Archives for category: Science

Trump saw Dr. Scott Atlas on FOX News and decided to bring him onto the administration’s coronavirus task force. Since Atlas’s arrival, the task force has been riven with dissent. Drs. Birk and Fauci have fallen out of favor. Atlas has been accused of favoring “herd immunity,” which he denies. But he is close to Trump, and Trump listens to his advice.

As summer faded into autumn and the novel coronavirus continued to ravage the nation unabated, Scott Atlas, a neuroradiologist whose commentary on Fox News led President Trump to recruit him to the White House, consolidated his power over the government’s pandemic response.

Atlas shot down attempts to expand testing. He openly feuded with other doctors on the coronavirus task force and succeeded in largely sidelining them. He advanced fringe theories, such as that social distancing and mask-wearing were meaningless and would not have changed the course of the virus in several hard-hit areas. And he advocated allowing infections to spread naturally among most of the population while protecting the most vulnerable and those in nursing homes until the United States reaches herd immunity, which experts say would cause excess deaths, according to three current and former senior administration officials.

Atlas also cultivated Trump’s affection with his public assertions that the pandemic is nearly over, despite death and infection counts showing otherwise, and his willingness to tell the public that a vaccine could be developed before the Nov. 3 election, despite clear indications of a slower timetable.

Atlas’s ascendancy was apparent during a recent Oval Office meeting. After Trump left the room, Atlas startled other aides by walking behind the Resolute Desk and occupying the president’s personal space to keep the meeting going, according to one senior administration official. Atlas called this account “false and laughable.”

Discord on the coronavirus task force has worsened since the arrival in late summer of Atlas, whom colleagues said they regard as ill-informed, manipulative and at times dishonest. As the White House coronavirus response coordinator, Deborah Birx is tasked with collecting and analyzing infection data and compiling charts detailing upticks and other trends. But Atlas routinely has challenged Birx’s analysis and those of other doctors, including Anthony S. Fauci, Centers for Disease Control and Prevention Director Robert Redfield, and Food and Drug Administration Commissioner Stephen Hahn, with what the other doctors considered junk science, according to three senior administration officials.

Birx recently confronted the office of Vice President Pence, who chairs the task force, about the acrimony, according to two people familiar with the meeting. Birx, whose profile and influence has eroded considerably since Atlas’s arrival, told Pence’s office that she does not trust Atlas, does not believe he is giving Trump sound advice and wants him removed from the task force, the two people said.

In one recent encounter, Pence did not take sides between Atlas and Birx, but rather told them to bring data bolstering their perspectives to the task force and to work out their disagreements themselves, according to two senior administration officials.

The result has been a U.S. response increasingly plagued by distrust, infighting and lethargy, just as experts predict coronavirus cases could surge this winter and deaths could reach 400,000 by year’s end.

This assessment is based on interviews with 41 administration officials, advisers to the president, public health leaders and other people with knowledge of internal government deliberations, some of whom spoke on the condition of anonymity to provide candid assessments or confidential information.

Atlas defended his views and conduct in a series of statements sent through a spokesperson and condemned The Washington Post’s reporting as “another story filled with overt lies and distortions to undermine the President and the expert advice he is being given.”

Atlas said he has always stressed “all appropriate mitigation measures to save lives,” and he responded to accounts of dissent on the task force by saying, “Any policy discussion where data isn’t being challenged isn’t a policy discussion.”

On the issue of herd immunity, Atlas said, “We emphatically deny that the White House, the President, the Administration, or anyone advising the President has pursued or advocated for a wide-open strategy of achieving herd immunity by letting the infection proceed through the community.”

The doctor’s denial conflicts with his previous public and private statements, including his recent endorsement of the “Great Barrington Declaration,” which effectively promotes a herd immunity strategy.

On Saturday, Atlas wrote on Twitter that masks do not work, prompting the social media site to remove the tweet for violating its safety rules for spreading misinformation. Several medical and public health experts flagged the tweet as dangerous misinformation coming from a primary adviser to the president.

“Masks work? NO,” Atlas wrote in the tweet, followed by other misrepresentations about the science behind masks. He linked to an article from the American Institute for Economic Research — a libertarian think tank behind the Barrington effort — that argued against masks and dismissed the threat of the virus as overblown.

Trump and many of his advisers have come to believe that the key to a revived economy and a return to normality is a vaccine.

“They’ve given up on everything else,” said a senior administration official involved in the pandemic response. “It’s too hard of a slog.”

Infectious-disease and other public health experts said the friction inside the White House has impaired the government’s response.

“It seems to me this is policy-based evidence-making rather than evidence-based policymaking,” said Marc Lipsitch, director of the Center for Communicable Disease Dynamics at the Harvard T.H. Chan School of Public Health. “In other words, if your goal is to do nothing, then you create a situation in which it looks okay to do nothing [and] you find some experts to make it complicated.”

