Archives for category: Health

Governor J.B. Pritzker is acting like a responsible, intelligent leader. Imagine that! He actually wants to protect the lives and health of the children and adults in school. He won’t permit them to decide whether they can be free to infect others with a deadly disease. He understands that public health takes precedence over private whim.

Gov. J.B. Pritzker took the unusual step Thursday of preemptively filing a lawsuit to ensure school children wear face coverings to prevent the spread of the coronavirus when schools reopen in a few weeks.

The action filed late Thursday in Sangamon County Circuit Court by the state attorney general seeks a judge’s approval of Pritzker’s order that schoolchildren, teachers and staff wear coverings over mouths and noses among other measures to reduce the chance that the highly contagious and potentially deadly virus can spread.
‘As a father, I would not send my children to a school where face coverings are not required because the science is clear: face coverings are critical to prevent the spread of coronavirus,’ Pritzker said in a prepared statement.

It’s typical for the governor to be in court as a defendant seeking validation of a policy or action. In this instance, no lawsuit has been filed, but a public school district and two private academies have informed the Illinois State Board of Education that Pritzker no longer has authority under emergency rule-making to require face masks in schools and that they will be developing their own safety rules.

It was time to get ahead of the issue, Ann Spillane, Pritzker’s chief legal counsel, told The Associated Press.

‘Students need to prepare, parents need to know what’s coming, administrators need guidelines. Confusion on these things leads to risk,’ Spillane said. ‘œWe’re sending a signal that this issue is not up for debate. The governor doesn’t have an option.’

A lawyer representing Hutsonville Community Unit School District No. 1 in southeastern Illinois, Parkview Christian Academy in Yorkville and Families of Faith Christian Academy in Channahon wrote letters in the last month to the state board explaining that the Illinois Supreme Court ruled in a 1922 case that government cannot make rules ‘œwhich merely have a tendency to prevent’ the spread of infectious diseases, particularly if ‘œarbitrary and unreasonable.’
Thomas DeVore of Greenville also noted that Pritzker has said there’s not enforcement for violators of the guidelines, which DeVore contends turns ‘œrules’ into ‘œrecommendations.’ He did not return a message left at his office after hours Thursday.

With the surging spread of COVID-19, the illness caused by the coronavirus, Pritzker on March 13 ordered public schools closed – eventually for the rest of the term. Despite a leveling off of cases in Illinois, there are concerns here and, especially in other parts of the nation where case numbers are rising again, about reopening the classic community center, the school, in an age where people are urged to wear face masks, stay 6 feet apart, and step up the hygiene protocol dramatically.

Pritzker in June released of a set of guidelines for safe congregation in schools from kindergarten through college, but among others, the state’s two major teachers’ unions have continued worries about keeping congested classrooms, hallways and playgrounds safe.

With public health officials announcing 25 additional deaths Thursday among 1,257 newly confirmed COVID-19 cases, the state has now lost 7,251 lives to virus-related complications. Nearly 160,000 have been infected; tens of thousands of those have recovered.

Dissidents who bristle at government telling them what to wear and how to act in public gained traction last spring when Republican Rep. Darren Bailey of Xenia, represented by DeVore, won an opaque victory in Clay County against Pritzker, arguing that his ability under state law to impose emergency rules ended after 30 days – on April 8.

Despite the fact that it only applies to Bailey, and the ruling precludes further challenge, supporters have taken up the charge. DeVore has notified the government on behalf of individuals, retail establishments, and now schools, that they don’t plan to comply.

This is worrisome. Those demanding the speedy and full reopening of schools have taken for granted that children are unlikely to become infected with coronavirus.

But the latest data from Florida show that complacency is unwarranted. 

Those localities where the pandemic is growing and out of control should be cautious and aware of the risk to children.

The Huffington Post reports:

Nearly one-third of children who have been tested for the coronavirus in Florida have tested positive, according to data from the state’s Department of Health that comes amid ongoing debate and uncertainty over whether schools will reopen this fall.

Of the 54,022 people under the age of 18 who have been tested for COVID-19 in Florida, 16,797 of them, or roughly 31%, have tested positive, data released Friday shows. In comparison, roughly 11% of everyone in the state who has been tested for the virus — roughly 2.8 million people — has tested positive.

Nearly half of the state’s positive cases among children were in the counties of Broward, Dade, Hillsborough and Palm Beach.

Cases throughout the Sunshine State have risen at alarming rates in recent weeks. On Thursday the state set a new one-day coronavirus death record while also reporting nearly 14,000 new cases of COVID-19 ― the second-highest daily total that the state has seen. Its highest total reported last weekend set a national record.

Amid this growth, Florida Gov. Ron DeSantis (R) has continued to push for schools to reopen this fall, with him on Tuesday telling mayors in south Florida — the state’s hardest-hit area for cases — that doing so is low-risk.

How and when should schools reopen?

Here are the choices:

1. To reopen schools fully for in-person instruction, with no additional funding, which is dangerous and ignores the CDC guidelines for safety; this is the option advocated by Trump and DeVos.

2. To reopen schools fully, with the funding needed to protect the safety of students and staff; thus far, neither Trump nor Mitch McConnell has shown any willingness to provide the necessary funding; the necessary money is not available.

2. To reopen them partially on staggered schedules or with blended learning; this will require at least one parent to be available to care for children when they are not in school; some districts have opted for this route.

