{"id":5141,"date":"2020-08-11T09:51:50","date_gmt":"2020-08-11T08:51:50","guid":{"rendered":"http:\/\/med.st-andrews.ac.uk\/medicine\/?p=5141"},"modified":"2020-08-11T09:51:50","modified_gmt":"2020-08-11T08:51:50","slug":"reopening-primary-schools-during-the-pandemic","status":"publish","type":"post","link":"https:\/\/medicine.st-andrews.ac.uk\/news\/reopening-primary-schools-during-the-pandemic\/","title":{"rendered":"Reopening Primary Schools during the Pandemic"},"content":{"rendered":"<p>It is inexcusable to open nonessential services for adults this summer if it forces students to remain at home even part-time this fall.<\/p>\n<p>&nbsp;<\/p>\n<p>As communities and families navigate the complicated issues around reopening schools, experts argue that children returning to primary school is essential, not only because of the educational, social, and developmental benefits for kids themselves, but also for the longterm economic and civic health of the country.\u00a0 Every effort should be made to reopen them full-time in the autumn, according to <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMms2024920\">an article in the New England Journal of Medicine<\/a> co-authored by Meira Levinson, Muge Cevik and Marc Lipsitch.\u00a0 Doing so safely will require reducing or eliminating community transmission while ramping up testing and surveillance.<\/p>\n<p>Authors recommend that any region\/city with moderate, high, or increasing levels of community transmission \u201c<em>should do everything possible to lower transmission<\/em>\u201d including closing nonessential indoor spaces such as retail establishments, movie theatres, restaurants and pubs.<\/p>\n<p>The authors \u2014 Meira Levinson of the Harvard Graduate School of Education; Muge Cevik of Scotland\u2019s University of St. Andrews; and Marc Lipsitch of\u00a0 T.H. Chan School of Public Health; emphasise that \u201c<em>school closures have brought social, economic, and racial injustice into sharp relief, with historically marginalized children and families \u2014 and the educators who serve them \u2014 suffering the most and being offered the least<\/em>.\u201d<\/p>\n<p>Until elementary school children physically return to school full-time, <em>\u201cmany will lose out on essential educational, social, and developmental benefits; neither the economy nor the health care system will be able to return to full strength given parents\u2019 caretaking responsibilities; and profound racial and socioeconomic injustices will be further exacerbated,\u201d <\/em>the authors wrote.\u00a0 They added, \u201c<em>It is inexcusable to open nonessential services for adults this summer if it forces students to remain at home even part-time this fall<\/em>.\u201d<\/p>\n<p>The authors argue that \u201c<em>children, families, educators, and society deserve to have safe and reliable primary schools should not be controversial<\/em>.\u201d\u00a0 Primary schools should be recognized as essential services, school personnel as essential workers \u2014 and that school reopening plans should be developed and financed accordingly.\u00a0 \u201c<em>Schools are more like grocery stores, doctors\u2019 offices, and food manufacturers than like retail establishments, movie theatres, and bars<\/em>.\u201d\u00a0 <em>\u201cLike all essential workers, teachers and other school personnel deserve substantial protections, as well as hazard pay.\u00a0 Remote working accommodations should be made if possible for staff members who are over 60 or have underlying health conditions.\u201d<\/em><\/p>\n<p>The authors specifically emphasise opening primary schools as a priority although they also acknowledge that <em>\u201cfully reopening schools for middle and high school students should be a national priority, but given the more challenging transmission dynamics at older ages, we confine ourselves here to elementary schools.\u201d<\/em><\/p>\n<p>According to the literature review conducted by the authors (Goldstein E, Lipsitch M, Cevik M. on the effect of age on the transmission of SARS-CoV-2 in households, schools and the community. July 28, 2020 <a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.07.19.20157362v1\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.medrxiv.org\/content\/10.1101\/2020.07.19.20157362v1<\/a>) children aged under 10 years have lower susceptibility to infection compared to adults, but the susceptibility increases with age, especially over 15 susceptibility and infection rates reach similar to adults.\u00a0 Authors argue that <em>\u201copening secondary\/high schools is likely to contribute to the community spread, and greater safeguards to reduce transmission is needed while opening secondary and high schools\u201d<\/em>.\u00a0 The authors suggest that \u201c<em>compared to secondary\/high schools, opening primary schools and daycare facilities may have a more limited effect on the spread of SARS-CoV-2 in the community, particularly under smaller class sizes and in the presence of mitigation measures.\u201d Every <\/em>effort should be taken to avoid crowding in the classroom and other mitigation measures should be implemented, to the extent possible, when opening primary schools.<\/p>\n<p>This highlights that different approaches are needed when opening schools for different age groups.<\/p>\n<p>For many reasons, decisions about school reopenings will remain complex and contested as the authors argue that school openings \u201cis not just a scientific and technocratic question.\u00a0 It is also an emotional and moral one.\u00a0 Our sense of responsibility toward children \u2014 at the very least, to protect them from the vicissitudes of life, including the poor decision making of adults who allow deadly infections to spiral out of control \u2014 is core to our humanity.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It is inexcusable to open nonessential services for adults this summer if it forces students to remain at home even part-time this fall. &nbsp; As communities and families navigate the complicated issues around reopening schools, experts argue that children returning to primary school is essential, not only because of the educational, social, and developmental benefits&hellip;<\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[5,8,10,1],"tags":[232,366,444,542,574,783,792,897,913,915,1036,1092],"class_list":["post-5141","post","type-post","status-publish","format-standard","hentry","category-covid-19","category-igh","category-news","category-uncategorised","tag-covid-19","tag-dr-muge-cevik","tag-elementary-school","tag-harvard-graduate-school-of-education","tag-high-school","tag-nejm","tag-new-england-journal-of-medicine","tag-primary-school","tag-prof-marc-lipsitch","tag-prof-meira-levinson","tag-secondary-school","tag-t-h-chan-school-of-public-health"],"publishpress_future_action":{"enabled":false,"date":"2026-04-11 02:00:52","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/posts\/5141","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/users\/39"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/comments?post=5141"}],"version-history":[{"count":0,"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/posts\/5141\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/media?parent=5141"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/categories?post=5141"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/news\/wp-json\/wp\/v2\/tags?post=5141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}