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State recess laws are positively associated with district-level policy. Effects at the school level are unclear and continued surveillance is needed. State recess laws are positively associated with district-level policy. Effects at the school level are unclear and continued surveillance is needed.Next-generation sequencing (NGS) is the primary method used to monitor the distribution and emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants around the world; however, it is costly and time-consuming to perform