Okay, let’s talk about “learning loss”. (H/t @McKinsey)
US high school test scores (ACT) are out - they’ve fallen steeply for the 4th year in a row. Now at their lowest level in 30yrs.
Let’s look at the data & the media narrative and weigh potential explanations, shall we? (1/)
So, first, the data. (H/t @wabbit011235813 )
The little red mark on the graph is 2020. As you can see, for 25 yrs (1995-2029), scores were stable, bouncing around the 21 mark.
There was a slight dip in 2019, and then Covid hit. Since then, scores have been in free fall. (2/)
@wabbit011235813 These are historic declines. Multiple consecutive years of falling scores, with big drops every year.
Important point- the pandemic *didn’t* accelerate a downward trend. Here’s the graph again, to make this clear.
Scores were stable from ‘95-‘20, then plunged after that. (3/)
@wabbit011235813 After last year’s big drop in test scores, the media coverage was very clear- this was because of the “lockdowns” in 2020.
The idea was that “learning disruption” experienced during the first year of the pandemic was still “playing out” in falling test scores. (4/)
@wabbit011235813 It’s helpful to have the facts straight on the actual magnitude of disruption.
First, for 2wks after 3/13/20, schools were mostly closed nationwide.
Next, from 04-06/20, schools were figuring out remote learning. During this period, many students were effectively truant. (5/)
@wabbit011235813 Next, starting in 09/20, a minority (~40%) of students attended remote school, with a similar number attending in-person every day. By 09/21, remote learning options had largely vanished across the country. (6/)
So, just to be clear. We’re talking two months of (at worst) no school in the ‘19-‘20 academic year for the average student, followed by one year of remote learning for 40% of students in the ‘20-‘21 academic year. (7/)
With two kids in elementary & middle school at the time, I know how much this sucked. And it’s clear that the closures hit inequitably. For example, our school in Lexington MA was doing remote learning in 2 weeks, while other schools didn’t implement it until September ‘20. (8/)
Note that the inequity argument was already weaponized as early as June ‘20 by the good folks at McKinsey (all of whom, presumably, have good health insurance) to push the children of people without good health insurance back into high-exposure in-person learning (9/)
Many schools reopened for in-person learning in poorly ventilated buildings,albeit often with mask mandates in place. (The Urgency of Brunch crowd would deal with that problem later, of course, once again weaponizing inequity in service of inequity) (10/): nejm.org/doi/full/10.10…
It’s worth noting that the “learning loss” concept invented by McKinsey had a specific meaning. It counted days that schools were closed as lost learning (no debate there) and days that students were learning remotely as a fraction of days of in-person learning (debatable) (11/)
Regardless, the important point is this- *there is nothing in the concept of learning loss that can explain continued learning loss once in-person learning resumes*.
Learning loss is measured against what students would have learned if they were in person. (12/)
So, once in-person learning resumed -by that definition- learning loss should have ended.
Only it didn’t. Many different datasets from middle and high schoolers worldwide have shown that the rate at which children are falling behind is the same. (13/)
Not only are kids not catching up on their “learning loss”, *they’re moving in the wrong direction*. As the ACT test scores show, it’s not that it’s taking time for things to get better with children’s learning.
Things are getting worse. (14/)
Just for laughs, take a peek at the handwaving & charlatanry accompanying yet another year of falling ACT scores. Expect to hear a lot in the coming days about the “pandemic accelerating trends of inequity”.
Inequity is real & it sucks. The explanation is bullsh*t though. (15/)
Note the “ six year trend” framing. Very clever ;>
Of course, some news organizations (aimed at perhaps a more gullible audience) are still trying to pin falling scores on “lockdowns”. (16/)
The idea that two months of extended summer vacation in 2020 is the explanation for this is just silly.
The idea that ACT scores continue to fall in ‘23 because a minority of kids were remote in ‘20/‘21 is equally silly. (17/)
And finally, the “pandemic accelerated a trend of declining scores as a result of structural inequities” is a complicated explanation that would make sense if the data supported it. Only it doesn’t. (18/)
So what could possibly explain this (mysterious) ongoing learning loss?
We knew in the fall of ‘20 that reopening schools without robust mitigations would lead to widespread Covid. Sure enough, most kids have had Covid by now, many more than 1x. (19/): journals.plos.org/plosone/articl…
Most kids have been infected.
Most infections originate in the school setting- in fact, as we predicted, schools are a major driver of Covid spread (🧵 coming soon).
Each infection brings with it an almost constant risk of long term health effects.
These are the facts. (20/)
So what are these long term effects, and how could they possibly lead to falling test scores, you may ask?
The thing is, Covid is not just a cold. The virus can reach the brain even after a mild infection, and is capable of causing brain damage (21/): time.com/6294762/how-co…
There’s literally dozens of papers documenting this. (Google “Covid” and “cognitive damage”).
