COVID-19 Fairfield County School Guidance - Updated August 25,2021
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Fairfield County COVID-19 School Guidance Updated August 25,2021 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Fairfield County COVID-19 School Guidance Updated August 25,2021 Contents Definitions ………………………………………………………………………….…….…. 2 Assessing Ill Students and Staff …………………………………………………………. 3 Testing ………………………………………………………………………………………. 3 Isolation ………..…………………………………………………………….……………… 4 Classroom/Bus Quarantine Guidelines …………………………………….……………. 5 Classroom Quarantine Infographic ………………………………………….…………… 6 Recess/Cafeteria Quarantine Guidelines ………………………………….……………. 7 Athletic/Sports Quarantine Guideline ……………………………………….…………… 7 Quarantine Timelines ……………………………………………………….………………8 Contact Tracing and Reporting ………………………………………….……………….. 9 Classroom Contact Tracing ……………………………………………………………….. 9 School Bus Contact Tracing …………………………………………………………….. 11 Communication Procedure ……………………………………………………………… 12 Facial Coverings ………………………………………………………………………….. 13 Useful Resources ………………………………………………………………………… 14 Pg 1 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Definitions Class A Reportable Disease: Diseases of major public health concern because of the severity of disease or potential for epidemic spread – immediately report all information needed to identify those who are positive and those who were potentially exposed to this illness to prevent further spread. Those identified as positive or exposed should be sent home to await further guidance from FDH. Meningitis, COVID-19, Rubella, and Measles are examples of Class A Reportable Diseases. IDCM Section 3: Coronavirus Disease 2019 (COVID-19) Contact Tracing: Contact tracing involves identifying people who are likely to get sick because of being in contact with those who have tested positive. The more specific the information that is provided to the health department, the fewer students will need to quarantine. If a broad set of information is provided, an entire class list for example, then a larger number of students will need to be removed from the school setting and placed into quarantine. Contact tracing is required for Class A Reportable diseases such as COVID-19 as outlined in ODH Director’s Order Requiring Reporting and Notification Regarding COVID-19 Cases in K-12 Close Contact: The definition of a close contact is someone who was unmasked within 6 feet of a person diagnosed with COVID-19 or was masked and/or vaccinated and within 3 feet of a person diagnosed with COVID-19 for a total of 15 minutes or more over a 24 hour period in a classroom setting. The definition of a close contact applies whether the positive COVID-19 person was masked or unmasked. Quarantine: when you might have been exposed to the virus. Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick. These people may have been exposed to a disease and do not know it, or they may have the disease but do not show symptoms. Isolation: when you have been infected with the virus, even if you don’t have symptoms. Isolation separates sick people with a contagious disease from people who are not sick. Ohio Revised Code/Title 37 Section 3707.16 | Attendance at gatherings by quarantined person prohibited. Effective: October 1, 1953 Latest Legislation: House Bill 1 - 100th General Assembly No person isolated or quarantined for a communicable disease declared by the board of health of a city or general health district or the department of health to require isolation or quarantine shall attend any public, private, or parochial school or college, Sunday school, church, or any other public gathering, until released from isolation or quarantine by the board. All school principals, Sunday school superintendents, or other persons in charge of such schools or other gatherings shall Pg 2 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Assessing Ill Students and Staff We recommend sending a symptomatic individual home and that the parent follow up with the child’s doctor for a possible alternative diagnosis or COVID-19 test order. Educate teachers, staff, and families about when they and their children should stay home and when they can return to school. Please highlight the importance of keeping children out of the classroom if they are showing symptoms of COVID-19 and encourage to get them tested. *Nationwide Children’s Hospital Child In-Person Participation Algorithm https://drive.google.com/file/d/1JjbPLpYwKdTzA8PG6Do6l6CIuh9YtLc9/view An infected person can spread COVID-19 starting 2 days before the person had any symptoms or if the person had no symptoms, 2 days before when specimen was collected for a COVID-19 test. Testing COVID-19 home testing kits are NOT adequate tests to modify quarantine guidelines.