Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Understanding the school community’s response to school closures during the H1N1 2009 influenza pandemic

Authors: Annette Braunack-Mayer, Rebecca Tooher, Joanne E Collins, Jackie M Street, Helen Marshall

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

During the 2009 H1N1 influenza pandemic, Australian public health officials closed schools as a strategy to mitigate the spread of the infection. This article examines school communities’ understanding of, and participation in, school closures and the beliefs and values which underpinned school responses to the closures.

Methods

We interviewed four school principals, 25 staff, 14 parents and 13 students in five schools in one Australian city which were either fully or partially closed during the 2009 H1N1 pandemic.

Results

Drawing on Thompson et al’s ethical framework for pandemic planning, we show that considerable variation existed between and within schools in their attention to ethical processes and values. In all schools, health officials and school leaders were strongly committed to providing high quality care for members of the school community. There was variation in the extent to which information was shared openly and transparently, the degree to which school community members considered themselves participants in decision-making, and the responsiveness of decision-makers to the changing situation. Reservations were expressed about the need for closures and quarantine and there was a lack of understanding of the rationale for the closures. All schools displayed a strong duty of care toward those in need, although school communities had a broader view of care than that of the public health officials. Similarly, there was a clear understanding of and commitment to protect the public from harm and to demonstrate responsible stewardship.

