Tag: K-12 schools

  • Sources and updates, March 6

    A couple of data sources, a couple of data-related updates:

    • State plans for utilizing COVID-19 relief funding: The federal Office of Elementary and Secondary Education has posted every state’s plan for utilizing ESSER funding, a $13-billion fund set aside to help schools address the impact of COVID-19. Money can be utilized for academic assistance, improving ventilation in schools, testing, and more. State plans were due to the federal government last June, though some materials are still pending on the website.
    • New GAO report on Long COVID: Between 8 and 23 million Americans may have developed Long COVID in the last two years—and an estimated one million are out of work because of this condition—according to a new report from the U.S. Government Accountability Office. The report discusses medical and economic impacts of Long COVID, including current efforts by the federal government to study the condition.
    • KFF COVID-19 Vaccine Monitor update: This week, the Kaiser Family Foundation published a new report detailing America’s sentiments on COVID-19 vaccines and other pandemic issues. Key findings include: COVID-19 vaccine uptake “remains relatively unchanged since January” for both adults and children; a majority of parents with children under five say they “don’t have enough information” about vaccines for that age group; and “most adults believe that the worst of the COVID-19 pandemic is over but there are disagreements about what returning to normal means and when it should happen.”
    • Vaccination disparities between urban and rural counties: Here’s a CDC MMWR study that caught my eye this week: researchers compared vaccination rates in urban and rural U.S. counties, finding that the rate of people in urban counties who have received at least one dose (75.4%) is much higher than the rate in rural counties (58.5%). Moreover, the gap between urban and rural counties has more than doubled between April 2021 and January 2022, the researchers found.
    • CDC updates seroprevalence data: The CDC recently updated a dashboard showing data from seroprevalence surveys, which use information from labs across the country to estimate how many Americans have resolving or recent coronavirus infections. (This does not include vaccinations, unlike other seroprevalence estimates.) According to this new update, about 43% of the country had antibodies from a recent infection as of late January. In some parts of the country that were harder-hit by Omicron, the esimate is over 50%.

  • Sources and updates, February 6

    • Vaccination data from dialysis facilities: A recent addition to the CDC’s COVID Data Tracker, this dataset reports vaccination coverage among patients and staff working in dedicated dialysis facilities, which offer treatment to patients with chronic kidney diseases—a group at high risk for severe COVID-19. The vaccine coverage rates for dialysis staff are new as of this week. Overall, about 74% of dialysis patients and 79% of staff are fully vaccinated, and smaller percentages are boosted, as of late January.
    • CDC report provides vaccination data by sexual orientation and gender identity: As health equity advocates have pushed for more demographic data describing who’s been vaccinated in the U.S., the focus is often on race and ethnicity data. But it’s also important to track vaccinations among the LGBTQ+ community, as these Americans are at higher risk for severe COVID-19 due to HIV, mental health issues, and other conditions common in this group. This new CDC report provides a snapshot of these important data, sourced from the National Immunization Survey. Notably, the report found that vaccine coverage was higher overall among gay and lesbian adults compared to straight adults—but lower among Black LGBTQ+ people across all identities.
    • Association of child masking with COVID-related childcare closures: A new paper published in JAMA Network Open this week provides additional evidence showing that mask requirements can help keep schools and childcare centers open. The paper found that childcare programs where children were masked were 14% less likely to close over the course of a year than programs without child masking. For more commentary on the paper, see Inside Medicine.

  • As Omicron hits schools, K-12 data void is wider than ever

    As Omicron hits schools, K-12 data void is wider than ever

    Two years into the pandemic, you might think that, by now, schools would have figured out a strategy to continue teaching kids while keeping them safe from the coronavirus. Instead, the school situation is more chaotic than ever—thanks to Omicron combined with staff shortages, pandemic fatigue, and other ongoing issues.

    Thousands of schools went online or closed entirely this week, likely more than in any other week since spring 2020. And yet: there is currently no national data source tracking COVID-19 cases in schools, and nine states fail to report any data on this crucial topic.

    This week, I had a story published in education outlet The Hechinger Report about the challenges that schools faced in staying open during the fall 2021 semester. For the story, I returned to the five school communities that I profiled last summer during my Opening project to see how they fared in the fall.

