Children with intellectual and developmental disabilities (IDDs) and children with medical complexity (CMC) have been disproportionally impacted by the coronavirus disease 2019 pandemic, including school closures. Children with IDDs and CMC rely on schools for a vast array of educational, therapeutic, medical, and social needs. However, maintaining safe schools for children with IDDs and CMC during the coronavirus disease 2019 pandemic may be difficult because of the unique challenges of implementing prevention strategies, such as masking, social distancing, and hand hygiene in this high-risk environment. Furthermore, children with IDDs and CMC are at a higher risk of infectious complications and mortality, underscoring the need for effective mitigation strategies. The goal of this report is to describe the implementation of several screening testing models for severe acute respiratory syndrome coronavirus 2 in this high-risk population. By describing these models, we hope to identify generalizable and scalable approaches to facilitate safe school operations for children with IDDs and CMC during the current and future pandemics.

中文翻译：

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支持残疾和医疗复杂性儿童的 COVID-19 学校安全。

智力和发育障碍儿童 (IDD) 以及患有医疗复杂性 (CMC) 的儿童受到 2019 年冠状病毒病大流行的影响尤为严重，其中包括学校停课。患有 IDD 和 CMC 的儿童依靠学校来满足广泛的教育、治疗、医疗和社会需求。然而，在 2019 年冠状病毒病大流行期间，为患有 IDD 和 CMC 的儿童维持安全的学校可能会很困难，因为在这种高风险环境中实施戴口罩、保持社交距离和手部卫生等预防策略面临着独特的挑战。此外，患有 IDD 和 CMC 的儿童发生感染并发症和死亡的风险较高，这凸显了有效缓解策略的必要性。本报告的目的是描述在此高危人群中实施严重急性呼吸综合征冠状病毒 2 的几种筛查测试模型。通过描述这些模型，我们希望找到可推广和可扩展的方法，以促进当前和未来大流行期间患有 IDD 和 CMC 的儿童的安全学校运营。