3. To continue distance learning until there is a vaccine for the coronavirus. No one knows when a vaccine will be ready and when it will be available en masse.

Many articles have appeared about the successful reopening of schools in other nations, but it is important to bear in mind that other countries contained the virus before schools opened again.

Due to an abdication of leadership by Trump and Pence, the virus is now spreading in many states, especially Florida, Texas, Arizona, and California.

Can schools reopen safely when the virus is uncontrolled? Los Angeles and San Diego have announced that they will not reopen this fall due to the resurgence of the coronavirus.

Various reports and studies have described how other nations have returned to school. These nations “flattened the curve” and we have not.

Here are two recent examples: The Washington Post ran a long story by Michael Birnbaum about the nations that have successfully reopened their schools. The Brookings Institution published a report by Emiliana Vegas about the reopening of schools in Denmark and Finland.

Vegas wrote:

In Denmark, the decision of when and how to reopen schools was made by the central government together with the Parliament. This allowed for municipal councils (similar to school districts in the U.S.) to develop their own plans, and school leaders and teachers to do the same for each individual school based on guidelines from the National Board of Health. The legal right to quality education factored heavily in the decision to reopen. When announcing the reopening of schools, the government recognized that “in current circumstances, schools and municipalities cannot guarantee that children receive the education in all subjects for which they are entitled.”

Finland had a similar decision-making process. Minister of Education Li Andersson tweeted that to extend the school closures, the government would have to prove that opening schools would be unavoidable in the current situation and was “a matter of weighing basic rights.” Given the country had contained the spread of COVID-19, the message was that children’s right to education outweighed the health risk of going back to school.

In addition, both countries’ governments considered the equity implications of school closures and reopening. In Finland, according to a news report, the government emphasized that “the right to basic education is a subjective right laid down in the Constitution and belongs equally to everyone.” In Denmark, as secondary students spent much of the term learning remotely, end-of-year assessments were suspended for the school year. The main reason provided for suspending these assessments was to avoid increasing inequality between those students (many of whom are immigrants) who have not been able to get help from school or at home.

STAGGERING REOPENING: WHO SHOULD RETURN TO SCHOOL FIRST?

In reopening their economies, decision-makers are faced with the critical question of what services and sectors to open first. For education policymakers, a key decision is when and how to reopen preschools and primary schools, secondary schools, and higher education institutions.

In Denmark and Finland, the decision to gradually reopen included staggering by age, with schools for the youngest children reopening first. The main factor underlying the decision was the emerging evidence indicating that children play a small role in spreading the virus. In Denmark, preschools, early childhood care centers for the youngest children, and primary grades 0–5 (equivalent to K–5 in the U.S.) were reopened on April 15. In Finland, on April 29, the government announced the reopening of early childhood education and care, as well as primary and lower education (grades 1–9) on May 1 of this year. In Denmark, the central government announced that municipalities may open secondary schools (grades 6–10) on May 18.

WHAT HEALTH AND SAFETY MEASURES NEED TO TAKE PLACE IN SCHOOLS?

Once the decision on which schools to reopen first is made, a clear plan must first and foremost prioritize the health and safety of students, educators, and families. In both countries, a number of public health measures were put in place. Among these, schools prohibited the usual morning meetings held in classes at the beginning of the school day, forbade food sharing, and introduced new preventative practices like staggered student arrivals and much more frequent cleaning and handwashing practices throughout the day. In Denmark, where average class sizes were around 20 students prior to COVID-19, classes were divided into two to three smaller groups and, whenever possible, held outside. It is worth briefly noting that the Copenhagen Teacher Association raised significant concerns over dividing the classroom into smaller groups, as it increased teachers’ work hours and created staffing shortages.

Birnbaum writes:

BRUSSELS — Many countries around the world are pushing ahead with plans for full-time, full-capacity, in-person classes, after having largely avoided coronavirus outbreaks linked to schools during more tentative reopenings in the spring.


From Belgium to Japan, schools are abandoning certain social distancing measures, such as alternate-day schedules or extra space between desks. They have decided that part-time or voluntary school attendance, supplemented by distance learning, is not enough — that full classrooms are preferable to leaving kids at home.
Those experiences and conclusions may offer hopeful guidance to societies still weighing how to get students and teachers back into primary and secondary classrooms.


Still, public health officials and researchers caution that most school reopenings are in their early stages. Much remains unknown about the interaction between children, schools and the virus. Schools have only reopened in countries where the virus is under better control than in many parts of the United States.

And parents and teachers, especially in Europe, have been vocal about their concerns. It is premature to say, as President Trump put it this past week, that “In Germany, Denmark, Norway, Sweden and many other countries, SCHOOLS ARE OPEN WITH NO PROBLEMS.”


While documented cases of younger students transmitting the virus to their classmates or to adults so far appear rare, there is enduring worry about the susceptibility of teens, college-age students and their teachers. And, especially in communities where the virus is still circulating widely, elaborate and expensive measures may be necessary to avoid shutting down entire schools each time a student tests positive.


Arnaud Fontanet, head of the Epidemiology of Emerging Diseases unit at the Institut Pasteur in Paris, said he “gladly” sent his four teenagers back when French schools reopened on a voluntary basis in mid-May. But he emphasized that was only because “the virus is not too much circulating in France.”
“High schoolers are still contagious and primary school students are less contagious but not zero-risk,” he said.


