Back to School Webinar-Dr. Nakia Scott

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Welcome to our second return to school webinar I hope that you and your family are staying healthy and doing well my name is Nakia Scott I have a rising 8th grader my husband son and I have been members of the Saint Francis family since Colton was in kindergarten I'm also one of two physician members on the Saint Francis board and I appreciate you spending part of your Friday with me and I went to especially welcome our new Saint Francis family I have the pleasure of sharing an overview with you about our plans to mitigate the transmission rate of covid-19 in our school community this discussion will not include information about the curriculum schedule learning tools or which of your children are in specific cohort I want to thank Miss Wendy Le bar for her time assistance in securing webinar functionality to the sfsu my account and thank you to my husband Steven for helping me with the Q&A and Cat organization if you see me looking to my left presentation and looking at another monitor please hold your questions and post them at the end of the presentation I suspect that many of your questions will be addressed in the next 3 minutes or so we'll start with introductions of committees working on her covid-19 return to school plan will review covid-19 return to school guidelines and resources will discuss prevention strategies and I'll provide an overview of the symptoms screening process both for home screening as well as school screening provide information about our mask policy and after a brief closing I'll remind everyone about our virtual fundraising event and thank you tour board vice president Linda then be able for all of her hard work with this I'd like to start by expressing my gratitude to Miss Barbara Porter to Stella Amber staff teachers and to all of you parents and develop board members our board has been very hard at work meeting at least weekly Austin more frequently Barbara mentioned earlier correspondence we are at War nice with in committees including policy PPE building finance and Son racing we have very committed board members and we're doing all that we can to keep our students teachers and staff and stay and as healthy as possible the board agreed to commission a medical advisory task force to help review ever-changing policies and I'd like to extend my sincere appreciation to members of the medical advice free task force I want to especially thank our newest SSS board member doctor Lima Carrie many members of the task force reach out to Barbara asking how they can help once again an example of how we have the tree are cabal and selfless SFS parents and grandparents board members greatly appreciate all of your time and expertise we're fortunate enough to have numerous specialty represented on our task force including toy child Adolescent and adult psychiatry pediatric pulmonary medicine emergency medicine infectious disease internal medicine and we have to SFS grandmother's with well of experience in public health and in school health and I want to point out that all members of our task force have children grandchildren or alumni if they are all very invested in our community and I also want to thank members of the Cova. Verse impact and wellness committee this committee will focus on providing support and resources for parents students and faculty in relationship to impact due to covid-19 as it relates to stress anxiety and mental Wellness these are the main sources of information that we have reviewed medical advisory task force members of altar of used policies at their school I still can with many positions in our board members in Northville and what's a note that it's very important that we still follow local guidelines when we can in our school Community is very fortunate to have Laura pavido on our board who serves as the division director in the office of children's services at the Travis County Health and Human Services Department when I spoke with the CDC advised the following local guidelines is especially important in areas where there are high transmission rate such as in our area and one of the reasons why it's important for us to study guidelines from our local Authority is because if there is a cluster of people with covid-19 the Austin Public Health Department will need to close the school for a. Of time so we're doing what we can to avoid that from happening I want to thank members policy committee which is the committee that I'm on Barbara and Mary Karen and Lee using the previously reference guidelines we developed to SFS parent resources the one on the left is quite comprehensive and reviews policies the tail along with an appendix research article math desensitization protocols and a fairly robust frequently asked questions section the one on the right off of his summary Saint Francis is a unique community in our efforts to support diversity and inclusivity we understand that some of our students may have underlying medical illnesses because we're trying to keep as many people in our community essay our policies will reflect those that are most conservative when there's a discrepancy between policy again as we obtain you information and as there are changes in the local transmission guidelines and policies will change and we'll make sure that families receive updates in a timely fashion but even with our efforts even with our meticulous sideline there's still a risk of transmission of covid-19 at St Francis so if there is someone in your family or household who is immunocompromised please consider taking advantage of a remote learning option to that end we are going to focus on prevention and I'd like to start with our most important request to you all the first two bullet points are the most important pieces in algorithm first limit exposure if at all possible please avoid daycares chance and other areas that are large numbers of people in one location in at least two weeks before September 8th we understand that this is not always possible many of us need to work and we're doing the best we can to meet the needs of our children if you have a choice please ought to have children at home again we really like to keep our doors open once we're on campus and I can't overemphasize