Date of download: 7/8/2016 From: Effects of School Closure on Incidence of Pandemic Influenza in Alberta, Canada Ann Intern Med. 2012;156(3):173-181. doi:10.7326/0003-4819-156-3-201202070-00005.

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Date of download: 7/8/2016 From: Effects of School Closure on Incidence of Pandemic Influenza in Alberta, Canada Ann Intern Med. 2012;156(3): doi: / Age structure of laboratory-confirmed cases of pH1N1 in Alberta, Canada, in Dates when schools closed and opened are indicated in blue. Classes ended on different dates for different levels of school: high school (grades 10 to 12) on 12 June, middle school (grades 7 to 9) on 22 June, elementary school (kindergarten [K] to grade 6) on 26 June, and junior kindergarten (JK) on 19 June; classes began on 27 August 2009 in Calgary and on 31 August 2009 in the rest of the province (Field Services, Alberta Ministry of Education. Personal communication.). The dotted line in each panel indicates the start of restricted testing on 30 October 2009 (12). pH1N1 = pandemic H1N1 influenza. Top. Aggregate weekly total number of specimens tested, specimens positive for pH1N1 (red), and specimens positive for any type of influenza A or B, by date of specimen collection. The 2 highest peaks in the weekly totals, which are too high to be seen in the graph, are 2162 on 3 May 2009 and 3600 on 1 November Middle. Confirmed cases of pH1N1 broken into 2 age classes, school- age children (aged 5–18 y) and all others (children aged 18 y). Bottom. Intensity plot of date of sample collection versus age of patient, with cumulative cases by age shown in the bar plot on the right. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/8/2016 From: Effects of School Closure on Incidence of Pandemic Influenza in Alberta, Canada Ann Intern Med. 2012;156(3): doi: / Spatial structure of laboratory-confirmed cases of pH1N1 in Alberta, Canada, in pH1N1 = pandemic H1N1 influenza. Bottom left. Cumulative incidence by location (larger disks indicate more confirmed cases). Bottom right. Epidemic progression, aggregated by latitude. The cities and towns labeled on the right (with their population sizes) are also highlighted at their exact position in the left panel. Top right. Weekly confirmed cases in Calgary and Edmonton. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/8/2016 From: Effects of School Closure on Incidence of Pandemic Influenza in Alberta, Canada Ann Intern Med. 2012;156(3): doi: / Comparison of pH1N1 data for the province of Alberta with simulations. Box plots are based on 1000 realizations of our best-fit model, as specified in the Table. Data and simulation results are shown for school- age children (aged 5–18 y) (left panels) and for the rest of the population (right panels). Data are compared with simulations of our best-fit model (Table) (top panels) and with predicted results if schools had been left open in Alberta throughout the summer (bottom panels). pH1N1 = pandemic H1N1 influenza. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

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