Public health officials and researchers say they have not detected much coronavirus transmission among students or significant spikes in community spread as a result of schools being in session — at least for students under 12.
Virologists warn there may be additional spread that hasn’t been recognized, since testing asymptomatic people, particularly children, remains uncommon.

But in many cases, young children who test positive have gotten it from someone in their family and do not appear to have infected others in school. Dig into reports of two or three elementary students with the virus, and often it turns out they’re siblings.

There are exceptions. At the École Louis-de-France, an elementary school in Trois Rivières, Canada, almost an entire class of 12 students tested positive in late May. And at the Cheondong Elementary School in Daejeon, South Korea, two brothers were found to have the virus on June 29, and two students who had contact with one of the brothers tested positive the next day.
Such cases, though, have been rare.

Before the suspected transmission in Daejeon, South Korea’s education minister had emphasized that not a single student in the country had contracted the virus at school.




In Finland, when public health researchers combed through test results of children under 16, they found no evidence of school spread and no change in the rate of infection for that age cohort after schools closed in March or reopened in May. In fact, Finland’s infection rate among children was similar to Sweden’s, even though Sweden never closed its schools, according to a report published Tuesday by researchers from the two countries.
In Sweden, researchers also found that staff members at day cares and primary schools were no more likely than people working in other professions to contract the virus.
“It really starts to add up to the fact that the risk of transmission, the number of outbreaks in which the index is a child, is very low, and this seems to be the picture everywhere else,” said Otto Helve, who worked on the report as a pediatric infectious-disease specialist at the Finnish Institute for Health and Welfare.
He said he sent his own children back to school.


Why young children may be less susceptible to the coronavirus or less prone to exhibit symptoms of covid-19, the disease it causes, remains a topic of hot debate among scientists. Theories range from the possibility that children have fewer of the receptors that the virus uses as a gateway into the respiratory system to their having higher overall immunity because of a greater exposure to other types of coronavirus.


But the overall observation has led some to question whether school closures were warranted in the first place.
“The scientific evidence for the effects of closing schools is weak and disputed,” said Camilla Stoltenberg, director general of the Norwegian Institute of Public Health, which has advised Norway’s pandemic response.
She said that although she supported her country’s March lockdown, it was less clear that Norway needed to close schools. “We should all have second thoughts about whether it was really necessary,” she said. “We see now that, after having opened schools, we haven’t had any outbreaks.”


The calculations may be different, however, for students in their teens and older, as they are thought to be somewhat more prone to the virus and more capable of spreading it.
Fontanet, with the Institut Pasteur, was the lead author on twin studies that found the virus spread in the high school of one French town but not in its six primary schools before the country’s March lockdowns.
In Israel, where the virus has been surging again, schools at every level have been affected. By early June, more than 100 schools had been shut and more than 13,000 students and teachers had been sent home to quarantine. The most notable outbreak was tied to a middle and high school: The Gymnasia Rehavia in Jerusalem saw 153 students and 25 staff test positive.


Israeli health authorities said they were unsure how many of those cases were the result of the virus being passed around within school buildings.
“We just don’t have a good answer for that,” said Hagai Levine, the chairman of the Israeli Association of Public Health Physicians. Many students tend to spend time together in and out of school, Levine said, making it hard to pinpoint the actual site of transmission. “There does some to be evidence that there is less transmission in children under 10.”
Plans are uncertain for what classes will look like in Israel on Sept. 1, when the next school year begins.


In many nations preparing to reopen school buildings for the first time in the fall, social distancing concerns are dominating the debate.
The Italian government, which closed schools when the pandemic first exploded and made no attempt to restart in the spring, has pledged to restart classes in mid-September and has committed to “less-overpacked classrooms.”
“We don’t want chicken coops,” Prime Minister Giuseppe Conte said in a national address.


The U.S. Centers for Disease Control and Prevention recommends that desks should be spaced six feet apart.
 But many countries that resumed in-person classes in May and June have already abandoned some social distancing measures, at least in primary schools.
In Japan, where schools reopened shortly after the country’s state of emergency was lifted in May, children initially attended on alternate days in some schools to allow for more space in classrooms. But classes are largely back to normal now, albeit with students and teachers wearing masks, washing hands regularly and taking daily temperature checks…





When France shifted from voluntary to mandatory attendance for primary and middle school students for the last two weeks of June, a social distancing requirement of four square meters between students was reduced to one meter laterally.
“This allows us to accommodate all students,” Education Minister Jean-Michel Blanquer said at the time of the announcement.
Similarly, before the biggest wave of school reopenings in Belgium in early June, policymakers declared that strict physical distancing rules would not be enforced, allowing more students in each classroom at once.


Belgian schools are now closed again for the summer, but leaders have an ambitious reopening plan for Sept. 1. For kids under 12, classes will remain in session, full-time and full-capacity, no matter how bad the second wave of infections gets in the country. If current infection rates stay steady in Belgium, students 12 and older will attend school four days a week, with an additional half-day of virtual schooling. Officials would dial back the in-person schooling for the older children if there is a second wave.
To some extent, these shifts reflect growing confidence that bringing children together may not lead to a spike in infections.
There is also rising concern about the downsides of keeping students home.



