COVID19 Profile picture
19 Sep, 4 tweets, 2 min read
Is daily testing needed @statesdj ? In CA we test close contacts every three days, a negative test on day 6 and no further testing required.

In Georgia: Student close contacts continue attending school w/no symptoms & test negative every day for 7 days. nytimes.com/2021/09/19/hea…
More states doing what CA doing...
" a number of school districts are turning to testing to keep more children in the classroom & avoid disrupting the work lives of their parents. The resource-intensive approach — sometimes known as “test to stay” or modified quarantine
@CDCgov says that it “does not have enough evidence” to support the test to stay/modified quarantine approach. Instead, it recommends that close contacts who have not been fully vaccinated quarantine for as long as 14 days.
Roughly 2% of school-based close contacts ultimately tested positive for the virus, researchers found, which means that schools were keeping 49 uninfected students out of class every time one student tested positive. #testtostay #BackToSchool

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More from @V2019N

4 Sep
From @latimes based on interview with Karen Gallardo a respiratory therapist at a hospital in Ventura County, CA
#GetVaccinated #WearAMask or what to expect if you have severe COVID-19
Read 7 tweets
2 Sep
Pediatrician friend recommends this link if you want info on masks for kids #BacktoSchool2021
Please share
“We have a huge problem in the US, and that is that here is no general population standard for face masks,” said Collins. “Now we have this problem, that we need kids with better masks, and we have no standard.”
medscape.com/viewarticle/95…
Based on his testing he recommends that parents try to find a KF94 mask, from South Korea. He said their performance is nearly equivalent to an N95, and he’s run into fewer instances of counterfeits with these kinds of masks.
Read 4 tweets
28 Aug
California K-12 CDPH trying very hard to keep kids in person learning on campus, even after exposure. One of their quarantine options requires frequent testing (antigen if asymptomatic) as in 4 tests in 10 days. The state is helping schools set up testing sites.
If you don't want to get your kid tested 4x in 10 days you can opt to do a home quarantine for 10 days, return on day 11. Testing encouraged but not required. There is also a third option - proof of negative test on d6 or d7 after exposure, return on day 8 to campus.
Is it working? Here in SoCal many districts opened in August. A few opened in mid-July. There is lots of community spread so LOTS of communicable cases on campus. Some districts have hundreds of kids communicable on campus since they opened and thousands doing these quarantines.
Read 5 tweets
21 Aug
A few school districts in SoCal has been open for full in person since mid-summer. At one, the district office is doing ~600 tests/day (antigen & PCR) for staff and students. Dashboard shows 250+ communicable cases on campus in 4 wks since reopening for full in person learning.
Following CDPH guidance schools are targeting close contacts for quarantine. With so many cases, principals, nurses, teachers, secretaries must spend most of the day doing COVID related work - collecting close contacts, making notifications, going over quarantine options (3!).
Is there transmission? K-12 outbreaks are reported without naming schools. CA schools require universal masking & have good (unwieldy)guidance. Turning school staff into contact tracers/case investigators not sustainable. Data w/a couple of districts open sandiegocounty.gov/content/dam/sd…
Read 5 tweets
6 Aug
Some schools have already opened for full in person learning.
Universal masking in vaccinated and unvaccinated should be required.
The school guidance for my state, CA, is convoluted - will be incredibly hard for school district without dedicated Covid mitigation staff.
Schools should consider hiring someone to track cases and provide guidance to principals, nurses and other administrative staff. Opening in a surge with a highly transmissible variant is trickly.
Schools in CA may be overwhelmed with positive cases on campus in first weeks. Must consider staffing with competent experienced people to provide guidance. HIre people with contact tracing / case investigation experience NOW. The CDPH guidance for quarantines is complicated.
Read 4 tweets
11 Jul
From 5/20 - Basics of case investigation/contact tracing. Caser/tracer calls to ask positive case how they’re feeling, symptoms they have & for names & numbers of anyone they’ve had close contact within 48 hours of developing symptoms or pos test (asx).
seattletimes.com/seattle-news/h…
Close contacts (anyone within 6' of case for 15 min or more will be asked to quarantine for 10 to 14 days.

Positive case will be asked to isolate for 10 days from onset of symptoms or positive test if asymptomatic. Symptoms improving & no fever for 24 hrs, case released d 11
Close contacts encouraged to get tested 5-7 days after last exposure to positive case or immediately if they develop symptoms.

Family members who live w/positive case should get test. Household spread common. Negative household members are close contacts & quarantine 10-14 days
Read 4 tweets

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