just how significant the second bullet point is there's a haiku infection rate so even if you think that your child new onset another illness having other illnesses does not preclude one from also having covid-19 if your child comes to school sick and they have covid-19 or are in corn possible exposure to start Kobe 2 everyone in their Coke Works may need to quarantine for 14 days another preventive measure is that SFS staff will conduct symptoms screening temperature text prior to students entering School and our next bullet point Universal masking and we appreciate your patience about arm asking policy changed I'm going to circle back to in just a moment in the frequently asked questions section but I want to highlight it here because it's such an important strategy that were using to prevent transmission on our campus and the influenza vaccine it is possible to have the flu with what other respiratory illnesses and covid-19 at the same time and CDC believes it's likely that flu viruses and the virus that causes covid-19 both be spreading so in this context getting a flu vaccine will be more important than ever the CDC recommends that all people 6 months and older get a yearly flu vaccine as long as there is not a medical reason not to do so so members of our building committee chose or a former board member Allison and Scott has been so hurt at work the water filling stations are replacing water fountain we have an HVAC air duct and UV light sterilization system which is cheaper well and most other schools don't have it and thank you to our finance committee Doug and Eric into our fundraising chair Linda for making sure that we're able to afford are high-end insulation equipment and I want to thank as well as teachers and staff for spending part of their summer moving items out of classroom to make sure that we have adequate classroom space to accommodate 6 or more feet ippe committee on to John and Sean are preparing him watching reminder signed as well as for sticker placement to help with physical distancing and we're using Coke Works course to help with this as well select return to one of the most important parts of the prevention measures which is to not send your child to school if they're having symptoms so the CDC recommends home symptoms screaming and every parent will have this checklist and will notify st. Francis prior to school with a yes or no for Section 1 we're currently research the most secure software application tool for parents to communicate this information to St Francis staff so if there's a check to any one of the symptoms in texting one current guidelines state that your child will need to stay at home for 10 days from the onset of symptoms not have a temperature without use the fever reducing medication for 72 hours and having pregnancy symptoms we're still using 72 hours instead of 24 hours because we're trying to use local guidelines and the Austin Public Health Department and the Texas Education Agency are still using the 72-hour mark members of the medical advisory task force will notice that the temperature is now a hundred points for this now reflects CDC guidelines we had it at a hundred degrees I just received an email very short before this presentation from the Austin Public Health department and they were just informed that the Texas Education Agency recently updated their fever temperature to 100.42 line with you can also sign a medical release of authorization form so that your child sedition can provide us with the letter documenting and alternative causes symptoms and a negative covid-19 and testing is helpful for so the CDC indicates as mentioned that if there's any yes response in Section 1 and any yes response infection to the child will need to follow the same 10-day from symptom onset 22 hour without fever and improved symptom guidelines prior to returning to school according to the Austin Public Health Department we're still in the stage 4 we may be able to evaluate this is the numbers of covid-19 Hots missions decreases which would mean that most of us may not have to have any checks on section 2 May 12th the World Health Organization advice governments that before reopening right the positivity in testing so out of all tests conducted how many came back positive for covid-19 to remain at 5% or lower for at least 40 days are test positivity rate decreased over the past week and a half or so from 30 percent is 17 1/2 if there's a checkbox in one of the first two boxes in section 2 in your child will need to quarantine at home for 14 days and this is true whether they test positive or negative so in light of what I've just discussed the board request once again that parents try to limit their children exposure as much as possible during the two weeks before returning to campus and this is just an illustration from the CDC website that helps give parents and understanding about the difference between quarantine and isolation so we can quarantine is keeping someone to enclose contact with someone who has covid-19 away from other isolation keeps the one who is dead or tested positive for covid-19 without symptoms away from others even in the room home don't miss Porter asked me to spend some time discussing the importance of mass so let's talk about masks we're going to spend time on each of these topics why the face during policy changed why should children under the age of 10 wear masks on our campus I'm and we're going to talk about children who may have some challenges with entry issues so on behalf of the board I appreciate all of you for your patience with the face covering policy change we understand that many of your children already practiced wearing their face covering choice they went out and got their SpongeBob or their American flag or the Superman math 2 practice wearing them you did exactly what we asked and we made a change and change and be difficult and it can be frustrating and it is often very stressful for all involved and I want you to know that this decision regarding the math policy made after a great deal of deliberation and after the CDC updated their guidelines about discovering after more research you're going to appreciate that one of the themes of this presentation this is an unprecedented time so guidelines change and policies