Back to School 2020-2021 Update February 18 - CMDHD/MMDHD/DHD#10 Jennifer Morse, MD, MPH, FAAFP Medical Director

Back to School 2020-2021
   Update February 18
       Jennifer Morse, MD, MPH, FAAFP
              Medical Director
         CMDHD/MMDHD/DHD#10

This meeting is for
School and Health                                   If you have questions, please send them to:
                                                    ■ For Roscommon, Osceola, Clare, Gladwin,
Department Staff                                      Arenac, Isabella Counties:
                                                       – info@cmdhd.org
                                                    ■ For Missaukee, Crawford, Kalkaska,
                                                      Wexford, Lake, Mason, Manistee, Oceana,
We have limited time to cover all our topics. The     Newaygo, Mecosta Counties
slides and recordings will be available on our
                                                       – info@dhd10.org
websites within 1-3 days.
• https://www.dhd10.org/coronavirus/                ■ For Montcalm, Gratiot, Clinton Counties
• https://www.mmdhd.org/novel-                         – https://www.mmdhd.org/contact/
  coronavirus/
• https://www.cmdhd.org/novel-
  coronavirus

Please make sure all
  needed information is
       passed to school
secretaries, nurses, etc.

Who needs to quarantine?
          https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html

People who have been in close contact with someone who has COVID-19—excluding people who have had COVID-19
within the past 3 months.
■   People who have tested positive for COVID-19 within the past 3 months and recovered do not have to
    quarantine or get tested again as long as they do not develop new symptoms.
■   People who develop symptoms again within 3 months of their first bout of COVID-19 may need to be tested
    again if there is no other cause identified for their symptoms.
■   People who have been in close contact with someone who has COVID-19 are not required to quarantine if they
    have been fully vaccinated against the disease within the last three months and show no symptoms.
What counts as close contact?
■   You were within 6 feet of someone who has COVID-19 for a total of 15 minutes or more
■   You provided care at home to someone who is sick with COVID-19
■   You had direct physical contact with the person (hugged or kissed them)
■   You shared eating or drinking utensils
■   They sneezed, coughed, or somehow got respiratory droplets on you

Research Updates
Variant B117 doesn’t appear to cause more serious illness in children
■ Brookman et al., Lancet Child Adol health, 2/10/21, Effect of the new SARS-CoV-2
  variant
   – B.1.1.7 on children and young people: Similar clinical outcomes in children in
       the UK with older and newer variants
■ Other updates added to the COVID-19 School and Community Resource Library to
  prevent and manage COVID-19 on February 13, 2021, available at
  https://globalhealth.massgeneral.org/covidlibrary.pdf

Travel During COVID-19
    https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html

AFTER ALL TRAVEL INCLUDING DOMESTIC: quarantine and testing is now
recommended
■    After You Travel
       You may have been exposed to COVID-19 on your travels. You may feel well and not have any symptoms,
       but you can still spread the virus to others. You and your travel companions (including children) may pose
       a risk to your family, friends, and community after your travel.
       Get Tested and Stay Home After Travel
       –   Get tested with a viral test 3-5 days after travel AND stay home and self-quarantine for a full 7 days
           after travel.
           ■   Even if you test negative, stay home and self-quarantine for the full 7 days.
           ■   If your test is positive, isolate yourself to protect others from getting infected.
       –   If you don’t get tested, stay home and self-quarantine for 10 days after travel.
       –   Avoid being around people who are at increased risk for severe illness for 14 days, whether you get
           tested or not.

Review of Data

MI COVID Data and Modeling Update:
February 16 (data as of Feb. 13th unless noted)
https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_105123---,00.html

Where Michigan Stands
 Case rates and percent positivity are declining for 5 weeks
     85% decrease from the mid November peak and only 14% higher than Oct 1 rate
 5.2% of available inpatient beds are filled with COVID patients (↓1.1%) and state trends for COVID
  hospitalizations are decreasing
     Hospitalizations down 79% since December 1st peak
     ICU occupancy declined 13% over last week
 1.6 million COVID 19 vaccine doses reported to MDHHS, 13.7% of population has at least one dose

**ADD 90 from Bellamy Creek Correctional Facility, in Ionia
(88 prisoners and two employees). There are more than 100
lab results still pending.

= 247 cases

School outbreaks in our 19 counties/60+ districts
   7 ongoing* outbreaks, 1 new outbreak**(reported within prior week)
Grade Level              Number of outbreaks (cases)
Preschool-elementary 2 ongoing outbreaks (5 cases) in DHD10 and MMDHD, no new outbreaks

Jr. high/middle school 1 ongoing outbreak (2 cases) in DHD10, no new outbreaks

High school              no ongoing outbreaks, one new outbreak (2 cases) in CMDHD
Administration           4 ongoing outbreaks (15 cases) in DHD10, no new outbreaks

   *ongoing outbreak = case(s) has been reported within last 28 days
   **new outbreak = newly reported within prior week (report week from Monday to Monday)

https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-545615--,00.html

Questions?

Contact:                              For Missaukee, Crawford, Kalkaska,
Jen Morse, MD, MPH, FAAFP             Wexford, Lake, Mason, Manistee,
jmorse@cmdhd.org                      Oceana, Newaygo, Mecosta Counties
Cell: 989-802-2590                    Kevin Hughes, MA
                                      khughes@dhd10.org
For Roscommon, Osceola, Clare,        (231) 876-3839
Gladwin, Arenac, Isabella Counties:   www.dhd10.org
Steve Hall, R.S., M.S.
shall@cmdhd.org                       For Montcalm, Gratiot, Clinton Counties
989-773-5921, Ext. 1421               Marcus Cheatham, PhD
www.cmdhd.org                         mcheatham@mmdhd.org
                                      989-287-0701
                                      www.mmdhd.org