back to school 2020-2021 update january 14
TRANSCRIPT
Back to School 2020-2021Update April 29
Jennifer Morse, MD, MPH, FAAFPMedical Director
CMDHD/MMDHD/DHD#10
This meeting is for School and Health Department Staff
If you have questions, please send them to:
■ For Roscommon, Osceola, Clare, Gladwin, Arenac, Isabella Counties:– [email protected]
■ For Missaukee, Crawford, Kalkaska, Wexford, Lake, Mason, Manistee, Oceana, Newaygo, Mecosta Counties– [email protected]
■ For Montcalm, Gratiot, Clinton Counties– https://www.mmdhd.org/contact/
We have limited time to cover all our topics. The slides and recordings will be available on our websites within 1-3 days.• https://www.dhd10.org/coronavirus/• https://www.mmdhd.org/novel-
coronavirus/• https://www.cmdhd.org/novel-
coronavirus
Please make sure all needed information is
passed to school secretaries, nurses, etc.
Prom/Graduation Guidance from MDHHS
■ End_of_Year_Gatherings_Guidance_042721_723470_7.pdf (michigan.gov)
– Can find it on the K-12 COVID website: Coronavirus - K-12 School Opening Guidance (michigan.gov)
Also Useful Resources (found at www.michigan.gov/coronavirus, Click “resources” tab at top, then “State Orders & Directives”):
■ April 19, 2021 - Gatherings and Face Mask Order
■ Capacity Limits Fact Sheet
■ Enhanced Outdoor Stadium and Arena Guidance
■ Dining Guide (gives illustrations of outdoor vs. indoor facilities)
■ FAQs for the April 19, 2021 Gatherings and Face Mask Order
Quarantine■ Quarantine Guidance or Quarantine Explanation at
– https://www.mmdhd.org/covid-schools/
– https://www.cmdhd.org/novelschools
– https://www.dhd10.org/coronavirus/school-guidance/
■ Newer evidence not included in that report:
– Rolfes MA, Grijalva CG, Zhu Y, et al. Implications of Shortened Quarantine Among Household Contacts of Index Patients with Confirmed SARS-CoV-2 Infection — Tennessee and Wisconsin, April–September 2020. MMWR MorbMortal Wkly Rep 2021;69:1633–1637. DOI: http://dx.doi.org/10.15585/mmwr.mm695152a1
In other words: about one in 10 people exposed in the household that test negative and have no symptoms at 10 days will go on to test positive before 14 days
■ We are closely watching our numbers, outbreaks in schools, variants, etc. and continue to discuss the best quarantine time
No. of days exposure tested negative and no symptoms
Probability of becoming positive by PCR test by 14
days %All households and all household
contacts included (185)5 29% (19-43%)7 19% (10-33%)
10 7% (2-22%)
An Open Letter to Michigan Healthcare Professionals and Families from Michigan’s Children’s Hospitals Clinical Leadership Collaborative and the MHA https://www.mha.org/Newsroom/ID/2971/An-Open-Letter-to-Michigan-Healthcare-Professionals-and-Families-from-Michigans-Childrens-Hospitals-Clinical-Leadership-Collaborative-and-the-MHA
“It is important that parents and pediatricians are aware that the rare, but serious, MIS-C associated with COVID-19 could likely present in children between two and five weeks after the peak of Michigan’s recent surge of COVID-19,” said Dr. Matthew Hornik, president of the Michigan Chapter of the American Academy of Pediatrics.”
Parents should seek emergency care right away if their child experiences any of the following warning signs: Trouble breathing Pain or pressure in the chest that does not go away New confusion Inability to wake or stay awake Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone Severe abdominal pain
https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_104661---,00.html
MI COVID Data and Modeling Update: April 27th (data as of April 24th unless noted)
https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_105123---,00.html
Michigan Update
• Statewide positivity has decreased to 14.1 %• One week decrease of 14% (compared to 11% decrease last week)• Decreasing for two weeks (still 371% higher than mid-February)
• Case rates (555 cases/million) are decreasing in the state (642.4 cases/million last week)
• A one week decrease of 14%• Decreasing for 11 days
• Michigan has the highest case rate (↔), and 2nd highest number of cases (↔) in the last 7 days in the nation (source: CDC COVID Data Tracker)
Two Weeks ago, 4/2-4/8
Age Groups1. 10-19
2. 20-293. 30-394. 40-49
5. 50-59
6. 60-697. 0-9
8. 70-799. 80+
As of March 30th As of April 6th As of April 12th
As of April 19th As of April 24th
School outbreaks in our 19 counties/60+ districts
*ongoing outbreak = case(s) has been reported within last 28 days
**new outbreak = newly reported within prior week (report week from Thursday to Thursday (new outbreaks reported to the state by local health departments on Thursdays), website updated by MDHSS on Mondays)
Grade Level Number of outbreaks (cases)
Preschool-elementary • No new outbreaks• 6 ongoing outbreaks (22 cases in DHD10, 11 cases in MMDHD)
Jr. high/middle school • 4 new outbreaks (6 cases in DHD10, 2 cases in MMDHD) • 6 ongoing outbreaks (3 cases in DHD10 and 19 in MMDHD)
High school • No new outbreaks (9 cases in CMDHD)• 16 ongoing outbreak (24 in CMDHD, 30 cases in DHD10, 52 in MMDHD)
Administration • No new outbreaks• 1 ongoing outbreaks (2 cases in MMDHD)
Totals: • 1 new outbreak (same as last week), 6 new cases (down from 9 cases)• 29 ongoing outbreaks (up from 28 last week), 162 cases total (up from 145)
https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-545615--,00.html
Questions?Contact:Jen Morse, MD, MPH, [email protected]: 989-802-2590
For Roscommon, Osceola, Clare, Gladwin, Arenac, Isabella Counties:Steve Hall, R.S., [email protected], Ext. 1421www.cmdhd.org
For Missaukee, Crawford, Kalkaska, Wexford, Lake, Mason, Manistee, Oceana, Newaygo, Mecosta CountiesKevin Hughes, [email protected](231) 876-3839www.dhd10.org
For Montcalm, Gratiot, Clinton Counties Marcus Cheatham, [email protected]