change and this is true even with our best effort to maintain consistency surely appreciate your flexibility and we understand that this journey has not been an easy one those of you who are new to Saint Francis School on motto is excellent without we appreciate the diversity and uniqueness of each child and we attempted to honor this by our initial recommendation to provide face covering options we also value educational and Health Equity we are a special community and our diverse makeup includes health-related concern we have members of our Saint Francis family including student teachers staff and their families who are immunocompromised so it's important that everyone on campus have high-quality mask and Saint Francis School staff are unable to deter how many layers are in your child's mask and what's the material of your child's mask is by looking at it and there were those in our community who may not have the resources to purchase a full week's worth of high-quality mask this is a situation where we're striving to optimize for the greatest good understanding that we will fall short and ensuring everyone's happiness for the reasons why were using math instead of other types of face coverings in a bit more detail so I'll start with this care of you steady Pelican nature on Wednesday researchers at the University of Nebraska Medical Center found that aerosols collected in the hospital room that covid-19 patient contained a coronavirus and was so excited that one are Saint Francis parents next young people forwarded a New York Times opinion piece to me yesterday sighting this article you all are on top of it this study is consistent with the case of a restaurant in southern China at the beginning of the year in which one Diner infected with stars could be two at one table spread the virus to a total of 9 people seated at their table and she weather tables and as reported in the times it's also consistent with how one person besides you have infected 52 of the 60 people at a choir rehearsal in Washington in March do we have even more data which reinforce to the common knowledge that are socialized particles play a significant role and the transmission of this virus knowing this information we need to look at which face-covering offer the greatest protection against aerosolized particles this is the CDC update about face Shields that was recently posted on their website and as you can read the CDC does not recommend Yusuf because of a lack of evidence of their effectiveness for Source control and if you go to their website on the bottom of this page or number of research studies that you can reference and I'm sure that most of you are familiar the observational study and Switzerland earlier this month there was a recent outbreak among staff at a hotel that shows that all of those who were infected or plastic face shield while those who avoided infection War masks you're also probably familiar with the observational study from may also posted on the CDC website involving to hairstylist in Missouri both symptomatic with covid-19 both War mask Xfinity least 15 minutes with each client now that's important information because according to the CDC close contact defined as within six feet of someone Fort least 15 minutes they did not transmit the virus to any of their 139 client who also I'll worship now. The CDC website has a page about how to make and they recommend at least two layers and this is one of the reasons why met Gators may not offer as much protection also more research now reveals that cotton layer offer the best filtration most net Gators are polyester spandex blend and they don't offer the most effective bed in summary there is reasonable data suggest that the virus may be transmitted to large degree via air assault life particles and the most protective non-medical form of face covering is at least a double layer mask with a good fit now let's review the question that some of you have about why children under 10 should masks on campus because there have been some reports that children under 10 are not as susceptible to illness and you may be familiar with the South Korea study it was also posted on the CBC website in the study researchers analyzed reports is 59073 contacts at five thousand seven hundred coronavirus index patients reported in South Korea during January through March the researchers to find an index case as the first identified laboratory-confirmed case or the first documented case and an epidemiologic investigation within a cluster the context indications were monitored for an average of 9 days after Stars Covey to infection was detected so you can see index patient over to the left and the breakdown of positive cases inside and outside the household so under the age of 10 within and outside own transmission volume is very low Overton inside the home is equivalent to adult and outside the home transmission is low in all ages still possible and you'll see at the bottom that covid-19 was detected in 11.8% of households text rates were higher for contacts with children than adults now it likes me to continue or I'm sorry to consider a few Salient points about the study one you can see that none of these infection rates are zero which means that we can't assume that children in any age group are unable to be faster than transmitting the virus as described in their own limitations section the number of cases might have been underestimated because all asymptomatic patient might not have been identified and as many of you know indicate that infections in children are more likely to be asymptomatic and fast according to Davies at all in June and their report 79% of infections and as reported by Calvin and how print out of kennel and they're Lancet article titled covid-19 in children the link and the transmission came this may raise the possibility that children could be facilitator viral Trends and thirdly I should note that school closures early and pandemic responses really impeded larger-scale investigation as a source of community Transmission in school request in South Korea and finally the study does not provide any information about the direction of transmission so in essence the absence of evidence is not the same as the evidence of absence so although we recognize that there are