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Friday, July 24, 2020

New CDC guidelines come down hard in favor of opening schools | CDC

The Importance of Reopening America’s Schools this Fall | CDC

The Importance of Reopening America’s Schools this Fall




As families and policymakers make decisions about their children returning to school, it is important to consider the full spectrum of benefits and risks of both in-person and virtual learning options.  Parents are understandably concerned about the safety of their children at school in the wake of COVID-19.  The best available evidence indicates if children become infected, they are far less likely to suffer severe symptoms.[1],[2],[3] Death rates among school-aged children are much lower than among adults.  At the same time, the harms attributed to closed schools on the social, emotional, and behavioral health, economic well-being, and academic achievement of children, in both the short- and long-term, are well-known and significant.  Further, the lack of in-person educational options disproportionately harms low-income and minority children and those living with disabilities.  These students are far less likely to have access to private instruction and care and far more likely to rely on key school-supported resources like food programs, special education services, counseling, and after-school programs to meet basic developmental needs.[4]
Aside from a child’s home, no other setting has more influence on a child’s health and well-being than their school.  The in-person school environment does the following:
  • provides educational instruction;
  • supports the development of social and emotional skills;
  • creates a safe environment for learning;
  • addresses nutritional needs; and
  • facilitates physical activity.
This paper discusses each of these critical functions, following a brief summary of current studies regarding COVID-19 and children.

COVID-19 and Children

The best available evidence indicates that COVID-19 poses relatively low risks to school-aged children.  Children appear to be at lower risk for contracting COVID-19 compared to adults.  To put this in perspective, according to the Centers for Disease Control and Prevention (CDC), as of July 17, 2020, the United States reported that children and adolescents under 18 years old account for under 7 percent of COVID-19 cases and less than 0.1 percent of COVID-19-related deaths.[5]  Although relatively rare, flu-related deaths in children occur every year. From 2004-2005 to 2018-2019, flu-related deaths in children reported to CDC during regular flu seasons ranged from 37 to 187 deaths.  During the H1N1pandemic (April 15, 2009 to October 2, 2010), 358 pediatric deaths were reported to CDC. So far in this pandemic, deaths of children are less than in each of the last five flu seasons, with only 64. Additionally, some children with certain underlying medical conditions, however, are at increased risk of severe illness from COVID-19.*
Scientific studies suggest that COVID-19 transmission among children in schools may be low.  International studies that have assessed how readily COVID-19 spreads in schools also reveal low rates of transmission when community transmission is low.  Based on current data, the rate of infection among younger school children, and from students to teachers, has been low, especially if proper precautions are followed.  There have also been few reports of children being the primary source of COVID-19 transmission among family members.[6],[7],[8]  This is consistent with data from both virus and antibody testing, suggesting that children are not the primary drivers of COVID-19 spread in schools or in the community.[9],[10],[11]  No studies are conclusive, but the available evidence provides reason to believe that in-person schooling is in the best interest of students, particularly in the context of appropriate mitigation measures similar to those implemented at essential workplaces.

Educational Instruction

Extended school closure is harmful to children.  It can lead to severe learning loss, and the need for in-person instruction is particularly important for students with heightened behavioral needs.[12],[13]  Following the wave of school closures in March 2020 due to COVID-19, academic learning slowed for most children and stopped for some.  A survey of 477 school districts by the University of Washington’s Center on Reinventing Public Education found that, “far too many schools are leaving CONTINUE READING: The Importance of Reopening America’s Schools this Fall | CDC