Cognitive damage after Covid can happen to anyone, and is equivalent to about ten points off an IQ score for severe cases (22): .health.harvard.edu/mind-and-mood/…
Now of course, severe Covid is rare in kids. But Covid in kids has been documented to impact cognitive ability, memory and concentration, sleep and anxiety. Here’s an example, many more can be found on this topic (23/)
And hey- who woulda thunk it?- ACT performance correlates quite a bit with general cognitive ability. It’s not factual recall- based.
Maybe a virus that causes brain damage is a more reasonable explanation for falling ACT scores than “lockdowns” or Zoom? (24/)
Beyond falling ACT scores, the impact of repeated Covid infections on cognitive ability in kids needs more study. The folks who were handwringing about learning loss seem pretty chill about cognitive damage in kids, though. (25/25)
@dgurdasani1 @lfwhite14 @EpiEllie @DrZoeHyde
• • •
Missing some Tweet in this thread? You can try to
force a refresh
@RPLerias In our experience, this has been happening from the beginning of the pandemic.
In Sep ‘20, we submitted a manuscript to Science predicting rapid evolution of neutralizing antibody evasion. They sat on it for a month before issuing a desk rejection (1/): journals.plos.org/plosone/articl…
@RPLerias Of course, this was the same journal that published papers making wild assertions about T cells and vaccinal immunity during that period (2/): science.org/doi/10.1126/sc…
@RPLerias Also in the fall of 2020, we submitted a manuscript predicting that a vaccine-only strategy would lead to repeated waves of disease and pushing for NPIs (such as indoor air qualify and testing) to be used in conjunction (3/): journals.plos.org/plosone/articl…
Quite a bit of the mainstream coverage of things like vaccines is actually disinformation. Take, for example, this article on covid boosters (1/) time.com/6317294/which-…
It makes a lot of strong claims about T cell immunity, using weasel words like “studies support” (not weasel words, if you link to the actual studies that you think do support your claim, otherwise they’re just “some people say” (2/)
These are strong claims - we’ve seen them made often in the popular press. The problem is- they’re almost certainly false. A simple way to think about it- we have CAR-T cell treatments for cancer, right? Nearly 4yrs into this thing, where are the CAR-T treatments for covid? (3/)
Comments like this betray a fundamental misunderstanding about clinical trials.
In drug discovery, preclinical results don’t translate readily- that’s why we do trials. Because every drug has (health) costs associated with it, the side effects (1/)
Masks are not drugs (neither are seatbelts, parachutes and fire extinguishers). They are subject to the laws of physics, not biology. They have no side-effects (comically spurious, retracted publications about carbon dioxide poisoning notwithstanding). You don’t need a trial (2/)
to evaluate whether a mask will work if used properly.
“Ah, but most people don’t use them properly”, the anti-mask brigade says. The same logic applies to a fire extinguisher. Use the wrong one on an electrical fire, the results can be disastrous. We still recommend them. (3/)
@PaulRoundy1 @mehdirhasan @BallouxFrancois Pandemics can last for decades. They end when a specific set of epidemiological criteria have been met, not when people have the feeling that they are over (2/): ncbi.nlm.nih.gov/pmc/articles/P…
@PaulRoundy1 @mehdirhasan @BallouxFrancois This pandemic will end when we have suppressed SC2 to the point where viral evo is slow enough that our countermeasures work stably against it, and covid becomes a predictable and manageable disease. We are *nowhere* near that point at present (3/)
@PaulRoundy1 @mehdirhasan @BallouxFrancois The notion of a pandemic as a social and not an epidemiological construct was invented out of thin air by McKinsey, and it is their talking points that you are echoing without realizing it (4/4).
Note that our team’s modeling work (led by @madistod & @lfwhite14) predicted ADE as a potential risk in a preprint posted in January of this year: (1/): https://t.co/z6u90ZsBBnmedrxiv.org/content/10.110…
The preprint (which we expect will be published fairly soon) outlines some additional unpleasant consequences of the current “let it rip” strategy for Covid. The TL;DR version is that there is a plausible risk of a dengue-like situation eventually developing for covid (2/)
Antibody-dependent enhancement (ADE), which occurs when non-neutralizing antibodies make the consequences of an infection more severe, would be really bad news for us, as it would undo the reduction in fatality rates resulting from SC2 reinfections & vaccinations (3/)
@kprather88 Living with the unlimited spread of covid is not sustainable, and not inevitable.
Most major infectious diseases cannot be eradicated, but we don’t allow them to spread untrammeled.
We work to create conditions that make their spread more difficult. (1/)
@kprather88 Bringing an infectious disease like covid to heel won’t be easy and it won’t happen overnight. (Neither was going to the moon, eliminating smallpox or building the railroads).
Big goals like these require patience & commitment to a process. (2/)
@kprather88 Ensuring better IAQ is a part of that process. Preventing SC2 spread in public places is a crucial first step in suppressing the virus. Unlike better vaccines or widespread testing, it doesn’t require widespread buyin or enormous upfront investments. (3/)