Abstract

Preventing transmission of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), in colleges and universities requires mitigation strategies that address on- and off-campus congregate living settings as well as extracurricular activities and other social gatherings (1-4). At the start of the academic year, sorority and fraternity organizations host a series of recruitment activities known as rush week; rush week culminates with bid day, when selections are announced. At university A in Arkansas, sorority rush week (for women) was held during August 17-22, 2020, and consisted of on- and off-campus social gatherings, including an outdoor bid day event on August 22. Fraternity rush week (for men) occurred during August 27-31, with bid day scheduled for September 5. During August 22-September 5, university A-associated COVID-19 cases were reported to the Arkansas Department of Health (ADH). A total of 965 confirmed and probable COVID-19 cases associated with university A were identified, with symptom onset occurring during August 20-September 5, 2020; 31% of the patients with these cases reported involvement in any fraternity or sorority activity. Network analysis identified 54 gatherings among all linkages of cases to places of residence and cases to events, 49 (91%) were linked by participation in fraternity and sorority activities accounting for 42 (72%) links among gatherings. On September 4, university A banned gatherings of ≥10 persons, and fraternity bid day was held virtually. The rapid increase in COVID-19 cases was likely facilitated by on- and off-campus congregate living settings and activities, and health departments should work together with student organizations and university leadership to ensure compliance with mitigation measures.

Highlights

  • Network analysis indicated that 91% of gatherings were associated with fraternity or sorority activities

  • Given the potential for rapid SARS-CoV-2 transmission in on- and off-campus settings and activities, colleges and universities should work with local health departments and student organizations to ensure compliance with mitigation guidelines

  • Because of the potential for rapid transmission of SARS-CoV-2 in on- and off-campus university settings, student organizations could help ensure compliance with CDC-recommended COVID-19 mitigation measures, such as limiting the size of social gatherings, adhering to social distancing recommendations, requiring mask use, improving hand hygiene, and increasing testing

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Summary

30 Bid date Classes begin

* Ten cases with onset before sorority rush week, which occurred at a frequency of ≤1 per day, are not included. Male Female Location in women and 51% in men; cluster size range = 4–12 cases). Fifty-four gatherings were detected, including 27 (50%) with at least five cases. Among persons in 44 (81%) gatherings, at least one member regularly attended in-person classes, and at least one member of each of the 49 gatherings (91%) reported participation in fraternity or sorority activities or events. Gatherings included an average of 20.3 cases (median = 21; range = 5–44). Among 58 links between gatherings, 42 (72%) were associated with fraternity or sorority activities, 11 (19%) with on-campus dormitories, and five (9%) with off-campus apartments and houses

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