Today's reminder: If school buildings are closed, kids are less likely to get COVID. @ConorPWilliams @arotherham @DanGordonDC @karinchenoweth @jacobwaters @DataDrivenMD @selmekki @KenyaBradshaw @ellisonreport https://twitter.com/dgurdasani1/status/1360184562672955395
Dr. Gurdasani, analyzing U.K. data, notes that even with likely undercounting (because the British, like the U.S. are testing youth under 17 at lower rates than adults), the song remains the same: When school buildings reopen, spread increases. https://twitter.com/dgurdasani1/status/1360184559489454080
Which reminds us that children need to be vaccinated.

By the way: That may happen soon. https://twitter.com/itosettiMD_MBA/status/1359538650409824263
Karin, by the way, reminds us why reopening school buildings amid high spread is so perilous. https://twitter.com/karinchenoweth/status/1360237455950118912
Especially when you consider who are the hardest hit by COVID: Black and Brown children, families and communities. https://twitter.com/COVIDBLK/status/1360242019755524105
Reopening school buildings in Black communities or even White communities without suppressing the pandemic means promoting devastation of Black and Brown people, many of whom work in those buildings or send kids to them. [ https://www.njspotlight.com/2021/02/nj-black-residents-covid-19-coronavirus-hard-hit-racial-disparities-doh-data-rutgers-study-higher-rates-hospitalizations-deaths/ and https://nj.gov/health/cd/documents/topics/NCOV/COVID-Age_Adjusted_Race_Ethnicity.pdf]
New Jersey, by the way, has had school buildings open since September. It has also struggled with contact tracing, with more than three-quarters of folks contacted refusing to participate. Which makes tracing spread difficult.
The Garden State has also loosened COVID restrictions for school buildings. Basically, even a school system operating in red zone (or highest spread) communities can now keep buildings open. More risks for children, families, and school workers. https://www.state.nj.us/health/cd/documents/topics/NCOV/RecommendationsForLocalHealthDepts_K12Schools.pdf
This is no surprise. As I noted the other day, many states and school systems have 'adjusted' their rules to keep school buildings open despite high spread. Because once you reopen those buildings, White folks want them to stay open, even if their kids are at risk.
Once the school buildings open, sports and other activities (as well as G&T and specialized school testing) opens up. Things that White folks consider to be part of their privileges.

Of course, Black and Brown folks get little of this, and all the damage.
Speaking of which: The magical thinking that kids can't spread COVID and the school buildings they are in can't drive community spread has once again been proven to be bogus. https://twitter.com/bjesseshapiro/status/1358866404448075777
Basically, kids can spread COVID because they are more-likely to be asymptomatic, and the longer adults are around them, the more-likely they are to be infected. This is especially true for mothers, who get sick more quickly because they care for kids. [ https://osf.io/bn862/ ]
The point being that reopening school buildings, especially amid the B.117 and B.1351 variants floating around, must be done safely. Which means stemming and suppressing community spread as well as improving ventilation within school buildings. https://twitter.com/Dr2NisreenAlwan/status/1359249799971807239
Doing so, in turn, helps engender trust among teachers, families and students. Which is critical because it... https://twitter.com/karinchenoweth/status/1360240422807822340
Which brings us to the reopeners... https://twitter.com/Mssarahmssarah/status/1360216863179956232
Photography critic @johnedwinmason wrote recently that "Power sees itself as objective... [and] has no desire to question those systems which give them power." This applies to the White folks pushing to reopen school buildings without reducing and suppressing community spread.
From where reopeners sit, the privileges they have are just to be had, and not to be questioned. They don't want to have to change their lives in order to live communally with Black and Brown people, or to even keep other White people safe from infection and death.
That part is especially true when those other White folks are teachers and others who are working in service to them, and therefore, are essentially no different than Black and Brown people who are also supposed to be in service to their whims. https://twitter.com/thereadingzone/status/1359949402719330314
This includes even deliberately misinterpreting guidance about reopening school buildings that emphasizes caution and admits to the reality that school buildings can promote as well as reflect community spread.

