The Atlanta Journal-Constitution

For spring season, young athletes get back in game despite COVID- 19 risk

- By Laura Ungar Kaiser Health News

This spring, high school senior Nathan Kassis will play baseball in the shadow of COVID- 1 9 — wearing a neck gaiter under his catcher’s mask, sitting 6 feet from teammates in the dugout and trading elbow bumps for hugs after wins.

“We’re looking forward to having a season,” said the 18- year- old catcher for Dublin Coffman High School, outside Columbus, Ohio. “This game is something we really love.”

Kassis, whose team has started practices, is one of the millions of young people getting back onto ballf i el ds, t enni s cour t s and golf courses amid a decline in COVID- 19 cases as spring approaches. But pandemic precaution­s portend a very different season this year, and some school districts still are delaying play — spurring spats among parents, coaches and public health experts across the nation.

Since fall, many parents have rallied for their kids to be allowed to play sports and objected to some safety policies, such as limits on spectators. Doctors, meanwhile, haven’t reached a consensus on whether contact sports are safe enough, especially indoors. While children are l ess l i kely t han adults t o become seriously ill from COVID- 19, they can still spread it, and those under 16 can’t be vaccinated yet.

Less was known about the virus early in the pandemic, so high school sports basically stopped last spring, starting up again in fits and spurts over the fall and winter in some places. Some kids turned to recreation­al leagues when their school teams weren’t an option.

But now, according to the National Federation of State High School Associatio­ns, public high school sports are underway in every state, though not every district. Schedules in many places are being changed and condensed to allow as many sports as possible, including those not usually played in the spring, to make up for earlier cancellati­ons.

Coaches and doctors agree that playing sports during a pandemic requires balancing the risk of COVID- 19 with benefits such as improved cardiovasc­ular fitness, strength and mental health. School sports can lead to college scholarshi­ps for the most elite student athletes, but even for those who end competitiv­e athletics with high school, the rewards of playing can be extensive.

Tim Saunders, executive director of the National High School Baseball Coaches Associatio­n and coach at Dublin Coffman, said the pandemic has taken a significan­t mental and social toll on players. In a May survey of more than 3,000 teen athletes in Wisconsin, University of Wisconsin researcher­s found that about two- thirds reported symptoms of anxiety and the same portion reported symptoms of depression. Other studies have shown similar problems for students generally.

“You have to look at the kids and their depression,” Saunders said. “They need to be outside. They need to be with their friends.”

Before l etting kids play sports, though, the Centers for Disease Control and Prevention said, coaches and school administra­tors should consider things like students’ underlying health conditions, the physical closeness of players in the specific sport and how widely COVID- 19 is spreading locally.

Dr. Kevin Kavanagh, an infection control expert in Kentucky who runs the national patient safety group Health Watch USA, said contact sports are “very problemati­c,” especially those played indoors. He said heavy breathing during exertion could raise the risk of COVID- 19 even if students wear cloth masks. Ideally, he said, indoor contact sports should not be played until after the pandemic.

“These are not profession­al athletes,” Kavanagh said. “They’re children.”

A study released in January by University of Wisconsin researcher­s, who surveyed high school athletic directors representi­ng more than 150,000 athletes nationally, bolsters the idea that indoor contact sports carry greater risks, finding a lower incidence of COVID- 19 among athletes playing outdoor, non- contact sports such as golf and tennis.

Overall, “there’s not much evidence of transmissi­on between players outdoors,” said Dr. Andrew Watson, lead author of the study, which he is submitting for peerreview­ed publicatio­n.

Dr. Jason Newland, a pediatrics professor at Washington University in St. Louis, said all sorts of youth sports, including indoor contact sports such as basketball, can be safe with the right prevention measures. He supported his daughter playing basketball while wearing a mask at her Kirkwood, Missouri, high school.

“The reality is, from a safety standpoint, sports can be played,” Newland said. “It’s the team dinner, the sleepover with the team — that’s where the issue shows up. It’s not the actual games.”

Students, for their part, have quickly adjusted to pandemic requiremen­ts, including rules about masks, distancing and locker rooms, said Matt Troha, assistant executive director of the Illinois High School Associatio­n.

Kassis, the Ohio baseball player, said doing what’s required to stay safe is a small price to pay to get back in the game.

“We didn’t get to play at all last spring. I didn’t touch a baseball this summer,” he said. “It’s my senior year. I want to have a season and I’ll be devastated if we don’t.”

 ?? SAUNDERS/ KAISER HEALTH NEWS/ TNS TIM ?? Glad to be returning to baseball, catcher Nathan Kassis, 18, practices ahead of the spring season for Dublin Coffman High School, outside Columbus, Ohio.
SAUNDERS/ KAISER HEALTH NEWS/ TNS TIM Glad to be returning to baseball, catcher Nathan Kassis, 18, practices ahead of the spring season for Dublin Coffman High School, outside Columbus, Ohio.

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