Milwaukee Journal Sentinel

Big Ten issues plans for football

- Jeff Potrykus

MADISON - Northweste­rn president Morton Schapiro was among 11 members of the Big Ten Council of Presidents and Chancellor­s who last month voted to shut down all fall sports because of concerns over the COVID-19 pandemic.

A little more than a month later, Schapiro changed his mind and was part of a unanimous vote by the council to green-light the league's 2020 football season.

“The medical advice I relied on when I voted five weeks ago said there was virtually no chance that we could do it safely,” Schapiro, the chairperso­n of the league's council of presidents and chancellor­s, said Wednesday during a virtual press briefing. “We weren't going to have the testing and all the safety protocols.”

Advances in rapid testing, ensuring all 14 schools have access to cardiac MRI testing and a better understand­ing of the risks associated with the heart condition myocarditi­s led the league to announce Wednesday the 2020 Big Ten

football season is scheduled to start either Oct. 23 or 24.

“Medical opinions changed,” Schapiro said. “There have been a lot of advances, in terms of understand­ing the pandemic and myocarditi­s… The facts changed; our minds changed.”

The full schedule is to be released later this week but Big Ten officials did share some details. According to UW athletic director Barry Alvarez, the chairperso­n of the return to competitio­n task force, teams will play eight regularsea­son games and one post-season game.

The division winners are to meet in the league title game, set for Dec. 19. That is one day before the College Football Playoff field is scheduled to be revealed.

The ninth games for the teams that fail to qualify for the league title game are to feature the second- through seventh-place teams in each division facing off. .

A handful of college football games this month have already been postponed or canceled because of COVID-19 outbreaks.

Big Ten officials understand there is no guarantee the league's teams will navigate the 2020 season unscathed.

Public Health Madison & Dane County reported Wednesday that a total of 42 UW football players/staffers have tested positive at some point this year.

“Emerging evidence and research is showing that even though athletes recover from COVID-19,” officials wrote, “serious long term health issues can persist, including myocarditi­s, an inflammation of the heart muscle, which can lead to heart failure.”

Big Ten officials do believe, however, that the medical protocols revealed Wednesday will help. According to the Big Ten:

● Student-athletes, coaches, trainers and other individual­s that are on the field for all practices and games will be required to undergo daily antigen testing. Test results must be completed and recorded prior to each practice or game.

Student-athletes who test positive for the coronaviru­s through point of contact (POC) daily testing would require a polymerase chain reaction (PCR) test to confirm the result of the POC test.

“Our ability to test consistent­ly and uniformly among the conference (members) was really important,” said Jim Borchers, the head team physician at Ohio State. “We're very comfortabl­e with the idea that we'll be able to provide daily, rapid testing.

“That will give us great surveillan­ce of our student-athletes and coaches and staff so that we can quickly remove individual­s that may be at risk of infecting someone else.”

(Each institutio­n will designate a Chief Infection Officer (CInO) who will oversee the collection and reporting of data for the Big Ten Conference. Team test positivity rate and population positivity rate thresholds will be used to determine recommenda­tions for continuing practice and competitio­n.

● All COVID-19 positive student-athletes will have to undergo comprehens­ive cardiac testing to include labs and biomarkers, ECG, Echocardio­gram and a Cardiac MRI.

Following cardiac evaluation, student-athletes must receive clearance from a cardiologi­st designated by the university for the primary purpose of cardiac clearance for COVID-19 positive student-athletes. The earliest a student-athlete can return to game competitio­n is 21 days following a COVID-19 positive diagnosis.

Borchers explained the need for a 21day waiting period.

“At that point our experts agreed it needed to be at least 14 days before that cardiac testing was completed and evaluated by cardiology experts and then cleared,” he said. “And then there is the recommenda­tion that any athlete that is recovering from injury or illness needs a transition period to go back to their activity.”

h In addition to the medical protocols approved, the 14 Big Ten institutio­ns will establish a cardiac registry in an effort to examine the effects on COVID-19 positive student-athletes. The registry and associated data will attempt to answer many of the unknowns regarding the cardiac manifestat­ions in COVID-19 positive elite athletes.”

h The Big Ten will use data provided by each Chief Infection Officer (CInO) to make decisions about the continuati­on of practice and competitio­n, as determined by team positivity rate and population positivity rate, based on a seven-day rolling average:

Team positivity rate (number of positive tests divided by total number of tests administer­ed):

Green 0-2%

Orange 2-5%

Red >5%

Population positivity rate (number of positive individual­s divided by total population at risk):

Green 0-3.5%

Orange 3.5-7.5%

Red >7.5%

“We'll be looking at those in the context of what is going on in our university communitie­s, our local communitie­s and our state and regional data as well,” Borchers said. “We're going to understand specifically what is going on within our teams and how that compares to what is going on in our communitie­s.”

Decisions to alter or halt practice and competitio­n will be based on the following scenarios:

Green/Green and Green/Orange: Team continues with normal practice and competitio­n.

Orange/Orange and Orange/Red: Team must proceed with caution and enhance COVID-19 prevention (alter practice and meeting schedule, consider viability of continuing with scheduled competitio­n).

Red/Red: Team must stop regular practice and competitio­n for a minimum of seven days and reassess metrics until improved.

The daily testing is scheduled to begin Sept 30.

Eventually all Big Ten sports will require testing protocols before they can resume competitio­n. Updates regarding fall sports other than football, as well as winter sports that begin in the fall including men's and women's basketball, men's ice hockey, men's and women's swimming and diving, and wrestling, will be announced shortly.

“It really is a blessing to be here today,” Big Ten commission­er Kevin Warren said. “We are so much better and so much more prepared today than we were 43 days ago.”

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