To wit as Mr. Baker notes... https://twitter.com/DavidBa69494891/status/1360204560913039360
Keep in mind that CDC notes that once infection rates reach 10 percent of higher, mitigation will not be successful because, well, you must bring down community spread. Also, CDC admits that youth are less-likely than adults to be tested for COVID. For reasons.
I won't say simply 'dumb' people. More accurately, selfish, evil, banal folks are going to result in more unnecessary deaths and debilitations. And the politicians who should know better are enabling them.

[What I'm saying in my way is that I agree.] https://twitter.com/theferocity/status/1360026986656194562
Back to reopening: While I respect Kevin Huffman, he doesn't seem to understand that pediatricians are the wrong people to ask because they aren't epidemiologists and public health specialists (who understand virology and disease spread). https://twitter.com/k_huff1/status/1360271537505460224
Not all medical practitioners specialize in the same field or spend the same amount of time with research or data. Pediatricians, in particular, have been involved in promulgating some of the most irresponsible advice during this pandemic. @k_huff1 https://twitter.com/DrEricDing/status/1354245027485151232
It was AAP's recommendations back in July that helped support the Trump regime's efforts to push reopening of school buildings. AAP walked back the guidance, both because of the bad press and because its recommendations weren't well-informed by data. https://twitter.com/DrEricDing/status/1282709255443959809
Huffman is a reopener and he is driven by his conflation that schooling loss is equal to loss of life. The problem is that for Black and Brown families as well as for teachers and school workers, loss of life is a real thing and proven by data and emerging evidence.
And in joining folks like the NYT's Margaret Sanger-Katz in validating the opinions of pediatricians who aren't well-informed about virology or public health, Huffman fails to amplify the folks who know this area best, or consider the real concerns of families and school workers.
Which brings us to the COVID variants portion of the thread. Hint: If you got the 'rona one, B.1351 will give it to you, again. https://twitter.com/DrEricDing/status/1360264581982093318
Dr. Feigel-Ding notes Deepti Gurdasani's earlier analysis of UK COVID infection data for under 17-youth. https://twitter.com/DrEricDing/status/1360289161291390983
As the good epidemiologist notes, there have been declines in infection rates for youth and adults. It's because the UK shut down schools and won't reopen until after Easter. A point reopeners in the U.S. have decided to ignore. https://twitter.com/DrEricDing/status/1360290647387885568
Which brings us to what the federal government should be doing now. [Hint: Not reopening school buildings during an uncontrolled pandemic.] https://twitter.com/QueeringPsych/status/1360034060626722816
Meanwhile CDC has just released its latest school building reopening guidelines. Little has changed in them. But CDC now suggests that elementary schools remain open in hybrid - even as emerging data shows that this is a really bad idea. https://www.cdc.gov/coronavirus/2019-ncov/downloads/community/schools-childcare/K-12-Operational-Strategy-2021-2-12.pdf
CDC is suggesting that elementary school buildings operate in hybrid even if communities are in the red zone, that is over 10 percent infection rates and more than 100 new cases per 100,000.

Also: CDC isn't prioritizing ventilation improvements other than opening some windows.
Both suggestions ignore growing evidence from the UK, Austria and other countries that elementary-aged kids get infected, are often asymptomatic and spread viral loads. Also ignores the experiences in Germany with ventilation (i.e., you must upgrade it and not just open windows).
Additionally, while CDC tells school systems to hook up with public health departments for testing and tracing, it hasn't adjusted its contact tracing protocols, which only trace contacts if folks have been in close proximity to each other for 15 minutes.
As it has been noted, CDC's own research with the NFL, along with data from South Korea and elsewhere, show that infections can happen under 15 minutes, and under five minutes if you are unmasked and eating.

That's your local school building. @Eduflack
As others, including myself, have noted yesterday, CDC's guidance will only be useful if it can be trusted by families, communities and school workers. Which brings up a real issue: While it mentions 'health equity', it doesn't push for disaggregating data by race/ethnicity.
As it has been noted elsewhere, even when overall infection and new case rates are low, Black and Latino communities often have rates far higher than that. In Chicago, the infection rate for Latino citizens is three times higher than the overall rate.
All that said, CDC's guidance will be hard for reopeners to use in their goals. This is because so much of what CDC says must be done to make reopening happen - even without actually improving ventilation - is still expensive and not yet funded.