These days, the task force is dormant relative to its robust activity earlier in the pandemic. Fauci, Birx, Surgeon General Jerome Adams and other members have confided in others that they are dispirited.

Birx and Fauci have advocated dramatically increasing the nation’s testing capacity, especially as experts anticipate a devastating increase in cases this winter. They have urged the government to use unspent money Congress allocated for testing — which amounts to $9 billion, according to a Democratic Senate appropriations aide — so that anyone who needs to can get a test with results returned quickly.

But Atlas, who is opposed to surveillance testing, has repeatedly quashed these proposals. He has argued that young and healthy people do not need to get tested and that testing resources should be allocated to nursing homes and other vulnerable places, such as prisons and meatpacking plants.

White House spokeswoman Sarah Matthews defended Trump and the administration’s management of the crisis.

“President Trump has always listened to the advice of his top public health experts, who have diverse areas of expertise,” Matthews said in a statement. “The President always puts the well-being of the American people first as evidenced by the many bold, data-driven decisions he has made to save millions of lives. Because of his strong leadership, our country can safely reopen with adequate PPE, treatments, and vaccines developed in record time.”

Yet 10 months into a public health crisis that has claimed the lives of more than 219,000 people in the United States — a far higher death toll than any other nation has reported — a consensus has formed within the administration that some measures to mitigate the spread of the virus may not be worth the trouble.

The president gave voice to this mind-set during an NBC News town hall Thursday night, when he declined to answer whether he supported herd immunity. “The cure cannot be worse than the problem itself,” Trump told host Savannah Guthrie.

But medical experts disagreed, saying it is dangerous for government leaders to advocate herd immunity or oppose interventions.

“We’d be foolish to reenter a situation where we know what to do and we’re not doing it,” said Rochelle Walensky, chief of the division of infectious diseases at Massachusetts General Hospital and a professor of medicine at Harvard Medical School. “This thing can take off. All you need to do is look at what’s happened at 1600 Pennsylvania Avenue over the last two weeks to see that this thing is way faster than we’re giving it credit for.”

After Trump came home from the hospital this month, he all but promised Americans that they could soon be cured from the coronavirus just as he claimed to have been. In a video taped at the White House on Oct. 5, he vowed, “The vaccines are coming momentarily.”

Then, at a rally last Tuesday night in Johnstown, Pa., Trump told supporters, “The vaccines are coming soon, the therapeutics and, frankly, the cure. All I know is I took something, whatever the hell it was. I felt good very quickly . . . I felt like Superman.”

Trump’s miraculous timeline has run headlong into reality, however. On the same day that he declared “the cure” was near, Johnson & Johnson became the second pharmaceutical giant, after AstraZeneca, to halt its vaccine trial. A third trial, a government-run test of a monoclonal antibody manufactured by Eli Lilly & Co., was also paused. Each move was prompted by safety concerns.

And on Friday, Pfizer said it will not be able to seek an emergency use authorization from the FDA until the third week of November, at the earliest, seemingly making a vaccine before Election Day all but impossible.

Trump’s notion of a vaccine as a cure-all for the pandemic is similarly miraculous, according to medical experts.

“The vaccines, although they’re wonderful, are not going to make the virus magically disappear,” said Tom Frieden, a former CDC director who is president of Resolve to Save Lives. “There’s no fairy-tale ending to this pandemic. We’re going to be dealing with it at least through 2021, and it’s likely to have implications for how we do everything from work to school, even with vaccines.”

Frieden added: “Remember, we have vaccines against the flu, and we still have flu.”

The article goes on to describe the pressure that Trump and his chief of staff Mark Meadows are putting on the CDC, the FDA, and the NIH to accelerate the approval of a vaccine before November 3, election day. Pence has been assigned the job of smooth-talking the governors and assuring them that a vaccination will soon be available. Meanwhile, the politicization of the vaccine approval process has caused a decline in the proportion of the public that is willing to take a new vaccine if it becomes available.

Trump and his close advisor Scott Atlas have pointed to the Great Barrington Declaration as evidence for their views; it was allegedly signed by 15,000 scientists. However, the Daily Beast was able to scrutinize some of the signers, and among them were obviously fake names.

The White House has reportedly embraced a declaration by a group of scientists arguing for a “herd immunity” strategy to deal with America’s coronavirus pandemic—days after the validity of the declaration came under question due to a number of apparently fake names among its expert signatories, including “Dr. Johnny Bananas.” According to The New York Times, on a call convened Monday by the White House, two anonymous administration officials cited the petition, titled The Great Barrington Declaration, which argues that COVID-19 should be allowed to spread through the population. The declaration’s website claims the petition has been signed by more than 15,000 scientists, but, last week, Sky News found dozens of fake names on the list of medical signatories, including Dr. I.P. Freely, Dr. Person Fakename, and Dr. Johnny Bananas.

