Your back-to-school questions answered

Back-to-school 2021 marks the third academic year the education of California’s 6 million children hsa been affected by the COVID-19 pandemic. The opening of schools this month is unfolding under the shadow of the surging Delta variant, supplanting the joy and relief families anticipated with new worries about masks, positive coronavirus tests, illness, vaccines, quarantines and outbreaks.

We are here to answer your questions.

Jump to: Masks | Vaccines | Testing | Cases and outbreaks | Online learning

The federal Centers for Disease Control and Prevention published its updated recommendations for K-12 schools July 19. The guidance is meant to provide a path to safe in-person instruction while minimizing missed school days. It suggests universal masking in schools, targeted quarantine practices, and access to a robust coronavirus testing program.

Above all, the CDC, the state of California and the Los Angeles County Department of Public Health stress the importance of vaccination for all eligible individuals and masking in classrooms and school buildings as the most effective method to prevent in-school transmission of the coronavirus.

Here are the basics you should expect to see at school:

• California has mandated masks for all K-12 students when indoors with a few exceptions, which are intended to be rare and not simply based on parent and student preference or discomfort. The Los Angeles Unified School District, and likely other districts, also requires masking outdoors.
• Teachers and staff must be vaccinated or submit to weekly coronavirus testing.
• Although neither the state nor the CDC is requiring physical distancing, schools are urged to keep students distanced as must as possible. When masks are not being used, such as when students are eating or drinking, physical distancing becomes more important, even essential, in the view of some experts.
• Recommendations also call on schools to optimize ventilation in indoor spaces. Ideally, this means your school has installed high-grade MERV-13 filters on HVAC systems, although not all HVAC units can work effectively with these filters. Portable air purifiers also are being used in some cases. Even just opening one or more windows helps with ventilation.
• Facilities are supposed to be frequently cleaned.
• Increased hand-washing is expected.
• There will be limited or no sharing of school supplies.

These “layers” of safety, as officials call the measures, go a long way toward making schools safe, experts say.

School districts around California have the authority to set their own policies for their own schools, provided state and local health department requirements are met. This means your school district could have rules that are stricter than the state’s. For instance, the Los Angeles Unified School District has stricter rules for masks and coronavirus testing than the state.

All school districts are required by the state to post detailed safety plans on their websites, which is where you can find information specific to your school district and campus. Every school district in California was required to submit its plan to the state.

No. “At first, it looked like a virus that would spread on surfaces,” said Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia. “But now we know that it is primarily transmitted through respiratory droplets.”

California

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The state requires masking indoors; however, mask enforcement on campus is left to schools. The California Department of Public Health’s mask rules for schools are as follows:

• Masks are optional outdoors.
• K-12 students are required to mask indoors (with exemptions for children younger than 2 or who have a medical condition).
• Exempted individuals are expected to wear a nonrestrictive alternative such as a face shield with a drape on the bottom edge.

Local educators are enacting a range of consequences for students who don’t follow the rules — such as issuing warnings or even barring them from campus. A few have suggested they may not enforce the order because they don’t believe it’s needed. Students, for the most part, are not fazed by the rule and have said that they mainly are glad to be back at school with their friends.

L.A. Unified has a stricter policy than the state and is requiring students and staff to wear masks indoors and outdoors. Children older than 2 are required to have a mask on at all times while on school property, except while eating or drinking.

Because masks have to be removed, eating and drinking should take place outside whenever possible, with social distancing.

That’s not necessary. Disposable surgical masks or cloth masks with at least two layers are fine, experts say.

“The best mask is one the child will keep on,” said Dr. Sara Bode, a pediatrician who directs school health services at Nationwide Children’s Hospital in Columbus, Ohio, and helped write the American Academy of Pediatrics’ COVID-19 guidance for schools.

It might make sense for students to pack more than one mask because masks can get dirty or soiled. One untimely sneeze could do it. Keep in mind that masks come in many forms. Some children find the ear loops uncomfortable and prefer tie-on masks. Rubber frames can be inserted to make breathing more comfortable.

Also, schools are supposed to have extra masks at the ready, even on schools buses. If they don’t, parents should complain to the people in charge.

No. But the most important way to keep things safe is for such activities to take place outside, with physical distancing. Schools figured out safe ways to offer these activities last year, and can do so again this year, the pediatrician Bode said. In these situations, it’s important that schools create layers of risk protection, she said.

Special masks for singers fit tightly around the face but bow out to leave more room for children to project their voices, she said. Likewise, there are masks with openings for band members’ mouths and also covers to catch droplets that might escape from the open ends of instruments.

