Study shows "Reopening schools associated with a 24% increase in R (spread)"; 2nd-largest effect

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ok, so they spread it. Do we stay in DL for...years? With the associated learning loss and other repercussions to children, particularly those with special needs? Do we think a vaccine will save us?


You really cannot see what needs to happen, PP?

We choose:

Bars, indoor dining in restaurants, non-essential shopping, non-essential travel, vacations "because we're soooo stir-crazy"
Being maskless "because, freedom"
Sports
Visiting everyone we want to visit including grandma and grandpa "because they might not be here much longer"
Creating "pods" because "kids have to socialize or they'll just wither and die"

versus

Schools in person relatively safely
Certain jobs in person relatively safely
Hospitals having adequate capacity and not getting overwhelmed
Everyone masked everywhere

Now comes the squawking about how "we will collapse the economy!" Yes, parts of it will suffer and some of it will close irreversibly. That's why the political will to shore up the economy is essential.

And here comes the yelling about "My child will grow up with no socialization!" Children are more resilient than many DCUM parents can believe, and many parents also refuse to admit that they are just tired of being responsible for their kids 24/7.

Those are the trade-offs if you want in-person education (and manageable health care, and a return to the office for some people). We would not have to make these trade-offs now if we had made them seriously and with commitment earlier.

Are you willing to make those sacrifices and not go to Target and Wal-Mart, not go visit grandma for Thanksgiving, etc., in order to truly ensure kids can be in school in person? Our society isn't willing to make those sacrifices even short-term now. That's why you should learn to embrace DL. Society brought it on itself.


Oh, ok, I see there is no point, as so much nuance is lost here.


We're long past "nuance." Anyone who wanted nuance should have isolated for real back in the spring, for long enough actually to curb the spread. I guess it was a nuanced decision to reopen businesses etc. as early as we did. That worked out just great.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ok, so they spread it. Do we stay in DL for...years? With the associated learning loss and other repercussions to children, particularly those with special needs? Do we think a vaccine will save us?


You really cannot see what needs to happen, PP?

We choose:

Bars, indoor dining in restaurants, non-essential shopping, non-essential travel, vacations "because we're soooo stir-crazy"
Being maskless "because, freedom"
Sports
Visiting everyone we want to visit including grandma and grandpa "because they might not be here much longer"
Creating "pods" because "kids have to socialize or they'll just wither and die"

versus

Schools in person relatively safely
Certain jobs in person relatively safely
Hospitals having adequate capacity and not getting overwhelmed
Everyone masked everywhere

Now comes the squawking about how "we will collapse the economy!" Yes, parts of it will suffer and some of it will close irreversibly. That's why the political will to shore up the economy is essential.

And here comes the yelling about "My child will grow up with no socialization!" Children are more resilient than many DCUM parents can believe, and many parents also refuse to admit that they are just tired of being responsible for their kids 24/7.

Those are the trade-offs if you want in-person education (and manageable health care, and a return to the office for some people). We would not have to make these trade-offs now if we had made them seriously and with commitment earlier.

Are you willing to make those sacrifices and not go to Target and Wal-Mart, not go visit grandma for Thanksgiving, etc., in order to truly ensure kids can be in school in person? Our society isn't willing to make those sacrifices even short-term now. That's why you should learn to embrace DL. Society brought it on itself.


PP, I bet you are one of those people who blames the parent if a kid has mental health issues. Also, keep in mind that the families who made and continue the make the sacrifices you mention in the name of the greater good are the ones with children who are likely suffering as a result of their isolation. Sadly, parental love and attention does not replace much needed social interaction and experiences outside of the home.

-Signed, Involved mom who loves the time at home with her kids but is growing increasingly concerned about her kids with each passing day.


Re, the bold: You have some gall to make that kind of nasty assumption. I do not blame the parent if a kid has mental health issues. Real ones. But it see post after post on DCUM where parents are NOT talking about genuine mental health issues (which, YES, can be exacerbated by isolation--I know that, PP). Many parents are only talking about how their kids can't do their sport or whatever and will just wither up. These parents and their whining do a disservice to parents whose children have actual, diagnosed mental and emotional issues. Go over to the special needs forum, PP. Those kids do need to be in school in person -- are you willing to give up freaking nonessential things to help them do so?



DP. She was right, you are blaming parents for children's mental health issues. Huge numbers of children are experiencing anxiety and depression. It's situational, not caused by parents.

And since it's so widespread, does not belong in the SN Forum.