A government agency that has long been trusted as nonpartisan relies on public trust for the information it releases. When that agency is the Centers for Disease Control, public trust is essential to persuading the public that its advisories represent the work of scientists, unaffected by political considerations. This article by ProPublica describes how the Trump administration persistently interfered in CDC guidelines in an attempt to convince the public that the pandemic was no big deal and that the administration was doing a fabulous job in handling it.

It begins:

At 7:47 a.m. on the Sunday of Memorial Day weekend, Dr. Jay Butler pounded out a grim email to colleagues at the Centers for Disease Control and Prevention in Atlanta.

Butler, then the head of the agency’s coronavirus response, and his team had been trying to craft guidance to help Americans return safely to worship amid worries that two of its greatest comforts — the chanting of prayers and singing of hymns — could launch a deadly virus into the air with each breath.

The week before, the CDC had published its investigation of an outbreak at an Arkansas church that had resulted in four deaths. The agency’s scientific journal recently had detailed a superspreader event in which 52 of the 61 singers at a 2½-hour choir practice developed COVID-19. Two died.

Butler, an infectious disease specialist with more than three decades of experience, seemed the ideal person to lead the effort. Trained as one of the CDC’s elite disease detectives, he’d helped the FBI investigate the anthrax attacks, and he’d led the distribution of vaccines during the H1N1 flu pandemic when demand far outstripped supply.

But days earlier, Butler and his team had suddenly found themselves on President Donald Trump’s front burner when the president began publicly agitating for churches to reopen. That Thursday, Trump had announced that the CDC would release safety guidelines for them “very soon.” He accused Democratic governors of disrespecting churches, and deemed houses of worship “essential services.”

Butler’s team rushed to finalize the guidance for churches, synagogues and mosques that Trump’s aides had shelved in April after battling the CDC over the language. In reviewing a raft of last-minute edits from the White House, Butler’s team rejected those that conflicted with CDC research, including a worrisome suggestion to delete a line that urged congregations to “consider suspending or at least decreasing” the use of choirs.

On Friday, Trump’s aides called the CDC repeatedly about the guidance, according to emails. “Why is it not up?” they demanded until it was posted on the CDC website that afternoon.

The next day, a furious call came from the office of the vice president: The White House suggestions were not optional. The CDC’s failure to use them was insubordinate, according to emails at the time.

Fifteen minutes later, one of Butler’s deputies had the agency’s text replaced with the White House version, the emails show. The danger of singing wasn’t mentioned.

Early that Sunday morning, as Americans across the country prepared excitedly to return to houses of worship, Butler, a churchgoer himself, poured his anguish and anger into an email to a few colleagues.

“I am very troubled on this Sunday morning that there will be people who will get sick and perhaps die because of what we were forced to do,” he wrote.

When the next history of the CDC is written, 2020 will emerge as perhaps the darkest chapter in its 74 years, rivaled only by its involvement in the infamous Tuskegee experiment, in which federal doctors withheld medicine from poor Black men with syphilis, then tracked their descent into blindness, insanity and death.

With more than 216,000 people dead this year, most Americans know the low points of the current chapter already. A vaunted agency that was once the global gold standard of public health has, with breathtaking speed, become a target of anger, scorn and even pity.

How could an agency that eradicated smallpox globally and wiped out polio in the United States have fallen so far?

ProPublica obtained hundreds of emails and other internal government documents and interviewed more than 30 CDC employees, contractors and Trump administration officials who witnessed or were involved in key moments of the crisis. Although news organizations around the world have chronicled the CDC’s stumbles in real time, ProPublica’s reporting affords the most comprehensive inside look at the escalating tensions, paranoia and pained discussions that unfolded behind the walls of CDC’s Atlanta headquarters. And it sheds new light on the botched COVID-19 tests, the unprecedented political interference in public health policy, and the capitulations of some of the world’s top public health leaders.

Senior CDC staff describe waging battles that are as much about protecting science from the White House as protecting the public from COVID-19. It is a war that they have, more often than not, lost.

Please open the link and read it all.

The Wall Street Journal reports that more than 1,000 current and former officials at the Centers for Disease Control denounced the Trump administration’s response to COVID-19.

More than 1,000 current and former officers of an elite disease-fighting program at the U.S. Centers for Disease Control and Prevention have signed an open letter expressing dismay at the nation’s public-health response to the Covid-19 pandemic and calling for the federal agency to play a more central role.

“The absence of national leadership on Covid-19 is unprecedented and dangerous,” said the letter, signed by current and former officers of the CDC’s Epidemic Intelligence Service of outbreak investigators. “CDC should be at the forefront of a successful response to this global public health emergency.”