California

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No, not currently for K-12 students. Children 12 and younger are not yet eligible for the vaccine.

Public health officials, however, continually stress the importance of vaccinating eligible children — especially now with the highly infectious Delta variant.

Gov. Gavin Newsom announced Wednesday that proof of vaccination or regular testing would be required for all school employees — a policy that some school districts have already independently put in place. Some 1,000 public school districts as well as private schools will be affected by the order, which is set to take effect Thursday and gives schools until Oct. 15 to comply fully.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said he believed vaccinations should be required for all teachers. And the top leaders of some teachers unions, including American Federation of Teachers President Randi Weingarten, indicated they would support vaccine mandates provided they were carried out with fairness and sensitivity.

“Vaccines are the single most important way of dealing with COVID,” Weingarten said on “Meet the Press.” “I think we need to be working with our employers — not opposing them — on vaccine mandates.” She noted that 90% of the union’s teacher members had been vaccinated.

Of 60 districts that shared their estimated staff vaccination rates, 83% estimated that 70% or more of district employees had been vaccinated.

In L.A. County, more than two-thirds of school-district employees have been vaccinated in most districts that have provided estimates, according to the L.A. County Office of Education.

Unvaccinated children are at risk of contracting a coronavirus infection, which, if symptoms develop, would be classified as COVID-19. And although severe illness can occur among infected children, it is rare.

Other risks include multisystem inflammatory syndrome or MIS-C, an extremely rare, potential fatal, condition that can occur after a coronavirus infection. So-called long COVID — after-effects of illness — can persist for weeks or months among small numbers of children, just as with adults.

The possibility of infection has become a growing back-to-school concern. Cases among children have substantially risen in recent weeks as the Delta variant has surged.

On Aug. 8, National Institutes of Health Director Dr. Francis Collins told “ABC News This Week” that “the largest number of children so far in the whole pandemic right now are in the hospital — 1,450 kids in the hospital from COVID.”

There have been roughly 4.3 million coronavirus cases among children in the U.S. during the course of the pandemic. It’s unclear how many of these cases resulted in symptoms or were among children with underlying conditions.

A recent report from the American Academy of Pediatrics found that newly reported cases among children rose by 4% over a two-week period beginning July 22 and ending on Aug. 5.

Nationwide, cases among children have steadily risen throughout July. A total of 93,824 cases were reported from July 29 to Aug. 5, the highest number since February of this year. There were 71,726 new cases reported in the seven-day period beginning July 22 and 38,654 cases reported the week beginning July 15.

Despite the upward trends, most health and education experts are encouraging parents to send the vast majority of students back to campus — provided that local schools are being operated in a safe manner. Relatively small health risks must be balanced against risks that arise from academic setbacks and social isolation.

It does look like there’s been a rise in the number of cases among children compared to last year, said Dr. Aaron Milstone, a pediatric infectious disease specialist at the Johns Hopkins University School of Medicine.

“The increase in number of pediatric cases has mirrored the dominance of the Delta variant,” Milstone said. “Kids are very much at risk of this variant.”

Delta is much more transmissible than other strains, which means it can spread more quickly and affect more people, experts say.

The variant’s success may have to do with its ease of spread — but it may also reflect a “decay in the use of public health prevention measures that we know work,” Milstone said, pointing to masking and physical distancing as two examples.

Most kids get relatively mild symptoms, but a small share of them do develop more severe disease that may require hospitalization. One possible reason we’re seeing an increase in hospitalized children: The more contagious Delta variant is simply reaching more kids, including more of those at risk of serious illness.

It’s too soon to say whether the Delta variant causes children with COVID-19 to become sicker than they’d be with other strains, Milstone added.

“It is not clear yet if a) the Delta variant is more severe in kids or if b) more kids are getting sick and thus we are seeing complications at a higher frequency,” he said.

Ultimately, he said, the best course of action is to protect kids from becoming infected with the coronavirus in the first place.

“We still do not know what long-term complications kids might suffer from this infection,” Milstone said. “The safest approach is to protect your child from getting COVID.”

California State University and the University of California announced that vaccinations were required for all students and staff, while allowing for medical and religious exemptions. In such cases, regular testing would be allowed.

The state’s 116 community colleges are allowed to independently decide whether to impose a mandate. The Los Angeles Community College District and Long Beach Community College District will require either proof of vaccination or regular testing.

Some private schools in California such as USC and Loyola Marymount have also mandated vaccinations for students and employees.