Belgium’s reopening was accelerated by an open letter from hundreds of pediatricians arguing that the educational cost of keeping schools closed was worse than the health risk of reopening them.
In Germany, some public health experts have welcomed plans to drop a 1.5-meter minimum distance rule and resume full-capacity classes after summer vacation. Policymakers fear that digital learning has put poorer students at a greater disadvantage and that there would be a rising mental health toll on students if school restrictions dragged on.


But the shift away from social distancing is also about practical concerns.
“Basically, the difficulty is enforcing social distancing among students,” said Fontanet of the Institut Pasteur. He said distancing is hard for high school students, but especially for younger kids. “People have more or less given up on that entirely at this stage,” he said.


Although schools in Israel initially resumed with strict rules about temperature checks, carefully spaced-out desks and masks, critics complained that the precautions quickly lapsed. “Within two or three days, that all fell away,” said Dan Ben-David, president of the Shoresh Institution for Socioeconomic Research.
Italy’s education minister, Lucia Azzolina, said that to keep classroom sizes at acceptable levels, districts would have to reopen shuttered school buildings and transfer some students elsewhere. She also floated the idea of holding classes in theaters, cinemas and museums — “even parks,” she said.


But countries that have resumed classes already have found that it’s easier and cheaper to welcome all students back to their classrooms than it is to devise complicated schedules with multiple shifts or to find new space.
Creating ‘bubbles’ within schools may be more important.


In Israel, hypervigilant public health officials mandated that an entire school close any time a single coronavirus case was detected among students or staff.
By contrast, in Germany, when a student tested positive, that class was put into a mandatory two-week quarantine, but the rest of the school continued on.
Clearly, the German model is less disruptive.

Some health experts have thus come to advocate that more important than social distancing within a classroom are efforts to create bubbles within schools, to limit potential contamination and the need to shut everything down.



England started sending some grades back on a voluntary basis in June. But when schools fully reopen in September for mandatory, full-time, in-person classes, elementary school students will be in “class bubbles” of up to 30 and high school students in “year bubbles” of up to 240.


Quebec, the Canadian province hit hardest by the coronavirus, experimented with various means of social distancing when it reopened elementary schools outside Montreal in May. Classes were limited to 15 students. Libraries remained closed. Recess times were staggered. Some schools painted green dots on schoolyard grounds to mark sufficient separation.
Bubbles will be introduced when elementary and high schools reopen for compulsory in-class instruction in the fall. Within classrooms, students will form groups of up to six students who won’t have to maintain social distancing. Bubbles must keep a one-meter distance from each other and two meters from teachers.


Helve, the Finnish infectious-disease specialist, noted that bubbles may be especially valuable in societies with high infection rates, such as the United States, where it may be inevitable that a student or teacher shows up with the virus at some point.
“How do you minimize the impact on the school?” he said. “The more cases you have in a society, the more likely it is that you will have an outbreak at a school, or that you will have a teacher or a parent or a child who brings the virus to the school.”


In part because there haven’t been many outbreaks associated with schools, some students, parents and teachers who initially resisted classroom reopenings have come around.
One survey of French-speaking parents in Belgium found that 96 percent of respondents planned to send their children back to school in the fall.
Technically, they won’t have a choice. Education is compulsory in Belgium for children 6 and older, and although the requirement was suspended this spring, it will be back in force in September.


That’s in line with moves by many countries away from voluntary in-person attendance, which saw limited uptake.
British Prime Minister Boris Johnson, who was forced to delay plans for a full reopening of elementary schools in England after strong resistance from teaching unions and some parents, intends to forge ahead in the fall.
“We want them all back in September,” said Johnson. “We’ve got to start thinking of a world in which we are less apprehensive about this disease.”


In France, when schools reopened in May on a voluntary basis, statistics from the Education Ministry showed that only about 1.8 million out of 6.7 million nursery and primary schoolers went back, along with 600,000 out of 3.3 million middle schoolers.




France had hoped reopening would address the inequalities evident under distance learning. But the government found that students from wealthier families were more likely to be among those who returned to their classrooms, while many poorer families continued to keep their children home. The education minister suggested the gap had to do with a lack of trust.
French officials ultimately made school attendance mandatory for the final two weeks of classes in June, before the summer holidays began. Families and teachers questioned the need for such a scramble for so little class time. Some accused the government of being more concerned about freeing parents to return to work than about the needs of students and teachers.
That’s in contrast to the United States, where a growing chorus of families complain that state and local governments are downplaying the need for kids to be in school before parents can return to their workplaces.
The French government defended its decision.
“Two weeks count; two weeks are not nothing, whether it’s out of an educational aspect or a psychological aspect,” Blanquer, the education minister, said. “School should never be considered as a day-care center of sorts.”

Last night the Detroit Board of Education, which opened for summer school Monday, voted to unanimously reopen school on the regular first day in August. This happened despite three hours of unified testimony by teachers, parents, and community organizers that the schools should not be reopened until minimum conditions are met. We held a state wide Press conference this morning calling on schools not to open until a set of health conditions have been met. Here is some remarkable testimony given by one teacher to the board last night. 