Signers included two former CDC directors: Jeffrey Koplan, who led the agency under Presidents Bill Clinton and George W. Bush, and Tom Frieden, who served under President Barack Obama.

All of the signatories were writing to “express our concern about the ominous politicization and silencing of the nation’s health protection agency” during the current pandemic, said their letter, which was published Friday in the Epidemiology Monitor, a newsletter for epidemiologists.

“CDC has today, as it has every day during its 74-year history, provided the best available information and recommendations to the American public,” the agency said in a response to the letter. “Since January, more than 5,200 CDC personnel have dedicated themselves to protecting the health of the American people.”

Long regarded as the world’s premier public health agency, the CDC normally plays a leading role globally in a response to epidemics.

The Trump administration has been deeply involved at times in the shaping of scientific recommendations at the CDC during the pandemic, raising objections to guidelines for reopening churches and schools and for wearing masks, The Wall Street Journal reported. An administration spokesman said that “the CDC occupies a critical seat on the (coronavirus) task force, which is made up of public health leaders with an array of valuable expertise.”

I get many requests for donations in my email daily. Some come from the Committee to protect Medicare.

This was written by Dr. Rob Davidson, executive director of the Committee:

For the past three days, I’ve watched Amy Coney Barrett’s confirmation hearings in the Senate. As a doctor, it’s beyond bizarre to see a potential Supreme Court Justice say she’ll make decisions about health care based on Originalism — what she thinks people in the 1700s would have intended.

How different was medicine back then? 

The first vaccine wasn’t developed until 1799 (smallpox). Does Judge Barrett support Medicaid covering the routine immunization of kids against deadly diseases? Would she oppose Donald Trump providing a coronavirus vaccine to us, even though the founders would be confused? 

 1846 saw the first demonstration of anesthesia in the world. Should Medicare pay for anesthesia for hip replacements or heart bypasses, even though the constitution doesn’t mention anesthesia? 

 To Judge Barrett, would my evaluations of Medicare patients with chest pain be unconstitutional since EKG’s and X-rays weren’t used until 1895?  

This list goes on and on. Nearly every aspect of modern medicine was non-existent in the late 18th century. An “originalist” approach to the government funding of any type of health care today might deem all of them unconstitutional. 

This is personal for me. Amy Coney Barrett’s confirmation is all but certain to doom the Affordable Care Act and rip health care from over 20 million Americans, including over 8,000 people in my poor, red, rural Michigan county of 48,000. Is the ACA just the first step? Is Medicare next on the chopping block?

 If Amy Coney Barrett is confirmed, we need to be able to push twice as hard to reach voters in these final weeks to convey just how high the stakes are for health care. Can you chip in $5, $10, or more today to help us reach voters in swing states and save Medicare in these final 19 days? Click here to chip in now.If you’ve saved your payment information with ActBlue Express, your donation will process automatically:

Express Donate: $5 →Express Donate: $10 →Express Donate: $25 →Express Donate: $50 →Express Donate: $100 →Express Donate: Other → 

Thank you so much for your support,

 Dr. Rob Davidson
Executive Director of Committee to Protect Medicare

A reader who is a scientist wrote to ask why I posted the views of an economist about children and COVID instead of those of a medical researcher. She sent me this interview of Angela Rasmussen that appeared in Science Friday. Rasmussen is a professor at Columbia University’s Mailman School of Public Health.

In the interview, she says:

ANGELA RASMUSSEN: Well, teachers and parents should definitely not think that children are immune or more resistant to the virus. Just because they don’t develop a severe of disease [sic], that doesn’t mean that they can’t be infected and it doesn’t mean that they can’t bring the virus home with them to transmit to other people in their household. It also doesn’t mean that they would be incapable of transmitting it to faculty and staff in schools.

And in general, we– I think a lot of the discussion about schools has assumed that schools are an isolated bubble that is separate from the rest of the community, and they’re really not. If children are getting infected, whether outside of school or in school, those children are still part of the same community and they’re capable of spreading the virus within that community.

So we need to stop thinking of schools as a separate space or children as a special population of people who are less susceptible. We need to take the same precautions with preventing transmission in schools as we do within the rest of the community.

The full interview is worth reading.


John Thompson, historian and retired teacher in Oklahoma, reviews Alec MacGillis’ “School’s Out,” a book about the response of schools and teachers to the pandemic. My takeaway: It’s tough to write a book about a pandemic when it’s not over.

When I first read Alec MacGillis’ School’s Out, I worried that he reached conclusions that were too optimistic, but it made me hopeful. After all, it was a co-production by ProPublica and New Yorker, and MacGillis had listened to numerous top public health experts. Upon rereading, and following his links, I’ve reached a more discouraging appraisal. The published research he cites actually makes the case for more caution, and against MacGillis’ implicit call to reopen schools more quickly for in-person instruction.   