Trials for the Moderna and Pfizer-BioNtech vaccine are underway for children ages 5 to 11, but the timeline for when the vaccine gets approved for that age group and younger is unclear.

Those ages 12 through 17 are eligible, but their numbers have lagged. According to the CDC, roughly 31% of eligible 12- to 15-year-olds are fully vaccinated; nearly 42% of 16- to 17-year-olds are.

Billions of dollars are available to help California schools’ testing programs through emergency relief funds and grants.

Health agencies offer broad guidance on how often coronavirus testing should be conducted at schools. The Centers for Disease Control and Prevention cites it as a key tool in keeping campuses safe. For individuals who are not vaccinated, the California Department of Public Health recommends a minimum of once a week when molecular tests are used and twice a week with the use of antigen testing.

Antigen tests provide almost immediate results and are less expensive, but they also are less accurate. Ultimately, it’s up to each school district to determine whom to test and how often, provided they abide by state rules that require unvaccinated employees to be tested weekly.

The Los Angeles Unified School District is operating the largest school-district-based coronavirus school testing program in the nation. It provides for all students to receive a nasal swab test — though saliva tests also will be available. The district’s program relies primarily on polymerase chain reaction (PCR) tests, and parents can expect results within 36 hours.

Stationary sites will be available for testing, and mobile teams will be deployed to schools every week once school begins on Aug. 16. Parents don’t have to make appointments for periodic testing that will take place during the school day, according to LAUSD guidance.

Each school district has developed its own rules, and there is no universal state policy. If a school district mandates testing for students and a parent wants to opt out, online schooling options are available.

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Students who tests positive for the coronavirus upon school entry will be given a surgical mask and accompanied to an isolation space until they can return home, according to L.A. County Department of Public Health policy.

Infected individuals must self-isolate. Close contacts who are not vaccinated must quarantine for up to 10 days, while it’s recommended that vaccinated individuals who have been exposed be tested for coronavirus infection.

Institutions must report all coronavirus cases to the county health department, and county health officials will “be aggressive” about contact tracing.

Following confirmation of a positive case, Los Angeles County health officials say they will be aggressive about contact tracing. There is some uncertainty about who will be notified about exposures. Generally, those who may have been exposed to the infected person will receive direct communication.

“If your child or you have an exposure, you will be notified that you had an exposure. ... You will get notified either by us or by the school administration,” L.A. County Public Health Department Director Barbara Ferrer said in a recent town hall meeting.

The definition of what is a close contact also has been unclear to many parents. Early on, the definition was based on the length of time a person was exposed to an infected individual. But now the situation has become more complicated: Were both people wearing masks? Was the exposure indoors or outdoors? Were either of them vaccinated?

In cases of notification, parents should not expect to learn the identity of the infected individual as schools can’t provide medical information or records about another person.

This lack of clarity appears to be at least partly intentional — to give authorities flexibility in how to best handle individual situations in consultation with local public health authorities.

Health experts recommend that unvaccinated individuals who have been exposed to the coronavirus quarantine for up to 10 days. It’s recommended that vaccinated individuals who have been exposed be tested for the virus.

A cluster of three or more potentially linked cases at one school over 14 days could represent an outbreak and could lead to having a group of students or even a class quarantine at home. Decisions on how a school handles an outbreak will be made in concert with local pubic health authorities.

Ferrer, the L.A. County public health director, said the closure of an entire school was unlikely. What could be more likely, she said, is that students in a classroom where a cluster of cases has originated — or a group of those students — may need to quarantine for 10 days.

Schools are expected to provide ongoing academic support for students while they are at home.

Yes. A recent California law requires school districts to offer independent study as an educational option for the 2021-22 school year for students.

Parents should know that the “distance learning” or “hybrid learning” practices of last year with their child’s teacher are no longer available.

Independent study requires a written master agreement signed by the student, parent or guardian, and the supervising teacher. Within the agreement, school districts have to define what level of educational progress a student has to meet to remain in the program.

The independent study program varies by school district and by grade: Elementary school students have a different schedule than middle and high school students.

Generally, students will have teacher-led live instruction and then work independently on assignments. In this learning option, attendance is based on work completion. If a student doesn’t participate in live instruction, complete assignments, and isn’t making adequate progress in this virtual classroom, the supervising teacher will convene an evaluation conference with the student’s parent or guardian to determine whether the student must return to in-person instruction.

Yes, because of the obligation under state law for school districts to offer independent study as an option. Check with your school district for instructions on how to enroll.