    The story identifies four major challenges:

    • Quarantines: When a school or district faces a COVID-19 outbreak, contact tracing for all of the cases can quickly become incredibly time-consuming. This work “can be very burdensome for the school and the health department,” pediatrician Leah Rowland told me—especially when a school doesn’t have its own school nurse.
    • Testing: Surveillance testing can help identify cases early, while test-to-stay programs can keep kids out of quarantine; in fact, the CDC recently endorsed test-to-stay, adding the strategy to its official schools guidance. But testing programs are costly and hard to set up; in absence of state-wide testing support, they tend to be implemented at larger and wealthier school districts.
    • Staff shortages: Every single school leader and expert I spoke to for the story named staff shortages as a major challenge. “[Potential staff] can work at McDonald’s, and have a whole lot less stress and make more money than working as an instructional assistant for Garrett County Public Schools,” Alison Sweitzer, director of finance at this Maryland district, told me.
    • Pandemic fatigue: In a lot of places around the U.S., schools are one of the only—if not the only—institution still enforcing COVID-19 policies, like masks and social distancing. This can drive up tension between parents and school staff; and school nurses, who act as public health experts within the school, often bear the brunt of the criticism. Robin Cogan, legislative co-chair for the New Jersey State School Nurses Association, told me that she’s never felt this exhausted, in 21 years of serving as a school nurse.
    • Low vaccination rates: As of this week, about one in four children ages five to 11 has received at least one dose of a COVID-19 vaccine. This ranges wildly by state, though, with 57% of children in this age group vaccinated in Vermont compared to under 20% in much of the South. Vaccinated students and staff don’t have to quarantine when they’re exposed to a COVID-19 case, but despite this strong motivator, the school leaders I spoke to have not seen much enthusiasm for the shots.

    I reported most of that Hechinger Report story before Omicron hit the U.S. But it’s clear to see how the new variant has exacerbated all of these challenges. As this super-contagious variant hits schools, cases are increasingly rapidly—leading to more quarantines and contact tracing pressures. School staff are getting sick, intensifying shortages. And the students and staff who are unvaccinated are the most vulnerable.

    “Pediatric hospitalizations are at the highest rate compared to any prior point in the pandemic,” CDC Director Dr. Rochelle Walensky said at a press briefing on Friday. The CDC is investigating whether this increase reflects an inherent severity of Omicron in children or whether it’s simply the product of record-high cases everywhere. Either way, though, the data clearly show that vaccination is the best way to protect children from severe COVID-19. For children under age five, Dr. Walensky said, “it’s critically important that we surround them with people who are vaccinated to provide them protection.”

    According to Burbio’s K-12 School Opening Tracker, 5,441 schools had disruptions in the week of January 2. Those disruptions include schools going online or canceling instruction entirely—anything caused by the pandemic, as opposed to by weather or some other reason. This is higher than any other week in the 2021-2022 school year by a long shot; the previous record was 2,846 disruptions in early November.

    New York City has been one of the U.S.’s first Omicron hotspots, and the variant has had a massive impact on the city school system. Case rates shot up in December, with almost 5,000 new cases reported by the city Department of Education (DOE) in the week ending December 26. This number, as well as January DOE data, is likely a massive undercount, though, because of the sheer number of cases being reported within the city right now.

    The PRESS NYC schools dashboard, which references DOE data, provides this caveat: “As we understand it, the Situation Room cannot keep up with cases coming in and many cases aren’t even making it into DOE data.”

    Stories from inside the public school system suggest that kids are going into classrooms just to sit in study hall and, very likely, infect each other. One Reddit post from a NYC high school student described the case numbers at their school shooting up from six total cases in mid-December, to 100 on January 3, to over 200 by the end of this week. The majority of those cases weren’t yet reflected in DOE data, the student said.

    Yet NYC’s new mayor, Eric Adams, seems determined to keep schools open at all costs.

    Other districts have also had their fair share of conflict this week. In Chicago, teachers are on strike for safer in-person conditions. The situation has led to classes getting canceled entirely, as the school district locked striking teachers out of their online accounts—preventing them from teaching remotely. And in many other districts, including Seattle and Washington D.C., the start of the spring semester was delayed as the district sought to test all students, teachers, and staff before reopening.

    With all of this tension in mind, I set out yesterday to update my K-12 school data annotations for the first time in several months. These annotations reflect the availability of data on COVID-19 cases and related metrics in school buildings, by state and at the national level.