* Acceptable PCR and antigen testing can only be completed through a qualified healthcare provider. A positive home test is evidence enough to consider the child/teacher/staff as a positive case. Symptomatic individuals with negative home tests should be isolated until confirmatory PCR testing can be performed and results returned. *Please see Quarantine Guidelines on page 4 Pg 3 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Isolation A case is an individual who has tested positive with a viral (PCR or antigen) diagnostic test, regardless of whether or not they have symptoms. Self-isolation includes the following: • Self-isolate for at least 10 days after symptoms first appeared AND • At least 24 hours have passed since last fever (without the use of fever-reducing medication) AND • Symptoms have improved Cases who never developed symptoms may discontinue self-isolation 10 days after the collection date of clinical specimen. Isolation is used to separate people infected with COVID-19 from those who are not infected. People who are in isolation should stay home until it’s safe for them to be around others. At home, anyone sick or infected should separate from others, stay in a specific “sick room” or area, and use a separate bathroom (if available). What to do • Monitor your symptoms. If you have an emergency warning sign (including trouble breathing), seek emergency medical care immediately. • Stay in a separate room from other household members, if possible. • Use a separate bathroom, if possible. • Avoid contact with other members of the household and pets. • Don’t share personal household items, like cups, towels, and utensils. Wear a mask when around other people if able. Pg 4 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
K-12 Exposure in a School Quarantine Guidelines On August 5, 2021, ODH updated specific guidance for K-12 school quarantine. FDH has fully adopted this guidance for Fairfield County schools. Ohio Department of Health School Guidance: https://coronavirus.ohio.gov/static/responsible/schools/K-12-Schools-Guidance.pdf Classroom/Bussing Exposure Per ODH, quarantine is not necessary for students and adults possibly exposed to COVID-19 in K-12 school settings, regardless of vaccination status, if ALL the following prevention measures have been in place: • Masking for ALL students and staff (regardless of vaccination status). • Physical distancing is maximized (at least 3 feet between desks/occupants). • Documented COVID-19 prevention policies (e.g., identification of individuals experiencing symptoms, strategies to increase ventilation, protocols for cleaning, etc.). If not all prevention measures listed above were in place, quarantine is not necessary for fully vaccinated* students and adults but THEY MUST adhere to the following precautions: • Wear a mask indoors, as much as possible, either for 14 days or until a viral (PCR or antigen) test performed three to five days after exposure has come back as negative. • Self-monitor for symptoms for 14 days following exposure; unless symptoms develop, individuals can continue attending in-person class and participating in sports and extra-curricular activities. *Note: A person is considered fully vaccinated two weeks after receiving the second dose of a two-dose vaccine (Moderna or Pfizer vaccine) or two weeks after receiving a single-dose vaccine (Johnson & Johnson vaccine). If not all prevention measures listed above were in place, quarantine is not necessary for students and adults who are not fully vaccinated if the person who was exposed was wearing a face mask AND maintained 3 feet of social distance. However, THEY MUST take the following precautions: • Wear a mask indoors, as much as possible, either for 14 days or until a viral (PCR or antigen) test performed at least five days after exposure has come back as negative. While this negative result would allow them to discontinue masking in school after day seven, we encourage them to continue masking. • Self-monitor for symptoms for 14 days following exposure; unless symptoms develop, individuals can continue attending in-person class and participating in sports and extra-curricular activities. Quarantine should be required if the student or teacher is not fully vaccinated, and layers of prevention were not in place as described above. If quarantine is necessary because layers of prevention were not in place as described above, it should last for at least seven days since the last exposure, and the contact should have a negative viral (PCR or anti- gen) test collected on or after day five. Individuals should watch for any signs or symptoms of COVID-19 for 14 days. During quarantine, contacts should be advised to stay home and away from others as much as pos- sible. If they become symptomatic at any point, they should receive clinical evaluation or testing for COVID- 19. The CDC continues to require that masks be worn on all public transportation, including school buses. This requirement is regardless of vaccination status. All transportation services should follow applicable federal rules and regulations. Learn more at the CDC’s Guidance for COVID-19 Prevention in K-12 Schools page. Close Contact: The definition of a close contact is someone who was unmasked within 6 feet of a person diagnosed with COVID-19 or was masked and/or vaccinated and within 3 feet of a person diagnosed with COVID-19 for a total of 15 minutes or more over a 24 hour period in a classroom setting. The definition of a close contact applies whether the positive COVID-19 person was masked or unmasked. Pg 5 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Pg 6 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Recess/Cafeteria During meal consumption or during outside play a distance of at least 6 feet between students must be maintained. If individuals are not separated by 6 feet at lunch/at recess, self-quarantine (not allowed to continue attending school) will need to occur since masks cannot be worn while eating and are often not worn during outdoor play. If it is unable to be determined if individuals were properly wearing masks, then error on the side of caution and quarantine (not allowing to return to school). Athletic/Sports In addition to anyone being within 6 feet unmasked for 15 minutes or longer, any individual engaging in a contact sport with a case for any amount of time would be considered a close contact. The risk of spread increases the