November 8, 2022

Vol 4, Issue 8

 

Question And Answer Q&A symbol speech bubble isolated on yellow background.

GUIDANCE UPDATE!

DOH Guidance Q&A:

A recap of the Learning Network

Over 300 representatives from Washington schools and stakeholder groups joined us last week to take an in-depth look at the new DOH guidance. Some aspects of the guidance have changed since the COVID-19 emergency proclamations expired at the end of October, but best practices for mitigating the disease are largely the same. Read the full recap below.

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Six holiday pumpkins of different colors seen from above.

Something to unite over: Testing to keep kids in school

Waterville and Palisades School District didn’t plan on becoming the primary COVID-19 testing provider for the area. That was never the goal. The goal was to keep kids safe and in school.

Transmission

Know your COVID-19 community level

The more your know

COVID-19 News

GUIDANCE UPDATE!

Question And Answer Q&A symbol speech bubble isolated on yellow background.

DOH Guidance Q&A:

A recap of the Learning Network

Over 300 representatives from Washington schools and stakeholder groups joined us last week to take an in-depth look at the new DOH guidance. Some aspects of the guidance have changed since the COVID-19 emergency proclamations expired at the end of October, but best practices for mitigating the disease are largely the same. 

Below is a recap of the Q&A session facilitated by DOH representatives. Click a question to reveal the answers and links to key guidance documents about each topic. Where available, there are also links that jump to the corresponding conversation in the event recording.

Is there a question we haven’t covered? Let us know.

What are the best practices for schools now that the emergency proclamations have been lifted?

Although some requirements were lifted when the emergency proclamations were lifted at the end of October, the best practices for mitigating the spread of COVID-19 in schools have not. 

According to the guidance, schools should continue to:

  • Maintain awareness of CDC COVID-19 Community Levels to determine when to require additional mitigation strategies such as masking and screening testing.
  • Provide access to COVID-19 testing.
  • Separate/exclude symptomatic and COVID-19 positive individuals.*†‡

* Schools and LHJs have the authority to require that students who test positive for COVID-19 are excluded from in-person learning.

L&I requirements mandate that COVID-19 positive staff isolate from the workplace.

‡ Child cares and early learning providers are required to send an ill child home or reasonably separate them from other children if there is a risk that the child’s illness will spread to other children or individuals (WAC 110-300-0205)

  • Notify families and staff about COVID-19 outbreaks.
  • Ensure proper ventilation.
  • Clean/disinfect surfaces.
  • Encourage frequent handwashing and good respiratory hygiene.

Key document: Guidance to Prevent and Respond to COVID-19 in K-12 Schools and Child Cares

 

> Jump to this part of the event recording.

What is the guidance on isolation for STUDENTS who test positive for COVID-19?

Students and staff who test positive for COVID-19 should follow the DOH What to do if you test positive for COVID-19 guidance.

According to this guidance:

  • Students and staff who test positive for COVID-19 should stay home for at least 5 days and isolate from others in the home in order to avoid spreading COVID-19 to others.
  • Individuals can leave isolation after 5 full days if:
    • Symptoms are improving 5 days after the start of isolation, AND
    • The individual has not had a fever for 24 hours without use of fever reducing-medication
  • Students and staff should wear a well-fitting and high-quality mask for an additional 5 days (days 6 through 10) if they return to school or child care after the end of their 5 day isolation period.
  • If an individual is unable to wear a well-fitting and high-quality mask, they should continue to isolate for a full 10 days, or follow the test-based strategy listed at the bottom of page 3 to determine when to leave isolation and remove their mask.

Key document: What to do if you test positive for COVID-19

 

Requirement? No. 
Best practice? Yes.

What are the requirements for isolation of STAFF who test positive for COVID-19?

Schools must follow the L&I Requirements and Guidance for Preventing COVID-19 in the workplace.

According to this guidance:

  • Keep employees who have tested positive or are symptomatic for COVID-19 out of the workplace for at least five days, per the guidance outlined here (see “Using antigen testing to determine when to leave isolation and remove your mask”).
  • Notify employees of any COVID-19 exposures at work.
  • Report COVID-19 outbreaks to L&I (if the employer has 50 or more employees).

Key document: L&I Requirements and Guidance for Preventing COVID-19

Requirement? Yes. 
Best practice? Yes.

What is the guidance on isolation for those who have COVID-19 symptoms?

