SCHOOL ATTENDANCE 🧵

Are you a headteacher losing sleep over how to improve your pupil attendance rates?

If so, THIS 👇🏻 is the most important chart you need to see.

This chart holds the answer to your problem.

And, even better, it’s a fixable problem.

Read on… 🧵 Image
Pupil absences due to illness alone have increased from a pre-pandemic average of 2.6% up to 3.9%.

That’s a 50% rise!

The pandemic has been going on so long, it seems we’ve forgotten what it was like before.

Children never used to be off school sick nearly as much as this. Image
Now let’s look specifically at this time last year: last Autumn term 2022/23.

This is when our kids were hit hardest.

By the end of that term, absences purely due to illness were even higher than they’d been the year before when the first Omicron wave had just hit full force. Image
If you’re wondering what impact this illness absence had on overall absence rates, here it is 👇🏻

The charts at the top show *overall* pupil absence rates week-by-week.

The charts at the bottom are the ones we were looking at before: absences *purely due to illness*. Image
In the last week of Autumn term 2022/23, absences soared to:

𝙋𝙧𝙞𝙢𝙖𝙧𝙮
📍overall absence rate: 9.6%
📍illness absence rate: 7.1%
➡️74% of absences due to illness

𝙎𝙚𝙘𝙤𝙣𝙙𝙖𝙧𝙮
📍overall absence rate: 13.1%
📍illness absence rate: 7.8%
➡️60% of absences due to illness Image
If we average it out over the *whole* of last Autumn term:

𝙋𝙧𝙞𝙢𝙖𝙧𝙮:
📍overall absence rate: 6.0%
📍illness absence rate: 3.8%
➡️63% of absences due to illness

𝙎𝙚𝙘𝙤𝙣𝙙𝙖𝙧𝙮:
📍overall absence rate: 8.6%
📍illness absence rate: 4.4%
➡️51% of absences due to illness Image
Of course, pupil attendance is a complex issue & there are many underlying contributors.

The following have all been cited as key drivers:
📍increased truancy
📍an increase in child mental health problems
📍cost of living crisis
📍loss of routine during school closures.
Yes, these do all play a part in the bigger picture. But this narrative completely fails to address the elephant in the room…
 
The primary driver of the high rates of pupil absence is ILLNESS.
 
It’s right there in black & white on the government website… Image
And if we look back at the UKHSA data, we can see exactly what was happening last Autumn Term…

That’s when the UK was hit hard by the triple whammy of Covid, flu & RSV all circulating at very high levels simultaneously.

Scarlet fever, norovirus & measles also took their toll. Image
But there was such an obsession with improving absence rates at all costs that the basics of infection control were just abandoned.

Children were told that they need to ‘show resilience & drag themselves into school’ even if they were unwell.

And so the illnesses spread. Image
This year, it looks like we’re set to make the same mistakes all over again.

There’s a huge push towards a totally unrealistic 100% attendance target.

But forcing sick kids to come to school is totally counter-intuitive.

It only makes things WORSE by spreading the germs. Image
To make matters worse, we’re starting this Autumn term with Covid rates even HIGHER than they were this time last year…

…and the year before…

…and the year before that!

In fact, it’s currently worse than it was during any of the 3 national lockdowns. Image
The latest government guidance doesn’t exactly help either.

If your child has symptoms of Covid (a runny nose, sore throat or cough), feel free to send them in to school anyway!

There’s no recognition of the fact that this will just start countless new chains of transmission. Image
Instead of just one child being ill at home, you end up with the entire class being off sick… and probably the teacher too!

In the US, schools went back a few weeks ago and already multiple schools have had to close down due to Covid. There are no teachers left to teach! Image
Talking of teachers…

Last Autumn term (2022/23), staff sickness absence MORE THAN DOUBLED across the UK compared to the pre-pandemic Autumn term 2019.

Absences specifically due to colds, flu & other (unnamed!) viruses were 7 TIMES HIGHER in Autumn 2022 vs Autumn 2019. Image
At my kids’ school, term only started a few days ago but I already know of 3 teachers who are in teaching with a sore throat & hoarse voice… despite the fact they can barely speak!

