Planning To Reopen - Our Schools, State Guidelines - Background and Facial Coverings

8/17/2020 (Permalink)

This past Friday, August 14th, the State of Massachusetts required all School districts to submit their education plans for the coming academic school year. Each school district was required to submit plans that cover all three potential scenarios:

1. In-school, traditional setting
2. Hybrid, scaled down, in-school paired with remote learning
3. 100% remote learning

Governor Baker's administration provided the following guidance to help communities develop their individual plans.

According to the administration both education and medical groups agree that we must keep in mind both the risks associated with COVID-19 for in-person school programs and the known challenges and consequences of keeping students out of school for extended periods of time. While remote learning has improved over the course of the school closures, there is no substitute for in-person instruction when it comes to the quality of students’ academic learning. In-person school plays an equally important role in our ability to support students’ social-emotional needs, including their mental and physical health.

According to the CDC, in lieu of a vaccine or therapeutic drug, mitigation is the greatest weapon communities can wield to slow the spread of a virus with pandemic potential such as COVID-19. COVID-19 is an infectious disease caused by a new, (and some data suggests evolving) coronavirus.

The following highlights CDC's recommended goals and guiding principles to be considered when formulating our plans to reopen our schools.  

NOTE: COVID-19 is highly transmissible. Individuals should follow these universal precautions regardless of the extent of mitigation needed:

1. Follow healthy hygiene practices
2. Stay at home when sick
3. Practice social distancing 
4. Use a cloth face covering (with some exceptions) in community settings when physical distancing cannot be maintained.

As always, work with your local health officials to determine a set of strategies appropriate for your community’s situation.

(See our Planning to Reopen series of blogs for more information regarding CDC, EPA, FDA, Mass EEA and OSHA safety requirements). To review the administration's reopening guidance from the state click here. To view Governor Baker's full report click here).

The current state of the COVID-19 pandemic is continually evolving. What is true today may not be tomorrow. At this time, the evidence suggests schools have not played a significant role in COVID-19 transmission and that children, particularly younger children, are less likely than adults to be infected with COVID-19.

Furthermore, if they become infected, it appears children may be less likely to transmit COVID-19 to others. Based on these initial findings, the health and safety requirements throughout this guidance, as well as considering the key features of school programming at different grade spans, the current evidence supports a safe in-person return to school with implementation details varying for elementary schools (including pre-kindergarten programs), middle schools, and high schools.

Schools Do Not Appear To Have Played A Major Role In COVID-19 Transmission.

In a review of COVID clusters, only 4% (8 of 210) involved school transmission. In a case study from New South Wales Australia, after 18 cases were found in schools (12 in high schools and 6 in primary schools), only 0.3% of student contacts were infected (1 in 695 individuals in 10 high schools and 1 in 168 individuals in primary schools). No teachers or staff were infected.

In General, Rates Of COVID-19 Infection Are Lower For Children Than For Adults.

Based on an analysis of data from six countries, children under 20 are half as susceptible to COVID-19 infection than adults. Furthermore, although children under the age of 18 make up 22% of the U.S. population, they account for less than 2% of all cases of COVID-19. In Massachusetts, children under the age of 19 were about four times less likely than the population at large to be diagnosed with COVID-19. Children are more likely to be asymptomatic, however, which underscores the importance of health behaviors for everyone (masks/face coverings, distancing, handwashing, surface cleaning).

If Exposed, Children May Be Less Likely To Become Infected With COVID-19

A meta-analysis of studies from several countries found that children were only 44% as likely as adults to become infected after exposure (note: pre-print study). In China, in households with COVID-19 exposure, children under the age of 18 were infected at a rate of 4% compared with 17% for adults.

If Infected, It Appears Children May Be Less Likely To Infect Others

Most transmissions are from adults to children, rather than vice versa; this is different from some other respiratory viruses. In a U.S. study of 15 households, 73% of transmissions were from adult-to-child (the remaining were child-to-child or child-to-adult).