studies suggesting the children under age 10 maybe less susceptible to infection or background travel and trade is not what it is in New Zealand or South Korea or Canada and unfortunately there is a shortage of contact tracing and kids aren't tested as frequently because as I previously mentioned they are often asymptomatic but I'd like to share some interesting data that was published this week in Jama regarding virus in the nasopharynx of young children which make is further Credence that we need to be very careful before assuming that children are unable to transmit this virus under the so this group shows that the replication of stars could be to an older children leads to similar levels of viral nucleic acid as adults but significantly greater amounts of our own nucleic acid or detected in children and 5 BT is a value that stands for a type of testing the PCR amplification cycle threshold so lower values actually indicate a higher amount viral nucleic acids with patients with severe infections have lower CT value and you can see as Illustrated here that the fact that young children had significantly lower CT value indicates that young children have equivalent or more viral nucleic acid in their upper respiratory tract compared with older children and adults and even though the steady use nucleic acid and not infectious virus Stars Kobe to Pediatric studies reported a correlation between higher nucleic acid levels and the ability to culture infectious virus therefore as described in their study young children can potentially be important drivers of stars Covey to spread in the general population as has also been demonstrated with RSV where children with high viral loads are more likely to transmit but even with these studies the fact is we need more data and admittedly with this study it would have been warned formative in my humble opinion to break up the 527 teenage rain none the less as it looks rated more and more research is being conducted would suggest that Universal masking looting in children under the age of 10 help our school Community decrease the transmission and then discussing breast over the last week Travis County is average 17 and 1/2 you confirmed cases per day for everyone 100000 residence which is definitely better than a few weeks ago but are transmission rates now are higher then what they were when we sent out our initial recommendation about face coverings we are still at the stage for the Austin Public Health Department Universal masking increases our chances of keeping our doors open as long as we possibly can so we're going to over rotate on safety and I have yet to find a peer-reviewed study that shows that wearing a mask increases the tree mission risk virus and even though the American Academy of Pediatrics recommended that children need to be back in school they also stated and their July newsletter quote each Community will have consider the local bread of covid-19 and its ability to implement safety protocol and protect you didn't teachers and staff and although our teacher will do their very best to promote physical distancing younger children are also those most at risk for having understandable challenges with a mask as an extra layer of protection to mitigate the stress create an uncontained major risk profile if there are children in our school who are not mast I don't know how many of you remember Miss Graham super teacher Kate I love her super teacher Katie one of the main reasons why are board members are asking everyone to wear the same high-quality mask is because our teachers still safer with this decision and as our board member doctor Lee McCary so it's cute Lee explained earlier this week during one of our many correspondences the heart of Saint Francis are our teachers and I'm going to add our coaches to that as well she's absolutely spot-on many of you may not know that our teachers have worked tirelessly throughout the summer months preparing curricula for our children moving items out of class and still trying to be emotionally available to their families during this very challenging time and as a child psychiatrist I have an opportunity to interface with teachers and Alfie Austin area are teachers at Saint Francis School are exceptional and they know our children and we are very you have teachers who care deeply about our children's well-being and safety and we care about their safety and that of their family and although they may have provide their time during the summer months the board does not expect for them to sacrifice their peace mind are teachers have requested that all students on campus wear high quality mat board members consider this a reasonable and appropriate request and our teachers have our unanimous support on this issue so what's talk about the mask I want to thank Eric there and Shawn Mullins John and PPE committee members aren't you and Sean have really worked hard on researching all things PPE through Eric been working with a local Austin company to create the masks that we want for our community so we're giving each child five high quality Mass triple-layered with the option of using a special filter call difficulty filter at the fourth layer remember the current CDC recommendation is at least 2 these are the Cadillac of custom masks they're made of organic cotton him exterior is a cotton hemp blend and the interior is cotton and will have your loot when she can't be in this picture but they'll also be the option for elastic straps behind MLB burning in the nose Bridge area to help with that so we're also purchasing Breakaway lanyard so that they won't get in this place when they're eating lunch no reduce the risk of strangulation so what's this we're all able to feel a bit more Eddie's we know that everyone around us is wearing a mask with at least three layers and we know that there are cotton layers and we know that they'll be a good pet asking everyone to wear the same mask present less logistical issues been trying to check hundreds of different types of math to determine if they meet our specifications you all should have received an email from John Mullen requesting you to use the attach Google Sheets to indicate if your child would prefer math with an elastic strap that goes over and behind the head we need this information by