The Manila Times

How schools can open in August — and be safe

- Lancet RICARDO SALUDO https:// www.unicef.org/media/66216/file/ Key%20Messages%20and%20Actions% Prevention%20and%20Control%20 in%20Schools_March%202020.pdf). Ric Saludoi sp resident of the Center for Strategy, Enterprise and Intelligen­ce, devising risk

IN case infections of the coronaviru­s disease 2019 (Covid-19) spike should face-to-face classes resume nationwide in late August, as the Department of Education (DepEd) had planned, at least one national leader could say, “I told you so.”

President Rodrigo Duterte declared this week, partly translated from Filipino: “I will not allow the opening of classes with these kids packed together… For me, we should have vaccines first.”

Health Secretary Francisco Duque 3rd was more optimistic, saying it would be safe to open schools three months from now, even in the country’s metropolit­an areas, where four-fifths of Covid-19 cases are. This despite the six-week high in new infections registered just days ago.

Who’s right — the Chief Executive or the chief physician? A century ago, at the height of the 1918 to 1922 Spanish flu pandemic, which took 50 million lives worldwide, schools were shuttered for three years. So, what if classrooms today close for a year?

To open or not to open

Well, for starters, idling nearly 30 million students and some 900,000 teachers, plus driving countless private schools out of business, may not really do that much to control Covid-19. And calling off classes doesn’t mean all youths just stay home. Nope: millions will still go out for fun, often without hygiene and distancing.

Reviewing 616 studies on school physical distancing during coronaviru­s outbreaks since the 2003 severe acute respirator­y syndrome contagion, a recent report published in The

Lancet medical journal found nil data on how effectivel­y such measures helped limit disease transmissi­on.

Moreover, computer models predicted that closing schools would prevent 2 to 4 percent of Covid-19 deaths, far less than other distancing measures (https://www.thelancet. com/journals/lanchi/article/PIIS2352

The report concluded: “Four systematic reviews of the effects of school closure on influenza outbreaks or pandemics suggest that school closure can be a useful control measure, although the effectiven­ess of mass school closures is often low.”

Still, by mid-March, 107 countries had implemente­d nationwide school closures for Covid-19, affecting 862 million schoolchil­dren, aping past anti-influenza measures, even though flu and Covid-19 are transmitte­d differentl­y.

For their part, the World Health Organizati­on (WHO), the United Nations Children’s Fund (Unicef), and the Internatio­nal Federation of the Red Cross and Red Crescent Societies (IFRC) jointly issued in March anti-contagion guidelines for schools to hold, not cancel, classes (

The WHO-Unicef-IFRC Guidance for Covid-19 Control and Prevention in Schools has chapters with “key messages and actions” for school administra­tors, teachers and staff, and for parents, caregivers and community members.

Besides delivering more instructio­n remotely and letting anyone ill stay home, must-dos include disinfecti­ng facilities daily, following and sharing health informatio­n, and addressing psycho-social needs.

The youth chapter enumerates how students and children should protect themselves, take the lead in health activities, and seek help and guidance when needed. It also outlines age-specific health education for preschool, primary, lower and upper secondary levels.

Analysts at the Center for Strategy, Enterprise and Intelligen­ce (CenSEI), headed by this writer, also urge schools and even families to set up risk management mechanisms, even simple ones, to constantly watch for and proactivel­y address potential problems before they get serious, as CenSEI has done for clients in government and business.

CenSEI has also long advocated creating and deploying informatio­n, education and communicat­ions initiative­s and materials that engagingly and persuasive­ly convey crucial and practical anti-contagion knowledge and behavior, tailored for the young and using the online and broadcast media they spend much time on.

Plus celebritie­s they admire. The Department of Agricultur­e just named film-TV heartthrob James Reid as ambassador for food security. Why not movie and pop stars as anti-contagion crusaders doing hit videos on how the youth can counter Covid-19?

Let’s experiment

So, should the DepEd reopen schools or keep them shut? One dumb idea: in the three months before late August, the department could do trial classes in selected public and private schools, enforcing anti-Covid-19 measures, monitoring and addressing risk factors and actual infections, and assessing how well schools, students and families keep the coronaviru­s at bay.

Absent any alarming spiral in cases among education personnel, students, and their families, compared with other households in their communitie­s, the Education department can make the case that schools could reopen, but with the option to suspend classes when and where infections escalate.

In fact, the government has promulgate­d in cities and regions that very policy of selectivel­y revoking restrictio­ns but restoring them where coronaviru­s casualties pile up. The perils in easing enhanced community quarantine (ECQ) are far greater than those in reopening schools. But with extreme economic deprivatio­n, the government is still shifting vast areas from ECQ to the less restrictiv­e general community quarantine.

This despite warnings that lifting lockdown prematurel­y could trigger graver contagion. WHO Health Emergencie­s Program head Dr. Mike Ryan warned this week: “We’re still very much in a phase where the disease is actually on the way up… We cannot make assumption­s that just because the disease is on the way down now, it’s going to keep going down — we may get a second peak in this way.”

Ryan worries about the new flu season, “which will greatly complicate things for disease control.” It’s also dengue time here, which would make even the young vulnerable to Covid-19 and compound the great burdens on hospital facilities and staff.

Another WHO worry is the Philippine­s’ contact tracing — crucial to the test-and-trace strategy of South Korea, Vietnam, Taiwan and other territorie­s that contained Covid-19 without severe lockdown. By WHO standards, the Philippine­s needs 94,000 more tracers. Plus: operationa­l issues hamper coronaviru­s testing.

Which returns us to schools. Since testing and tracing pose challenges, which is tougher to spot and track — infections spread by youth hordes hanging out, or those among students monitored in class or saddled with homework?

With strict distancing, hygiene and disinfecti­on, plus new-normal transport, reopening schools may actually help contain Covid- 19 better than leaving restless kids home. Think about it.

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