Students, children, and staff with new onset of respiratory or gastrointestinal symptoms, suchas cough, fever, sore throat, vomiting, or diarrhea, or other symptoms of COVID-19, should not attend school or child care, should stay home, and get tested for COVID-19. 

Follow the DOH COVID-19 Symptom and Exposure Flowchart for Schools and Child Care (or Spanish-language version) for more guidance. (This flowchart is currently being updated to align with the new guidance, but is still a helpful resource for understanding when symptomatic individuals should isolate and test.)

Key document: COVID-19 Symptom and Exposure Flowchart for Schools and Child Care / Qué se debe hacer si una persona tiene síntomas

Requirement? No. 
Best practice? Yes.

What is the guidance on isolation for those who have been exposed to COVID-19?

Regardless of vaccination status, students and staff who are potentially exposed to COVID-19 should take the following steps as detailed in the DOH What to do if you were potentially exposed to someone with COVID-19 guidance: 

  • Monitor for symptoms, AND 
  • Test 3-5 days after exposure, AND 
  • Wear a well-fitting and high-quality mask around others for 10 days after exposure. 
    • If someone is less than two years of age or has a disability that prevents them from wearing a mask, other preventive actions (such as improving ventilation) should be used to avoid transmission during these 10 days. 

If the exposed student, child, or staff member develops new symptoms, they should: 

If the exposed individual does not have COVID-19 symptoms and they are using an antigen test, they should retest with an antigen test 24-48 hours after the first negative test. If the second test is negative, but concerns exist for COVID-19, they may retest 24-48 hours after the second negative test, for a total of at least 3 tests. If they get a negative result on the third test and are concerned they could have COVID-19, they may choose to test again using an antigen test, consider getting a laboratory molecular-based test, or call their health care provider. If they do not have adequate resources to test 3 times with an antigen test, it is acceptable to test less in accordance with their resources.

Key document: What to do if you were potentially exposed to someone with COVID-19

Requirement? No. 
Best practice? Yes.
What are the requirements for reporting cases and outbreaks?
  • Schools are required to notify their local health jurisdictions when they become aware of a contagious disease in their facility (WAC 246 110 020).
  • Schools are required to report COVID-19 cases and outbreaks to their local health jurisdictions (WAC 246 101 420 Schools, WAC 246 101 415 Child Cares)
    • Note: Local public health has the authority to require implementation of mitigation measures (RCW 70.05.070).
  • Local health officers may require implementation of mitigation measures or more stringent guidance to control the spread of COVID-19 in schools or child cares including the exclusion of individuals who are infectious from schools or child care (RCW70.05.070).
  • Schools and child care providers are required to cooperate with public health authorities in the investigation of cases, suspected cases, outbreaks and suspected outbreaks that may be associated with the school or child care (WAC 246 101 420 & WAC 246 101 415)

> Jump to this part of the event recording

 

Required? Yes.
Best practice? Yes.
What is the updated definition for outbreaks?
  • At least 5 cases within a specified core group meeting criteria for a COVID 19 case from a positive viral test

OR

  • Multiple COVID-19 cases from positive viral tests comprising at least 20% of students, teachers, or staff within a specified core group

Key document: Guidance to Prevent and Respond to COVID-19 in K-12 Schools and Child Cares (page 8)

> Jump to this part of the event recording

 

Required? Yes.
Best practice? Yes.
What are the requirements for isolation or health rooms?

    Where feasible, K-12 schools and child cares should designate a space for individuals with COVID-19-like symptoms separate from other health care and shared spaces. Rooms with a negative air flow and directly exhausted air should be prioritized for this purpose. If not available, the separated space would ideally have a door that can close and a properly sized High Efficiency Particulate Air (HEPA) air cleaner (air purifier) or be located outdoors.

    Key document: Guidance to Prevent and Respond to COVID-19 in K-12 Schools and Child Cares (page 8)

    > Jump to this part of the event recording

     

    Requirement? No.
    Best practice? Yes.
    What about masking requirements in the isolation room and/or nurse’s office?

      The Secretary of Health’s Mask Order is still in place for health care settings in Washington. Currently, the nurse’s office and school health room are considered health care settings and therefore masks are required for anyone accessing these spaces. 

      Key document: Secretary of Health’s Mask Order

      > Jump to this part of the event recording

      Is the vaccine mandate for staff still in place?