Sunday night August 2nd because we're going to place the order as soon as possible thank you again John and members of your committee for all of your hard work with this so we recognize that children may have sensory or anxiety challenges that make it initially difficult for them to wear a mask and as mentioned we're providing options behind the ear Loops as well as straps over the top of the head and even with these off we understand that masking percent a real challenge for some children where can Unity and our school community face difficult times in the past in fact this was a rough year and we're going to help each other through this just like we have before after alone and as a child psychiatrist and as a mom I get that it can be absolutely challenging but you know one of the reasons I love working with children is it they teach me so much about resilience and they have amazing imagination and I find it when we created Lee work together with our children to reframe experiences we can positive life lessons for them so instead of talking to Children about how they have to wear masks we can get them excited about being superheroes helping to protect others from the virus and they make make someone's life doing just said we can help them understand values of selflessness community and love for each other and we can model these values for them and the fact that all children will be wearing the same mask particularly for our younger children it's less scary if you're a little person when you see that everyone around you is wearing the same mass and it looks just like yours in fact younger children may see it is super cool I get to wear masks that are the same as the older kids do we have several resources for desensitization protocol to help with children more sensitive to wearing that one example of a protocol is on the SS that's what fight another will be in the appendix section of the handbook and I'd like to especially thank dr. Jean Dunham a fellow child psychiatrist on the medical advisory task force her time reviewing and sharing these protocols and now that we've reviewed mask let's finish up with the rest of our frequently asked questions so my child doesn't have symptoms why is she have to call looking for 14 days just because she was close to his child with symptoms so the incubation. Of covid-19 which is the time from exposure to the development of is between 2 and 14 day this means that your child may have been infected but just not have symptoms yet and we can't risk other children getting infected and this is a CDC guide second question might dial test covid-19 do other household members need to quarantine yes they absolutely do and I need to quarantine 14 days past the 10-day isolation. Of your child which means that you're wild may be out of isolation before you're out of quarantine and three are teachers staff and students getting Stars Covey to testing before on campus boarding so the short answer is no I'm in a reference for this answer from the CDC can be found if you search their interim consideration for K to 12 school administrators start Kobe 2 testing page they do not recommend Universal testing in school and with the covid-19 plan is ffs still working on ways to help promote an anti-racist community in our school absolutely we are and I want to give a special thank you to dr. Deborah overdorf we agree to take the national seed project training course an acronym for seeking educational equity and diversity and we look forward to hearing more about how she can help us as a community promote greater change social justice and I also Christina Chan and Natalie Briscoe for their very successful first proposal for anti-racist work meeting I was on that call and I'm so grateful for their hard work and is SSS mindful. how and certainty and transitions May influence the mental health of children teacher staff and family you can tell I'm a child psychiatrist yes we definitely are as I mentioned we have a mental health subcommittee the coded impact Wellness committee our school counselor misses kornblit will be providing weekly social emotional lesson two students from pre-k through 6th and coordinating closely with mr. Jim Parker dr. Deborah overdorf appropriate content in 7th and 8th grade classes during fully online learning activities will focus on building relationships and strengthening our community and I want to thank teachers on the nurtured heart team for working with this committee and I'd like to add that protecting our students mental health is another reason why we are implementing Universal masking electric Ambitions we have the greater the degree of stability our children will experience I appreciate your attention this is a lot to digest a couple of key points your board is very very hard at work and our level of preparation is unparalleled among Austin area school guidelines will change in fact the Austin Public Health Department will be posting updated school policies next week members of our medical advisory task force include doctor Lima myself will review the updated policies and dr. McCrary will host our next covid-19 policy webinar which will be closer to when we begin on campus morning the policy in books will be update can reflect the updated Austin Public Health guidelines and will be distributed to you prior to starting school and I'd like for you to remember that everyone on our board as a child at Saint Francis or has a child graduated from st. Francis so we make decisions based on what is in the best interest of our wonderfully diverse and unique School Community we are very invested making sure that we do what is right and the right thing to do isn't always the most popular or the most expeditious course of action we don't come to our decisions with the thought of let's do this because it's easy or because other schools are doing it and we'll just assume that they're probably getting it right no we invest the time we do the research we put in the hard work we do our. diligence to ensure that we are doing our absolute best regardless of what other schools are doing because these are our children and this is our community and enclosing I'd like to share with you one of my favorite quotes and the late Congressman John Lewis he says but you have to have hope have to