1/ Really tired of reasonable, critical, school safety mitigations being mired in politics. Local "open schools/COVID just flu" groups are funded by GOP hardliners w/extreme views on masks, vaccines and need for public health regs.

(Lost an election? Try a recall.)
2/ And yet, we may have a lot of room actually for common ground and a return to reason, a return to a common set of working facts — sensible precautions to keep school buildings open.

pewresearch.org/fact-tank/2021…
3/ Concerns are heightened when people have more experience with COVID-19. We should be erring on the side of doing more for safety, not less.

@APSVirginia won't commit to masks or 3' distance in fall, but families must choose a fall learning model now!

pewresearch.org/fact-tank/2021…
4/ Our citizens also now live in different "information" environments.

For instance, Republicans who relied on Trump for COVID-19 news were more likely to say the pandemic was overblown and that the media covered it poorly.

journalism.org/2021/02/22/rep…
5/ We see groups diverging whether or not to send kids to in-person school right now, too.

School board members have to make decisions based on more than 30,000 households who are connected via our schools, not just one mainly White, more-likely-to-be-vaccinated group. Image
6/ It also stinks to ask a kid with a heart defect if they want to roll the odds of a 1 in 50 chance at catching COVID, in a lax school, or perhaps miss out on in-person school because officials didn’t care enough about making school safe for those with a medical condition.

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More from @smartrestartaps

22 Apr
1/ A big myth of the "return to school buildings" debate is that COVID-19 magically🧙‍♀️ doesn't spread in kids.

A preprint from an Omaha pilot project debunks this bigly (again).

Another 🧵 with evidence for TESTING to detect and 🛑🦠. #SafetyIsVITAL

abcnews.go.com/Health/study-s…
2/ University of Nebraska Medical Center found:

📌 Lots of asymptomatic COVID-19; testing caught cases MUCH higher than typical school reporting (self-reports and symptomatic).

📌 Staff: 2.5x more COVID

📌 Students: 6x more

📌 10x more 🦠 at school than in community stats Image
3/ Turns out schools may have missed up to 9 of 10 student cases and 7 of 10 staff cases — before better testing to detect and #StopTheSpread of COVID-19.

📌 District also mitigated risks:
✔️ hybrid
✔️ ¼ occupancy
✔️ 😷
✔️ 6 ft distancing

(HS & MS schools in study) Image
Read 23 tweets
20 Apr
1/ Study finds indoor sports most likely setting in our schools to spread COVID-19.

Secondary attack rates by setting:
📌indoor, contact sports like🏀, wrestling, cheer (23.8%)
📌staff meetings or lunches (18.2%)
📌elementary school rooms (9.5%)

academic.oup.com/cid/advance-ar…
2/ Tracked COVID-19 cases Dec 11, 2020, to Jan 22, 2021, in an Atlanta district that included 8 elementary schools, 2 middle schools, and a high school. Students were in-person 4 days per week and wore masks, with desks spaced 3 to 6 feet apart. More kids in ES rooms than MS/HS.
3/ All cases confirmed by PCR testing. Secondary attack rate (SAR) — % of contacts who become infected— was calculated by setting (classroom, bus, indoor sports); student or staff; symptomatic or asymptomatic, and time of exposure.

Overall, 9% secondary contacts got sick.
Read 9 tweets
20 Mar
1/ Airborne transmission, and the 3 feet vs. 6 feet question: A 🧵 with links for policy advocates trying to sort through the science...

WARNING: Nuance Ahead
2/ COVID-19 is mainly spread by inhaling small particles.

Timeline with illustrations, articles, studies:
#COVIDisAirborne #masks4All #bewareOfSharedAir #ventilation. See: its-airborne.org/covid19-timeli… via @AerosolizedC19

Airborne Transmission FAQ by experts: tinyurl.com/FAQ-aerosols
3/ In addition, here's Dr. @linseymarr and Dr. @jljcolorado's bibliography regarding "Transmission of COVID-19." They're top experts.
tinyurl.com/p4h9mbzz

"What We Know" 2021 summary: Respiratory plumes/short-range "close" exposure are <1.5 m (4.92 ft)
tinyurl.com/3sbktpzz
Read 27 tweets
19 Mar
1/ CDC revises guidance on 3 feet and 6 feet... A 🧵 stitching together so many updates today!

nytimes.com/2021/03/19/sci…
2/ A recent study in Boston found no significant differences in the # of infections in school districts in Massachusetts that adopted a 3-foot rule, when compared with those that required 6 feet of distance.

But there are problems with study. A few here:
3/ In reality, both 3 feet and 6 feet guidelines are arbitrary. Small airborne particles — that can be inhaled — travel either distance easily.

The farther away you are, the less likely you are to breathe in another's exhaled breath (and virions.)
tinyurl.com/2nzc67vr
Read 17 tweets
18 Mar
1/ NEW preprint finds bigtime under-reporting of COVID-19 in kids in NoVA.

8.5% of kids in INOVA/GMU study had COVID-19, but ⅔ were asymptomatic/didn't know it.

Higher infection rate found in kids than adults; MUST reconsider role of kids in epidemic.

tinyurl.com/34b26jce
2/ Significant risk factors included being Hispanic, living in a multifamily apartment building without a private entrance, not having health care access/insurance, and known exposure to a COVID+ family member.
3/ Early serology studies had indicated low rates of COVID-19 infections in kids, as low as 1%, or adults having much higher rates than kids.

So 8.5% of kids having had COVID-19 is a lot higher than expected.
Read 11 tweets

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