School’s Out touched all bases in reviewing recent research, but I’m afraid MacGillis didn’t focus enough on the experience of educators. In fact, after discussing recent research with a Baltimore teacher who he respected, he was surprised that she still opposed the reopening for in-person classes. To his credit, MacGillis presented her side of the story but he didn’t seem to understand why school environments would “snowball” the transmission effects. 

At first, MacGillis did an excellent job of personalizing the complexity of the threats that Covid brings to already-weakened high-poverty schools. He described a 12-year-old Baltimore student, Shemar, who he had tutored. MacGillis surveyed the technological problems which made it so much more difficult for online instruction to serve Shemar’s needs. Then he explained why technology shortcomings were only a part of the overall situation. Real solutions would require the education system to rebuild personal contacts with students like Shemar.

Also to his credit, rather than embrace the blame-game of the last generation, MacGillis wrote that Shemar’s teachers “worried about him but had a hard time reaching him, given his mother’s frequent changes of phone number. One time, his English teacher drove to his house and visited with him on the small front porch.” Moreover, MacGillis expressed regret that he had not been more helpful, “I checked on Shemar a couple of times during the spring, but, in hindsight, I was too willing to let the lockdown serve as an excuse to hunker down with my own kids, who were doing online learning at other Baltimore public schools.” 

This could have foreshadowed a recommendation for caution in the complicated task of restarting in-person instruction. Yes, he could have concluded, the most vulnerable children suffer the most under a virtual education system. If a rushed reopening occurs, however, and it fails, the poorest children of color would be damaged even more.

MacGillis mentioned areas where urban schools have less capacity than affluent American schools or high-performing systems across the world. For instance, a student who was more worried about his mother losing her job than logging in to remote learning made the common, correct prediction, “‘I don’t care if I fail. I’m 14, in seventh grade — I don’t think they’re going to fail me again.’ He was right.” MacGillis then made the more important observation about poor children of color:

Society’s attention to them has always been spotty, but they had at least been visible — one saw them on the way to school, in their blue or burgundy uniforms, or in the park and the playground afterward. Now they were behind closed doors, and so were we, with full license to turn inward. While we dutifully stayed home to flatten the curve, children like Shemar were invisible.

MacGillis then cited Christopher Morphew, the dean of the Johns Hopkins School of Education, when warning: 

“The failure to plan now, to spend the money now, is going to cost us in human resources, in violence, in other ways, for a long time,” he said. He estimated that the closure could result in 18 months of “summer melt,” the term for the educational regression caused by long breaks in schooling. “Eighteen months of summer melt when you’re already three grades behind is virtually impossible to come back from.”

However, I’m afraid that MacGillis failed to thoroughly consider why urban students like Shemar are so far behind. He recalled a great deal of 19thand 20th century education history, while ignoring the 21st century where trust was further undermined by corporate school reformers who imposed quick fixes that educators knew were doomed to fail.

Then, I worry that School’s Out was sidetracked by a simplistic account of the way that President Donald Trump and Secretary of Education Betsy DeVos undermined the efforts to safely reopen schools in the fall. In July, Trump proclaimed, “We’re very much going to put pressure on governors and everybody else to open the schools.” And the “instantaneous” result was, “Teachers who had been responsive to the idea of returning to the classroom suddenly regarded the prospect much more warily.”

The big problem, however, wasn’t teachers’ new fearfulness. The problem was the realities created by Trump, “governors and everybody else” who made it impossible to safely reopen many schools. For instance, a Brookings Institution study  “found that districts’ school opening decisions correlated much more strongly with levels of support for Trump in the 2016 election than with local coronavirus case levels.” That reality was bad enough. But, School’s Out didn’t to seem fully consider how much schools in urban areas which voted against Trump are poorer and, often, politically powerless.

MacGillis cited a list of affluent and private schools, and schools in nations that better handled the coronavirus and did what is takes to return to in-person learning. Even after repeatedly using the words community and “community spread,” MacGillis (and sometimes the public health experts he cited) ignored the ways that the reopening of bars, and the rest of the economy; the rush to return to in-person college classes, and football; and the often widespread refusal to even wear masks and respect social distancing made it unlikely that many schools could reopen safely. 

MacGillis even cites Texas, Florida and Georgia as hopeful examples, noting that case numbers have declined from their summer highs as schools reopen, but the New York Times lists Texas and Georgia as only having “some” reporting for school districts with reporting “planned” in Florida. Regardless, who would see those state’s tragedies as best public health practices and celebrate the way that infections haven’t gone all the way up to their most tragic levels?