.https://www.facebook.com/30308059/posts/10107099891572474/?d=n

Here is our archived press conference from this morning:

https://www.facebook.com/38514087/posts/10104168872243786/?d=n

Here are the demands:

https://mailchi.mp/afbe6d675b55/press-release-on-school-reopenings-5033109?e=71d7c71fdb

Best, Tom

Thomas C. Pedroni

Associate Professor, Curriculum Studies
Wayne State University 

 

Contact:
Zeph Capo
zcapo@texasaft.org
713-670-4348

Texas AFT, Houston Federation of Teachers Fully Support Houston Independent School District
Reopen Plan

Plan Stands in Contrast to Neighboring Spring Branch ISD Hybrid Plan
 

 

HOUSTON—Texas AFT and the Houston Federation of Teachers fully support the Houston Independent School District’s reopening plan announced today, which calls for delaying the start of the new school year and using an all-virtual format for at least six weeks.

The new school year will start Sept. 8 for six weeks, through Oct. 16, after which either virtual instruction will be extended or face-to-face learning will resume with safety measures to protect students, teachers and other school employees.

“At this time, given the out-of-control conditions of COVID-19 in Houston, virtual learning is the safest option for Houston families and educators. It is our mission as professionals to provide the best and safest way to deliver instruction, no matter what method,” said Texas AFT President Zeph Capo.

Capo said HISD’s plan to start the year with distance learning is the right reopening plan for current conditions and stands in stark contrast to the hybrid plan announced today by Spring Branch ISD, a neighboring suburban district. The Spring Branch district asked parents to choose between in-school and distance learning, which both will start in August.

“To even consider bringing students and educators into a Houston-area school building right now is insanely irresponsible,” Capo said.

Capo said the Sept. 8 to Oct. 16 period of distance learning should give officials the time to determine the efficacy of returning to in-school learning.

“This should give us time to determine if someone from the local or state government will step up and lead us into a safer tomorrow. The medicine may be harsh, but it is necessary to shut down all nonessential functions to get this virus under control. That is the only safe course of action to give us a fighting chance to open schools for our preferred in-person delivery model,” Capo said.

“The HFT has recommended an all-virtual start for Houston schools and a delay of in-school learning until there has been a decline of COVID-19 cases over 14 consecutive days, plus a positive test rate of less than 5 percent and a transmission rate under 1 percent,” said HFT Executive Vice President Andy Dewey.

Texas AFT called on state leaders to ensure that all school districts across the state receive the flexibility required to safely educate children while receiving adequate funding necessary to deliver high-quality virtual learning, including digital devices and universal free internet service.

Capo acknowledged the efforts of HISD Board President Sue Deigaard and other urban school district colleagues in fighting for local control so that Austin doesn’t dictate the day-to-day operations of any school district.

 

NBCT Teacher Justin Parmenter and microbiologist Dr. Nan Fulcher write here about North Carolina’s reliance on limited studies to justify reopening schools.

 

A Warning for Governor Cooper: the burden of COVID-19 in NC is far higher than in countries that struggled with school outbreaks after reopening

On Tuesday Governor Roy Cooper announced that North Carolina students will return to school for in-person instruction in August. Schools will be expected to follow distancing protocols and symptoms screenings will be done as students and staff enter school buildings. Also on Tuesday, North Carolina set new records for single day death totals and COVID hospitalizations.

On Saturday we wrote about the COVID-19 data that North Carolina school officials are mulling over. In analyzing the specific points presented by the North Carolina Department of Health and Human Services (NCDHHS) to the NC State Board of Education, we noted the scarcity of information on COVID-19 spread in schools, and the potential for misinterpreting the few studies that do exist.

In our article, we only addressed the studies cited by the NCDHHS that supported the statement “schools do not appear to have played a major role in COVID-19 transmission.”

We did not address the fact that the NCDHHS failed to include other data in their report — information about countries that had already reopened their schools prior to the end of the 2019-2020 school year.

To shed more light on reopened schools, we now highlight a recent New York Times (NYT) article, which was published the same day as our last blog article.

The NYT outlines critical considerations for reopening U.S. schools, citing much of the same research we analyzed — and identifying the same flaws.

In addition, the authors discuss what happened when countries reopened their schools following initial closure due to the first COVID-19 cases. Information about reopened schools was absent from the NCDHHS’s literature review. This data could have greatly helped to inform discussion about North Carolina’s plan for the upcoming school year.

The NYT article cites the report entitled “Summary of School Re-Opening Models and Implementation Approaches During the COVID 19 Pandemic, which was distributed by the University of Washington Department of Global Health (updated 7-6-2020).

To set the stage for analyzing the UW report, we generated some values that reflect the COVID-19 burden in each country at the time they reopened their schools. Because the studies had different methods for determining transmission rates, direct comparison of each country’s infection data was not possible.

Therefore, to illustrate the prevalence of COVID-19 in each country, we determined the number of new daily cases expressed as a fraction of the country’s total population. (For example, Denmark had 198 new reported cases the day schools reopened; that value divided by the total population of 5.8 million equals 0.34 cases/10,000 people)

Table 1. COVID-19 infection data from six countries on the date that schools reopened.

New daily cases on reopen date per 10,000 people

Denmark 0.22
France 0.01
Germany. 0.15
Israel. 0.1
Norway. 0.07
S. Korea. 0.01

In the UW report, the authors considered Denmark and Norway to be among the European countries with low community transmission, while Germany was considered to be “higher”. This conclusion doesn’t track with our calculations, but high variability among the number of new daily case reports at the time could account for the discrepancy.

As for the outcome of reopening schools, the UW report presented the following results: [*NOTE: each country employed different mitigation measures and different strategies for grouping students and determining which ages returned to school.]

Denmark and Norway – These two countries reopened schools gradually, starting with preschool and then all students six weeks later. This approach did not result in an increased rate of growth of COVID-19 cases in either country.