Conclusions

We conclude that school closures during an influenza pandemic represent both a challenge for public health officials and a litmus test for the level of trust in public officials, government and the school as institution. In our study, trust was the foundation upon which effective responses to the school closure were built. Trust relations within the school were the basis on which different values and beliefs were used to develop and justify the practices and strategies in response to the pandemic.
Literature
1.
go back to reference Thompson AK, Faith K, Gibson JL, Upshur REG: Pandemic influenza preparedness: an ethical framework to guide decision-making. BMC Med Ethics. 2006, 7: 12-10.1186/1472-6939-7-12.CrossRefPubMedCentral Thompson AK, Faith K, Gibson JL, Upshur REG: Pandemic influenza preparedness: an ethical framework to guide decision-making. BMC Med Ethics. 2006, 7: 12-10.1186/1472-6939-7-12.CrossRefPubMedCentral
2.
go back to reference Schoch-Spana M, Franco C, Nuzzo J, Usenza C: Community engagement: Leadership tool for catastrophic health events. Biosecur Bioterror. 2007, 5 (1): 8-25. 10.1089/bsp.2006.0036.CrossRefPubMed Schoch-Spana M, Franco C, Nuzzo J, Usenza C: Community engagement: Leadership tool for catastrophic health events. Biosecur Bioterror. 2007, 5 (1): 8-25. 10.1089/bsp.2006.0036.CrossRefPubMed
3.
go back to reference Baum N, Jacobson P, Goold S: "Listen to the people": Public deliberation about social distancing measures in a pandemic. Am J Bioeth. 2009, 9 (11): 4-14. 10.1080/15265160903197531.CrossRefPubMed Baum N, Jacobson P, Goold S: "Listen to the people": Public deliberation about social distancing measures in a pandemic. Am J Bioeth. 2009, 9 (11): 4-14. 10.1080/15265160903197531.CrossRefPubMed
4.
go back to reference Berkman BE: Mitigating pandemic influenza: the ethics of implementing a school closure policy. J Public Health Manag Pract. 2008, 14 (4): 372-378.CrossRefPubMed Berkman BE: Mitigating pandemic influenza: the ethics of implementing a school closure policy. J Public Health Manag Pract. 2008, 14 (4): 372-378.CrossRefPubMed
5.
go back to reference Effler P, Carcione D, Giele C, Dowse G, Goggin L, Mak D: Household responses to pandemic (H1N1) 2009-related school closures, Perth, Western Australia. Emerg Infect Dis. 2010, 16 (2): 205-211. 10.3201/eid1602.091372.CrossRefPubMedPubMedCentral Effler P, Carcione D, Giele C, Dowse G, Goggin L, Mak D: Household responses to pandemic (H1N1) 2009-related school closures, Perth, Western Australia. Emerg Infect Dis. 2010, 16 (2): 205-211. 10.3201/eid1602.091372.CrossRefPubMedPubMedCentral
6.
go back to reference DOHA: Australian Health Management Plan for Pandemic Influenza 2008. 2008, Canberra: Australian Government Department of Health and Ageing DOHA: Australian Health Management Plan for Pandemic Influenza 2008. 2008, Canberra: Australian Government Department of Health and Ageing
7.
go back to reference Cauchemez S, Valleron A-J, Boëlle P-Y, Flahault A, Ferguson NM: Estimating the impact of school closure on influenza transmission from Sentinel data. Nature. 2008, 452 (7188): 750-10.1038/nature06732.CrossRefPubMed Cauchemez S, Valleron A-J, Boëlle P-Y, Flahault A, Ferguson NM: Estimating the impact of school closure on influenza transmission from Sentinel data. Nature. 2008, 452 (7188): 750-10.1038/nature06732.CrossRefPubMed
8.
go back to reference Smith RD: Responding to global infectious disease outbreaks: Lessons from SARS on the role of risk perception, communication and management. Soc Sci Med. 2006, 63: 3113-3123. 10.1016/j.socscimed.2006.08.004.CrossRefPubMed Smith RD: Responding to global infectious disease outbreaks: Lessons from SARS on the role of risk perception, communication and management. Soc Sci Med. 2006, 63: 3113-3123. 10.1016/j.socscimed.2006.08.004.CrossRefPubMed
10.
go back to reference Hens N, Minalu Ayele G, Goeyvaerts N, Aerts M, Mossong J, Edmunds J, Beutels P: Estimating the impact of school closure on social mixing behaviour and the transmission of close contact infections in eight European countries. BMC Infect Dis. 2009, 9: 187-10.1186/1471-2334-9-187.CrossRefPubMedPubMedCentral Hens N, Minalu Ayele G, Goeyvaerts N, Aerts M, Mossong J, Edmunds J, Beutels P: Estimating the impact of school closure on social mixing behaviour and the transmission of close contact infections in eight European countries. BMC Infect Dis. 2009, 9: 187-10.1186/1471-2334-9-187.CrossRefPubMedPubMedCentral
11.
go back to reference Calatayud L, Kurkela S, Neave P, Brock A, Perkins S, Zuckerman M, Sudhanva M, Bermingham A, Ellis J, Pebody R: Pandemic (H1N1) 2009 virus outbreak in a school in London, April–May 2009: an observational study. Epidemiol Infect. 2010, 138 (2): 183-191. 10.1017/S0950268809991191.CrossRefPubMed Calatayud L, Kurkela S, Neave P, Brock A, Perkins S, Zuckerman M, Sudhanva M, Bermingham A, Ellis J, Pebody R: Pandemic (H1N1) 2009 virus outbreak in a school in London, April–May 2009: an observational study. Epidemiol Infect. 2010, 138 (2): 183-191. 10.1017/S0950268809991191.CrossRefPubMed
13.
go back to reference QSRInternational: Qualitative Data Analysis Software, Version 8. 2008 QSRInternational: Qualitative Data Analysis Software, Version 8. 2008
14.
go back to reference Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psyc. 2006, 3 (2): 77-101. 10.1191/1478088706qp063oa.CrossRef Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psyc. 2006, 3 (2): 77-101. 10.1191/1478088706qp063oa.CrossRef
16.
go back to reference Daniels N: Accountability for reasonableness: Establishing a fair process for priority setting is easier than agreeing on principles. BMJ. 2000, 321 (7272): 1300-1301. 10.1136/bmj.321.7272.1300.CrossRefPubMedPubMedCentral Daniels N: Accountability for reasonableness: Establishing a fair process for priority setting is easier than agreeing on principles. BMJ. 2000, 321 (7272): 1300-1301. 10.1136/bmj.321.7272.1300.CrossRefPubMedPubMedCentral
17.
go back to reference Childress J, Faden R, Caare R, Gostin L, Kahn J, Bonnie R, Kass N, Mastroianni A, Moreno J, Niebury P: Public health ethics: Mapping the Terrain. J Law Med Ethics. 2002, 30: 169-177.CrossRef Childress J, Faden R, Caare R, Gostin L, Kahn J, Bonnie R, Kass N, Mastroianni A, Moreno J, Niebury P: Public health ethics: Mapping the Terrain. J Law Med Ethics. 2002, 30: 169-177.CrossRef
18.
go back to reference Carter S, Rychetnik L, Lloyd B, Kerridge I, Baur L, Bauman A, Zask A: Evidence, ethics and values: a framework for health promotion. Am J Public Health. 2011, 101 (3): 465-472. 10.2105/AJPH.2010.195545.CrossRefPubMedPubMedCentral Carter S, Rychetnik L, Lloyd B, Kerridge I, Baur L, Bauman A, Zask A: Evidence, ethics and values: a framework for health promotion. Am J Public Health. 2011, 101 (3): 465-472. 10.2105/AJPH.2010.195545.CrossRefPubMedPubMedCentral
19.
20.
go back to reference Viens A, Bensimon C, Upshur REG: Your liberty or your life: reciprocity in the use of restrictive measures in contexts of contagion. Bioethical Inquiry. 2009, 6: 207-217. 10.1007/s11673-009-9149-2.CrossRef Viens A, Bensimon C, Upshur REG: Your liberty or your life: reciprocity in the use of restrictive measures in contexts of contagion. Bioethical Inquiry. 2009, 6: 207-217. 10.1007/s11673-009-9149-2.CrossRef
21.
go back to reference WHO: Addressing ethical issues in pandemic influenza planning. 2008, Geneva (Switzerland): World Health Organisation WHO: Addressing ethical issues in pandemic influenza planning. 2008, Geneva (Switzerland): World Health Organisation
22.
go back to reference Callahan D, Jennings B: Ethics and public health:forging a strong relationship. Am J Public Health. 2002, 101 (3): 465-472. Callahan D, Jennings B: Ethics and public health:forging a strong relationship. Am J Public Health. 2002, 101 (3): 465-472.
23.
go back to reference Kaina V: Why Do We Trust Strangers? Revising the Institutional Approach to Generalised Trust Creation. West Eur Polit. 2011, 34 (2): 282-295. 10.1080/01402382.2011.546573.CrossRef Kaina V: Why Do We Trust Strangers? Revising the Institutional Approach to Generalised Trust Creation. West Eur Polit. 2011, 34 (2): 282-295. 10.1080/01402382.2011.546573.CrossRef
Metadata
Title
Understanding the school community’s response to school closures during the H1N1 2009 influenza pandemic
Authors
Annette Braunack-Mayer
Rebecca Tooher
Joanne E Collins
Jackie M Street
Helen Marshall
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-344

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue