RE-OPENING SCHOOLS POST COVID-19 - Oliver Wyman
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DECREASE IN INFECTION RATES WILL ALLOW RE-OPENING OF SCHOOLS Change in school closure figures from April to now1 Rationale for school re-openings • Governments are easing lockdown measures to restart economies • Schools critical given link to parents re-joining the workforce 80k and contributing to the economy • Importance to avoid further disruptions to the academic year, in particular for graduating classes Country-wide closures Localized openings Country-wide closures Learners impacted • Singapore, Denmark, and Germany are some of the first April Schools open 195 91.3% countries to begin gradual re- Country-wide closures Learners impacted opening of schools 153 68.5% Now Opening strategies include fundamental changes to logistics, processes, and procedures to ensure preparedness for potential waves of infection Source: UNESCO COVID-19 Impact on Education as of 20/05/20 1. From 31-Mar to 20-May – see appendix for details © Oliver Wyman 2
CURRENT THINKING IS A STAGED APPROACH TO RE-OPENING SCHOOLS 1 Pre-opening 2 Opening 3 Post-opening • Extensive track, trace, and testing • Openings • Close monitoring of infection rates both through swab testing and – Staged openings with priority to with continued track/trace purpose-built apps critical grades • Quarantine measures should • Preparation of schools: – Staggered arrivals, lessons, and infections be detected – Staff training with enhanced breaks • Continued education of staff, roles for nursing staff, facilities, • School area students, and parents in and counsellors – Temperature checks at entry maintaining hygiene practices at – Physical space planning to – Enhanced sterilization and school and at home ensure small groups with cleaning processes • Clear and effective communication sufficient distance – Masks and general PPE between schools, students, and – Scenario planning in case of distribution to students and parents infection staff – Planning for infection waves, • Classroom area flexibility to shift to and from – Limiting interaction (desk distance learning distancing, screen dividers…) – Limiting students in classrooms and physical space planning Structural measures implemented will allow for eventual scaling and greater prevalence of school openings prior to the end of the current academic year © Oliver Wyman 3
BUT PHYSICAL DISTANCING WILL MEAN A DECREASE IN PUPILS PER CLASSROOM, INCREASING SPACE REQUIREMENTS 26 Pupils, 2.38 m2 per pupil • Based on the UK’s baseline design for schools1 a primary school for 210 students requires 1315m2 – Equivalent to 6.3m2 per student or 26 students per classroom • Should this decrease to 15 students per classroom, as per latest guidance, classroom space requirement will increase by 1.74X • Expanding capacity by, for example, re-purposing rooms such as a sports hall will still mean 30% of 15 Pupils, 4.13 m2 per pupil students cannot be accommodated • These figures exclude the requirements for staff and other key workers within the school • Thus full school re-opening will require a holistic set of solutions to minimize additional cost whilst fulfilling obligations to students, parents, and teachers / staff 1 Pupil Restrictions will mean on average 30% of students cannot be accommodated 1. Education and Skills Funding Agency, 2018 Source: GOV.UK baseline designs for schools guidance © Oliver Wyman 4
HOLISTIC SOLUTIONS NEED TO CONSIDER A VARIETY OF FACTORS TO ENSURE SAFE RE-OPENING WITH REDUCED CLASS SIZES Considerations to re-opening schools given space limitations Consideration Issue Solution(s) Implications Cost Complexity Accommodating Unable to accommodate Staggering school day • Downtime for students all students all students at the same into shifts during the day time due to limited • Extra teaching capacity space required Teacher Should school day be Extend teaching hours • Significant cost expected numbers staggered extra teaching and/or hiring more • Risk of teaching capacity will be needed teachers imbalance / standards Content Reduced school day Utilize distance learning • Integration of curriculum might mean more solutions to supplement with distance learning content taught over lost school-time solution / infrastructure shorter timeframe • Training of teachers, students, and parents Physical activity Prioritization of space Promote home exercise • Solutions required for for teaching may impact for students as a monitoring of activity physical education component of distance • Training of teachers, and learning parents Space for staff Prioritization of space External temporary • Cost associated with any for teaching may impact office space given enhancements to space space allocated for staff limited specifications • Outdoor space may be compared to classrooms limited © Oliver Wyman 5
