reopening schools

Reopening of schools will provide insight into coronavirus’ spread as optimism grows for a vaccine by the end of the year – CNN

(CNN)The United States on Wednesday surpassed 150,000 recorded Covid-19 deaths — a milestone that comes as the country’s rate of daily coronavirus deaths is the highest it’s been since the spring.

The first death in the US was reported on February 29. The country reached 50,000 deaths 54 days later on April 23 and 34 days later on May 27 crossed 100,000 deaths. It has taken 63 days to add another 50,000 to reach the 150,000 mark.
The country’s coronavirus death toll was 150,062 as of Wednesday afternoon — more than a fifth of the world’s 662,000-plus recorded deaths, according to Johns Hopkins University.
“I think the fact that we as a country have not been able to get our arms around this, have not prioritized preventing those deaths is all that much more maddening. And so, for me it’s frustration, it’s sadness. And a resolve to try to figure out how we prevent the next 150,000,” Dr. Ashish Jha, director of the Harvard Global Health Institute, told CNN’s Wolf Blitzer.
“I think we can but we’re really going to have to work for it,” he added.
Some states are seeing their highest death tolls. California on Wednesday reported 197 Covid-related deaths in a single day, according to state Department of Public Health. That total far outpaces the previous high of 159, recorded just last week.
Florida reported a record 216 deaths on Wednesday.
Nationwide, the seven-day moving average of daily deaths rose above 1,000 on Tuesday — the first time since June 2.
And in 29 states, average number of daily deaths were at least 10% higher over the previous week, according to Johns Hopkins data.
As the US hits the grim milestone, a medical education association is warning that the US could see deaths skyrocket “well into the multiple hundreds of thousands.”
The Association of American Medical Colleges made that statement Wednesday as it released what it called a roadmap on how to contain the disease.
“Decisive, coordinated action is urgently needed to save lives, end the pandemic, restore America’s economy, and return our lives to normalcy,” Dr. David Skorton, AAMC president and CEO, said Wednesday.
Disease trends in the US are mixed: Deaths are increasing and hospitalizations are at or near peak levels, though new, daily reported infections are declining slightly.
But health experts have warned the death rate likely would rise as it is now, as a lagging consequence of a large spike in cases weeks earlier especially in the South and West.
Infectious disease experts say the country is at a critical juncture, as debates about how and whether to reopen schools for in-person learning rumble on.
Case rates rose as businesses reopened and distancing rules relaxed in late spring, and those wanting more normalcy soon should get more disciplined now by wearing masks, limiting outdoor dining and social gatherings, and closing bars, Dr. Anthony Fauci said.
“It’s not going to spontaneously come down,” Fauci, director of the National Institute of Allergy and Infectious Diseases, said Tuesday in a call with several governors about the pandemic.

Group: Take these steps, or see deaths skyrocket

The AAMC’s warning said that “if the nation does not change its course — and soon — deaths in the United States could be well into the multiple hundreds of thousands.”
It did not say when this tally might be reached, or forecast the number more precisely.
Its plan calls for addressing critical supply shortages, expanding and improving testing, reopening schools safely, expanding health insurance and developing a vaccination distribution protocol.
It urges the Trump administration to invoke the Defense Production Act, or determine other means, to solve critical shortages in Covid-19 testing supplies and personal protective equipment; and to set targets for stockpiling supplies.
It also suggests ramping up Covid-19 testing capacity to more than 2 million a day and reducing the turnaround time for test results.
And it calls for “national standards on face coverings to stop the spread, especially by asymptomatic individuals, and make them mandatory in areas of growing community spread.”
The document also advocates “establishing and enforcing national criteria for local stay-at-home orders and reopening protocols.”
Other groups have released plans on how to end the pandemic over the past several months as states have employed a patchwork of approaches to try and mitigate the resurgent virus.
The AAMC says it represents all accredited medical schools in the United States and 17 in Canada, as well as 400 teaching hospitals.