These are two of the top 10 symptoms of Covid, but I doubt they’ve taken a Covid test. Image
I just hope they don’t end up developing Long Covid…

Teaching already has one of the highest rates of Long Covid of any profession.

DfE research also shows that a third of secondary schools & a quarter of primary schools have reported workforce challenges due to Long Covid.
Image
In my very first post in this thread, I promised you that this was a fixable problem.

And it is. To some degree, at least.

The answer is to CLEAN THE AIR!

There’s now a mountain of evidence about how cleaning the air can massively reduce the spread of Covid and other viruses.
Opening the windows or turning existing mechanical ventilation systems up to full blast is one way to clean the air.

This lets stale, virus-laden indoor air OUT & brings fresh outdoor air IN.

Ventilation delivering 6 air changes per hour can reduce the spread of Covid by >82%!
But it isn’t always possible or practical to keep windows fully open…

📍some may be sealed shut;

📍outdoor air may be heavily polluted if near a busy road;

📍in Winter, it may be too cold;

📍and in Summer, it can aggravate hayfever symptoms.
Luckily we have another tool in our toolkit:

💨 HEPA air filters! 💨

HEPA filters don’t replace the air in a room with ‘new’ air. Instead, they clean the air already in the room, filtering out viruses & other harmful contaminants.

They can HUGELY reduce the spread of illness.
This Swiss study examined the effectiveness of air filters at reducing Covid transmission in a typical classroom:

Even with windows CLOSED, air filters with a clean air delivery rate of 800m3/h led to a 5-fold decrease in the viral dose that pupils are exposed to.
Image
Now just imagine how much we’d reduce the spread of illness (and, in turn, reduce the number of pupil absences) if there was an air filter in every classroom.

Why are we even talking about it?

Why aren’t we just *doing* it?

chemistryworld.com/features/can-w…
If the DfE were serious about wanting to reduce pupil (and staff) absence rates, the very FIRST thing they should be doing is tackling the spread of illness…

…by installing air filters and telling sick kids to stay at home.

In the meantime, it’s each school for themselves.
Yes, there’s an upfront capital cost…

But, in the long run, you could actually SAVE money.

3.2m teaching days were missed in 2021/22 due to staff illness.

That led to a £622m bill on supply teacher costs, equivalent to £171 per pupil.

That could buy a LOT of air filters. Image
Are you convinced that air filters are worth investing in yet?

If so, a final word of warning…

Please DON’T buy one of the filter models on the DfE air cleaner marketplace.

These are not fit for purpose for classrooms and there are plenty of better options on the market.
@DanielKebedeNEU @strickomaster @secretHT1 @FloraSCooper @HonestHeadteac1 @smithsmm @RaeSnape @Headteacherchat @PieCorbett @TTRadioOfficial @RogersHistory @PaulGarvey4 @CensoredHead @chrisdysonHT @miss_mcinerney @MrHtheteacher @vicgoddard @teachwellall @SwailesRuth
If you’re not yet convinced, then please listen to this short video by UK Cardiologist @Sunny_Rae1 where she articulates all the reasons you *should* be convinced from a medical perspective…



And if you’re *still* not convinced, I give up…
Image
@Sunny_Rae1 PS. I won’t actually give up…

Our children need us to fight for them since they can’t do it for themselves.
@Sunny_Rae1 PPS. Here’s one more final attempt to convince you… everything you need to know about the benefits of air filters is right here 👇🏻
@Sunny_Rae1 PPPS. This just came out today too…

Bradford air filter trial: Schools with air filters had significantly lower pupil absence rates than those without.

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More from @_CatintheHat

Mar 22
MENINGITIS B TRANSMISSION

There’s been a lot of discussion online and in the media about how exactly Meningitis B spreads.

A lot of it is conflicting & confusing.

So let’s put opinions & hearsay aside and take a proper look at what the latest science actually tells us…

🧵 Image
The UK National Institute for Health & Care Excellence (NICE) states that bacterial meningitis and meningococcal disease is transmitted by the following 3 modes:

▪️ aerosol
▪️droplets
▪️direct contact

cks.nice.org.uk/topics/meningi…Image
The first of these modes of transmission, AEROSOL, has been the subject of heated debate.