Germany – The return of older students later in the reopening process was accompanied by increased transmission among students; staff infection rates were equivalent to that of the general population. Individual schools were closed for quarantine as outbreaks occurred. Recently, Germany closed a small number of schools preemptively in response to local community outbreaks.

Israel – Schools adopted fewer social distancing measures due to crowding. After reopening schools, over 300 children and staff were infected within a month, with over 130 cases at a single school. Around 200 schools out of 5,200 were closed for quarantine during June, others remaining open through the end of the month.

South Korea – Soon after reopening, schools near a warehouse facility outbreak were closed and other schools postponed reopening. Other closings have occurred in response to other small community clusters. No reports of school-related infections have been reported to date.

France – There were no publications on the outcome, but news accounts indicate that, despite a small number of cases (70 per 1.2 million students) after gradual opening in mid-May, cases have subsided and schools have fully reopened with no additional outbreaks.

The overall conclusion from UW was that reopening schools in countries where community transmission was low did not increase overall spread, but opening schools in countries where community transmission was higher correlated with school outbreaks and subsequent school closures.

To consider how reopening U.S. schools will compare to the other countries’ experiences, we looked at the current data for new daily cases for the entire country and for North Carolina (Table 2).

Table 2. Current COVID-19 infection data (7-11-2020) for the United States and North Carolina.

New daily cases per 10,000 people, 7-12-20

United States 1.87
North Carolina 2.35

It’s clear that none of the countries that reopened schools in late spring had anywhere near the extent of COVID-19 that’s present in the U.S.

Further, the value for new daily cases from each country that reopened schools (with the exception of Israel) continued to decline after school was back in session.

With transmission rates continuing to rise in the U.S. and in North Carolina, the number of daily new cases in both places could double by the time school starts on August 17th.

If the experience of other countries holds true — that COVID-19 spread in reopened schools reflects the prevalence of the infection in the community — reopening schools where the number of active cases is high would present an enormous risk for students and staff in those areas.

Even if children don’t pass along SARS-CoV-2 as easily as adults, there could still be a significant increase in spread among students and their families in communities hardest hit by COVID-19.

NC school officials urgently need to consider the lessons from other countries’ school reopening experiences, and look at the pace at which the virus is spreading right now … and where it’s predicted to be this fall and beyond.

Nan Fulcher earned her Ph.D. in Microbiology and Immunology from the University of North Carolina, specializing in infectious disease research. She’s involved in science and outdoor education programming for children and does freelance graphic design.

 

Ralph Ratto is a retired teacher in New York State. In this post, he reminds readers of the importance of school ventilation systems, which are seldom in a good state of repair, and the necessity of paying to clean and upgrade them for the safety of students and staff.

He asks: Why is Congress willing to fund banks and big corporations but not the health of our nation’s children and their teachers.

If school ventilation systems fail to provide fresh air before Covid, what do you think will happen with Covid? So my question is really this, why haven’t school districts, and states remediated while school buildings were closed?

This is not rocket science! Clean those univents and filters in classrooms, install new ones where needed, and add exhaust fans.

Spacing desks 6′ apart is not enough, cleaning surfaces is not enough! If the air quality is poor all of that will not matter.

The Feds and states must pour money into our school infrastructure if they want to open the economy. Forget the corporate bailouts, for once in my lifetime I would love our nation to put schools at the top of a national priority and support them with the funding needed.

There is one basic principle that must be honored in deciding whether and when to reopen schools: SAFETY FIRST.

No child or teacher or staff member should die because of a rush to reopen.

NBC News reported:

WASHINGTON — As the calls from the White House to fully reopen schools grow louder, evidence continues to pile up to show that scenario is unlikely to happen, at least not on the national scale President Donald Trump desires. That’s not because state and local officials aren’t trying, but because the spread of the virus is beginning to overwhelm even the best-laid plans.

Dallas Independent School District Superintendent Michael Hinojosa, for example, had been working on a blueprint to reopen schools in August as part of a long and delicate process. But with the virus now surging across Texas, the outbreak may make the decision for him.

“Initially I thought we would be ready, but I’m starting to have second thoughts,” Hinojosa told MSNBC’s Garret Haake last week. “Our parents have pivoted, more than 50 percent of them are now saying they don’t want to come, and we’re hearing loud and clear from our employees, especially our teachers, that they have a lot of concerns about how we can pull this off.”

His experience could be a preview of what’s to come for many school districts.

Public health experts, school officials, and teacher unions are warning that any proposal to physically reopen likely depends on containing the broader spread of the virus outside the classroom.

“I think it does become hard or impossible in areas with very high rates of infection,” Joshua Sharfstein, Vice Dean for Public Health Practice and Community Engagement at Johns Hopkins University and an advocate for reopening schools, said. “People will just be getting sick in the community and bringing it into the school. It will be very disruptive to the ability to stay open.”

With cases rising rapidly in much of the country, even states and districts with the most well-crafted and aggressive reopening plans could be whistling past the empty schoolyard if that’s the case.
San Diego, which was planning to open five days a week, announced on Monday it would only offer online learning thanks to the recent rise in coronavirus cases. Los Angeles will do the same.

Officials in Nashville and Atlanta have also announced the school year will start online due to their own coronavirus surges. Virginia Governor Ralph Northam has warned that school districts, some of which are already adopting hybrid plans, will not reopen if the state can’t keep infections down.