Reopening schools may provide insight into virus

Schools that allow students back for in-person learning this fall will likely teach the nation even more about Covid-19, Fauci said Tuesday.
With schools closed since March and April, a knowledge gap has persisted around how young children experience and spread the virus, Fauci, the United States’ top infectious disease doctor, said.
“Though this may sound a little scary and harsh — I don’t mean it to be that way … you’re going to be actually part of the experiment of the learning curve of what we need to know,” Fauci said during a discussion with Randi Weingarten, president of the American Federation of Teachers.
“We don’t know the full impact,” he said.
Some schools are still deciding whether, when and how to reopen their classrooms. Researchers are only beginning to articulate how opening schools might contribute to the virus’s spread.
Researchers in South Korea, for example, found that children between the ages of 10 and 19 can transmit Covid-19 within a household just as much as adults — but children ages 9 and younger transmitted the virus at much lower rates. Fauci said more research is being conducted, and much more is needed.
Although Fauci said that there is no “uni-dimensional answer” to how schools should reopen, he said that the “default position should be that we should try to the best of our ability to get the children back to school.”
Fauci encouraged teachers to wear a mask, cover their eyes with either goggles or a face shield, and maybe wear gloves to help create a safe classroom. He also said he believes a vaccine could be ready by the end of the year.
Certain states have issued plans to make in-person learning safer and online learning more effective.
Tennessee announced testing and contact-tracing measures within schools; Oregon set restrictions for schools that can allow students back; and Connecticut is investing $43.5 million in providing digital devices to help students learn remotely.
Indianapolis Public Schools‘ administrators said Wednesday they will recommend starting the school year with remote learning for all of its 30,000 students.
Alabama Gov. Kay Ivey said Wednesday she is encouraging her state’s schools to phase into in-person instruction, and is requiring that students from second grade through college wear masks in class.

Drug rumors distracting from ‘most powerful weapon’

As the nation waits for a vaccine, rumors that the anti-malarial drug hydroxychloroquine can act as a treatment continue to perpetuate, including in President Donald Trump’s administration.
But the drug has not been shown to be effective against coronavirus, and can even produce harmful side effects, former US Surgeon General Dr. Vivek Murthy told CNN’s Wolf Blitzer on Tuesday.
“All the time that we often end up spending dispelling these myths around hydroxychloroquine is time that we are not spending working on solving the actual problem in front of us,” Murthy said.
And measures already in place to combat the virus’ spread could be the key to solving the problem, the US Centers of Disease Control and Prevention’s Director Dr. Robert Redfield said Tuesday in an interview with ABC news.
“We have the most powerful weapon in our hands right now, I mean it’s an enormously powerful weapon. It’s just a simple, flimsy mask,” Redfield said. “This virus can be defeated if people just wear a mask.”

Numbers on the decline after face mask requirements

Although some states continue to see surges and set records in the numbers of coronavirus cases and hospitalizations, Tuesday’s total of new cases across the nation stood at 61,660, slightly lower than at this point last week.
Kentucky, a state that is among the at least 41 to require masks, reported 532 new cases Tuesday and a 5.08% positivity rate, which has gone down for the first time in four days, Gov. Andy Beshear said.
“Again, too early to draw conclusions, but I hope I’ve said, I hope that this is us starting to see, because the time period is right, where the facial covering requirement is starting to kick in and help,” Beshear added.
In Florida, where daily new cases are declining, state officials reported a record in daily deaths for a second straight day. The state Wednesday reported 216 deaths, surpassing the previous high of 186 reported a day earlier.

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Trevor Noah on schools opening: ‘Parents are stuck between a rock and a hard place’ – The Guardian

Trevor Noah
On Tuesdays Daily Show, Trevor Noah broke down Americas catch-22 of reopening schools with rising coronavirus case numbers in several states. The coronavirus does not generally afflict c…
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reopened schools

Reopened schools in Europe and Asia have largely avoided coronavirus outbreaks. They have lessons for the U.S. – The Washington Post

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. 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.

Little evidence of outbreaks linked to primary schools

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.”

Concern remains for older students

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.

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.

Some schools are giving up on social distancing

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.

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 are planning 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 age 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 Pasteur Institute. 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.”

Voluntary returns may mean a lot of students stay home

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 age 6 and above, 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.”

James McAuley in Paris, Karla Adam in London, Rick Noack in Berlin, Steve Hendrix in Jerusalem, Min Joo Kim in Seoul, Simon Denyer in Tokyo, Amanda Coletta in Toronto, Quentin Ariès in Brussels and Chico Harlan in Rome contributed to this report.

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Coronavirus: When Will Schools Reopen? | NBC Nightly News – NBC News

Coronavirus: When Will Schools Reopen? | NBC Nightly News – NBC News
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Trump says schools should ‘absolutely open’ this fall, says Fauci did not give ‘acceptable answer’ – USA TODAY


Dr. Anthony Fauci told senators “it is without a doubt that there will be infections” in the fall and warned of more deaths without adequate response.


WASHINGTON – President Donald Trump on Wednesday said Dr. Anthony Fauci did not give an “acceptable answer” when telling senators Tuesday that there’s no easy answer on whether schools can reopen this fall.

