Student health & well-being - Parent webinar - Peel Region
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Parent webinar
Student health & well-being
Dr. Monica Hau and Dr. Alia Sunderji
Peel Public Health
1
You will learn about
• COVID-19 in Children
• COVID-19 Vaccines for Children and Youth
• Protecting your Children – Public Health
Measures in Schools
• What to do if your child has been exposed
• Mental Health Supports
2
COVID-19 in Children:
Experience from 2020-2021 School Year
3
COVID-19 in Ontario Children: Jan-Jun 2021
• In Ontario, children made up ~13% of the 545,398
confirmed COVID-19 cases
• Children had 1.6x lower rate than adults
• Proportion of severe outcomes (hospitalization, ICU
admission, death, complications) much lower
among cases in children compared to adults
• 2 deaths reported in children compared to 9,255 deaths
reported among adults
COVID-19 Infection in Children: January 15, 2020 to
June 30, 2021 (publichealthontario.ca)
4
School Outbreaks
School Outbreak definition:
• Two or more lab-confirmed cases in students
and/or staff with an epidemiological link*
• Within a 14-day period
• Where at least one case could have acquired their
infection in the school (including transportation)
*e.g., same cohort, class, bus
5
Outbreaks in Peel Schools
epi-update-2021-08-27.pdf (peelregion.ca)
6
Outbreaks in Peel Schools epi-update-2021-08-27.pdf (peelregion.ca) 7
Looking ahead to 2021-2022
School Year
New factors:
• Delta Variant
• Vaccinations
8
Delta variant
•Dominant strain in Peel and Ontario
•Children now infected at a similar rate as adults in Peel
•More infectious and likely more severe in adults
•American Academy of Pediatrics indicates hospitalization and
death remain uncommon in children with COVID-19
Delta Variant: What We Know About the Science |
CDC
Children and COVID-19: State-Level Data Report (aap.org)
epi-update-2021-08-20.pdf (peelregion.ca) 9
Delta variant: Impact by vaccination status
•Majority of infections occur in unvaccinated individuals
•Breakthrough infections in vaccinated people may occur
•Vaccinated people with COVID-19 may be as infectious as
unvaccinated cases but may clear COVID-19 faster than
unvaccinated people
•Risk of hospitalization in unvaccinated people 29x greater than
vaccinated people
Delta Variant: What We Know About the Science | CDC
SARS-CoV-2 Infections and Hospitalizations Among Persons
Aged ≥16 Years,by Vaccination Status— Los Angeles
County, California, May 1–July 25, 2021 | MMWR (cdc.gov) 10COVID-19 Vaccinations and Youth
11COVID-19 Vaccination: Uptake in Youth To Date
Vaccine uptake – Youth (12-17)
% first dose coverage 79.1%
% second dose coverage 65.9%
Map of youth vaccine uptake by postal code regions available here:
Region of Peel - Peel Public Health: Vaccine Uptake Dashboard
(arcgis.com)
12COVID-19 Vaccination: Effectiveness and Safety
• Highly effective against symptomatic infection as well as COVID-19 associated
hospitalization, ICU admission, and death
• Rare cases of myocarditis (inflammation of the heart muscle) and pericarditis
(inflammation of the lining around the heart) following vaccination with
COVID-19 mRNA vaccines have been reported in Canada and internationally
• Recent U.S. study estimated a 16x higher risk of developing myocarditis and
pericarditis with COVID-19 infection compared to those not infected
Recommendation on the use of mRNA COVID-19 vaccines in adolescents
12 to 17 years of age - Canada.ca
Association Between COVID-19 and Myocarditis Using Hospital-Based
Administrative Data — United States, March 2020–January 2021 | MMWR
(cdc.gov)
13COVID-19 Vaccination: Myocarditis/Pericarditis
• Symptoms of myocarditis/pericarditis can include shortness of breath,
chest pain, or the feeling of a rapid or abnormal heart rhythm.
• Cases are consistently reported to have occurred:
•More often after the second dose
•Usually within a week after vaccination
•More often in adolescents and young adults (12 to 30 years of age)
•More often in males than females.
• Majority of individuals affected have responded well to treatment and
tend to recover quickly.