This presents obstacles to President Trump’s late scramble to open up schools, which he’s so far pursued by demanding that the Centers for Disease Control scale back its safety guidelines and by threatening schools that don’t open with some kind of financial punishment.

Even as Texas state officials move forward with a plan to require all schools to reopen full-time, for example, Governor Greg Abbott has cautioned that “if we continue to see COVID spreading the way that it is right now, it may be necessary to employ that flexibility and use online learning.” State guidance materials caution schools to design plans for “intermittent closure” if outbreaks occur.

The CDC offers some guidance to schools on how to isolate students or staff if they fall ill, but if parents pull their kids out of class in large numbers in favor of a remote learning option, that could effectively quash reopenings even if they continue on paper.

Both the worsening pandemic and Trump’s demands threaten to accelerate the trend by increasing anxiety about health conditions in schools. In Texas, a poll in June by the University of Texas/Texas Politics Project found 65 percent of respondents still considered schools “unsafe” for students.

“For me the goal is not just to open, it’s to stay open,” Dr. Thomas Frieden, a former CDC director, said on MSNBC. “If we open for a week or two and have to shut down the nation again, that would be a much worse travesty for our nation’s young children.”

Keeping teachers on board with reopening amid a raging series of outbreaks is also likely to be a struggle. American Federation of Teachers president Randi Weingarten has warned of a potential exodus of teachers retiring, quitting, or taking leave if they decide conditions are unsafe.

Some officials affiliated with the Trump administration have notably hedged their calls for reopening with disclaimers that pushing down cases is a critical step.

“The first thing we need to do is we need to get the virus under control,” White House testing czar Admiral Brett Giroir, who has advocated for reopening schools, said on ABC News on Sunday. “When we get the virus more under control, then we can really think about how we put children back in the classroom.”

While the White House has not presented a clear alternative to CDC guidelines or committed to funding new safety measures, plenty of outside health officials have argued that physically reopening schools should be the nation’s top priority given the immense strain even partial closures put on families.

Experts have proposed an array of potential measures to get there, from isolating groups of students to prevent large outbreaks, to installing partitions around desks, to pooling staff tests to detect infections early, to hiring aides to back up teachers.

The White House has frequently cited recommendations by the American Academy of Pediatrics, for example, to attempt 5-day-a-week reopenings in schools.

But the AAP, seemingly alarmed by Trump’s approach, issued a joint statement with national teachers unions and the School Superintendents Association on Friday warning that any approach to schools needed to follow public health guidance and get buy-in from local parents and teachers.

Critically, they warned that reopening plans should be scrapped if the outbreak becomes too severe.
“Schools in areas with high levels of COVID-19 community spread should not be compelled to reopen against the judgment of local experts,” they wrote.

The Orange County, California, school board approved a full reopening of schools in the fall, with no mandatory masks or social distancing.

Orange County education leaders voted 4 to 1 Monday evening to approve recommendations for reopening schools in the fall that do not include the mandatory use of masks for students or increased social distancing in classrooms amid a surge in coronavirus cases.

The Board of Education did, however, leave reopening plans up to individual school districts.

Among the recommendations are daily temperature checks, frequent handwashing and use of hand sanitizer, in addition to the nightly disinfection of classrooms, offices and transportation vehicles.

The recommendations, contained in a white paper, widely support schools reopening in the fall. The document states that remote learning amid the COVID-19 pandemic has been an “utter failure” and suggests allowing parents to send their children to another district or charter school to receive instruction if their home district does not reopen.

Eileen Sullivan and Erica L. Green of the New York Times managed to get a copy of an internal (secret) report from the Centers for Disease Control (CDC) that warned of the dangers of opening schools without adequate protection of students and staff.

WASHINGTON — Federal materials for reopening schools, shared the week President Trump demanded weaker guidelines to do so, said fully reopening schools and universities remained the “highest risk” for the spread of the coronavirus.

The 69-page document, obtained by The New York Times and marked “For Internal Use Only,” was intended for federal public health response teams to have as they are deployed to hot spots around the country. But it appears to have circulated the same week that Vice President Mike Pence announced that the Centers for Disease Control and Prevention would release new guidelines, saying that the administration did not want them to be “too tough.” It is unclear whether Mr. Trump saw the document, nor is it clear how much of it will survive once new guidance is completed.

(The cover page of the document is dated July 8, 2019, an obvious typographical error since the novel coronavirus did not exist then.)

What is clear is that federal health experts are using a road map that is vastly different from what Mr. Trump wanted.

While it is mostly a compilation of C.D.C. documents already posted online, it includes reopening plans drafted by states, districts and individual schools and universities. And the package, from the Community Interventions and Critical Populations Task Force, is pointed.

In a “talking points” section, the material is critical of “noticeable gaps” in all of the K-12 reopening plans it reviewed, though it identified Florida, Oregon, Oklahoma and Minnesota as having the most detailed.

“While many jurisdictions and districts mention symptom screening, very few include information as to the response or course of action they would take if student/faculty/staff are found to have symptoms, nor have they clearly identified which symptoms they will include in their screening,” the talking points say. “In addition, few plans include information regarding school closure in the event of positive tests in the school community.”

And its suggestions for mitigating the risk of school reopenings would be expensive and difficult for many districts, like broad testing of students and faculty and contact tracing to find people exposed to an infected student or teacher.

