Multiple investigations reveal outbreak causes and management strategies in a boarding school, suggesting ways to improve future responses.
Lack of entry health examinations facilitated the outbreak. Delayed diagnosis, incomplete contact screening and absence of preventive treatment led to cross-semester persistence. The infection rate disparity confirms class 16 as the outbreak epicentre. Improving community case management, extending contact follow-up and enhancing cluster outbreak measures are recommended to prevent future outbreaks.
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Mao et al. (2026) studied this question.
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