    Here’s what I found:

    • 31 states and D.C. are reporting data on COVID-19 cases in K-12 school settings. There’s a lot of variability in this reporting, though, from states like Connecticut, which reports a detailed breakdown of cases by school (including downloadable historical data), to states like Maine, which only reports cases in “active outbreaks.”
    • 10 states are reporting what I categorize as “somewhat” cases in K-12 schools. This includes states like Arizona, which reports the number of schools with COVID-19 outbreaks by county (but no case numbers), and Illinois, which reports cases in school-aged children (but not cases that are school-specific).
    • Nine states are not reporting any K-12 school data. These states are: Alaska, California, Florida, Iowa, Kentucky, Nebraska, New Mexico, Oklahoma, and Wyoming. Note, both Florida and Kentucky used to report school data, but have discontinued this reporting since last school year.
    • New York continues to have the most complete school data, by my assessment, as it’s the only state to report both COVID-19 tests and school enrollment.
    • Six states are now reporting in-person school enrollment, a key metric needed to analyze COVID-19 data: Connecticut, Delaware, Hawaii, New York, Texas, and Utah.
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    In short, while a lot of data on COVID-19 in schools are available from state public health departments, these data are wildly unstandardized and difficult to analyze holistically. See the annotations page for more details on your state.

    Meanwhile: at this time, there is no national data source on COVID-19 cases in schools. The federal government has never reported these data; the best that our federal health agencies can do, apparently, is compile rarely-updated dashboards of school learning modes (i.e. which districts are in-person vs. remote). Last school year, a couple of research projects sprung up to compile information from state agencies and other sources; but as of now, those projects are all discontinued.

    While a number of studies have demonstrated the effectiveness of common safety policies (masks, vaccinations, ventilation, etc.), many of the researchers who study school COVID-19 safety have to use small sample sizes, such as a single district or state. CDC researchers often rely on proxies like county case rates to analyze the impact of different policies. This research is a far cry from the work that we could do with a comprehensive, national dataset of COVID-19 cases in schools.

    Without detailed data on COVID-19 in schools, it’s difficult to make good policy decisions. The data void leaves space for pundits on both sides of the aisle: some can argue that schools are safe and must remain open in-person no matter how high community cases get, while others can argue that schools are incredibly dangerous and must close.

    The COVID-19 in schools data void is wider than ever right now, even though we need information desperately as Omicron spreads.

    More K-12 reporting

  • Featured sources, November 7

    • School Learning Modalities (HHS): Is that… could it be… comprehensive K-12 school COVID-19 data from the federal government?! Indeed: after over a year of calling out the government’s lack of data on this crucial topic, I was delighted to see the Department of Health and Human Services add a new dashboard to its COVID-19 data hub this week. The dashboard, produced in a collaboration between the CDC and the Department of Education, provides weekly updates on the learning status of school districts: in-person, hybrid, or remote. As of November 6, the dashboard included data for about 89% of students in 62% of districts. Next up, can we get some school case data?
    • When To Test (NIH): Earlier this year, the National Institutes of Health (NIH) supported production of an online tool aimed at helping schools, businesses, and other organizations develop routine COVID-19 testing programs. The tool, called When To Test, was updated this week with a new calculator aimed at individuals. Input some COVID-19 information (such as your location, vaccination status, and daily contacts), and the tool will help you determine whether to get tested. It could be useful for planning holiday gatherings!
    • COVID-19 Diagnostics Commons (ASU): Here’s another testing source, from Arizona State University. ASU researchers built a database of over 2,500 COVID-19 testing technologies that are available or going through the regulatory approval process around the world. You can search through the tests by regulatory status, diagnostic target, accuracy levels, and more.
    • Directory of federal government prime contractors: All businesses that contract with the federal government have until January 4, 2022 to ensure that all of their employees are vaccinated against COVID-19. This directory, from the U.S. Small Business Association, provides a comprehensive list of those contractors. You can see business names, what they do for the government, and more. (h/t Al Tompkins’ Covering COVID-19 newsletter.)

  • Sources and updates, October 31

    A lot of COVID-19 data sources caught my eye this week!