        No, the vaccine mandate for school staff has been lifted with the emergency proclamations and is no longer in place. However, any employer or school has the ability to require vaccination for their staff.

        COVID-19 vaccines are not required for enrollment in school or child care for students or children at this time.

        Key document: Guidance to Prevent and Respond to COVID-19 in K-12 Schools and Child Cares (page 8)

        > Jump to this part of the event recording

         

        When is it okay to use expired test kits?

          DOH has approved the use of expired tests so long as they pass internal quality controls. On rapid antigen tests, an internal quality control is making sure the control line – the line that shows up next to the “C” on the test cartridge – shows up when the specimen is added. 

          The FDA continues to track COVID-19 test performance data, which informs their decision-making on expiration date extensions. Expect the tests to continue to receive expiration date extensions as additional performance data is available. More information can be found on the Rapid Antigen Test Date Extensions one-pager.

           

          Is the vaccine mandate for staff still in place?

            No, the vaccine mandate for school staff has been lifted with the emergency proclamations and is no longer in place. However, any employer or school has the ability to require vaccination for their staff.

            COVID-19 vaccines are not required for enrollment in school or child care for students or children at this time.

            Key document: Guidance to Prevent and Respond to COVID-19 in K-12 Schools and Child Cares (page 8)

            > Jump to this part of the event recording

             

            Is the Labor Fund still available to schools?

              Yes, the Labor Fund is still open and DOH encourages schools to apply if interested.

              > Jump to this part of the event recording

              Reach out to your L2R Program Manager for help applying for the Labor Fund.

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              Get ahead of the spread

              Get ahead of the spread promo for iHealth take-home tests

              Prepare for increased transmission this holiday season by sending students home with COVID-19 tests.

              Order your tests through the DOH ordering portal ASAP to make sure you have enough tests to send home with students before break and/or test students and staff when they return from break. Keep in mind it takes up to 10 business days from getting DOH approval on your order to receiving supplies.

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              A Spotlight on Waterville & Palisades 

              Something to unite over:

              Testing to keep kids in school

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              Know your COVID-19 community levels

              County levels for Washington state as of Thursday, November 3, 2022.

              As winter approaches and the holidays come and go, COVID-19 transmission is likely to increase throughout the state. Make sure to monitor  your COVID-19 community levels to know when to institute additional mitigation strategies in school such as masking and screening testing. 

              • Masking and screening testing are recommended best practices when your community level is high.
              • Masking is recommended for high-risk individuals when your community level is medium or high.

              How to find your COVID-19 Community Level:

              • Scroll down until you see the “State or Territory” dropdown (Washington state should already be selected; if not, select it from the dropdown list).
              • Under the “County or Metro” area dropdown, select your county. 
              • Your COVID-19 Community Level data will automatically populate below.

              How are community levels determined? 

              The CDC uses data on weekly case rates, hospitalizations, and hospital capacity (% of inpatient beds used by COVID-19 patients) to determine COVID-19 Community Levels for each county. Learn more about how the CDC calculates community levels here.

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              COVID-19 NEWS

              COVID-19 pandemic massively set back learning, especially for high-poverty areas

              PBS NewsHour, 28 October 2022. The analysis found the average student lost more than half a school year of learning in math and nearly a quarter of a school year in reading – with some district averages slipping by more than double those amounts, or worse.

              WA’s COVID-19 state of emergency ended but a winter of infections on the way. So what does it all mean?

              The Seattle Times, 31 October 2022. While COVID numbers have been on a gradual decline since midsummer, local virologists have said a winter surge is likely on its way. It’s too early to say how bad it might be yet, but a recent influx of respiratory infections, lagging booster numbers and general heightened transmission indoors could be a worrisome combination.

              The Pandemic Generation Goes to College. It Has Not Been Easy.

              New York Times, 01 November 2022. In interviews across the country, undergraduates discussed how their disjointed high school experiences have trailed them in their first years of college; some professors talked about how grades are down, as well as standards. Many students are tentative and anxious.

              RSV is surging. Here’s what to watch for and answers about treatment options

              NPR, 02 November 2022. Temperatures are dropping and the risk of COVID-19 and influenza are up. And for the last few months, patients with a different malady — respiratory syncytial virus, known as RSV — have been overwhelming hospitals. Public health officials warn that come winter there could be a “tripledemic.”

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