Los Angeles Times

CDC eases school COVID limits

Students can safely sit three feet apart during class instead of six, the health agency advises.

- By Amina Khan and Howard Blume

The Centers for Disease Control and Prevention announced an update to its coronaviru­s prevention guidelines Friday that reduces the minimum required physical distance in classrooms from six feet to three feet, substantia­lly easing the way for more children to return to in-person learning on a fulltime basis.

The recommenda­tion comes with several limitation­s, and does not apply to adults or to other shared spaces on school grounds. Still, even with a host of caveats, the new leeway puts pressure on Gov. Gavin Newsom and other officials to relax rules and accommodat­e parents who are pushing for a more rapid and complete reopening.

If adopted by the state, the guidance would make it easier for California schools to bring all students back to campus at once instead of having to rely on a hybrid model that keeps students in smaller groups that are isolated from one another. The state’s recommende­d six-foot distancing requiremen­t has made it impossible to fit a full class of students into a standard-size California classroom.

The CDC says its three

foot rule applies only in classrooms where mask use is universal. However, it can be safely implemente­d regardless of whether community transmissi­on is low, moderate, substantia­l or high, authoritie­s said.

And it carries an asterisk: The six-foot rule stays in place for middle school and high school students whose communitie­s have a high rate of transmissi­on and where it’s not possible for students to remain in small cohorts with the same peers and staff in order to reduce the risk of viral spread. The reason, the CDC said, is that older students are more likely than younger children to be exposed to the SARSCoV-2 virus and spread it to others.

Outside of the classroom, the agency recommende­d that the six-foot rule be followed in these settings:

• Between adults, and between adults and students, in school buildings

• In common areas, such as lobbies and auditorium­s

• In situations when masks can’t be worn, such as when eating

• During activities when increased exhalation occurs, such as singing, shouting, band practice, sports or exercise (these activities should be moved outdoors or to large, well-ventilated spaces wherever possible, the agency noted)

The recommenda­tion for six feet of physical distancing still holds in community settings outside of the classroom, the CDC added.

The new federal guidelines are under state review and updated guidance “will be issued in the coming days,” said Rodger Butler, a spokesman for the California Health and Human Services Agency.

That’s not fast enough for parents who have been pushing for reopening. California ranks last among the states in terms of the amount of instructio­nal time students spend on campus, according to a widely followed tracker.

“For a year now, Gov. Newsom has said he follows the science. The science now clearly states that three feet of distance in schools will keep our children and teachers safe,” said Megan Bacigalupi, a parent advocate with the recently formed group OpenSchool­sCA. “We urge the governor to align with the CDC’s revised guidance immediatel­y, which would pave the way for all California students to return to the classroom full time.”

The regional chapter of the American Academy of Pediatrics echoed that demand and called on the state to “decouple” school reopenings from the rate of community spread. The risks to children’s emotional and academic developmen­t if schools stay closed outweigh the risks of returning to a safely operated campus, the medical group said.

“Urgent action is the only hope to reopen schools this year and prevent severe disruption of the academic year ahead,” the doctors wrote in an open letter to Newsom that garnered more than 20 pages of signatures from health profession­als.

Although the governor has prioritize­d the rapid reopening of campuses, he has stopped short of attempting to mandate it.

L.A. Unified, the nation’s second-largest school system, plans to open elementary campuses in mid-April with the six-foot standard in place. Dr. Paul Simon, chief science officer for the L.A. County Department of Public Health, said Friday that the agency was open to revisiting its own guidelines and was likely to alter the distance rule.

Early survey results in L.A. Unified indicate that about half of students are planning to return to campus next month, and the CDC announceme­nt may bolster the confidence of families that are still on the fence, said school board member Tanya Franklin.

“This new guidance may help them feel safer coming back on campus — that even though we are preparing campuses for the six-feet physical distance, if their students walk, learn or play a little closer to other students, so long as they continue to wear masks, they will be OK,” Franklin said.

But the recommenda­tion had just the opposite effect on Ruby Gordillo, a volunteer parent leader with the local advocacy group Reclaim Our Schools.

“They’re ridiculous, dangerous,” Gordillo said of the CDC guidelines. She and her husband, who does essential work as a cashier, both came down with debilitati­ng cases of COVID-19 but managed to keep the illness from their three children by wearing masks at home and taking other precaution­s.

“I wouldn’t wish that on anyone,” said Gordillo, who is opting to have her children continue with distance learning.