more an athlete interacts with other athletes, the closer the physical interaction of the athletic participants, the longer the interaction, and the more sharing of equipment there is by multiple athletes, among other considerations. The risk increases when the athlete participates in a team-based practice. Competition between different teams creates more risk, with full competition between teams from different geographic areas creating the highest risk for athletes, their families and their immediate communities. When an athlete or coach is identified as a being a case of COVID-19, it is the school’s responsibility to notify contacts potentially exposed, including notifying another school/ district if exposure to that school district may have occurred. This notification needs to happen in a timely manner, such as 24-48 hours, so that appropriate contact tracing can occur. Coaches should follow the same protocols as athletes. If exposed in a school setting and are eligible for modified quarantine, they may continue to coach. If exposed outside of the school setting, they should refrain from coaching until their self-quarantine period is completed. Athlete or Coach Diagnosed with COVID-19? Here is a useful tool from Franklin County Health https://drive.google.com/file/d/1ElrQQdAD6bjpSxUBCQ_u5EW3y2Vxi1W6/view Ohio Revised Code/Title 37 Section 3707.16 | Attendance at gatherings by quarantined person prohibited. Effective:October 1, 1953Latest Legislation:House Bill 1 - 100th General Assembly No person isolated or quarantined for a communicable disease declared by the board of health of a city or general health district or the department of health to require isolation or quarantine shall attend any public, private, or parochial school or college, Sunday school, church, or any other public gathering, until released from isolation or quarantine by the board. All school principals, Sunday school superintendents, or other persons in charge of such schools or other gatherings shall exclude any such person until he presents a written permit of the board to attend. Close Contact: The definition of a close contact is someone who was unmasked within 6 feet of a person diagnosed with COVID-19 or was masked and/or vaccinated and within 3 feet of a person diagnosed with COVID-19 for a total of 15 minutes or more over a 24 hour period in a classroom setting. The definition of a close contact applies whether the positive COVID-19 person was masked or unmasked. Pg 7 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
COVID-19 Quarantine Timelines If you have been notified that you were a close contact to someone diagnosed with COVID-19, you should quarantine (stay home, not leave the house for any reason other than to seek medical care) for 10 days, unless a negative COVID-19 test is obtained within the correct timeframe. Scenario 1: First date able Fully Vaccinated close contact with someone who has to test for 7 COVID-19. This could be an exposure to a friend, neighbor or …… day quarantine coworker, or it could be an exposure to a household contact that is able to completely isolate (stay in a separate bedroom and have no further contact with anyone else in the home) from household members. Close contact should quarantine for 10 days from the last time they were around the case. You may consider ending quarantine after day 7 by obtaining a negative COVID-19 test on day 3 or later. Scenario 2: Close contact with someone who has COVID-19. This could be an exposure to a friend, neighbor or coworker, or it could be an exposure to a household contact that is able to completely isolate (stay in a separate bedroom and have no further contact with anyone else in the home) from household members. Close contact should quarantine for 10 days from the last time they were around the case. You may consider ending quarantine after day 7 by obtaining a First date able negative COVID-19 test on day 5 or later. to test for 7 day quarantine Scenario 3: Close contact with a household member diagnosed with COVID-19 and unable to avoid continual close contact. This could be due to the household member not having their own bedroom or the case needing to provide/receive care from someone else (either too young or needing medi- cal care). Contacts may choose to reduce their quarantine to 7 days after the person with COVID-19 ends their isola- tion period with a negative COVID-19 test at least 5 days after the person with COVID-19 ends their isolation peri- od. Scenario 4: Close contact is under quarantine and then has an additional exposure to someone diagnosed with COVID-19. This may happen when an additional household member becomes ill. Close contacts should restart their quarantine based on their last exposure to the most recent case. Pg 8 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Contact Tracing and Reporting Per School order dated 9/3/2020:Beginning Tuesday, September 8, parents or guardians and school staff should notify their school within 24 hours of receiving a positive test or a clinical diagnosis. Within 24 hours after receiving that notification, the school should notify other parents and guardians about that case in writing, providing as much information as possible without releasing protected health information. The school must also notify their local health department within 24 hours. This order also requires a COVID Coordinator be named at each school. https://coronavirus.ohio.gov/static/publicorders/DO-K-12-Reporting.pdf. Fairfield County Contact Tracing Survey https://www.surveymonkey.com/r/FDHcontacttracing Close Contact: The definition of a close contact