    • More booster data from the CDC: This week, the CDC added both booster shot trends by day and booster shots by primary series type to its COVID Data Tracker. For booster shot trends, click “People Receiving a Booster Dose” on the Trends page, and for primary series data, scroll down to “Covid-19 Booster Dose Type by Primary Series Type” on the Vaccination Totals page. So far, it looks like a lot of Johnson & Johnson recipients are opting for mRNA boosters.
    • KFF’s latest Vaccine Monitor update: The Kaiser Family Foundation has released the latest edition of its monthly vaccine poll, the COVID-19 Vaccine Monitor. This month’s edition focuses on vaccinations for children ages 5 to 11, in line with the recent discussions around shots for this age group, but it also includes other polling on general vaccination demographics, boosters, mandates, and more.
    • Under-testing in U.S. prisons and jails: A new report from the UCLA Law COVID Behind Bars Data Project explores how insufficient COVID-19 testing of incarcerated people in the U.S. contributes to skewed case rates. Even in the states that have tested their incarcerated populations the most, this report shows, that testing is still far less frequent than testing for other congregate living facilities, like nursing homes.
    • Impact of School Opening on SARS-CoV-2 Transmission: A group of scientists (including school data expert Emily Oster) recently published a new paper in Nature examining how school reopening models—remote, hybrid, or in-person—contribute to community transmission. In most parts of the country, reopening model did not have a significant impact on transmission, they found; the South was an exception. The authors shared the data underlying their paper, with some information from Burbio and the CDC removed due to requirements from those organizations.
    • Reporting recipe for breakthrough case data: Dillon Bergin, my colleague at the Documenting COVID-19 project, wrote this reporting recipe, which guides local newsrooms through acquiring data on and covering breakthrough cases in their areas. The recipe accompanies a recent story that Dillon wrote, in collaboration with the Las Vegas Review-Journal, on breakthrough cases by occupation in Las Vegas. (Unsurprisingly, healthcare workers and casino workers were likely to have breakthrough cases, the Las Vegas data show.)
    • Polling on small businesses and vaccine mandates: Here’s another vaccine survey released this week, this one from the U.S. Chamber of Commerce. The agency asked small businesses about their positions on vaccine mandates, as well as hiring challenges and other issues. 64% of small business owners support “businesses in their area requiring vaccines for their employees,” the survey found.

  • The challenges of routine COVID-19 testing in schools

    The challenges of routine COVID-19 testing in schools

    At this point in the pandemic, we know that routine COVID-19 testing can be a key tactic for reducing transmission in communal settings. If you identify cases as soon as they occur through asymptomatic testing, you can quickly isolate those cases and quarantine their contacts—preventing the cases from turning into outbreaks. This strategy works everywhere from kindergarten classrooms to the NBA.

    Despite the clear evidence that testing works, high case numbers in children in recent months, and millions of dollars in federal funding, many K-12 schools across the U.S. still aren’t doing any COVID-19 testing. Why not? I explain the hurdles in a story for Science News.

    I found five major challenges:

    • Without clear guidance from public health officials, school leaders may struggle to make crucial decisions about testing logistics (such as which tests to use, how often to test, and who will do the testing).
    • One logistical decision can be particularly tough: what happens when a student or staff member tests positive?
    • Obtaining COVID-19 tests themselves can be a struggle in this era of endless supply chain shortages, if schools are not getting tests directly from state health agencies.
    • Schools must gain consent from their students’ families for COVID-19 testing, which can be logistically complicated and require a lot of communication.
    • Testing, like all COVID-19 safety measures, has become polarized—and can come with both political and personal baggage for families. 

    You can read the full story for more details. But here, I wanted to share some notes from a section that was cut out of the article: one focusing on data. As longtime COVID-19 Data Dispatch readers know, I love to call out the lack of data on COVID-19 cases, tests, and other metrics in school settings.

    Through reporting this article, I also learned that simply reporting testing numbers can be a major barrier for schools. In most cases, schools are required to submit all their test results to their state or local health departments; this type of health data reporting is not something that schools are cut out to do.

    “Reporting test results to the appropriate public health authorities was something that school administrators, frankly, were not used to doing, and didn’t really know how to do,” Divya Vohra, an epidemiologist at the research organization Mathematica who studies testing programs, told me. Such reporting might require schools to set up an electronic records system like those used by hospitals, or it might require school nurses to manually enter data for every student.

    Ideally, a school district would partner with “a vendor that comes in, reports the data for you to the state, and then also feeds that data into a dashboard” which school administrators can use in making decisions, said Leah Perkinson, testing program coordinator at the Rockefeller Foundation. But this type of partnership may be hard to come by, especially if schools are attempting to set up testing without support from their state health or education agencies.

    As I’ve pointed out in the past, there is no national dataset of COVID-19 tests conducted in K-12 schools. New York is the only state reporting these data, along with some large districts such as Los Angeles Unified. Due to a lack of interest in K-12 testing prior to this fall, Perkinson says, “it wasn’t apparent that we need to build a centralized data reporting repository.” Now, many schools that might consider setting up a testing program are flying blind, without clear success stories to follow.

    In addition, when the schools with testing programs in place do not actively monitor their own test results, they may miss out on valuable information, Alyssa Bilinski, a biostatistician at Brown’s School of Public Health, told me. Many districts rely on community COVID-19 metrics, such as the case rate in a county.

    But “schools can vary a lot from the overall average, because kids can be really different from adults,” Bilinski said. “It’s a much more precise indicator if we have data for a particular school community.” (For more reading on this topic, I recommend Bilinski’s recent opinion piece in STAT News!)