The debate about school reopenings comes as the virus is spreading at its fastest pace yet across the country, a trend some attribute to states reopening prematurely this spring on a timeline encouraged by Mr. Trump. Now some states are pausing their reopening plans and in some cases reimposing restrictions to contain the spread. Schools in California have had to cancel their plans for in-person classes as the virus surges..

And as Mr. Trump and Education Secretary Betsy DeVos were trying to pressure local schools to comply with their reopening vision, the document was expressly saying the federal government should not override local judgment.

“These C.D.C. considerations are meant to supplement — not replace — any federal, state, local, territorial, or tribal health and safety laws, rules, and regulations” with which schools must comply, the packet states in bold lettering. “Implementation should be guided by what is feasible, practical, and acceptable and be tailored to the needs of each community…”

“This is the document we needed six weeks ago,” said Daniel A. Domenech, the executive director of the AASA, the School Superintendents Association, calling it “concise, accessible and actionable.”

“While it is a great resource for superintendents as they navigate the myriad issues they need to address as they work to reopen schools,” he said, “it is also a great communication tool, a resource that can be shared with the community to help account for decisions being made and to share reliable, science-based information.”

Since May, the C.D.C. website has cautioned that full reopening would be “highest risk,” and that in both K-12 and higher education settings, the more people interact, “and the longer that interaction, the higher the risk of Covid-19 spread.” The “lowest risk,” the guidelines say, would be for students and teachers to attend virtual-only classes — an option the administration this week began a full-court press against.

All week, the Trump administration has been raising the pressure on schools and universities to reopen with in-person education. On Monday, Immigration and Customs Enforcement announced that international students whose colleges went fully online would have to transfer to a school offering in-person classes or leave the country.

By Wednesday, Ms. DeVos had publicly chastised a public school district in Fairfax County, Va., for offering parents a choice of in-person classes two days a week or fully online instruction. The department and the president said they were exploring options for using federal funding as leverage to force full reopening.

That Wednesday, Mr. Trump rejected the C.D.C. guidelines, calling them “very tough & expensive” on Twitter. Then Mr. Pence announced that the C.D.C. would issue new recommendations next week. “We just don’t want the guidance to be too tough,” he said.

On Friday, after repeating threats of cutting off federal funding from schools that do not fully reopen — which he does not have the authority to do — Mr. Trump lashed out again.

“Now that we have witnessed it on a large scale basis, and firsthand, virtual learning has proven to be TERRIBLE compared to In School, or On Campus, Learning,” he wrote on Twitter. “Not even close! Schools must be open in the Fall.”.

You may recall that when Betsy DeVos was interviewed by the Senate when she was confirmed, she sang the praises of virtual schools, despite the copious research that shows the deficiencies of online charter schools. Now she and Trump are insistent that schools must reopen fully for in-person instruction, five days a week, without the money to provide the safety protocols that the CDC recommends. In effect, they are urging the highest possible risk for students in K-12 and in colleges and universities.

What becomes clear is that they want students in schools so their parents can go back to work and jumpstart the economy. They don’t care about the risks to lives. For them, reopening the schools is a political necessity. Neither of them recommend appropriating the funds to make students and staff safe. If schools don’t reopen, or reopen only partially, they can conveniently blame the “greedy,” “selfish” teachers unions for keeping schools closed. They accept no responsibility to comply with the CDC guidelines.

Betsy DeVos said on CNN that schools need not follow the CDC guidelines.

The CDC guidelines for schools to reopen contain steps to keep children safe, including keeping desks placed six feet apart and for children to use cloth face coverings. The CDC suggests the closing of communal areas like dining rooms and playgrounds and the installation of physical barriers like sneeze guards where necessary.

“There is nothing in the data that would suggest that kids being back in school is dangerous to them,” DeVos said, when asked by Bash if she can assure parents and students that schools will be safe and pressed on health guidance that says children are at highest risk when meeting in full-sized, in-person classes — doubling down on a similar comment she made last week.

Trump and Pence has admitted that they pressured the CDC to water down the guidelines to make it easier for schools to reopen. So far, the CDC has not done so.

House Speaker Nancy Pelosi told Bash later in the program that CDC guidelines should be a requirement and called DeVos’ comments on schools being safe for students a “malfeasance and dereliction of duty.”

“This is appalling,” said Pelosi, a California Democrat. “The President and his administration are messing with the health of our children. We all want our children to go back to school. Teachers do, parents do and children do. But they must go back safely.”

Just today, the nation’s leading education groups–the National Education, the American Federation of Teachers, the American Association of School Superintendents, as well as the American Academy of Pediatrics, called for schools to reopen safely, safely, safely, and calls on the Administration and Congress to provide the necessary resources for reopening safely to be possible.

Donald Trump Jr. tweeted a few days ago that his father wants “open schools and closed borders,” while his opponent Joe Biden wants “closed schools and open borders.” Opening the schools without the funding to make them safe is a demagogic and dangerous tactic in the midst of a pandemic that still is out of control in many states.

If Trump and DeVos want schools to reopen for full in-person instruction, Trump should tell Mitch McConnell to bring the Senate back into session to pass the HEROES Act and demand all the funding necessary to make schools and colleges safe.

The American people need to know that Trump and DeVos want the schools to open fully with no safeguards in place for students or staff.

That’s wrong. It should not happen.