I'm blaming the fact that EVERYONE, not just parents, did not take this pandemic seriously from the start, and yes, I blame parents who have continued to go on vacations, see relatives, pretend that podding is "safe" for all involved, keep shopping in person unnecessarily, etc. They are creating a world where their own kids and the kids of others have had to stay home and do DL because they spent summer choosing to do unnecessary things. Now they say their kids must go to school in person. If they'd wanted that so badly they should have used their brains in the spring and summer and advocated for real lockdowns then, to ensure schools could open safely now.
Anonymous
This study is not very meaningful. It makes a lot of generalizations without real data points to support the conclusion. There is a big difference between correlation and causation.

This study does not offer comparison or distinction of whether the schools that reopened used appropriate safety measures. Were the kids in cohorts that did not mix, were they masked, were they 6 feet apart, are they allowing school sports, are there testing protocols? Some schools have opened with strict safety protocols and others have opened with none or minimal. This makes a huge difference in determining whether reopening contributes to spread.

Were there outbreaks associated with opening elementary schools, middle schools, or high schools? There is a difference in likelihood of transmission for older kids vs. younger kids.

What was the rate of community spread that existed before the schools opened? I have relatives in Wisconsin that are attending school in-person with high rates of community spread and very little safety protocols. It would be reasonable to see how this contributes to spread. This is a different comparison to schools that reopen at times when community spread is low and safety protocols are strictly enforced.

You can't look at the data across all of these countries without more specifics and then make a sweeping generalization that reopening schools contributes to spread. That is not how science works.
Anonymous
It's just a fascinating lack of concern for parents who work (often in person) and have young kids and can't afford to have nannies/tutors/whatever. This is true for a wide swath of parents, particularly singe mothers.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ok, so they spread it. Do we stay in DL for...years? With the associated learning loss and other repercussions to children, particularly those with special needs? Do we think a vaccine will save us?


You really cannot see what needs to happen, PP?

We choose:

Bars, indoor dining in restaurants, non-essential shopping, non-essential travel, vacations "because we're soooo stir-crazy"
Being maskless "because, freedom"
Sports
Visiting everyone we want to visit including grandma and grandpa "because they might not be here much longer"
Creating "pods" because "kids have to socialize or they'll just wither and die"

versus

Schools in person relatively safely
Certain jobs in person relatively safely
Hospitals having adequate capacity and not getting overwhelmed
Everyone masked everywhere

Now comes the squawking about how "we will collapse the economy!" Yes, parts of it will suffer and some of it will close irreversibly. That's why the political will to shore up the economy is essential.

And here comes the yelling about "My child will grow up with no socialization!" Children are more resilient than many DCUM parents can believe, and many parents also refuse to admit that they are just tired of being responsible for their kids 24/7.

Those are the trade-offs if you want in-person education (and manageable health care, and a return to the office for some people). We would not have to make these trade-offs now if we had made them seriously and with commitment earlier.

Are you willing to make those sacrifices and not go to Target and Wal-Mart, not go visit grandma for Thanksgiving, etc., in order to truly ensure kids can be in school in person? Our society isn't willing to make those sacrifices even short-term now. That's why you should learn to embrace DL. Society brought it on itself.


PP, I bet you are one of those people who blames the parent if a kid has mental health issues. Also, keep in mind that the families who made and continue the make the sacrifices you mention in the name of the greater good are the ones with children who are likely suffering as a result of their isolation. Sadly, parental love and attention does not replace much needed social interaction and experiences outside of the home.

-Signed, Involved mom who loves the time at home with her kids but is growing increasingly concerned about her kids with each passing day.


Re, the bold: You have some gall to make that kind of nasty assumption. I do not blame the parent if a kid has mental health issues. Real ones. But it see post after post on DCUM where parents are NOT talking about genuine mental health issues (which, YES, can be exacerbated by isolation--I know that, PP). Many parents are only talking about how their kids can't do their sport or whatever and will just wither up. These parents and their whining do a disservice to parents whose children have actual, diagnosed mental and emotional issues. Go over to the special needs forum, PP. Those kids do need to be in school in person -- are you willing to give up freaking nonessential things to help them do so?



DP. She was right, you are blaming parents for children's mental health issues. Huge numbers of children are experiencing anxiety and depression. It's situational, not caused by parents.

And since it's so widespread, does not belong in the SN Forum.


Thank you PP. Mine was the post the person was responding to, and what is galling to me is dismissing the pain of parents who are watching previously happy and healthy kids slowly deteriorate into shells of their former selves. I say this as a parent of one child with diagnosed "special needs." I understand that that means. But that's not the kid I am most worried about now. We are approaching 8 months of kids being forced to give up their lives, and concern about the overall health of kids is no longer hypothetical. Some of us are doing the right thing every day, not socializing, not traveling, and watching our kids suffer because of it. It hurts like hell.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:If the study can’t account for masks/other simple precautions that work, then it’s useless. We know that large groups of people indoors with no precautions spread diseases.

