Hartford Courant (Sunday)

Return to full-time, in-school learning should happen now

- By David Grew David Grew, MD, MPH, is a radiation oncologist and a co-chair of the Cancer Committee at St. Francis Hospital. He lives in West Hartford.

In March, parents willingly educated their children at home, isolated from family and friends and masked in public with the expectatio­n that a well-controlled coronaviru­s pandemic would allow their children to return to school in the fall. Now, even as public health metrics support full-time in-school learning, some public school districts are forging ahead with hybrid model education, losing the confidence of discerning, concerned parents.

I was an early advocate for lockdowns, and later a supporter of reopening the economy when adequate COVID-19 testing was in place. This summer, I volunteere­d as a member of the Health and Safety Advisory Committee to Reopen Schools in West Hartford. I was proud to lend my time alongside a team of outstandin­g individual­s from the town and experts in our community. We developed protocols based on the best available recommenda­tions from the CDC, state and local authoritie­s, as well as pediatrici­an and public health expert opinion, in order to minimize the risk to students and staff.

I felt confident we could deliver on this charge because it had been done before under much more difficult circumstan­ces. Starting in March, when positive test rates reached 30%, radical changes including universal masking and distancing were implemente­d in hospitals across the state.

Despite absorbing the surge in April and managing a steady stream of COVID-19 patients ever since, hospital workers were infected at the same rate as the general public during that period.

Cases of transmissi­on within hospitals have certainly been rare — I am not aware of any in our area. Notably, hospitals achieved this feat without implementi­ng mandatory surveillan­ce COVID19 testing, which likely enhances outbreak mitigation but is neither necessary nor sufficient.

Many schools have gone further even than hospitals: one-way hallways, decentrali­zed arrival and dismissal to reinforce cohorting, plexiglass shields for mask breaks, strict no-visitor policies, and maximizing outdoor time. We should feel confident that students and their teachers are in an environmen­t that is very inhospitab­le for viral transmissi­on and that schools are poised to replicate the results achieved by area hospitals.

Indeed, in our district, there have been no cases of transmissi­on among the approximat­ely 8,000 students in our schools, despite six new COVID19 cases between the start of school and the time of this writing. This is very reassuring and adds to the mounting evidence that universal indoor masking with other mitigation measures prevents the spread of coronaviru­s. With newly adopted measures in place, a school does not appear to be a supersprea­der venue.

Since May, public health metrics have supported full time in-person learning outlined in guidance from the state. Why then, do we continue to pursue a hybrid learning model?

Various explanatio­ns have been offered. Initially, there was concern about a potential teacher shortage, as many understand­ably wanted to reduce their infection risk and opted out of the classroom altogether and into overseeing remote learning. Later, we were told we would start the school year with one month of hybrid as a transition­al period to ensure everyone was comfortabl­e with the new mitigation measures.

Last week, it was suggested that COVID-19 testing access and cost for teachers is a barrier to fully opening schools.

And now, shockingly, we’re told hybrid learning will continue for the foreseeabl­e future because cases in the community have increased, even though the metrics still land in a category that supports full-time in-classroom learning.

As a result, parents increasing­ly perceive administra­tors as playing “hide the ball” with opaque rationale for continuing the hybrid model. Unamused, they struggle to piece together the disjointed ends of a screen-time-heavy remote learning curriculum borne from the early days of pandemic uncertaint­y, all while trying to uphold their own work obligation­s. It is a circus act of spinning plates.

Despite the shifting explanatio­ns, one fact is clear: the rationale for keeping kids home in a hybrid model is not fully supported at this time by real-time objective public health data and guidance from the state. This has led to a crisis of confidence among parents of public school children, the consequenc­es of which may be deep and long-lasting.

For parents who have seen their kids not just fail to ascend but actually regress since schools closed in March, the stakes could not be higher. For kids who come from underprivi­leged households, what used to be an education disparity gap is now looking like a yawning chasm.

Clear-eyed leadership and creative solutions are long overdue. If teachers have concerns about cost and access to COVID-19 testing, direct them to the numerous free options in the area.

If there is a teacher shortage and full time school would result in over-crowded classrooms, administra­tors should utilize other spaces in schools like cafeterias and gyms with paraprofes­sional supervisio­n. If unions won’t allow paraprofes­sionals to replace teachers, find money in the town budget to hire more teachers. If there is no money in the town budget for teachers, why is the town spending money on cutting grass in parks and not educating its children?

We should be proud to see an overgrown landscape as a symbol of prioritizi­ng investing in education during a pandemic.

Instead of cases per 100,000 people and percent positive tests, imperfect measures that we now see are subject to moving goalposts by administra­tors, we should evaluate concrete evidence like episodes of transmissi­on in schools. In those cases, the cohort should be closed and mitigation reviewed for evidence of lapses. This is how we get smarter and excel in a crisis.

The problem with underminin­g the value of using public health metrics to guide policy goes much deeper than schools. If parents are conditione­d to disregard the metrics, we cannot expect them to once again quarantine their family if a second wave threatens to overwhelm hospitals this winter. This crisis only deepens in the absence of credible messaging.

Public schools, like hospitals, are institutio­nal pillars embedded in the social fabric. It is past time for transparen­cy and adaptive leadership.

So long as they don’t accelerate outbreaks, schools should be open fulltime to properly educate the next generation of leaders.

 ?? JOHN MOORE/ GETTY ?? For millions of kindergart­ners attending in-school classes for the first time, wearing masks and social distancing at school isn’t just the new normal; it is the normal.
JOHN MOORE/ GETTY For millions of kindergart­ners attending in-school classes for the first time, wearing masks and social distancing at school isn’t just the new normal; it is the normal.

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