APPENDIX – SCHOOL CLOSURE APPROACHES AROUND THE WORLD Most countries chose to close schools as a suppression measure, but approach to re-opening is varying Closed, staying closed Closed, but re-opening (Almost) not closed • US • Israel, Norway, Finland, France • Taiwan – Officials in 47 states, District of – Re-opening beginning with primary – Schools in Taiwan only closed for 2 Columbia and all 5 US territories school weeks (February) have ordered or recommended – Schools were open through March • Singapore, Hong Kong, Czech Republic, that schools stay closed for the and April even while more stringent Germany, South Korea remainder of the academic school measures were put in place year – Re-opening beginning with final year students with focus on exam • Japan – Universities are likewise closed administration – School closure decisions were left with many having cancelled summer term and considering • Operations are being modified in up to the city or prefecture, not remote learning for fall multiple ways, e.g. mandated at the Federal level • UK – Spacing desks 6 feet apart Temperature checks before – No plans for re-opening schools entering buildings have been announced – Holding classes outside – Unclear if schools will reopen prior to summer holidays – Limiting class sizes – Shifted schedule – half the students in school at a time supplemented with remote learning – Strict restrictions against sharing utensils, touching other students, etc. © Oliver Wyman 6
APPENDIX – SCHOOL CLOSURES WERE A DRASTIC MEASURE WITH WIDE IMPACT Evidence is mixed on whether the measure makes sense Are kids at risk of severe illness? Do kids transmit COVID-19 to Do simulation models suggest adults? school closures impact R0? • Initial epidemiological evidence from • Multiple tracing studies suggested • Imperial College COVID-19 response China suggested lower infection rates that children were rarely the index team’s simulation suggested that and lower severity of illness in children case in a familial cluster and that while school closures reduce R0, it (~1%) transmission from child to adult was was the least effective infrequent • This evidence has been reproduced in Europe and the US, but criticized for • A recently published study from • of the measures they modelled potential challenges due to 1) lack of Wuhan • Simulations from a recent study in testing in children and 2) studies being China suggest that while school • and Shanghai found that while conducted post school closures closures are not sufficient on their children were 1/3 as likely to get • Studies on broadly tested populations infected, they had 3 times as many own to control the epidemic on their (S. Korea) also reveal very low rates of contacts (when school was open) own, they can reduce peak incidence infection in children evening out the risk of transmission by 40–60% • Mortality for children has been low, • Another recent study from Germany • A recent review of the literature also only a handful of cases worldwide demonstrated that children that test sites positive, harbor as much virus as • Cases of pediatric multisystem inflammatory syndrome (a severe adults suggesting infectiousness • an early simulation of a SARS-like complication that in some cases • Multiple larger studies aimed at illness which concludes that school resembles Kawasaki disease) understanding transmission patterns closures would reduce the effective R0 potentially linked to COVID-19 illness in children are underway (e.g. NIH by 12–41% are beginning to emerge in the US and HEROS, St. Michael’s Hospital, Europe, but numbers are still very low Toronto) Summary: Yes, but at a lower Summary: Evidence is very Summary: Most models suggest frequency than adults mixed some impact, but extent varies Sources: Adapted from Science (link) and (link), New York Times (link) and (link), Don’t Forget the Bubbles (link) and Lancet (link) © Oliver Wyman 7
READ OUR LATEST INSIGHTS ABOUT COVID-19 AND ITS GLOBAL IMPACT ONLINE Oliver Wyman and our parent company Marsh & McLennan (MMC) have been monitoring the latest events and are putting forth our perspectives to support you clients and the industries you serve around the world. The Coronavirus Hub will be updated daily as the situation evolves. Visit our dedicated COVID-19 website © Oliver Wyman 8
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