Recommendation on the use of mRNA COVID-19 vaccines
in adolescents 12 to 17 years of age - Canada.ca 14COVID-19 Vaccination:
Medical Exemptions
Medical exemptions to COVID-19 vaccines:
• 2nd dose of mRNA COVID-19 vaccine on hold for individuals
who experience myocarditis or pericarditis following the
first dose of an mRNA COVID-19 vaccine
• Allergy to any component of the vaccine
• History of severe allergic reaction (e.g. anaphylaxis) after
the 1st dose of mRNA vaccine
COVID-19: Vaccine safety and side effects - Canada.ca
Recommendations on the use of COVID-19 vaccines - Canada.ca 15COVID-19 Vaccination: New and Upcoming
• ALL youth born in 2009 are now eligible for COVID-19 vaccination
• COVID-19 vaccination for children 5-11 years of age expected to
be approved in late fall/early winter
16Why should children and youth be vaccinated?
• Ability to get back to normal routines
• Attending school in person
• Participating in extra-curricular activities
• Spending time with friends/peers
• Some children can get very sick requiring
hospitalization or experience longer-lasting
symptoms
17COVID-19 Vaccines for Youth
• Appointments are available at all Peel Public Health
vaccination clinics
• Book an appointment via:
• The provincial booking system
• Participating pharmacies
• Participating primary care offices
• 17 School-based hub clinics starting mid-Sept
• Walk-ins accepted at any of our Peel Public Health
vaccination clinics
18Youth Vaccination Clinic this weekend
Saturday, September 4th and Sunday, Sept 5th
11 a.m. to 6:30 p.m.
John Fraser Secondary School
2665 Erin Centre Blvd, Mississauga, Ontario L5M 5H6
Walk-in or book an appointment online
First and second doses for those born in 2009 and earlier
Get your vaccine - Region of Peel (peelregion.ca)
19Vax Van COVID-19 vaccine clinic at Westwood Square
Westwood Square
7205 Goreway Dr., Mississauga, former
Walmart parking lot
September 9 from 2 p.m. to 6 p.m.
September 10 from 10 a.m. to 2 p.m.
September 16 from 2 to 6 p.m.
September 17 from 10 a.m. to 2 p.m.
First and second doses for people born
in 2009 and earlier.
20
Get your vaccine - Region of Peel (peelregion.ca)Provincial GO VAXX Bus- Square One and Bolton Fall Fair
Provincial GO VAXX Bus
September 12 from 11-8 pm Square One Mall
September 25 at the Bolton Fall Fair (time tbd)
21COVID-19 Vaccines Resources
https://kidshealthfirst.ca
22Protective Back to School Measures
• Student & Staff
• School-based
23Student & Staff Actions
• Daily screening
• Testing
• Masking
• Hand hygiene
• Vaccination
24Protecting your Children
Daily Active Screening and Verification
Online screening tool:
https://covid-19.ontario.ca/school-screening/
• Peel Public Health recommends daily COVID-
19 screening of all staff, students and essential
visitors and requires confirmation of screening
during COVID-19 exposures and outbreaks
25Key Updates to the Screening Tool
Shortened symptom list for children
• Fever (temperature of 37.8°C/100.0°F or greater) and/or chills
• Cough (new or worsening, includes croup)
• Shortness of breath (new or worsening wheeze, difficulty breathing)
• Decrease or loss of taste or smell (new)
• Nausea, vomiting, and/or diarrhea
Adults >18: Includes muscles aches/joint pain and extreme tiredness
Mild vaccination side effects (within 48 hours) –may go to school
• Headache
• Fatigue
• Muscle pain
• Joint pain
26Unvaccinated/partially vaccinated household members must stay home until the sick person receives a negative test result or is diagnosed with another illness COVID-19 school screening (ontario.ca) 27
Definition of fully immunized individual
You are fully vaccinated if:
•You have received all required doses of an approved COVID-19 vaccine (your second dose
of a 2-dose vaccine, or a single dose of a 1-dose vaccine).
•It has been at least 14 days since you received the last required vaccine dose.
If you are immunocompromised, you should continue to follow all standard public health
direction (e.g., self-isolate after being exposed to a person who has COVID-19), even if
you are fully vaccinated. If you have questions, speak to your healthcare provider.
28Other symptoms?
All sick individuals with any symptoms of
any illness should stay home,
and seek assessment from their regular
health care provider if required.