Let’s look at why…

Notice the second line:

“Transmission usually requires either frequent or prolonged close contact.”

At first, this may seem contradictory with aerosol transmission… Image
Read 22 tweets
Mar 19
COVID INQUIRY: MODULE 3 REPORT

“Fundamental flaws in the UK’s approach to IPC [infection prevention & control] guidance, for example in relation to the use of PPE, put patients and healthcare workers at risk.”

— Baroness Hallett, Chair of the Covid Inquiry

Read more here… ⬇️
These are the words we were all hoping to hear:

“Initial guidance on preventing the spread of infection was flawed. It assumed the virus was spread by contact transmission, failing properly to consider the extent to which it was also spread by AIRBORNE transmission.” Image
But it wasn’t just the “initial guidance” that was flawed!

To this very day, the IPC guidance STILL does not reflect the latest science on AIRBORNE transmission.
Read 4 tweets
Mar 18
Last week, CATA released two explosive reports which revealed a scandal of monumental proportions.

Flawed decisions were made at the start of the Covid pandemic - and then covered up for years to come.

In this series of videos, @SafeDavid3 talks us through the key findings…
The CATA Executive team have worked tirelessly in their pursuit of the truth, forensically analysing over 17,000 Covid Inquiry documents & submitting countless FOI requests.

Concerningly, they discovered around 100 key emails which have not been disclosed to the Covid Inquiry…
Their report explores 7 separate occasions when the IPC Cell was challenged re: the adequacy of its guidance on respiratory protection for healthcare workers.

This included challenges from PHE/UKHSA, Chief Nursing Officers & even the CMO.

Each time, concerns were brushed aside.
Read 17 tweets
Mar 16
In honour of #LongCOVIDAwarenessDay, I’d like to present some important data from the latest GP-Patient survey.

This is a HUGE survey with a sample size of ~700K people in England (5x bigger than ONS’s Covid survey).

In this thread, I’ll walk you through some key findings…

/1 Image
According to the GP-Patient survey:

🚨4.2% of people say they DO have Long Covid. That equates to around 2.3M people in England.

🚨A further 9.5% (~5.3M) say they ‘don’t know’.

So potentially as many as 7.6M people in England either have Long Covid or suspect they might.

/2 Image
The fact that 9.5% of people said they “don’t know” if they have long Covid is actually not surprising.

It’s a HUGE number of people who suspect something isn’t right but don’t have clarity…

…and once you think about how Covid is diagnosed, it makes perfect sense.

/3
Read 23 tweets
Mar 14
CATA's reports are a truly remarkable piece of forensic investigation & took literally YEARS to put together.

The fact it’s taken so long is a fundamental part of the story.

For example: it took a whopping 27 MONTHS to extricate one document from the DHSC via an Fol request... Image
And it took 17 MONTHS to elicit a set of draft minutes from IPC Cell meetings which took place in Dec 2020 - and only following a direct order by the ICO.

This doc is one of the most damning pieces of evidence in the report as it reveals how minutes were fundamentally altered. Image
PHE & UKHSA have been similarly obstructive in providing information in a timely fashion.

The statutory requirement of FoIs is to provide the info requested within 20 working days…

…but it took over 300 WORKING DAYS (roughly 14 MONTHS) to finally extricate one key document. Image
Read 5 tweets
Mar 10
In 2023, the British Council for Offices (BCO) updated the ventilation guidance for offices:

💨 The *minimum* recommended ventilation rate was increased from 12 to 14 litres of outdoor air per sec per person.

Now guess what the ventilation rate is in a typical UK classroom…❓ Image
Since 2022, the Schools Air quality Monitoring for Health & Education (SAMHE) project has monitored indoor air quality in hundreds of schools across the UK.

Shockingly, their data revealed that the ventilation rate in a typical UK classroom is just 5.3 litres per sec per person. Image
Worse still, the data shows the average ventilation rate plummets to just 3.8 litres per sec per person in colder weather.

Now compare this to the MINIMUM recommended ventilation rate for offices of 14 litres per sec per person.

Schools are achieving just a fraction of this! Image
Read 18 tweets

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