Inequality makes school reopenings less fair

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Former US Education Secretary Arne Duncan says superintendents are now also public health officials forced to figure out how to keep schools virus-free.

Posted: Aug 5, 2020 4:20 PM
Updated: Aug 5, 2020 4:20 PM

"in feb, i thought the failure to act was slowness. in april, i thought it was incompetence. i dont know how to process that it was malice," tweeted Prof. Ellie Murray.

These words have hung heavily with me over the past few days. I agree with these words. I struggle with these words.

I would add that, in the months since the novel coronavirus pandemic began largely shutting down our communities, we have also squandered the opportunity to plan for how to safely resume some of the most critical aspects of society.

Since many schools closed in March, there has not been nearly enough discussion of how to reopen them in a safer fashion this fall. If we truly wanted schools to open, we would have collectively worked to lower community transmission and allocated the money and resources needed to reopen schools as safely as possible.

If the community transmission in my area remains low, my wife and I have made the calculated decision that we will send our children to school. I am comfortable with this decision because I understand and support the mitigation factors our children's school has put in place.

My children also understand the importance of masks, distance and how their interactions with others increase risk of infection.

But I recognize and have to admit to my privilege. My children attend a private school with the resources to reopen in a manner that will maximize the chance that they, their classmates and the staff at the school will remain infection-free.

Even with the resources on hand, the teachers at my children's school are nervous for their health and safety. And rightfully so -- if you have kids and you don't have nerves about schools restarting, then you aren't fully appreciating the situation that teachers, staff and your household are facing.

Teachers in public schools understandably have the greatest level of anxiety, based on conversations I've had with them.

I am somewhat sheepish in admitting to the following, but one of the other factors that helped in our decision to send our children to school is my knowledge of the link between socioeconomics and infection.

The families that send their children to private schools fall into demographic groups that are less likely to be badly affected by the pandemic. We have long-known that there is a wealth disparity with the infection rates.

From the early days of the pandemic, public health officials recognized how the virus was deepening American inequality. The financial inequality rife throughout the US drove some families directly into the path of the virus while allowing many with means and office jobs to isolate themselves at home, continuing to work but remotely and away from this plague.

The wealth disparity is not unique to the US. A similar phenomenon has also been observed in Canada. In a beautifully written piece, the Toronto Star clearly highlighted the difference in infection rates between the 20 lowest income neighborhoods and the 20 highest income neighborhoods in Toronto.

The number of weekly new Covid-19 cases in the lower income neighborhoods, at peak, was as much as 6 to 8 times higher than that of the wealthy neighborhoods.

We can speculate as to why there is a wealth disparity with infection rates in our communities: More people in lower income neighborhoods may have been essential workers, providing more opportunities for exposure; often the housing density in those neighborhoods is high, increasing the ease of transmission between households once infections have penetrated the neighborhood; and often within households there are more people in less space, enhancing within-the-home infection rates.

These disparities in infection rates should alarm us all. Not just because they highlight how fractured society has become, but because they provide us with a forecast of what is to come in the rest of the US when schools resume in-person teaching.

When there are people mixing in the workplace and those workers come home to a family, the spread of the virus in the community paves the way for transmission in the home.

Children throughout the US were pulled out of school in the spring semester to finish the school year remotely and have largely been staying home due to lockdown measures. But they will be assembling in groups when the school restarts in person.

The infection rates we have seen among lower income essential workers and their families could now become the infection rates we see in children attending school. And those infected children will come home to their community and mix with each other in neighborhoods and sports. And they will spend many hours with their parents, siblings, and extended family.

We now know that children can be infected. While the evidence is currently mixed on how easily they can be infected -- ranging from half as likely to as likely as adults (especially for those children over 10 years old) -- the data is robust that children can be infected.

However, we can take some comfort in the data showing that children are much less prone to severe outcomes from Covid-19. Lower severity of disease gives many people the justification they need to send their kids to school.

This fact alone, coupled with my family's overall good health, does give me some comfort in our decision to send our kids to school.

But we must appreciate that children also harbor as much virus in their noses as adults. This is important because the nose and the mouth are the primary locations by which the virus tries to leave your body and find a new host.

If children touch their nose or mouth and then touch another child or a shared surface, or they cough or sneeze, the virus could be easily released into the school environment.

Given that many children do not develop as severe Covid-19 symptoms as adults, it's possible that their ability to transmit the virus could be lower. But that transmission risk is still, of course, present. And when we consider there are 56 million school-age children in the US, that risk is nothing to take lightly.