We also know that children spread COVID less than they do other diseases and less than adults spread it. We also know that children rarely fall seriously from COVID. We also know that failing to educate children for a year or more will irreversible harm many of them, especially the most vulnerable.

Many people are starting to think that means closing schools is more dangerous than opening them. That’s doesn’t make us dumb or crazy, even if you weigh the risks differently.


Studies show the exact opposite. Kids in fact carry higher viral loads than adults and contribute more to community spread precisely because they are not adversely effected by the virus.





https://www.jpeds.com/action/showPdf?pii=S0022-3476%2820%2931023-4


DP, but nope. Viral load =/= transmission. I know that's what some people want to believe, but they're not the same thing. One interpretation of the higher viral load findings is that in order for kids to show symptoms, they need to have much higher viral loads than adults with the same symptoms. That still says bupkis about how well they transmit it.


Sure, Jan. Reminds me of the theory in Spring that because kids weren't getting sick they weren't getting Covid at all. When in fact they were just asymptomatic carriers all along.


Is that the best you can do? Call me names and bring up irrelevant rumors from March?


This thread is filled with peer-reviewed studies. Come back when you have more than suppositions and wishful thinking.


And I commented on the first one (described in the title), noting the limitations *the authors themselves* describe. Crickets. I also discussed the peer reviewed studies mentioned in this thread. Also: zero substantive commentary, just name-calling. Come back when you can tell me why viral load is a robust proxy for transmission.
Anonymous
Anonymous wrote:This paper is from the Lancet:
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30785-4/fulltext

Here's the key text

790 phases from 131 countries were included in the analysis. A decreasing trend over time in the R ratio was found following the introduction of school closure, workplace closure, public events ban, requirements to stay at home, and internal movement limits; the reduction in R ranged from 3% to 24% on day 28 following the introduction compared with the last day before introduction, although the reduction was significant only for public events ban (R ratio 0·76, 95% CI 0·58–1·00); for all other NPIs, the upper bound of the 95% CI was above 1. An increasing trend over time in the R ratio was found following the relaxation of school closure, bans on public events, bans on public gatherings of more than ten people, requirements to stay at home, and internal movement limits; the increase in R ranged from 11% to 25% on day 28 following the relaxation compared with the last day before relaxation, although the increase was significant only for school reopening (R ratio 1·24, 95% CI 1·00–1·52) and lifting bans on public gatherings of more than ten people (1·25, 1·03–1·51); for all other NPIs, the lower bound of the 95% CI was below 1.


So they didn't find any reductions due to closing schools, but did find increases from opening them? I don't understand that.
Anonymous
This was an interesting study, though as the study itself acknowledges, they couldn't establish any sort of causal relationship.

A challenge with looking at interventions is that their effects are cumulative. The study indicated that school closures were among the last interventions to be lifted- only public events and international travel were restarted after schools were reopened. So they weren't just measuring impact of reopening schools- they were, effectively, measuring the impact of reopening schools alongside businesses being open, gatherings of >10 people being allowed, and limitations on internal travel being removed.

They study also didn't make any attempt to account for the compounding effects of multiple interventions being placed or lifted in the 28-day periods that they studied.

It's interesting that they sort of tried to look at this for *placing* interventions. Table 2 looked at the impact of placing 4 different sets of interventions. But they didn't try to do anything similar for lifting them.

What's also interesting is that they never attempted to control for all interventions besides school closures. For example, when they looked at groups of interventions , they groups school closures with stay-at-home orders (see Table 2).

It's a good study, and certainly should be part of the discussion on reopening. But it is far from definitive on the effect of school reopenings.
Anonymous
There was a very large scale study in UK that found minimal transmission in schools. This study involved testing students and teachers for weeks at hundreds of schools. https://www.gov.uk/government/news/study-finds-very-low-numbers-of-covid-19-outbreaks-in-schools

German study https://www.usnews.com/news/world/articles/2020-07-13/german-study-shows-low-coronavirus-infection-rate-in-schools

More from Germany https://www.washingtonpost.com/world/europe/covid-schools-germany/2020/09/10/309648a4-eedf-11ea-bd08-1b10132b458f_story.html

Brown University study. https://thehill.com/policy/healthcare/public-global-health/517787-study-less-than-one-percent-of-teachers-students


Studies of Spanish and uS data finding low transmission in schools. https://www.npr.org/2020/10/21/925794511/were-the-risks-of-reopening-schools-exaggerated


Ireland. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268273/


This is just one quick google search, there are other studies showing the same.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Ok, so they spread it. Do we stay in DL for...years? With the associated learning loss and other repercussions to children, particularly those with special needs? Do we think a vaccine will save us?


You really cannot see what needs to happen, PP?