    More K-12 school stories

  • Featured sources, October 3

    • State vaccination reporting: Yesterday, I updated the COVID-19 Data Dispatch page detailing how every state is tracking vaccination. Notably, 15 states now include counts of third doses (or “additional doses,” or “booster shots”) in their vaccine dashboards and reports. A couple of those states (Colorado, Mississippi, New Jersey) are even reporting demographic breakdowns of the residents that have received third doses. I expect that more states will add these metrics to their vaccine reports in the coming weeks.
    • COVID-19 cases and deaths, urban vs. rural counties: A new report from the RUPRI Center for Rural Health Policy Analysis at the University of Iowa demonstrates the disproportionate impact that COVID-19 is now having on rural communities. The rate of COVID-19 deaths in rural areas is now twice what it is in urban areas. For context about and data visualizations sourcing this report, see this KHN article by Lauren Weber.
    • School District Operational Status: Research organization MCH Strategic Data has compiled detailed data on the operational status of school districts across the country—fully in-person, fully remote, or hybrid. The dashboard also includes information on school mask policies and summary data by state. (H/t Your Local Epidemiologist.)
    • State-level analysis of charter school trends: The National Alliance for Public Charter Schools analyzed changes to school enrollment in every state during the 2020-2021 school year, focusing on drops in district public school enrollment and rises in charter school enrollment. Oklahoma had the highest charter school gain, with a whopping 78% enrollment increase.

  • COVID source shout-out: K-12 data in Utah

    COVID source shout-out: K-12 data in Utah

    Utah has expanded its K-12 COVID-19 reporting.

    This week, I updated the COVID-19 Data Dispatch page detailing how every state is (or isn’t) reporting COVID-19 cases in schools. I was glad to see that several states have resumed data reporting on this important topic after a summer break, though some haven’t resumed yet. (Looking at you, New York.)

    I want to give a special shout-out to Utah, which has expanded its K-12 data since spring 2021. This state is now the fourth to report in-person enrollment in schools (after New York, Texas, and Delaware). Utah is also reporting school-specific test positivity rates, providing the share of students who have tested positive in the past two weeks.

    It’s not surprising that Utah would expand its school data reporting, because this state is currently pioneering a program called Test to Stay. Schools are required to offer testing to all students when an outbreak occurs, in partnership with their local health departments.

  • Featured sources, September 26

    • CDC updates its variant classifications: This one is more of an update than a new source. On Thursday, the CDC updated the list of coronavirus variants that the agency’s scientists are watching. This list now includes three categories: Variants of Concern (or VOCs, which pose a significant threat to the U.S.), Variants of Interest (which may be concerning, but aren’t yet enough of a threat to be VOCs), and Variants Being Monitored (which were previously concerning, but now are circulating at very low levels in the U.S.). Notably, Delta is now the CDC’s only VOC; all other variants are Variants Being Monitored.
    • COVID-19 School Data Hub: Emily Oster, one of the leading (and most controversial) researchers on COVID-19 cases in K-12 schools, has a new schools dashboard. The dashboard currently provides data from the 2020-2021 school year, including schools’ learning modes (in-person, hybrid, virtual) and case counts. Of course, data are only available for about half of states. You can read more about the dashboard in this Substack post from Oster.
    • Influenza Encyclopedia, 1918-1919: In today’s National Numbers section, I noted that the U.S. has now reported more deaths from COVID-19 than it did from the Spanish flu. If you’d like to dig more into that past pandemic, you can find statistics, historical documents, photographs, and more from 50 U.S. cities at this online encyclopedia, produced by the University of Michigan Center for the History of Medicine.

  • COVID source shout-out: Teen vaccinations in Maine

    COVID source shout-out: Teen vaccinations in Maine

    Vaccination rates in Maine’s school administrative units (SAUs). Screenshot taken on September 18.

    At this point in America’s vaccine rollout, almost every state has a detailed dashboard. (Nebraska and Florida used to have detailed dashboards, before taking those sites down earlier this summer in a growing trend of states reducing their COVID-19 reporting.)

    Most states report vaccination rates by county, ZIP code, or another similar local jurisdiction. But when I was updating the COVID-19 Data Dispatch vaccine annotations page last week, I noticed one unique offering: Maine is reporting vaccination rates for teenagers, ages 12 to 18, by school administrative unit. School administrative units roughly correspond to school districts, though different parts of Maine have different school governance structures.

    This dashboard is incredibly useful; individual school districts can compare their vaccination rates to those of their neighbors, while anyone doing state-level research can get a quick overview of where districts stand. As of September 18, just two districts have under 25% of their teens vaccinated (Cutler Public Schools and MSAD 76), while a few districts have vaccination rates over 95%.

    Maine’s Division of Disease Surveillance intends to update these data “about every two weeks,” according to the agency’s website.