Wednesday, February 17, 2021

Acceptable Amount of Death

The CDC, politicians, pundits and school leaders continue to use the word "safely return" to school. This is impossible during a pandemic. "Safely" implies that mitigation efforts are successfully preventing transmission. In reality, they are, at best, only reducing transmissions. Even the 2 reports cited by the CDC to support their back-to-school plan showed some transmission still occurring, in spite of mitigation efforts.


What the CDC, politicians, pundits and school leaders are ACTUALLY calling for is not a "safe" return to school, but one that they know will result in some degree of transmission, serious illness and potentially death (if not among students and staff, then at least among their family and community members, when they bring the virus home). Therefore, they are not offering us a truly safe to return. What they are really telling us that if we follow their plan, there will be an ACCEPTABLE number of hospitalizations and deaths that are DELIBERATELY part of that plan.

Of course, they won't say this publicly because it is so horrific and damning, and it shows their utter disregard for human life.  Perhaps some of the folks promoting a rapid return to school are just plain naive or delusional, and really believe that it can be done without a single transmission occurring at any of our schools, without any spread to the homes and communities of students and staff. But they would have a much harder time believing this naive or delusional viewpoint if we were more honest up front and called it what it really is: An ACCEPTANCE of some risk of transmission and death.

Saturday, February 13, 2021

CDC Warps the Science to Support the Demands of Capitalism

 

CDC Warps the Science to Support the Demands of Capitalism

 

Joe Biden promised all schools would reopen within his first 100 days in office. The major teacher unions have jumped on board, mandating that their affiliates subordinate the needs and concerns of their members to those of the Democratic party. Consequently, we have seen Chicago, the 3rd largest school district in the nation, forced back into operation by its own union, even though many teachers say they have no functioning air filtration systems in their classrooms and that their own administrators are so ill-informed about the safety protocols that they’re asking the teachers to explain them.

 

On Friday, the CDC published their latest update on “safe” school reopening, demonstrating their willingness to subordinate science and the public’s health to the demands of capital. In this publication, they insist on using the word SAFE (as in “schools can safely open”) even though this is impossible to assert. In a pandemic, even in communities with low infection rates, it is still easy for an asymptomatic or presymptomatic student or staff member to squeak past the ubiquitous wellness checks and potentially infect dozens of students and staff members. It only takes one person to die or suffer serious complications for the claim of “safe” to be proven false. Furthermore, it is not just a question of whether kids and/or staff members get seriously ill or die. If a child catches the virus at school, then takes it home and a family or community member gets seriously ill or dies, that, too is evidence that reopening the school was not safe.

 

Semantics aside, the meat of the CDC’s plan should give pause to anyone who has been paying attention to the Covid news over the past year. First, they say that even when communities are at 100 or more new daily infections per 100,000 residents (i.e., completely out-of-control spread), K-5 schools can still safely open with proper mitigation. But there is no mitigation that can keep the highly infectious asymptomatic people out of school. Young kids can still transmit the virus readily to family and community members. Even if no K-5 children die, their teachers and their family and community members can. The more people congregate in crowded indoor environments during a surge, the worse the surge gets and the longer it lasts. And with the highly infectious UK variant expected to become the dominate strain in the U.S. by mid-March, it seems scientifically irresponsible and criminal to be encouraging any sort of indoor gatherings, including K-5 schools. Indeed, Michael Osterholm and many others are predicting another new surge to start in the next week or two, and that it will be worse than the last one because of these new variants.

 

The CDC also strongly encourages communities with infection rates as high as 10-49 new daily infections per 100,000 residents to “fully open” for in-person learning (i.e full classrooms). This implies that physical distancing measures will be abandoned and it's an internal contradiction. If physical distancing is considered one of the keystone mitigation measures, how can a school “safely” open with proper mitigation if they have classrooms filled with 30-40 students, sitting elbow to elbow?

 

The CDC cited 2 studies (schools in North Carolina and rural Wisconsin) that suggested that infection rates within schools was lower than the rate of community infection, as if this proved schools were safe. But this reasoning is fallacious on two counts: First, no one can get infected at school unless at least one person who is already infected (i.e., picked it up in the community) brings it to school. Therefore, it is irrelevant if school infection rates are lower than community infection rates. Both are places were Covid spreads. People infected at school can bring it back to the community and vice versa. If our goal is to reduce infections, flatten the curve, get this pandemic under control, then, logically, we should be reducing our number of indoor interactions with those outside of our household. We should be reducing all indoor contacts (see Stop Swapping Air campaign), including school. Opening schools, regardless of the reasons why, only serves to increase our indoor air exposure and, thus, our risk of getting sick, which is the opposite of safety.

 

Second, if anyone gets infected at school, even just one person, we have, by definition, proven that the school was NOT safe. For, if it truly was safe, if all the mitigation efforts were working, no one would catch it from the individual(s) who brought it in from the community. Yet, in the North Carolina study, 32 kids still got infected at school, proving that the schools failed to prevent kids from getting infected (i.e. failed to keep them safe).