In doing so, MacGillis seems to forget the timing of the political mandates and the publication dates of public health research.  Had the comprehensive efforts of March and April, that broke the infection curve in many American cities and European nations, and had federal resources not been cut back so quickly, educators could have prioritized in-person and/or hybrid  instruction in the fall, while also working on virtual systems that might be necessary if a “second wave” hit.   

By June, however, there was a major pushback by the Trump administration and pro-Trump governors against public health expertise. This was best illustrated three weeks into June when Trump spoke to an indoor crowd in Tulsa. But citing an op-ed in The New York Times on July 1, by Jennifer Nuzzo and Joshua Sharfstein, MacGillis explained, “Nuzzo had supported lockdowns to slow the spread of the coronavirus in the spring, but by the summer she was arguing that schools should plan to reopen in much of the country.”

Moreover, he added, “A number of experts were beginning to agree with Nuzzo and Sharfstein.” He also drew on Harvard’s Meira Levinson’s article in The New England Journal of Medicine laying out how to reopen primary schools, and Harvard’s Joseph Allen, who co-wrote a 62-page plan listing steps that schools could take to reduce transmission risk.

Being a retired teacher, with too many years of being a consumer of rushed Big Data hypotheses, I read the actual wording of these scholarly papers and connected the dots very differently than MacGillis. Nuzzo and Sharfstein may have disagreed with my synthesis of the evidence but, as they wrote, education decision-makers had to deal with the real world consequences of “the way states lifted social distancing restrictions imposed to fight the coronavirus sadly demonstrates our priorities. Officials let bars, restaurants and gyms open, despite warnings from public health experts that these environments pose the greatest risk for spreading the disease.”

I suspect the Times editor who drafted the Op-Ed’s title would have agreed with me about the key takeaway: “We Have to Focus on Opening Schools, Not Bars.” Yes, “Resuming classroom instruction is crucial. Infection control inside and outside classrooms can let it happen.” But, “political leaders seem to have paid scant attention to safely reopening schools,” and “the consequences of those backward priorities …  Covid-19 rampaging through states that reopened quickly — make it even more vital that we extensively prepare to reopen classrooms as safely as possible this fall.” 

But what would it take to do so?

In this political climate where increased funding, masks, and even social distancing were being repudiated in so many states, Nuzzo and Sharfstein argued, “Reopening businesses that pose a major risk of community spread should be a lower priority than reopening schools.” They called for building the capacity for “robust tracing, isolation and quarantining;” funding for “finding other buildings and space where they could expand;” in-school “bubbles” or “small groups of students who will learn, eat lunch and have recess together;” a system to protect “staff members who are older or have chronic medical conditions;” a “creative” transportation system; and improved online instruction systems.

Similarly, Meira Levinson’s article said, “Even under conditions of moderate transmission (<10 cases per 100,000 people), … we believe that primary schools should be recognized as essential services — and school personnel as essential workers — and that school reopening plans should be developed and financed accordingly.” But, it also said:

Any region experiencing moderate, high, or increasing levels of community transmission should do everything possible to lower transmission. The path to low transmission in other countries has included adherence to stringent community control measures — including closure of nonessential indoor work and recreational spaces. Such measures along with universal mask wearing must be implemented now in the United States if we are to bring case numbers down to safe levels for elementary schools to reopen this fall nationwide.

It thus offered little practical advice to those schools in states that rejected the wisdom of public health experts.  

And Joseph Allen’s position sounded like it was even more opposed to the caution of educators, but the disclaimer at the beginning of “Risk Reduction Strategies for Reopening Schools” said the guidelines were “intended to offer guidance regarding best practices regarding the general operations of buildings in an effort to reduce the risk of disease transmission.” The report:

Is in no way intended to override or supersede guidance from government and health organizations, including, without limitation, the Centers for Disease Control and Prevention, the World Health Organization, the United States Government, and or any States. The information contained herein reflects the available information at the time the report was created. User recognizes that details and information are changing daily.

In other words, in July, it would have been difficult, or impossible, for educators in many states and most urban districts to see the evidence that was “changing daily” as enough to justify in-person instruction by September. Then, on July 18, the New York Times reported that a massive study by South Korean experts found that “children younger than 10 transmit to others much less often than adults do, but the risk is not zero. And those between the ages of 10 and 19 can spread the virus at least as well as adults do.”

MacGillis cited researchers who “immediately found problems with the study’s conclusions, pointing out that the sample of children who had become sick was exceedingly small,” and “it was not clear whether older children had passed the virus to adults or had got it at the same time and shown symptoms earlier.” I also was reassured by their pushback. But then I followed MacGillis’ link to Alasdair Munro, a clinical research fellow in pediatric infectious diseases at University Hospital Southampton, and found it was a Twitter debate. I became more concerned that he was engaging in an academic debate, as opposed to evaluating what decision-makers need to know about the dangers of reopening and when did they need to know it in order to make plans and implement them.  