Some parts of the US have started going back to school, with one Indiana school closing days after it opened due to an infected staff member. Other schools may get a little bit of breathing room before the first infections are revealed.

But make no mistake, if there is community transmission in your local area, once schools resume there will be infected children and staff within those school walls. And once they are in the school, you are relying on the mitigation efforts the school has put in place -- masks, physical distance, ventilation and filtration of air, outdoor teaching -- to stop within-school transmission.

What is your school doing to prepare? Every parent, teacher and staff member should be asking critical safely questions. If the answers you receive don't align with your risk profile, then you need to demand more of your school and your local government.

At this stage the most important thing we can do is to focus our attention on reducing community transmission -- because once schools resume in-person teaching, children will be interacting with larger group of friends and we will be giving the virus mobility and the susceptible hosts it needs to spread in our community.

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 1506866

Reported Deaths: 20637
CountyCasesDeaths
Marion2056892545
Lake1006641508
Allen935801017
Hamilton72876550
St. Joseph64730759
Elkhart49383628
Vanderburgh48286528
Tippecanoe43764336
Johnson38300526
Hendricks36427460
Porter34494473
Madison29024543
Clark25868326
Vigo25633345
LaPorte23430309
Monroe23133247
Howard22089379
Delaware21603368
Hancock18686220
Bartholomew18152215
Kosciusko17921203
Warrick16933214
Wayne16230302
Floyd15876257
Grant15364298
Morgan14409231
Boone13514138
Noble11815141
Dearborn11676113
Henry11667201
Shelby11649151
Marshall11337168
Dubois11257152
Jackson10586104
Cass10269143
DeKalb10202130
Lawrence10196220
Huntington10156139
Gibson9583126
Montgomery9274143
Knox9043125
Harrison8983117
Whitley874371
Steuben8603105
Jasper8252115
Clinton818995
Miami8128133
Putnam8128100
Jefferson7849127
Wabash7827139
Ripley7180114
Adams6658102
Daviess6558129
Scott645186
White620483
Clay607175
Greene6064112
Decatur5967120
Wells5944120
Jennings591680
Fayette5786122
Posey552648
LaGrange529697
Randolph5073129
Washington503669
Owen4976100
Fountain475880
Spencer451756
Sullivan443065
Starke440586
Fulton434192
Orange429582
Jay414664
Rush410237
Perry386455
Carroll381749
Franklin377550
Vermillion358362
Pike323445
Parke322538
Tipton317375
Blackford274055
Pulaski272275
Newton233661
Brown228956
Benton219021
Crawford217532
Switzerland197814
Martin189422
Warren175922
Union170219
Ohio124016
Unassigned0739

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 2460869

Reported Deaths: 31245
CountyCasesDeaths
Franklin2660682065
Cuyahoga2589843018
Hamilton1711291714
Montgomery1142371604
Summit1077801391
Lucas917461160
Butler81317942
Stark759401400
Lorain63561792
Warren51721475
Mahoning50412915
Lake47212605
Clermont45258429
Delaware40037212
Trumbull39108755
Medina38036419
Licking37943408
Fairfield34857334
Greene33267422
Portage31942360
Clark31218445
Richland29019423
Wood28563297
Allen25249395
Miami23567395
Muskingum22859245
Columbiana22539403
Wayne21740356
Tuscarawas19252427
Erie18390222
Ashtabula18260342
Marion18111232
Scioto17366207
Ross16832252
Pickaway15948178
Hancock15761228
Geauga15374223
Lawrence14350186
Belmont13767247
Union1375384
Huron13682182
Jefferson13250258
Sandusky13047199
Athens12272106
Knox11850198
Seneca11762200
Darke11111198
Ashland11022178
Washington10836168
Auglaize10540142
Crawford10172175
Shelby10101157
Brown9734140
Fulton9531150
Guernsey9423117
Highland9396148
Defiance9321135
Logan9228142
Clinton9087127
Mercer8902111
Madison8836106
Preble8265162
Williams8127135
Putnam7922135
Ottawa7809121
Champaign7782112
Jackson7582117
Perry731298
Coshocton7210136
Morrow712882
Fayette688687
Pike640586
Hardin6397128
Gallia614791
Adams6000124
Van Wert5923121
Henry586493
Hocking5718104
Wyandot491590
Carroll4909100
Holmes4814161
Paulding414664
Meigs387473
Monroe307468
Noble289351
Harrison287961
Morgan283348
Vinton247945
Unassigned08
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