Screening Okay-12 Students for Symptoms of COVID-19: Limitations and Considerations

Return-to-School Policies

If the coed/dad or mum/caregiver solutions YES to any query in Section 1 however NO to any questions in Section 2, the coed can be excused from faculty in accordance with current faculty sickness administration coverage (e.g., till symptom-free for 24 hours with out fever decreasing drugs).

If the coed or dad or mum or caregiver solutions YES to any query in Section 1 and YES to any query in Section 2, the coed needs to be referred for analysis by their healthcare supplier and potential testing. CDC strongly encourages native well being departments to work with native faculty methods to develop a technique to refer symptomatic people to an acceptable healthcare supplier or testing website. State, Tribal, territorial, and native well being officers and/or healthcare suppliers will decide when viral testing for SARS-CoV-2 is suitable. Schools mustn’t require testing outcomes as part of return to high school insurance policies. Students who’ve acquired a damaging take a look at outcome needs to be allowed to return to high school as soon as their signs have in any other case improved in accordance with current faculty sickness administration insurance policies.

Students identified with COVID-19 or who reply YES to any query in Section 1 and YES to any query in Section 2 with out damaging take a look at outcomes ought to keep dwelling, isolate themselves from others, monitor their well being, and comply with instructions from their state or native well being division. Students and their households needs to be suggested that the native well being division might contact the household for contact tracing. If contacted, households ought to notify the contract tracer that the coed attended faculty.

Students identified with COVID-19 or who reply YES to any part of Section 1 AND YES to any part of Section 2 with out damaging take a look at outcomes needs to be permitted to return to high school needs to be according to present CDC suggestions in “When Can I Be Around Others”. A damaging take a look at or physician’s notice ought to not be required for return. Questions concerning return to high school needs to be collectively determined in session with dad and mom or caregivers, faculty personnel, and the coed’s healthcare supplier.

Students who’re excluded from faculty needs to be afforded the chance, as quickly as possible when they’re properly sufficient to take part in classwork, to make up any missed classwork with out penalty with a purpose to scale back psychological or bodily anxieties about missed tutorial alternatives.

School Isolation Protocols

Some college students might develop signs of infectious sickness whereas at college. Schools ought to take motion to isolate college students who develop these signs from different college students and employees.

  • Students with any of the signs in Section 1 ought to comply with their faculty’s present sickness administration coverage to attenuate transmission to others, to optimize studying alternatives, and to permit for these signs to resolve (no less than 24 hours with out fever decreasing drugs or in accordance with current faculty sickness coverage).
  • Students who develop any of the signs in Section 1 whereas at college needs to be positioned in an isolation space separate from employees and different college students:
  • Students recognized at college who develop any of the signs in Section 1 AND reply YES to any of the questions in Section 2 needs to be positioned in an isolation space separate from employees and different college students (e.g., a nurse’s workplace) after which despatched dwelling or to a healthcare facility if signs point out a necessity for additional analysis:
    • If a college must name an ambulance or deliver a scholar to the hospital, they need to first alert the healthcare employees that the coed might have been uncovered to somebody with COVID-19.
    • After the coed is positioned in an isolation space, faculty employees who work within the isolation space ought to comply with CDC’s Considerations for Cleaning and Disinfecting your Building or Facility.
    • Note: In creating plans for putting college students with signs in an isolation space, faculties needs to be conscious of acceptable safeguards to make sure that college students are remoted in a non-threatening method, throughout the line of sight of adults, and for very quick durations of time.

References

[1] Davies, N.G., Klepac, P., Liu, Y. et al. Age-dependent results within the transmission and management of COVID-19 epidemics. Nat Med (2020). https://doi.org/10.1038/s41591-020-0962-9

[2] Assaker, Rita, Anne-Emmanuelle Colas, Florence Julien-Marsollier, Béatrice Bruneau, Lucile Marsac, Bruno Greff, Nathalie Tri, Charlotte Fait, Christopher Brasher, and Souhayl Dahmani. “Presenting symptoms of COVID-19 in children: a meta-analysis of published studies.” BJA: British Journal of Anaesthesia (2020). https://www.sciencedirect.com/science/article/pii/S0007091220304086?via%3Dihub

[3] Dong, Yuanyuan, Xi Mo, Yabin Hu, Xin Qi, Fan Jiang, Zhongyi Jiang, and Shilu Tong. “Epidemiology of COVID-19 among children in China.” Pediatrics 145, no. 6 (2020). https://pediatrics.aappublications.org/content/145/6/e20200702

[4] Assaker, Rita, et al. “Presenting symptoms of COVID-19 in children: a meta-analysis of published studies.” BJA: British Journal of Anaesthesia (2020).

[5] Goldmann DA. Epidemiology and Prevention of Pediatric Viral Respiratory Infections in Health-Care Institutions. Emerg Infect Dis. 2001;7(2):249-253. https://dx.doi.org/10.3201/eid0702.700249

[6] Roland, Lauren T., Jose G. Gurrola, Patricia A. Loftus, Steven W. Cheung, and Jolie L. Chang. “Smell and taste symptom‐based predictive model for COVID‐19 diagnosis.” In International Forum of Allergy & Rhinology. 2020.

[7] Clemency, Brian M., Renoj Varughese, Danielle Okay. Scheafer, Brian Ludwig, Jacob V. Welch, Robert F. McCormack, Changxing Ma, Nan Nan, Theresa Giambra, and Thomas Raab. “Symptom Criteria for COVID‐19 Testing of Heath Care Workers.” Academic Emergency Medicine 27, no. 6 (2020): 469-474.

[8] Stokes EK, Zambrano LD, Anderson KN, et al. Coronavirus Disease 2019 Case Surveillance — United States, January 22–May 30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:759–765. DOI: http://dx.doi.org/10.15585/mmwr.mm6924e2external iconexternal icon.

[9] Assaker, Rita, et al. “Presenting symptoms of COVID-19 in children: a meta-analysis of published studies.” BJA: British Journal of Anaesthesia (2020).

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