is someone who was unmasked within 6 feet of a person diagnosed with COVID-19 or was masked and/or vaccinated and within 3 feet of a person diagnosed with COVID-19 for a total of 15 minutes or more over a 24 hour period in a classroom setting. The definition of a close contact applies whether the positive COVID-19 person was masked or unmasked. A positive COVID-19 individual, regardless of vaccination or mask, can still spread the disease. Those that are considered a close contact will still need to quarantine if precautions are not followed. Classroom Tracing Masked Vaccinated Positive COVID-19 Close Contact Quarantine is NOT necessary Only the positive case would need to isolate. All other continue wearing masks and self monitor for symptoms for 14 days. Pg 9 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Classroom Tracing Continued Masked Vaccinated Positive COVID-19 Close Contact Quarantine necessary for ALL unmasked students Masked students quarantine is not necessary, but masks should be worn for 14 days or 7 days with a negative PCR or antigen test collected 3 to 5 days after exposure. Masked students should also self monitor for symptoms for 14 days. Positive case needs to isolate. Masked Vaccinated Positive COVID-19 Close Contact Quarantine necessary for ALL unvaccinated students Vaccinated students quarantine is not necessary, but masks should be worn for 14 days or 7 days with a negative PCR or antigen test collected 3 to 5 days after exposure. Vaccinated students should also self monitor for symptoms for 14 days. Positive case needs to isolate. Pg 10 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
School Bus Tracing Masked Vaccinated Positive COVID-19 Close Contact Entire Bus Masked Quarantine is Necessary only for Highlighted Close Contacts Unless 3 feet spacing between students is achieved CDC Order: Wearing a Face Mask on Public Transportation CDC’s Order applies to all public transportation conveyances including school buses. Regardless of the mask policy at school, passengers and drivers must wear a mask on school buses, including on buses operated by public and private school systems, subject to the exclusions and exemptions in CDC’s Order. Schools should provide masks to those students who need them (including on buses). No disciplinary action should be taken against a student who does not have a mask as described in the U.S. Department of Education. CDC Face Covering Guidance: https://www.cdc.gov/coronavirus/2019-ncov/preventgetting- sick/about-face-coverings.html 6 feet Unmasked Bus Quarantine is Necessary for all Highlighted Close Contacts Unless 6 feet spacing between students is achieved Close Contact: The definition of a close contact is someone who was unmasked within 6 feet of a person diagnosed with COVID-19 or was masked and/or vaccinated and within 3 feet of a person diagnosed with COVID-19 for a total of 15 minutes or more over a 24 hour period in a classroom setting. The definition of a close contact applies whether the positive COVID-19 person was masked or unmasked. Pg 11 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Pg 12
Facial Coverings As of August 25, 2021, Fairfield Department of Health recommends universal masking in K-12 schools and supports full in-person learning. To facilitate and maximize keeping our students safe in the classroom, while also minimizing the spread of the virus that causes COVID-19, FDH strongly recommends schools follow CDC guidance and adopt universal masking policies for all students, teachers, and staff regardless of vaccine status. Pg 13 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
Useful Resources Fairfield County Contact Tracing Survey https://www.surveymonkey.com/r/FDHcontacttracing Ohio Department of Health School Guidance: https://coronavirus.ohio.gov/static/responsible/schools/K-12-Schools-Guidance.pdf CDC School Guidance: https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/k-12-guidance.html ODH Guidelines for Quarantine After Exposure in K-12 Classroom Settings (Updated August 9, 2021) https://coronavirus.ohio.gov/static/responsible/covid-19-fact-sheet-k-12-exposure-andquarantine.pdf ODH Flow Chart https://coronavirus.ohio.gov/static/responsible/covid-19-fact-sheet-k-12-exposure-andquarantine- flow-chart.pdf ODH Director’s Order Requiring Reporting and Notification Regarding COVID-19 Cases in K-12: https://coronavirus.ohio.gov/static/publicorders/DO-K-12-Reporting.pdf ODH Recommended Options for Quarantine Following Possible COVID-19 Exposure: https://coronavirus.ohio.gov/static/docs/covid-19-guidance-quarantine.pdf CDC: When to Quarantine: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html CDC Face Covering Guidance: https://www.cdc.gov/coronavirus/2019-ncov/preventgetting- sick/about-face-coverings.html ODH Face Covering Guidance: https://coronavirus.ohio.gov/static/responsible/schools/K-12-SchoolsGuidance.pdf CDC Face Mask on Public Transportation Order: https://www.cdc.gov/quarantine/masks/mask-travel-guidance.html Ohio Revised Code Section 3701.23 | Reporting contagious or infectious diseases, illnesses, health conditions, or unusual infectious agents or biological toxins. https://codes.ohio.gov/ohio-revised-code/section-3701.23 IDCM Section 3: Coronavirus Disease 2019 (COVID-19) https://odh.ohio.gov/wps/wcm/connect/gov/49c54aa2-6d58-45e1-9434-72ca8b4ea635/section-3- covid19.pdf? MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00Q O9DDDDM3000-49c54aa2-6d58-45e1-9434-72ca8b4ea635-nIRsfK7 Pg 14 1550 Sheridan Dr, Suite 100 • Lancaster, Ohio 43130 • (T) 740.652.2800 • (F) 740.653.8556 • www.myfdh.org •
You can also read