Also, this fact...
It's pretty bad that even Joseph Allen, one of the most-prominent reopeners, thinks that CDC's shortchanging of ventilation is shortsighted. One of the more-admirable things about Allen is that he's pushed for significantly improving ventilation. https://twitter.com/DrEricDing/status/1360311545528483841
Also, Dr. Feigl-Ding reminds everyone about the data coming out of the U.K. and elsewhere about kids, school buildings and COVID. https://twitter.com/DrEricDing/status/1360312099516395526
The Biden Administration should have slowed things down, had CDC look at new data and evidence, and revise the guidance accordingly. Especially highlight ventilation improvements, aggressive vaccination, and disaggregating data by race and ethnicity.

This was not good.
A cynic would also state that politicians don't want to spend the money required to improve ventilation in school buildings, especially those in Black and Brown communities.

White Supremacy as deliberate underinvestment.
@rolandsmartin @TheJLV https://twitter.com/Eduflack/status/1360313128215588867
As for reopeners? I've privately asked this question myself. https://twitter.com/GeoRebekah/status/1360317027131531264
By the way: One part I failed to mention is that CDC says that social distancing/six feet apart is unnecessary in areas of low spread. This is news to epidemiologists and public health specialists who have noted that the existing social distancing protocols are also inadequate.
As Eric Feigl-Ding and others has stated, six feet apart was sort of a floor on distancing as well as to aid in contact tracing. The reality is that COVID aerosols can travel as far as 27 feet. Which means six feet of distancing isn't enough even in periods of low spread.
Even if everyone is vaccinated, the existence of the variants means that social distancing will have to be in effect.

This brings up Dan Gordon's thought about how distancing may be one of the key fights in reopening. https://twitter.com/DanGordonDC/status/1355230534578921472
By downgrading ventilation and social distancing despite scientific data, especially amid growing data and evidence, CDC and the Biden Administration haven't improved confidence in public health advice. Which is a problem. https://twitter.com/juliettekayyem/status/1360316958336516118
When Robin Lake, who is generally positive about the new guidance, thinks de-emphasizing ventilation is a problem... https://twitter.com/RbnLake/status/1360356095265415168
Bad policy choices is our world right now. https://twitter.com/DGBassani/status/1360397370253541379
And many 'school reformers' are championing them. No. Shock. There.

[By the way: Based on enrollment data and surveys, most Black, Latino, Indigenous, Asian and even White families are choosing all-virtual.] https://twitter.com/dsellers22/status/1360398003446677505
But again, it isn't just many school reformers. It's the majority of White people in this nation. And it speaks to how we value the lives of children as well as Black and Brown people. https://twitter.com/HeatherDHill2/status/1360319437211983872
Because we don't do enough testing, tracing or viral surveillance, things appear low. Until you look at what's happening elsewhere.

The big issue, ultimately, is what this nation values is Whiteness and money. https://twitter.com/HeatherDHill2/status/1360319438139002882
Speaking of consequences for kids... https://twitter.com/DataDrivenMD/status/1360094801559887876
And more consequences for kids, this time in the United Kingdom... https://twitter.com/DataDrivenMD/status/1360404370148388866
Meanwhile in more bad policy... https://twitter.com/dgurdasani1/status/1360361928074395651
And finally, back in the U.S.: Former CDC Director Tom Frieden raises concerns about the variants (even as he celebrates the CDC's school guidance). https://twitter.com/DrTomFrieden/status/1360393442036224002
This morning, Matt Barnum points to an asterisk in CDC's school building reopening guidance. https://twitter.com/matt_barnum/status/1360599633639190533
While reopener Joseph Allen, who criticized CDC's lack of focus on improving ventilation, complains about the social distancing guidelines. Because most school buildings can't reopen under those restrictions.

