American Academy Of Pediatrics, Jill Tucker, Kids Middle School High School discussed on Forum
This week waited with a strong recommendation for having students physically present. In schools. The American Academy of Pediatrics says continuing remote learning will increase social isolation, caused further learning loss and exacerbate inequalities. Joining us now to discuss what schools are planning for this fall. Jill Tucker K 12 education reporter at the San Francisco Chronicle. Welcome, Jill. Good morning. Thank you. Good morning. Glad to have you also glad to have Tanya Altmann with those pediatrician at the Calabasas Pediatrics and Spokesperson for the American Academy of Pediatrics. Welcome, Dr Oldman. Good morning. Thank you for having me on glad to have you and welcome and will also welcome Mariah Fisher, who's president of the Nevada Federation of Teachers, and she's also apparent with kids in the vital school district. Good morning, Mariah Fisher. Morning. Thank you for having me glad to have all of you and I'm going to begin. If I major Tucker with you, and let's begin by just talking about the divide here. On the one hand, we have pediatricians who are urging back in school and schools opening and on the other hand of the CDC. Talking about really going and sticking with remote learning to a greater extent than you have. Parents and parents who are Concern, especially parents of medically vulnerable kids or concern about other family members being infected. So you really have a major divide here, don't we? Yes. We definitely have a major divide. I've seen some of the debate come out and Protests and petitions when when counties have started releasing their plant and you know you have you have the foot parents who are very weary of being at home and they want their kids back in school. You have teachers and others that are concerned about that about their own health and others health If everybody returns to school, you know, So there really is this huge divide of what is the best thing to do in terms of of kids and education in the middle of a pandemic, And they're also a normal enormous number of challenges. I mean, if the schools do open, they're gonna have to open with Mindfulness about all the things that need to be done in terms of safety or security. Yes, Definitely. This is not only expensive but logistically complicated. You know, Normally, classes of kids are generally 25 to maybe 35 kids. Trying to space desks six feet apart or put dividers in between kids in the classroom says have some county plans have recommended if they can't space students. It is difficult. I mean, school starts in two months or so for many districts and so trying to figure out what is the best plan on DH, then implement that. Will be very difficult in this in this short time frame. And as we're seeing cases increase across California across the country, it's growing, you know, a perv all to schools and counties as they try to figure out how to open up We can assume I suppose, to some degree that we'll see all kinds of differences because it would appear that each county is goingto go along to opening on its own pace or what it decides whether it's hybridizing, remote learning or just opening completely, for example. Eastside Santos, a school district once more students to learn home this fall, and then you've written a good deal about Santa Clara with the whole road road map just released yesterday. That would mean going back to school. Yeah, definitely. I mean, not only our county is going to be offering different plans and different advices to school districts. But then each district is really the ones that they're the ones that are gonna adopt the plan. So in one county, you may have like in Marin County. Some schools are planning to re opened with all kids back or some districts and schools. And then other districts air, creating hybrid plans or going Tio coldest morning in the fall. It really is based on what their capacity is what their teachers unions are looking for, because all of this has to be negotiated the working conditions how much money they have to implement these things. On DH, you know whether they have the space or or even in parts of California, the outdoor climate to hold classes outside which which a lot of health officials are recommending. We're going to see completely different scenarios from school to school district, a district in county to county in the fall. You know, some schools are simply too small and some don'thave the outside room that they need and their budget cuts, which involved Custodians who are no longer able to do the kind of sanitizing that would be enquired required. Jill Tucker again. K 12 education reporter for the San Francisco Chronicle. Tiny Ellman is also with us this our pediatrician Calabasas Pediatrics and spokesperson for the American Academy of Pediatrics. And as a spokesperson for the American Association of Pediatrics and See the Academy of Pediatrics. Dr. Altman I'd like to Just get your sense of what's really important about moving toward opening and what is really seen as being the necessity of reopening fully. Well, I do think that you know many all the points that Jill brought up are valid and it is going to vary from area to area. I'm a school physician down in Southern California and work within advised many schools down here, and it's really going to be school leaders, local public health officials and parents working together to ensure the safety for Children, teachers and staff, and each plan is going to need to be flexible and ready to switch gear is based on the community's prevalence. So even the schools that are starting In person fully may need to be able to switch to remote learning. You know if we see the numbers go up, so I think these are all very valid issues. You know, As a pediatrician, though, we have seen some of the negative impact of the kids who have been home since March and again. It's not every community across the country. It doesn't very depending on areas that that kid's the kids livin, but for many being remote school just Simply isn't a healthy option for them and their families. And so I think, to the extent that we can all work together to get kids back to school as much as possible. You know, that would really be best. And if you look at the American accounted pediatrics, plans or guidelines that just came out, you know it. Really. There are really a lot of examples. So, for instance, desk don't need to be six feet apart. If you look at the data of death three feet apart, which of the W H O guidelines on what they use in many countries around the world. As long as kids are wearing masks. It's virtually the same masked with three feet is the famous 60. So for older kids Middle school high school, you know, I think that is much more feasible. When I've mapped out classrooms throughout Southern California, it makes a huge difference if you're talking about three feet or six feet. Also ISA difference between lower grade students because they're perhaps less accessible or less vulnerable. I should say to the infection fewer than 2% under 18. According to CDC and possibly even less transmissible, But we're also seeing a lot of concern. And I want to ask you about this specifically about the uncertainty with respect to the multi system Inflammatory syndrome, also very similar. In many physicians minds to Kawasaki disease. This is at the point of kind of low numbers now, but there's a rare disease, but it's a disease that could proliferate and gets much stronger in numbers. Yes, You're right. You know, we are seeing that Copan, 19 appears to be a differently in Children and teens. You know when compared with other respiratory viruses, such as our CM flew that we do see outbreaks, you know, in classrooms throughout the state every winter, and although you know there's still much to learn. The evidence does show that kids and teens are less likely to have symptoms or severe disease. They're less likely to become infected and spread infection. I think These are also you know, very important points when we're looking at getting kids, doctor, the classroom Now am I see is a serious illness, and it seems to be sort of a late Stage of having Kobe 19. So the kids that are getting this are not ones that have the fever. The cough, whose parents have been 19 at this time, but rather their families who were exposed to the virus, weeks before enough, didn't necessarily realise it or the parents had Kobe 19 The kids seemed fine, and then they started to get sick. A few weeks later. The good news is that it is rare. And I do think the major university hospitals and Children's hospitals throughout the country are now very good at treating it and I know down here in Southern California at our local Children's hospital, you know, we've had many cases and the kids have all Come out, Okay, now that we know what to do, and we are treating it very similar. The Kawasaki's yet differently because it's also you know, has its own nuances in terms of the parts of the body to parts of the heart and blood vessels that that it effects. So I think this is something that you know you can see with any virus and again. This is why teachers school nurses, pediatricians need to be aware if you have kids with fever for more than a few days that are not getting better. That looked really stick that have abdominal pain, Diarrhea, super lethargic. You need to see your pediatrician right away. But pediatricians know how to identify this illness very quickly and get kids.