“I think you should absolutely open the schools,” Trump said during a meeting with the governors of Colorado and North Dakota at the White House. “I don’t consider our country coming back if the schools are closed.”

His comments came after a Senate committee hearing in which Fauci offered a much starker outlook on the coronavirus than what’s been offered by Trump. The president has been eager to reopen parts of public life and on Wednesday, Vice President Mike Pence spoke by video conference with more than a dozen university leaders about getting students back on campus.

But Fauci had offered a more cautious view on whether conditions will be conducive to reopening schools in the fall.

“I don’t have an easy answer to that,” Fauci, the director of the National Institute of Allergy and Infectious Disease, said Tuesday. “I mean, we just have to see on a step-by-step basis, as we get into the period of time with the fall about reopening the schools, exactly where we will be in the dynamics of the outbreak.”

SCOTUS: Supreme Court wary of ‘chaos’ if presidential electors win discretion to go rogue

Health officials also testified that the key for students to feel safe in returning to school will be more widespread testing, to isolate students who get infected, and good health practices such as social distancing.

Tennessee Sen. Lamar Alexander, the GOP chairman who conducted Tuesday’s hearing on how to reopen schools and businesses, said testing is not yet at the level needed to provide confidence to students and faculty who hope to show up at the University of Tennessee campus in August.

Alexander talked about the need for new testing technologies that could be scaled rapidly, such as a “lollipop sponge” that could light up if a student is positive.

“All roads back to work and school go through testing,” he said.

Trump told reporters he was surprised by Fauci’s testimony.

“To me, it’s not an acceptable answer especially when it comes to schools,”  Trump said.

Earlier Wednesday, the president took a gentler approach when he criticized Fauci during a taped television interview set to air Thursday morning

“Anthony is a good person, a very good person,” Trump told Fox Business Network’ Mornings with Maria.

But Trump said he “totally” disagrees with Fauci’s hesitation on reopening schools.

Changing plans: Amid coronavirus layoffs, high school seniors are too uncertain to commit to a college

“We have to get the schools open,” he said. “We have to get our country open. … Now we want to do it safely, but we also want to do it as quickly as possible. We can’t keep going on like this. … You’re having bedlam already in the streets. You can’t do this. We have to get it open.”

The California State University system, the nation’s biggest four-year university system, announced Tuesday there will be almost no in-person classes this fall.

Among the topics university presidents discussed with Pence on a video call Wednesday was the importance of opening and maintaining research labs to assist with COVID-19 research, testing and tracing, according to the vice president’s office.

Heather Wilson, president of the University of Texas-El Paso, told USA TODAY her community will have the testing capability needed to bring students back on campus.

“I know we do,” said Wilson, who participated in the White House call. “It’ll not be the same as last fall, but it’s not going to be like this spring either.”

Leading the way: Citing ‘zero lethal threat’ to students, Purdue works to reopen college for fall 2020

Like many other universities, UTEP has a lab and has submitted a proposal to the National Institutes of Health to increase testing done there for the broader community.

“Higher education is an important economic engine for recovery,” Wilson said.

Larry Arnn, president of Hillsdale College and a mentor to Pence, is equally gung-ho about bringing students back at the end of August.

“This is what we do. We are going to keep doing it,” Arnn said in a video message Wednesday to the community of the 1,500-student Christian institution that was released before he joined the video conference with Pence.

Other schools represented on the call are still formulating their plans.

“We’re uncertain, but we hope to be able to open with in-person classes for the fall semester,” said Paul J. Browne, a spokesman for the University of Notre Dame.

The school, located in Pence’s home state, has been consulting with experts from Johns Hopkins Medicine and the Cleveland Clinic to prepare for broad testing, contact tracing, quarantine and isolation space for those infected, social distancing and general hygiene.

In a statement, Notre Dame president Rev. John I. Jenkins described the White House call as a “constructive, open conversation with university leaders” on how to keep campus communities safe while continuing “the vital work of education and research on our campuses.”

Teleconference today with University & College Presidents from many of the top schools in America about President @realDonaldTrump’s vision to reopen Universities & Colleges. These great leaders of Higher Education are stepping up to safely return students to campus this Fall!

— Mike Pence (@Mike_Pence) May 13, 2020

Already, large segments of college-going students are reconsidering their plans, recent polls have shown.

Roughly 11% of students surveyed by the Strada Education Network said they had canceled their education plans since the coronavirus outbreak. Those who do plan to further their education are considering certificate programs or courses related to in-demand jobs instead of traditional degrees, according to the education nonprofit’s ongoing poll of more than 5,000 people.

Contributing: Michael Collins, Bart Jansen and Chris Quintana, USA TODAY.

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