29Testing for COVID-19
Anyone with COVID-19 symptom(s) OR identified as a close contact of person with
COVID-19 should get tested even if fully immunized
Walk-in appointments now available at some community testing locations in Peel:
Getting tested for COVID-19 - Region of Peel (peelregion.ca)
May return to school after receiving a negative test if:
• No fever
• Symptoms improving for 24 hours
• If nausea, vomiting or diarrhea- may return after 48 hours of symptom
improvement
• Completed 10 day isolation period after COVID-19 dismissal (if
unvaccinated/partially vaccinated close contact)
30Protecting your Children
Masking
Provincial requirement
• Students in Grades 1 to 12 must wear
masks or face coverings: in schools,
including in hallways and during classes;
on school transportation;
Peel recommendations:
• Masking requirement includes JK and
SK students
• Mask outdoors, where physical distance
cannot be maintained between cohorts
31Protecting your Children
Masking
• Reasonable exceptions on the requirement to
wear masks will apply
• For example, those who have sensory or
breathing difficulties or other medical reasons
• Explain to your child that some people are not
able to wear masks, and to show kindness in
these situations
• Practice wearing a mask before school starts
32Protecting your Children
Masking
Three Layer Mask:
• Masks should ideally be 3 layers of fabric
• 2 layers of tightly woven, breathable fabric such as cotton or
linen AND
• a third (middle) layer of a filter-type fabric
• non-woven polypropylene
• Rinsed, dried and folded unscented baby wipe
• Folded paper towel
Dispose and replace the filter after every use
The Public Health Agency of Canada provides step-by-step instructions on how
to make 3-layer non-medical masks (sew and non-sew).
33Protecting your Children
Masking
• Masks must be well-fitting; this includes:
• being large enough to completely and comfortably cover the nose,
mouth and chin without gaps
• Include a nose piece to secure mask
• fitting securely to the head with ties or ear loops
• being comfortable and not require frequent adjustments
• maintaining its shape after washing and drying
34Protecting your Children
Physical Education Class
Indoor
• Masks are recommended
for all indoor physical
activity where it is safe to
do so
Outdoor
• High intensity and high
contact sports are strongly
recommended to take
place outside
35Hand hygiene
Hand hygiene is an important protective measure. Talk to your
child about frequent hand hygiene and the safe use of hand
sanitizers.
•Wash hands often with soap and water for at least 20 seconds
frequently.
•Use alcohol-based hand sanitizers if soap and water are not
available or if hands are not visibly dirty.
•Allow hand sanitizer to dry before eating or drinking.
36Protecting your Children
Mandatory Vaccination Reporting
*New for 2021-2022
• Ministry of Education has introduced a vaccination disclosure policy
• Applies to all publicly-funded school board employees, staff in private
schools and all staff in licensed child care settings for the 2021-2022
school year
• Rapid antigen testing will be required for staff who are not immunized
against COVID-19 and proof of completion of an education session on
vaccination
37School-based Protective Measures
• Cohorting
• Ventilation
• Rapid dismissal of exposed cohorts
38Protecting your Children
Cohorting
Keeping students together
while limiting exposure to
multiple individuals
39Protecting your Children
Ventilation
• When feasible, windows are kept open
on the school bus and in classrooms
and school boards are encouraged to
support outdoor education
• Air quality optimized through
improving ventilation and/or filtration
using HVAC systems that are routinely
maintained and calibrated
• In rooms without adequate ventilation,
portable air cleaners with HEPA filters
to be used
40Positive Case in a School
Student attends school while infectious
Public health actions include:
• Isolate positive case, siblings, social contacts outside of school
• Isolate student’s cohort(s):
o Classroom
o Bus
o Before- and after-school programs
o Extra-curriculars
• All unvaccinated/partially vaccinated contacts will be required to self-isolate for
10 days after class dismissal and recommended to get tested
• Fully vaccinated students recommended to get tested, may return to school
• Communication with families and school community
• Additional cleaning and disinfection of exposed areas
41Protecting your Children
Keep your Child Home
• Have a plan if your child has to self-isolate for 10 days
• If you are off work because of COVID-19, you may be
eligible for financial support from the government
• Learn more
about financial
support and
additional social
support
42Child Well-Being
Social-emotional learning – mental health activities to do at
home
School Mental Health Ontario – www.smho-smso.ca/
43Child Mental Health Supports
• Student Mental Health Ontario Resource Hub
• Children Mental Health Ontario Back to School
Toolkit
• COVID-19 Youth Mental Health Resource Hub
• My Anxiety Plan for children and youth
• Be There for your children
• KidsHelpPhone local programs and services
• Peel-specific list of programs and resources
44Download COVID-19 Alert
• COVID Alert helps us break the
cycle of infection
• The app can let people know of
possible exposures before any
symptoms appear
www.canada.ca/en/public-health/services/diseases/coronavirus-disease-covid-19/covid-alert.html
45Resources (General)
Going to school during COVID-19 - coronavirus - Region of Peel
(peelregion.ca)
Website translation available
46Questions?
Thank you
Contact Information:
Peel Public Health Call Centre @ 905-799-7700
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