We choose:

Bars, indoor dining in restaurants, non-essential shopping, non-essential travel, vacations "because we're soooo stir-crazy"
Being maskless "because, freedom"
Sports
Visiting everyone we want to visit including grandma and grandpa "because they might not be here much longer"
Creating "pods" because "kids have to socialize or they'll just wither and die"

versus

Schools in person relatively safely
Certain jobs in person relatively safely
Hospitals having adequate capacity and not getting overwhelmed
Everyone masked everywhere

Now comes the squawking about how "we will collapse the economy!" Yes, parts of it will suffer and some of it will close irreversibly. That's why the political will to shore up the economy is essential.

And here comes the yelling about "My child will grow up with no socialization!" Children are more resilient than many DCUM parents can believe, and many parents also refuse to admit that they are just tired of being responsible for their kids 24/7.

Those are the trade-offs if you want in-person education (and manageable health care, and a return to the office for some people). We would not have to make these trade-offs now if we had made them seriously and with commitment earlier.

Are you willing to make those sacrifices and not go to Target and Wal-Mart, not go visit grandma for Thanksgiving, etc., in order to truly ensure kids can be in school in person? Our society isn't willing to make those sacrifices even short-term now. That's why you should learn to embrace DL. Society brought it on itself.


Oh, ok, I see there is no point, as so much nuance is lost here.


We're long past "nuance." Anyone who wanted nuance should have isolated for real back in the spring, for long enough actually to curb the spread. I guess it was a nuanced decision to reopen businesses etc. as early as we did. That worked out just great.


The nuance that's lost is that this person is conflating the people doing one thing with the people that want another. The comment makes the assumption that if PARENTS want their kids to go back to in-person learning, then they should stay home, and that they aren't doing so. Now I imagine there are parents that are out doing things that you think create unnecessary risk, but there are also the "DL forever!" parents who are completely locked down. There's also the mighty band of non-parents who are doing whatever. Parents as a group hardly have control over the spread, or the government response.

Actually, I don't think that's just nuance that's lost. I think it's just a logical flaw in the argument.
Anonymous
Anonymous wrote:
Anonymous wrote:If the study can’t account for masks/other simple precautions that work, then it’s useless. We know that large groups of people indoors with no precautions spread diseases.

We also know that children spread COVID less than they do other diseases and less than adults spread it. We also know that children rarely fall seriously from COVID. We also know that failing to educate children for a year or more will irreversible harm many of them, especially the most vulnerable.

Many people are starting to think that means closing schools is more dangerous than opening them. That’s doesn’t make us dumb or crazy, even if you weigh the risks differently.


Studies show the exact opposite. Kids in fact carry higher viral loads than adults and contribute more to community spread precisely because they are not adversely effected by the virus.





https://www.jpeds.com/action/showPdf?pii=S0022-3476%2820%2931023-4


Viral load studies do not tell you how many transmissions are likely to occur. It's expected to be correlated, but how strongly isn't clear, and depends on many other factors. But the bigger issue with the viral load studies is that they were only looking at kids that showed up at hospitals or urgent cares with severe symptoms. That would lead to a strong selection bias if, for instance, children need a higher viral load to get sick. And that's quite possible, since it is widely believed that children are much more likely to have mild symptoms than adults.

Here's the study that looked actual transmissions, where they found that children under 10 were much less likely to transmit the virus compared to adults.
https://wwwnc.cdc.gov/eid/article/26/10/20-1315_article
Anonymous
This is America where money and freedom reign. Schools could open safely if 1) the government shut down any other large gatherings in any location 2) the government propped up those families and businesses that are suffering financially. That won’t happen because the almighty dollar and people’s rights come first.
Anonymous
Anonymous wrote:This is America where money and freedom reign. Schools could open safely if 1) the government shut down any other large gatherings in any location 2) the government propped up those families and businesses that are suffering financially. That won’t happen because the almighty dollar and people’s rights come first.


Most schools are open. Just not here and even then, most private and parochial schools are open.
Anonymous
Anonymous wrote:This is America where money and freedom reign. Schools could open safely if 1) the government shut down any other large gatherings in any location 2) the government propped up those families and businesses that are suffering financially. That won’t happen because the almighty dollar and people’s rights come first.


Governor Northam told schools to open this summer. Capitalism is not the problem, nor are restaurants. Not now.
Anonymous
Anonymous wrote:
Anonymous wrote:This is America where money and freedom reign. Schools could open safely if 1) the government shut down any other large gatherings in any location 2) the government propped up those families and businesses that are suffering financially. That won’t happen because the almighty dollar and people’s rights come first.


Most schools are open. Just not here and even then, most private and parochial schools are open.


Of course they are. They would lose students and money if they weren’t. Money, money, money.
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