On Twitter, Munro criticized the Korean study saying that he had seen unpublished data to the contrary and that “it was a mistake to rush to use this study as high quality evidence that children are highly infectious (even more so than adults!) once they reach 10 years old.”  It wasn’t until August 10, however, that such evidence was reported. 

My reading of the debate was that Munro didn’t make the case for schools in high-transmission areas not taking the Korean study seriously when deciding whether to reopen. But, even if Munro made the case, he was doing so on the eve of the reopening dates proposed in many high-risk areas. How could educators implement plans, based on that continuing debate, in a few weeks?

Rather than get into the weeds of the Twitter exchange which School’s Out drew upon, I’ll just cite Munro’s latest positions. First, he argues “Careful reopening of schools in areas of low community prevalence with good, basic infection prevention measures can work.” And his summary of the evidence is: “If prevalence [is] high in the community, it will be high in schools and some will transmit; Isolated cases result in low transmission; and Infection prevention works.” But he never seems to touch the question of how prevention can work in schools in communities that won’t invest in it.

And that brings me back about what was excellent and what was misguided by School’s Out. MacGillis was eloquent about the disaster which is likely unfolding and which is most damaging our poorest children of color. He correctly concludes that huge numbers of disadvantaged students like Shemar need to get “out of the home and into school, every day.” But the battle against the isolation these children face is “on hold.” This is the tragic reality:

For the foreseeable future, Shemar would be spending his days as he had spent the spring and the summer: in a dark room, in front of a screen, with virtually no direct interaction with kids anywhere close to his own age. Sometimes the screen would hold Minecraft and Fortnite; sometimes, if he got the hang of the log-ins, it would hold Zoom.

And we must welcome the guidance of public health experts who are calling for holistic instruction, recognition of the effects of poverty, segregation, and trauma, and acknowledging that schools alone can’t overcome these interconnected challenges. We should be thankful that public health experts have done such a great job of laying out realistic advice and plans for reopening our schools. It’s not their fault that Trumpism undermined their contributions.

Moreover, our failure to reopen in a safe and timely manner will almost certainly prompt the flight of middle-class and affluent families from traditional public schools, resulting in the loss of per-student funding. MacGillis concludes with the prediction by Jon Hale, of the University of Illinois that “the consequences could be tragic. It will decimate the system for those who rely on it.”  In other words, the hard facts are even starker than acknowledged in School’s Out. We are heading for a disaster for many, many students. But, it would have been worse if our most vulnerable urban districts had given into pressure and rushed the return to in-person instruction. 

https://wordpress.com/block-editor/post/ateacherstale704189778.wordpress.com/33

Carol Burris interviewed teachers, students and administrators about their experiences returning to school. As you might expect, she encountered a range of reactions.

The Network for Public Education is following 37 districts in New York, Pennsylvania, and Connecticut that reopened — either hybrid or full time. Of the 23 districts that responded to our inquiry regarding remote learners, the average rate of students who opted to not attend in person was 21 percent. Percentages ranged from 6 percent of the school population to 50 percent. Larger percentages of students of color are associated with higher remote rates.




Superintendent Joe Roy said he has been carefully examining patterns among the 25 percent of students whose families chose remote learning in his district in Bethlehem, Pa.
For the most part, they are students from affluent families who have academic supports for learning at home, or conversely, are from the least affluent homes. The families of his district’s students of color, many of whom work in local warehouses, were hit harder by the pandemic and, therefore, are more reticent to send their children back to school.
Roy’s neighboring district, Allentown, where 86 percent of the students are Black or Latinx, decided to go all virtual after a parent survey showed a majority were not ready for in-person learning.

One middle school teacher with whom I spoke, who requested anonymity, said he hopes that the schools open soon. Technology for remote learning has been an issue he told me — from hardware to poor connections.
“We are losing kids,” he said. “Our kindergarten enrollment is much lower than it has been in previous years. Of a class of 19, maybe 17 of my students log on to my early morning class. When I meet them later in the day, 12 or fewer show up. A 6½-hour day on Zoom is brutal. Some are keeping their cameras off, and others don’t respond. Many of my students can’t work independently.”


The challenges of in-person learning


Over half of the 37 districts we are following now bring some or all students back full time. Those schools that are using hybrid typically split students into two small cohorts that share the same teacher. Some bring those cohorts back three days one week and two days the following week. Others bring the cohorts back only two days a week — on consecutive days or staggered days with a fifth day when all stay home.




Although those I spoke with are glad to be back, school is certainly not the same as before the pandemic.

My youngest grandchildren returned to in-person school for only two days last week, and they were ecstatic. The schools did everything that was required—masks, social distancing, hand washing. Who knew that children loved school so much?