https://www.washingtonpost.com/opinions/2021/02/12/cdc-report-schools-problems/
This was pointed out in nearly all of the big studies of COVID coming out of South Korean studies, including one on indoor dining. Especially with inadequate indoor ventilation (a common feature of public school buildings and restaurants)
https://jkms.org/DOIx.php?id=10.3346/jkms.2020.35.e415
In essence, Allen is engaged in fantastic thinking. Even if ventilation in school buildings were greatly improved, the risks of infection, death and debilitation are still quite high, especially if folks aren't vaccinated against main COVID and the variants. A point CDC admits.
The rest of Allen's piece is, well, fantastic. He blames lockdowns for numerous pre-existing conditions that break down when you look at data.

As others have noted, suicide rates have not greatly increased among youth during the pandemic. https://twitter.com/tylerblack32/status/1353428208553664513
Meanwhile Allen argues that community spread and infection rate metrics shouldn't be used to determine whether school buildings can be open because transmission can theoretically be kept low with 'good mitigation'.
Forget that 'good mitigation' isn't happening often in school buildings because of lack of good ventilation (a thing Allen himself complains about). As Sarah Rasmussen noted last week, schools will eventually reflect community spread and contribute to it. https://twitter.com/SarahDRasmussen/status/1356302440551878656
As CDC itself has conceded, mitigation doesn't work that well once community spread reaches beyond 10 percent infection rates and new case levels above 100 per 100,000. Mitigating effectively takes an effort that requires more than making wishes. https://twitter.com/karinchenoweth/status/1360643501000708098
Allen argues that the metrics are set too low for his tastes. What he forgets to consider is that those are just overall metrics. If data was disaggregated by race and ethnicity, as CDC should have done, Black and Latino communities have rates that are often far higher.
Which means if reopening was being done based on equity, way more than 83 percent of communities would have to keep school buildings closed. Because reopening endangers the lives of the folks who have the lowest access to healthcare and material security.
That's right! You just can't tell families, school workers and communities to just keep their chins up. https://twitter.com/karinchenoweth/status/1360643638917750786
But Allen's problematic response to the CDC guidelines is no shock. Emerging data has forced him to adjust numerous times from his original positions on reopening school buildings. The new COVID variants will force even more adjustments by him and reopeners just to stay true.
It's really a lack of intellectual, ethical and moral integrity with Allen and other reopeners.. They are annoyed that the CDC guidance isn't helping them. Because as problematic as it is, it is also driven by caution about risking human lives, especially those Black and Brown.
This, by the way, is what reopened school buildings look like in many places.

None of this is effective against aerosol spread. https://twitter.com/KatBrezler/status/1360324184891662341
None of that encourages trust among teachers or Black and Brown families who have many reasons to distrust governments and school systems that can't even improve ventilation. Or provide vaccines properly. https://twitter.com/dgurdasani1/status/1360579089413898242
Especially given the data on how Black, Latino and Indigenous communities are particularly devastated by COVID. https://twitter.com/DataDrivenMD/status/1360681072300724224
If you are Black, Indigenous, Latino or Pacific Islander, you are far more likely to die from COVID than White folks.

Death may be the least worst thing to happen to you after being infected.
If you are Black, you are also more-likely to be hospitalized for COVID than any other group.

Hospitalization may be the second least-worst thing to happen to you after infection.
Then there's long-term effects from COVID, which Doctor-to-Be Thornton can discuss in depth from personal experience.

Thirty percent of COVID sufferers end up with long-term damage. https://twitter.com/MaggieEThornton/status/1360044550102908928
In the U.K., by the way, 13 percent-to-17 percent of youth under 17 suffered long-term damage based on NHS data.
Reopeners refuse to deal with the injustice of it all: Reopening school buildings without proper ventilation and worse, amid uncontrolled spread. Vaccine inequity. Lack of access to healthcare.

Because they don't care. https://twitter.com/ScientistSwanda/status/1360635569542467590
Remember this anytime someone talks about COVID case and infection levels declining. https://twitter.com/COVID19Tracking/status/1360755976530452482
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