be optimistic in order to continue to move forward and in the spirit I want to thank our teacher staff coaches Miss Barbara Porter board members members of the medical advisory and the covid-19 impact Wellness committee but I want to offer a very special and sincere heartfelt thank you to parents for your patience thank you to parents for your flexibility thank you for your understanding that we truly are working very hard BS through as we possibly can so that we can open our doors and keep them open for as long as we can and once more are Ford vice president when the van Babel asked me to remind parents once again that are virtual fundraiser is August 15th please consider joining us this is posted on the Saint Francis current Facebook group thank you. sensitive helped out with that as well as on our website and I am welcome to take question to let me go to my question and answer exit looks easier I'm not sure which data Porter is referring to let's see if I can get some more information and someone said yes we're being asked to be ours together or not 15 minutes I'm assuming that was talking about maybe the hair dresser when will we get the mask so we're children can begin the sensitization protocol as soon as possible we'd like to order them hopefully on the 3rd of I believe that John you can correct me if if that's incorrect I just might be a good time to stir to have our teachers do mental first aid training great idea and we're looking into that I will ask the old license include students who are distant warming yes what are the medical committee thoughts on the starting to bring our class cohort together are school open on the 8th and Perry we love to allow our child the opportunity to meet peers get more comfortable at the Prospect Avenue school but not if that puts the school opening at risk I think that's it question and it's an interesting question it's one bad we'll have to discuss I'll discuss it with the Medical Drive free task force as well as board members but I appreciate you posting that question what are the men cool teen thoughts on permitting Pre-K Kinder first grade onto campus birth and or being most protective of the earliest grades been kept on campus as we roll with the ups and downs of coded so we had talked about having a face. approach to yes we're definitely considering that option anything else we parents can help with these efforts just continue being me awesome parents that you are are we touched so many parents reaching out to us asking know how they can help support us in this endeavor and we just really appreciate it what is the protocol if a teacher gets sick it's the thing that you go through the same isolation process now again Yahoo Public Health guidelines as I previously mentioned are being updated and hopefully posted next week into will be able to give more information to you at that time if you have a test result comes back as negative for the suspected exposed student is the quarantine and in everyone in the cohort can go back to school that's it that's a great question and the reason why I'm hesitating with that question is because I suspect that my answer is going to change next week with the Austin Public Health guidelines that they're about to update right now the CDC and likes to use more of a symptom or Pro motion and as I mentioned a negative cast isn't necessarily required to return to school and you can use the isolation protocol so we'll have to wait if you can be a little bit patient on that and we'll see what happens next week we'll make sure the parents are updated like I said in a timely fashion I'm is this presentation available for us to download it is being recorded and I will send it to Barbara Stella Amber and Ms I've never bar Jesus never guarding math DISD is not requiring children under the age of 6 to wear masks yes I'm aware of that LSD has a good-faith attempt standard form math hey through second grade what is the reasoning to be more restrictive is it unreasonable to ask me reconsider for these younger grade when we consider a good faith attempt again as I mentioned right now we're not confident that there's still enough data to suggest that children cannot children under the age of 10 cannot transmit and because our teachers still much more comfortable with all children in the school masking but you know certainly reached out to Barbara and we will work with individual families you know where where we are compassionate so what I would say is for individual definitely reach out to us how was your concerns about that I'm sorry I don't know yet what classes I'll be like Barbara will be able to give you more information about that other than what I mentioned with physical distancing will have between children teacher will be at the front door will be signs posted reminding children to wash their hands and so forth as well as as signs on the floor to help with the physical distancing add cohort Acclaim with her heart need coke or it just means that it's a small group of students who are together during the entire day right and so if one child from that cohort and it's averaging around 10 and he's like 10 to 12 depending on which classroom they're in on and how much space is in that classroom but if one of those children become ill then we wouldn't have to have everyone in the entire School quarantine because I'm that all of the children are staying together and they're not interacting with other cohort group let's see while the CDC may not recommend testing the Four Oaks go to Music Group corporate saliva testing can be cost-effective and be important to identify outbreaks before they spread for tickly given the often asymptomatic nature of the disease is there a good reason not to implement group hope work testing yeah I mean definitely I think it's something that you can reach out to us about it's it's not something that anyone on our medical advisory task force or I should say most people are medical advisory task force really thought I needed he done but we are open and welcome to ongoing discussion about that do we have procedures processes if the worst happens in a teacher or student a member of either dies from school covid-19 been thinking about that you know but yes it's something that we're thinking about and it's something that we