causality.

Imagine trying to keep high school sports seasons alive and classrooms open during a pandemic. Schools in Utah tried something straightforward: they tested students for COVID-19. From late 2020 into early 2021, they tested nearly 60,000 high schoolers. About 3 out of every 100 students tested positive, which helped identify cases and likely prevented some spread. The big picture result? An estimated 95% of athletic events were completed, and schools saved over 100,000 student-days of in-person learning that might have been lost to quarantine. This is a real-world look at what happened when schools made testing available. It's important to remember this was an observational study—it simply recorded what occurred. The report doesn't compare these schools to others that didn't test, so we can't say for certain that the testing programs were the sole reason these activities continued. It shows a promising association during a difficult time, but more evidence would be needed to confirm a direct cause-and-effect relationship.

What this means for you:
School COVID testing was linked to more in-person learning and completed sports seasons.

Study Details

EvidenceLevel 5
PublishedMay 2021
View Original Abstract ↓
Utah implemented two high school COVID-19 testing programs to sustain in-person instruction and extracurricular activities. During November 30, 2020-March 20, 2021, among 59,552 students who received testing, 1,886 (3.2%) had a positive result. These programs facilitated the completion of approximately 95% of high school athletic events and saved an estimated 109,752 in-person instruction student-days.
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