Background: School closures were initially believed to mitigate SARS-CoV-2, but instead may have had a limited role in reducing community SARS-CoV-2 transmission. We describe a single school's experience with in-person education during the COVID-19 pandemic. Methods: From August 17, 2020 through January 23, 2021, we conducted a prospective study…

Even before COVID-19, school districts wanted to understand if school-based telemedicine services met student health needs during the school day and helped keep students in school all day, every day. Specifically, districts were interested in knowing if telemedicine enabled students with a school-day health issue to return to class instead of…

Objective: Young adults of age 18-29 years old account for the most COVID-19 cases in the US, and ethnic groups were affected disproportionately. Correctly wearing a face mask remains a critical intervention for COVID-19 mitigation. The study aimed to examine how well Historically Black Colleges and Universities (HBCUs) residents adhered to mask…

Background: The dissemination and implementation (D&I) of evidence-based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I of school-health EBIs. Methods: The pilot study was conducted…

Background: Nurses in an urban school district completed a brief survey about their knowledge, attitudes, and practices related to human papillomavirus (HPV) vaccination. Methods: Descriptive and bivariate analyses examined trends and differences. Results: Among 208 nurses, only 3% correctly answered all 5 knowledge questions. Nurses with greater…

Children in two communities of a large city in the Midwestern United States have higher rates of asthma than other areas of the city. The communities have barriers to accessing care, including high rates of unemployment and being uninsured and undocumented. A mobile van provides no-cost asthma care to children at schools in these communities, but…

Pennsylvania responded to the COVID-19 pandemic by closing schools and moving to online instruction in March 2020. We surveyed Pennsylvania school nurses (N = 350) in May 2020 to assess the impact of COVID-19 on nurses' concerns about returning to school and impact on practice. Data were analyzed using X[superscript 2] tests and regression…

Asthma is a leading cause of chronic illness among school-aged children and adolescents. Current trends have led to school faculty and staff becoming increasingly responsible for managing student asthma, often without optimal training or resources. The purpose of this project was to establish whether facilitated access to personalized student…

Background: Transgender adolescents are at increased risk for negative sexual health outcomes compared to their cisgender peers. Methods: Using data from 10,231 students from 7 high schools in a large, urban school district, our analysis compared sexual behaviors, referral to sexual health services by school staff, and use of sexual health…

At least 25 million K-12 students in the U.S.--disproportionately children of color from low-income families--have been physically out of school for a full year due to the COVID-19 pandemic. These children are at risk of significant academic, social, mental, and physical harm now and in the long-term; it is thus essential that all students gain…

Background: Asthma can interfere with school attendance and engagement. School health programs are central to asthma management. Case identification is limited by reliance on parent-completed forms, which are often missing. This project tested a low-burden screening algorithm to stratify students based on priority for nurse outreach at 2 large,…

Since the COVID-19 pandemic emerged in March 2020, districts across the nation have faced the difficult task of reopening school sites safely for in-person instruction and keeping them open as community infection rates have risen and fallen. It is useful to learn from the efforts of districts that have been able to reopen schools--and keep them…

Theater-based approaches have been implemented globally as a health education and behavior change strategy for decades. Studies have shown that live theater performances can engage an audience and influence the knowledge, attitudes, and behaviors of audience members. Moreover, literature has shown that adolescents find theater-based interventions…

In this paper, a principal and two lead teachers describe the ways their school community has reimagined the learning environment at their NYC urban, public, K-5 elementary school throughout the COVID-19 pandemic. In March 2020 they were forced to immediately switch to fully remote learning, a platform they had never previously experienced. Since…

Background: The effects of individual school dismissal on influenza transmission have not been well studied. During the spring 2009 novel H1N1 outbreak, New York City implemented an individual school dismissal policy intended to limit influenza transmission at schools with high rates of influenza-like illness (ILI). Methods: Active disease…