 

Both studies were also biased in a significant way. The studies were done between August and October, when community infection rates were comparatively low. In North Carolina, there were ~14 new daily cases per 100,000 in mid-September. While this would still be within the most restrictive Purple Tier if it were in California, it is far lower than the infection rates the CDC cited as safe for reopening. And it is only logical to assume that with higher community infection rates, there will also be higher school infection rates, since it would be easier for kids to get infected outside of school and then bring it with them to school. So, even if school infection rates are lower than community infection rates, that does not mean that schools are safer. Schools simply add yet another crowded, indoor environment in which to swap germs and spread the disease.

 

There are other problems with the claim that school infection rates were lower than the community infection. First, if a community is doing little to mitigate spread (e.g., not enforcing mask and distancing mandates, allowing in-person activity in crowded indoor environments, like gyms, salons, retail stores), then it stands to reason they will have higher infection rates. But what about in communities, like the San Francisco Bay Area, where community mitigation is fairly strict and well adhered to? Opening schools in places like this could see the inverse occurring, with kids spreading the virus in schools and then bringing it back home, precipitating new community outbreaks. Indeed, a recent Canadian study found that recent community outbreaks there were caused by schools. And this study found that that Covid transmission among kids is NOT a consequence, but a cause of community outbreaks.

 

Another problem with these studies is that they represent only a few schools from only two states. It is a form of data cherry-picking. With millions of public school children in the U.S., it stands to reason there’d be many examples in which a school seemed to reopening “safely.” However, it would be scientifically and ethically irresponsible to extrapolate the results of these two studies to all schools and districts throughout the nation, as many scientists and pundits are doing. First, kids did get contract the virus at school in these studies and we don’t know the extent to which they infected family and community members, or how many people subsequently suffered severe illness or death. Second, these two studies may represent anomalies. In science, we cannot confirm a hypothesis without considerable data. Furthermore, the results must be consistent, even when the study is repeated by other researchers. Yet, there are ample cases where the results have been different, where lots of kids and staff members were infected by school outbreaks. While not exactly the same scientific methodology, there is this example, where, despite social distancing, Nearly an Entire Class Contracted Covid. Or this one: Schools Are Now the 2nd Biggest Source of New Covid Outbreaks in England.

 

The CDC identified “five key mitigation strategies” which they claim make in-person learning safe: Universal and correct use of masks; physical distancing; handwashing and respiratory etiquette; cleaning and maintaining healthy facilities; and contact tracing in combination with isolation and quarantine, in collaboration with the health department.

 

Yet how can we expect any, let alone all, schools to adhere to these? Administrators are notoriously weak in the enforcement of discipline. Indeed, at my own school, our union rep told us that if kids refuse to wear their masks, admin will be applying a “3 strikes” rule. But how can that be considered “good mitigation” when it allows people to break the rules 3 times before getting some form of discipline. We’re talking about a deadly disease. Even if they were expelled from campus, that would still provide 3 opportunities for them to get infected or to infect others. Would we give a kid three chances with a loaded weapon? With the current moratorium on suspensions and expulsions that are occurring in many school districts in the name of racial equity, it is likely that students who break the rules will not even be sent home, let alone the principal’s office. Additionally, many teachers (like the Americans, in general) are conflict adverse and will go to great lengths to avoid calling students and peers out for misbehavior. This also suggests that many of these “safety” rules will be routinely violated.

 

One could argue that I’m being unduly suspicious and negative. However, I have taught high school for 23 years and these observations are what I have seen at both low-income urban districts and wealthy suburban districts in which I’ve taught. Furthermore, it is more prudent to assume that violations will occur and have a plan, than to assume everything will workout and be unprepared when it does not. Take masks, for example. How can we expect students or staff to keep them on for 8 hours a day, especially in rooms with lousy HVAC systems or during hot spring months? How can we expect kids, who’ve been denied live social interactions with their peers for the past year to always keep 6 feet apart and refrain from handholding, fist-bumping and high-fiving each other? And I’m just talking about teenagers here. The idea of 6-7-year-olds refraining from hugging and taking masks off is just plain delusional. And, of course, there are many special needs students for whom these rules will be particularly difficult to enforce.

 

According to the Covid Monitor (2/13/21), which tracks Covid outbreaks at schools, there have been 643,610 school infections, 382,264 of which occurred in students. This can hardly be considered “safe” or an indication of success. Evidence indicates that household spread is common. Therefore, while many of the infected individuals likely picked up the virus at home and then infected peers at school, we can safely assume that thousands of others were infected at school and then brought the virus home. If we traced all the people who contacted the students who got their infections at school, and all the contacts of those contacts, those 600,000 school infections likely led to millions of other infections. This, too, can hardly be defined as “safe.”

 

The CDC guidelines say that contact tracing and quarantining need to be part of the mitigation plan, but these have rarely been consistently done anywhere in the country, at any time during the pandemic. The guidelines say nothing about where the funding would come from. Indeed, perhaps if the funding existed, these programs would have been in place last year and we could have saved hundreds of thousands of lives.