will continue to discuss thank you for your question who will start for teachers who need to quarantine I'll have to have Barbara answer that question Etsy this person says I reference CDC guidelines don't recommend Universal testing not impressed with the guidelines are you going Beyond those guidelines I'm yes so let's let's see if I can go back here and I can show you some of the other guidelines that were looking at but just from the top of my head Mass General Santa Clara Children's Hospital of Philadelphia we are also looking at Texas Education Agency paisd so we are looking at did the committee have any thoughts about protocols for math removal during meals yes this is something that we are still considering an the reason why we're still considering that is because that decision in part will be determined on the schedule right what happened in September are we using a face in approach what a schedule look like and Miss Porter will be able to offer for their guidance on that let's see what if despite all of the safety measures all if it goes off the rails and we're back doing virtual learning most of the year how much is this going to hurt our kids mental health last spring was so very difficult and yeah we recognized it was really difficult. For strep family time and we are definitely trying to put some things in place to help support children and their families through through this time of the one thing I can say is that the teachers have really been working very hard at making sure that the materials that are being used the schedule for the virtual learning are is user-friendly as possible forcibly if kid one gets covered in his siblings and different grades do all of those cords quarantine that's a great question yes they do make a teacher's positive for covid-19 students who I've been exposed to that teacher quarantine for 14 days and if a child and a cohort test positive do all kids in that cohort have to quarantine for 14 so this depends because again that the CDC says close contact is at least 15 minutes within 60 so I'm I'm just thinking that it made hand on the the grade of the child's right because I'm assuming that any younger for younger kids the teacher may be close to them more than perhaps an older kids so we'll have to take that is kind of a case-by-case determination but if a child in a cohort test positive potentially yes the other children and not cohort will have to quarantine and that again we're spending a lot of time on policies that I want to remind all of you all that the policy may change right and that's the reason why dr. Lee McCary will be giving an another webinar to address so I don't I don't want anyone to take this with with absolute certainty because there they will definitely change let's see if there's anything else are the child psychiatrist what do you hope we all are doing to help the mental well-being of our children during all of this pretty clear for kids under 6 years old just just love them you know I mean it this is a rough time for kids and they we we can model for our kids as much as possible because they may be scared and like I said at the time of uncertainty if we can try to be positive and I'm still hope I'm and make sure that we're doing what we can in terms of a schedule making sure the basic for kind of taking care of their eating as healthy as they can of butane we are getting some exercise I think those are things that we can definitely try to do okay this question every and I'm sorry I'm going through the questions pretty quickly I'm trying to make sure that and as many questions as I can this question ask if every cohort will quarantine if someone tests positive every color works so every child in the cohort but not every so remember Cook word is like a group of children so not every cohort in the school would necessarily need to quarantine but children in that in that cohort yes so that could be like 9 to 11 children depending on the court size how are you going to communicate with parents about exposures and we will notify parents but the students and teachers information will be kept confidential and that's one reason why we're Billy very carefully add a different software applications to make sure that they are HIPAA compliant everyone in the cold hurt will dismissal after school be staggered what about school arrival and it's something else that were looking at the great question and yes we are definitely looking to that a student has been placed into words along with siblings for example 4th grade and 3rd grade siblings have the same teachers to prevent contaminating that's an interesting question and I I don't know the answer to that but I will definitely talk with our board and ask Barbara and the teacher about that and the transmission mystery lunch we're definitely looking into that and that's another reason why we're looking at a number of different models as we progress in the school so again this is going to require some flexibility it's kind of an evolution and how this will happen and things may change and again we're going to try and be as consistent as possible but we want to make sure that we're as safe as possible and I'm okay in the chat there were questions about making XtraMath yes XtraMath are being made available for families to purchase Oh yes we we absolutely are we are making XtraMath John I think that's you that just posted that though removing lockers from the middle school hallways would increase hallway space is the building committee walking into this if there's someone on the building committee in the webinar feel free to comment on this but I know that we're looking into a number of different options for helping to enhance physical distancing have we considered shorter days to eliminate lunch that is an option that's been considered will be sanitize the place gate between cocoa considering whether or not we use the playscape or some other type of play during recess because admittedly it may be difficult to do that for question does risk increased you to the mask free choice in it it might and that's why so I'm sorry please address the change in transmission risk during lunch does increased YouTube this math brief situation is it might and so that's why one of the models is being looked at is you know do we have