The Select Sub-Committee on the Coronavirus Crisis (House of Representatives) released a devastating report on the Trump administration’s efforts to hide the seriousness of the pandemic from the public.

https://coronavirus.house.gov/sites/democrats.coronavirus.house.gov/files/10.2.20%20Political%20Interference%20Report%20%281%29.pdf

Since we first learned about the pandemic in mid-March, we have gotten mixed signals from the federal government. The president said it was a hoax, said it would magically disappear. He mocked mask-wearing. Mike Pence said it would be over by Memorial Day. The Centers for Disease Control (CDC) changed its guidelines, bending to the White House. Then Bob Woodward released interviews with the president, and it turns out he has known since January that COVID is deadly serious, and it is airborne.

Now Trump has COVID. Will his base start wearing masks? Will they stop demonstrating for their freedom to ignore public health regulations?

Steven Singer writes here about Trump’s illness and what it might mean for the schools.

He begins:

It had to happen eventually.

Donald Trump, the ultimate science denier, got bit in the butt by science.

He’s got Coronavirus, and is in Walter Reed National Medical Center fighting for his life.

Apparently the virus isn’t a hoax.

You don’t catch it by testing for it.

You don’t treat it with hydroxychloroquine.

It’s a global pandemic, and the only way to fight something like that is with rationality and logic.

You have to wear a face mask, dumb-ass.

You have to practice social distancing.

You can’t just reopen the economy and pretend that this won’t cost hundreds of thousands of lives.

You can’t steamroll over more than 200,000 Americans lost simply because most are elderly, poor and/or brown skinned. And they don’t matter to you…

Long before Trump went from being a clown to a contender, policymakers tried reforming our schools with only wishful thinking and a marketing plan.

High stakes testing, charter schools, voucher plans, value added measures, Teach for America – whether proposed by Democrats or Republicans, it is all nothing but science denial wrapped in a stock portfolio.

These are the ways Wall Street has cashed in on schools pretending to be saviors while hiding the reality of their vulture capitalism.

And Trump has been no different.

Except that his instrument – billionaire heiress Betsy DeVos – made it harder to deny.

She barely even tried to pretend to be anything other than what she is – an unimaginative opportunist dead set on destroying the public in public schools.

Now that her spray tanned master has – through inaction and ineptitude – unleashed a plague upon the nation, our students are suffering worse than ever.

Many schools are shuttered from sea to shining sea, their students forced to learn via the Internet.

Open the link and read it all.

The first set of guidelines from the Centers for Disease Control warned that schools needed to take safety precautions to protect students and staff before reopening. Then in July, Trump and DeVos insisted that schools should reopen in full, even as Trump and his allies blocked passage of appropriations that provided the resources needed by schools to reopen safely. Trump’s highest priority was getting the economy open by getting parents back to work.

I wrote last July that the Trump administration pressured the CDC to revise its guidelines, emphasizing the importance of reopening and downplaying the safety guidelines. Getting re-elected meant more to Trump than the health of our nation’s students.

The New York Times tells the story:

Top White House officials pressured the Centers for Disease Control and Prevention this summer to play down the risk of sending children back to school, a strikingly political intervention in one of the most sensitive public health debates of the pandemic, according to documents and interviews with current and former government officials.

As part of their behind-the-scenes effort, White House officials also tried to circumvent the C.D.C. in a search for alternate data showing that the pandemic was weakening and posed little danger to children.

The documents and interviews show how the White House spent weeks trying to press public health professionals to fall in line with President Trump’s election-year agenda of pushing to reopen schools and the economy as quickly as possible. The president and his team have remained defiant in their demand for schools to get back to normal, even as coronavirus cases have once again ticked up, in some cases linked to school and college reopenings.

The effort included Dr. Deborah L. Birx, the White House’s coronavirus response coordinator, and officials working for Vice President Mike Pence, who led the task force. It left officials at the C.D.C., long considered the world’s premier public health agency, alarmed at the degree of pressure from the White House.

One member of Mr. Pence’s staff said she was repeatedly asked by Marc Short, the vice president’s chief of staff, to get the C.D.C. to produce more reports and charts showing a decline in coronavirus cases among young people.

The staff member, Olivia Troye, one of Mr. Pence’s top aides on the task force, said she regretted being “complicit” in the effort. But she said she tried as much as possible to shield the C.D.C. from the White House pressure, which she saw as driven by the president’s determination to have schools open by the time voters cast ballots.

“You’re impacting people’s lives for whatever political agenda. You’re exchanging votes for lives, and I have a serious problem with that,” said Ms. Troye, who left the White House in August and has begun speaking out publicly against Mr. Trump.

According to Ms. Troye, Mr. Short dispatched other members of the vice president’s staff to circumvent the C.D.C. in search of data he thought might better support the White House’s position.