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No causal effect of school closures in Japan on the spread of COVID-19 in spring 2020

Kentaro Fukumoto, Charles T. McClean, Kuninori Nakagawa

2021 · Nature Medicine

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From the abstract

Abstract Among tool kits to combat the coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, school closures are one of the most frequent non-pharmaceutical interventions. However, school closures bring about substantial costs, such as learning loss. To date, studies have not reached a consensus about the effectiveness of these policies at mitigating community transmission, partly because they lack rigorous causal inference. Here we assess the causal effect of school closures in Japan on reducing the spread of COVID-19 in spring 2020. By matching each municipality with open schools to a municipality with closed schools that is the most similar in terms of potential confounders, we can estimate how many cases the municipality with open schools would have had if it had closed its schools. We do not find any evidence that school closures in Japan reduced the spread of COVID-19. Our null results suggest that policies on school closures should be reexamined given the potential negative consequences for children and parents.

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3 selected excerpts · 3 total mentions

brigandish
Neutral mention · rule
> > it's not pointless to consider how deaths could be reduced even if we were reduced to wild guesses. > This thread isn't considering how deaths can be reduced though… it's just people throwing around cherry picked "guestimations"f based on their prior assumptions. I have not made any wild guesses or guestimations about death tolls, nor made reference to such. You might try simply responding to my comments instead of trying to dismiss them by pointing to (alleged) mistakes made by others. > > However, we don't need a parallel universe… > Health care systems vary wildly from country to country. COVID infection rates varied wildly. As do cancer treatments and diagnosis.…
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You can get some approximate figures to make speculations but it's a long way off a proof. Do you have a specific reason to dismiss the Macmillan report's methodology or findings other than your own assertion that it's not possible to provide a report that isn't full of "speculations"? > > People aren't stupid, > I wish I could agree with you on that one but the last 5 years has really made me change my mind about the degree of common sense in a great many people :-/ Common sense is not the same as stupidity. > > - were lockdowns more effective than not? > > - which kinds of lockdowns were beneficial? > > - what lessons can we learn? > We had a lot of data on that already quite early on I'd love to hear more on this. > this isn't even the first outbreak that has needed to be contained (it's not even the first coronavirus outbreak let alone the first infectious virus). Those behind the [Great Barrington Declaration] have pointed out repeatedly that the mitigation strategies used in the past were different and would be more effective than what are known as "lockdowns": > Inconsistent with the standard pandemic preparedness plans that existed before the COVID-19 epidemic, lockdowns are, and have always been, a radical approach to infection control. You continue: > A large part of the problem isn't just what technically works better but what is more socially acceptable for a particular culture. If we're looking for things in this thread that aren't relevant, this would be one, interesting though it might be. Moreover, since many of the lockdowns were backed by law and punitive sanctions then what is socially acceptable is moot. > For example South Korea was a lot more effective at restricting the spread of COVID than America but America's culture is based on different principles than South Korea's. This chart is why "a lot of data on that already quite early on" looks hasty: https://ourworldindata.org/explorers/coronavirus-data-explor... > This is why I say you cannot come up with a proof without spinning up a parallel universe. You keep using the word proof but I'm not sure in what sense. Scientists keep making the mistake of thinking it's possible. From a report in [Nature] on school closures: > Here we assess the causal effect of school closures in Japan on reducing the spread of COVID-19 in spring 2020. By matching each municipality with open schools to a municipality with closed schools that is the most similar in terms of potential confounders, we can estimate how many cases the municipality with open schools would have had if it had closed its schools. We do not find any evidence that school closures in Japan reduced the spread of COVID-19. Our null results suggest that policies on school closures should be reexamined given the potential negative consequences for children and parents. But if we're using special pleading arguments then this isn't possible, and nor is it even comparable with the act of comparing between countries. If only the US were as homogeneous as the Yamato culture! [Duke] university looked at school closures in North Carolina but instead comparing spread within schools to community transmission. How can two different environments with different populations be compared? Well, they take you through it in the methodology of their paper. I didn't see mention of interdimensional travel. We even have scientists and doctors comparing lockdown between… countries![Nature2] Not one of them is called Dr Strange, unfortunately. No, they simply compared things using methods that are well known. > While you can gather information from observing other responses in other countries, it's not proof that the same would have held true in your own country too. This is a dismissal prior to a claim being made, which makes it look more like a habit than a reasoned response. An open mind is more important than both common sense and IQ in ascertaining truth. > > You can't on the one hand use a there is no parallel universe argument for your own rebuttal and then hope to avoid it by claiming bigger problems without a lockdown. Be fair. > They're not conflicting arguments so it's absolutely fair to make both statements. They're absolutely conflicting and strike me as a wild guess without proof. [Great Barrington Declaration] https://gbdeclaration.org/focused-protection/ [Nature] https://www.nature.com/articles/s41591-021-01571-8 [Duke] https://today.duke.edu/2021/01/duke-study-when-schools-take-... [Nature2] https://www.nature.com/articles/s41598-021-95699-9
timr
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> Japan has students come in on alternate days, so that the school can operate at 50% capacity. Mask mandates, social distancing and temperature checks are enforced strictly. Citation? I am familiar with Japan's national Covid policies, and I have heard nothing of this. In general, Japan allows the prefectures to make their own decisions, and for issues like this, prefectures issue requests, not mandates. This paper suggests that even at the outset of the pandemic, the range of NPIs imposed by Japanese schools was quite variable: https://www.nature.com/articles/s41591-021-01571-8 This news story from September 2020 explicitly says the exact opposite of what you're…
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implying -- school districts operating at maximum capacity, and interventions varying based on what (for example) the PTA decided to pay for: https://www.cbsnews.com/news/japan-schools-back-in-session-c... "Typical classrooms in Japan would seem to flunk the 3C test, however. In Ms. Katayama's classroom, desks were spaced just enough to walk between. Regulations allow up to 40 children per classroom." "Last month, a panel of scholars and education researchers in Tokyo launched a petition to urge rapid adoption of smaller classes. Class size "should be reduced to 30 right now, and quickly, to 20," the panel said." "Japan's Riken research institute, working with Kobe University, argues that even large classes can be held safely — provided ventilation is sufficient." Japan is a big country, and -- just as with masks -- there's a fair amount of "orientalism" going on in the west, in terms of overgeneralization and stereotyping of their response to the virus. My only overarching observation is that they've been much more relaxed than we are in the US.
greenyoda
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> The author completely overlooks the idea that while children are less likely to die from Covid-19 than adults they are just as likely to spread it to other people as adults are. Actually, the author did addresses this: they cited an article from Nature that found "No causal effect of school closures in Japan on the spread of COVID-19 in spring 2020": https://www.nature.com/articles/s41591-021-01571-8 From the article's abstract: "By matching each municipality with open schools to a municipality with closed schools that is the most similar in terms of potential confounders, we can estimate how many cases the municipality with open schools would have had if it had closed…
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its schools. We do not find any evidence that school closures in Japan reduced the spread of COVID-19. Our null results suggest that policies on school closures should be reexamined given the potential negative consequences for children and parents." (The full text of the article is available.)

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