LAUSD’s agreement with United Teachers Los Angeles includes six feet of distancing. That “will help protect students and educators and make families feel safer about returning,” said union President Cecily Myart-Cruz. The toll that COVID-19 has exacted on Black, brown and low-income communitie­s justifies the high safety standard, she added.

The new federal advice comes on the heels of a study of 537,336 students and 99,390 staff members in 251 Massachuse­tts school districts. After accounting for difference­s in community infection rates, researcher­s found that coronaviru­s case rates among both students and staff were essentiall­y the same in schools that adopted a three-foot rule as in those that followed the six-foot rule. The findings were published last week in the journal Clinical Infectious Diseases.

“Lower physical distancing policies can be adopted in school settings with masking mandates without negatively impacting student or staff safety,” the study authors concluded.

The CDC also released three studies Friday that it said bolstered the evidence for its decision. One examined 20 elementary schools in Utah’s Salt Lake County and found that of 1,041 students and staffers exposed to an infected person at school in December and January, only five wound up with a confirmed, school-related infection. During that time, 86% of students wore masks and the median distance between students’ seats was three feet.

Dr. Monica Gandhi, an infectious disease specialist at UC San Francisco, praised the CDC’s move.

“I think it’s a great thing,” she said, pointing out that the World Health Organizati­on already recommends just one meter, or 3.28 feet, of physical distancing in general.

“Since the requiremen­t of the six-foot distancing rule has been identified as a hindrance to school openings in some situations, this change by the CDC is a welcome one and will hopefully facilitate more school openings here in California,” Gandhi said.

Dr. Amesh Adalja, a senior scholar at the Johns Hopkins Center for Health Security, agreed that the change was “a good idea,” adding that he didn’t think aerosol transmissi­on was a major risk outside of certain healthcare settings, or in situations in which singing or vigorous exercise was taking place.

But Lydia Bourouiba, director of the Fluid Dynamics of Disease Transmissi­on Laboratory at MIT, pointed out that the risk in classrooms depends on a range of factors — how many people are in a room at one time, what activities are taking place, how long they’re in the room, how well it’s ventilated, whether everyone is properly masked and what the specific airflow patterns in the room are.

Any guidance needs to consider how all of these factors interact to raise or lower risk, she said.

Requiring six feet of distance hasn’t stopped schools from reopening, but it has prevented some of them from offering a full-day schedule five days a week.

The complicati­ons caused by six-foot distancing requiremen­ts were at the heart of a lawsuit filed in north San Diego County. The plaintiffs sought a full schedule for students rather than a hybrid schedule, which would have allowed students on campus for no more than half of their instructio­nal hours.

The judge overseeing that case issued a temporary restrainin­g order this week that barred the state from enforcing its distancing guidelines. State health authoritie­s had establishe­d a standard of four feet but also allowed counties to require six feet of distancing, which is the policy in Los Angeles County.

For the time being, the state is not enforcing a distancing requiremen­t in schools but said counties remain free to do so, officials said. That also means counties are empowered to eliminate distancing requiremen­ts altogether as long as the temporary restrainin­g order remains in effect.

Leaders of national teachers unions — key allies for President Biden — greeted the revised guidelines with caution.

Randi Weingarten, who heads the American Federation of Teachers, expressed concern that the new recommenda­tions were driven more by political considerat­ions and logistics — a desire to fit more students into a classroom — than by settled science.

“While we hope the CDC is right, we will reserve judgment,” Weingarten said in a statement. “We have asked the CDC to include urban and under-resourced districts in future studies, something it has not yet done,” she added.

Becky Pringle, president of the National Education Assn., spoke in similar terms.

“The change to three feet distance for students in classrooms will be particular­ly challengin­g for large urban school districts and those that have not yet had access to the resources necessary to fully implement the very COVID-19 mitigation measures that the CDC says are essential,” Pringle said.

 ?? Al Seib Los Angeles Times ?? SECOND-GRADE student Sophia Rivera, 8, works on an assignment in the “Beyond the Bell” classroom at West Hollywood Elementary School as district officials and others check on preparatio­ns for reopening.
Al Seib Los Angeles Times SECOND-GRADE student Sophia Rivera, 8, works on an assignment in the “Beyond the Bell” classroom at West Hollywood Elementary School as district officials and others check on preparatio­ns for reopening.
 ?? PRINCIPAL Al Seib Los Angeles Times ?? Elizabeth Lehmann of West Hollywood Elementary School shows Los Angeles Unified School District officials and others COVID-19 modificati­ons.
PRINCIPAL Al Seib Los Angeles Times Elizabeth Lehmann of West Hollywood Elementary School shows Los Angeles Unified School District officials and others COVID-19 modificati­ons.

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