 

Another problem is that schools vary dramatically in terms of the age and safety of their facilities. A US Government Accountability Office report from June 2020, said that 54% of public school districts needed to update or replace their HVAC systems. This is a significant factor in Covid mitigation. How will dilapidated old schools in the midwest or east coast keep the students warm in snowy winter months while maintaining a safe airflow with broken down, ancient HVAC systems? Even in my wealthy district, many classrooms have dysfunctional HVAC systems that keep the rooms in the 90s, even when it’s a cold winter day, or that have broken air filtration systems.

 

Contrary to the CDC’s recent proclamation that schools can be safely opened, there is considerable evidence that the opposite is true, that keeping schools closed is far safer than opening them. Here are just a few examples:

·        Osterholm Says the Data is Clear: It is Unsafe for Kids Age 10-19 to Be in School

·        Studies show that Keeping Schools Closed Significantly Reduces Transmission rates.

·        This study shows a 40-60% reduction in infections when schools are closed.

·        And this one, by pandemic expert Dr. Howard Merkel, shows that closing schools early and keeping them closed is one of the best ways to curtail a pandemic.


But for the sake of argument, let’s assume that it is possible to operate schools “safely” during a pandemic, assuming full compliance with every one of the CDC’s mitigation recommendations. But why should anyone believe that full compliance will happen at all, let alone most of the time? Schools are bureaucracies with lots of competing interests within them. Compliance requires the full cooperation of dozens to hundreds of individuals who must all be fully versed in the logic behind the rules and provided the power to enforce them. Yet there are countless examples over the past year where this has failed. Dozens of districts and entire countries that have insisted they were doing it safely, only to see surges in new infections occurring at school. The following are just a few of the many examples of these failures, but they should be sufficient to make everyone skeptical that it will somehow be done right in their own community, with their own children or adult family members who work in schools.

·        70 New Infections Causes France to Reclose Schools After Only 1 Week.

·        Covid Outbreaks Force Israel to Close  Schools Immediately After Reopening 

·        Canadian Study Finds That Schools Were Cause of Recent Community Outbreaks

·        Study of 41 Countries Finds Closing Schools Reduced Covid Spread by 38%

·        3 Arizona Teachers Shared a Room for Summer School & Caught Covid, 1 Died

·        NY Has 78 Educator Covid Deaths So Far

·        Even the CDC said that Reopening Schools is Highest Risk for Spreading Covid (but this was back in July, before they were under as much pressure from the politicians and Wall Street to justify reopening the schools)

·        3 More Teachers Die

·        Over 2,000 UK Schools Have Covid Outbreaks

·        45% of All UK Covid Infections Linked to Schools

·        Reopening German Schools Leads to Explosion of infections

·        1 Student in Israel Infected 25 Teachers

·        Leaked emails Show Sweden Knew in March That Schools Would Spread Covid

·        8 More Teacher Deaths

·        99 School Outbreaks in Michigan

·        2/3 of French Outbreaks are Occurring in the Schools

·        2 Days After Opening, 81 Students Quarantined in Escondido

 

It is also important to recognize that while kids have a lower risk of serious complications and death, they can get seriously ill and die. Indeed, many have. Furthermore, they can also spread the disease as easily as adults. So, even if they aren’t getting seriously ill or dying, they may be contributing to other people’s serious complications and deaths.

·        31,000 Children Have Covid in Florida, 23% Spike in Juvenile Hospitalizations

·        74,000 Kids Infected In 1st Two Weeks of August, 21% Increase

·        Increasing # of Severe Inflammatory & Cardiac Symptoms in Kids With Covid-19

·        Study Indicates That Kids & Adults Have Similar Infection Rates

·        Spike in Fatal Kawasaki-Like Symptoms in Children with Covid-19

·        61,000 Children Infected With Covid Last Week

·        Asymptomatic Patients May Still Have Significant Organ Damage 

·        Another Study Indicates Children Can Transmit Covid as Well as Adults

·        Preliminary Data Indicates Children are Just as Likely to Catch Covid 19 as Adults

·        Surge of Deadly Multisystem Inflammatory Syndrome in Kids (See here here & here & here & here)

 

It is very clear that the drive to reopen the schools is based almost entirely on the demands of capitalism. Everyone must go back to work now, regardless of whether it is safe for them and regardless of whether there is any work to go back to. Reopening the schools is considered the primary strategy to meet this demand, as teachers provide free (tax-funded) babysitting for parents. But it should also be clear that reopening the schools while the pandemic is still raging out of control will only perpetuate the current surge and doing so, even when we’re back in the orange tier, will only contribute to new surges and perpetuate the needless hospitalizations and deaths.

Biased Science in the Service of Capital

  Dear Superintendent and School Board,   It is not too late to reverse the irresponsible and potentially deadly plan to reopen our scho...