Health And Safety Requirements And Related Guidance For In-Person Learning

The health and safety of students and staff are everyone's top priority when making the decision to reopen schools for in-person learning this fall. The following health and safety requirements have been developed in collaboration with infectious disease physicians, pediatricians and public health experts from the Massachusetts General Brigham Health System and the Massachusetts chapter of American Academy of Pediatrics. Our process has included a thorough review of guidelines from the Centers for Disease Control (CDC) and World Health Organization (WHO), as well as available medical literature on COVID-19 related to children and school settings. Finally, the MA COVID-19 Command Center Medical Advisory Board, made up of physicians and other health experts, has carefully reviewed the health and safety requirements for in-person learning outlined in this section.

At this time, these are the health and safety practices that will enable the safe reopening of schools for in-person learning this fall. These requirements will be modified as needed. In addition to required practices, we have also included guidance on best practices where applicable.

As general background, COVID-19 spreads when people are in relatively close proximity, through respiratory droplets generated through coughing, sneezing, or talking to an infected person. Among the most effective preventive measures – when used consistently and in combination – are masks/face coverings, physical distancing, handwashing, and cleaning frequently touched surfaces.

Masks/face coverings

As the primary route of transmission for COVID-19 is respiratory, masks or face coverings are among the most critical components of risk reduction. Masks/face coverings protect the general public against COVID-19 infection, with a recent retrospective study estimating near 80% effectiveness in reducing COVID-19 transmission, especially when worn prior to symptom onset. In the United States, states advising face masks/face coverings be worn in public saw a decline in their COVID-19 growth rates, and community-wide mask/face covering usage contributed to control of COVID-19 in Hong Kong. At this time, our initial requirements and related guidance are as follows:

1. Students in grade 2 and above are required to wear a mask/face covering that covers their nose and mouth. Students in kindergarten and grade 1 should be encouraged to wear a mask/face covering. Face shields may be an option for those students with medical, behavioral, or other challenges who are unable to wear masks/face coverings. Transparent masks may be the best option for both teachers and students in classes for deaf and hard of hearing students. They may also be useful for teachers and younger students who rely on visual / facial cues.
2. Adults, including educators and staff, are required to wear masks/face coverings.
3. Exceptions to mask/face covering requirements must be made for those for whom it is not possible due to medical conditions, disability impact, or other health or safety factors.
4. Mask breaks should occur throughout the day. Breaks should occur when students can be six feet apart and ideally outside or at least with the windows open. Further guidance on mask breaks including duration and frequency will be forthcoming, as well as more information about properly removing and putting on masks.
5. Masks/face coverings should be provided by the student/family, but extra disposable face masks should be made available by the school for students who need them. Reusable masks/face coverings provided by families should be washed by families daily. Districts and schools with families experiencing financial hardship and unable to afford masks/face coverings should endeavor to provide masks for students through grant funds described earlier in this document. 
6. Masks/face coverings are required to be worn by everyone on the bus during school bus transportation.
7. Transparent face coverings provide the opportunity for more visual cues and should be especially considered as an alternative for younger students, students who are deaf and hard of hearing, and their teachers.

While the administration continues to work with communities to implement best practices and protocols for reopening our schools we will continue to share with you guidance from the CDC, EPA, FDA, Mass EEA, Mass EEC and OSHA and the Governor's office to follow as we prepare for the new school year.

Also, we at SERVPRO of Foxborough know that not every community has access to the resources necessary to meet the strict cleaning guidelines to ensure a safe environment for our children. For those communities, we are here to help!

Certified: SERVPRO Cleaned

The Disaster Remediation Teams at SERVPRO of Foxborough are specialists in cleaning services and we adhere to the highest cleaning and sanitation standards. We are prepared to clean and disinfect your schools, according to protocols set forth by the Centers for Disease Control and Prevention. We have years of experience in dealing with biological contaminants, and we will go beyond the scope of work of "normal daily cleaning". Call SERVPRO of Foxborough today for a free consultation - (508) 533-5305.

All of us here at SERVPRO of Foxborough want you and your loved ones to stay safe and know that we will make it through this together! Rest assured, we will continue to do our best to keep you up-to-date and informed!