lunch at school or not again nothing is certain right now now in terms of the schedule but Barbara will be sending that information to you all and we are are definitely considering a number of different options and I appreciate these questions because they're really giving us ideas I know that there are other board members on the call and I'm sure they're looking at these questions and Reporting them as well if a teacher test positive and has gone teaching from classroom classroom does each group of cohorts that have been taught by the same teacher have to quarantine again it depends on whether or not that teacher was 60 of the of a child in that classroom for 15 minutes so that I think we'll have to look at it at 8 or as it has but it definitely is something that is in our guidelines and policies and we're working through that I'm for child who become sick at school yes so that chai will be escorted to a room where they will be taken care of when I say taken care of I mean that they'll be monitored the child will not be just alone in a room and then the parents will be notified and asked to pick up their child within a reasonable amount of time and we definitely want to make sure that we're communicating right with parents as quickly as possible should a child in and become sick and then we'll have to look at a coup within that child cope word and know depending on the age of the child and as whether or not they were again near be a child he was sick you know within the 15 minute and in 60 and so forth and will those that have already tested positive be asked to not return to school for 10 days if and when they were potentially exposed again so if they're re-exposed I'm not quite sure I understand the question about 1 so if there if they tested positive they would still have to ice the weight I think they still have to stay at home for the 10-day period of time in OB afebrile for 72 hours although the CDC is Now sing 24 hours so that's another thing that might change and have improving symptoms let's see I think we might have missed it but is SFS adjusting the students work remotely if they are able to family wise not not necessarily I mean I think it depends on what is going to work best for your family you know if there were trying to do what we can to mitigate the there is a rest so if you are able to work remotely and that kind of makes sense for your family and you feel more comfortable with that I'm I know that Barbara and the teachers been working on just really having an exceptional remote learning experience for children so I think it will be good oh thank you Greg I appreciate your kind words okay will we have a school nurse one of the members of our medical advisory task force is a you let me pull up so that you guys can see who I'm talking about and she is a nurse and we have been talking and she said she's fabulous he is offered to help out and we're trying to determine in which capacity she would do that but as of now we don't have a school nurse that we're talkin with Doctor Porter I would about a student who does not comply with the safety guidelines will they also go to that isolation Orange game room I think we can use I think our teachers are experienced than and creative enough to use other methods Detroit I'll to be forcibly moved in I think we can the Escalade and show compassion and a lot of times in my experience there may be something by behind some children's behaviors and so the way to approach that is really to help them feel safe I'm in home is the expectation that a child will have to sit at their desks for the duration of the school day essentially because it appears it would be impossible to maintain distance with children moving around I think outdoor very important place for kids to be so I anticipate that they will have recess and they will have some time to be outside but I can understand your concern that you're asking Brian I don't think it's reasonable to expect any child to just sit at a desk all day that's not what I would consider developmentally appropriate for a child given the similar symptoms between the seasonal flu General viruses in covid-19 once feeling well enough no sew and this this was in my presentation but see if I can so right now it in again put me just for my parents some flexibility is going to be requested because these guidelines but now what we need is a note from a physician or other health-care professional dating that there's an alternative reason why your child has these symptoms and a negative covid-19 but I should also point out that there right now when I last spoke with Austin Public Health they were interested in using more of a symptom based approach because tests aren't always readily available which is the reason for again the 10-day isolation . so you don't necessarily have to have a negative test to return to school if you fulfilled the isolation guidelines at which are in 10 days and then the 72-hour which is was no option for look healthy and I texted education even be still have but he is now staying at 24 and the resulting symptoms would see if there any other let's that was a question about fleas season you so yes I I answered that question previously with this last question about getting a note from your doctor along with a negative test Hobart in June how to not return to school in 10 days perhaps but that I'm I'm not 100% certain about because I've seen Kraken sea and guidelines so again I'm going to wait and see what the Austin Public Health has to say about that and I'm in terms of teachers being paid if they have to quarantine him sorry I don't have that information but I'm sure you can reach out to me with that question I'm not quite sure with 4th IVF cycle over to Frozen embryos total not quite sure with what that means I'm sorry okay next question what can we do is families to assure all teachers staff that we are mindful of their health and want to take all measures possible to keep them safe and healthy great question you know I think that is a school Community because we have a lot number of just great parent that have already been reaching out in a drought this whole process is asking what can we do to help I think part of it would be good if the teachers are asking us to I am have all of the children I'm at our school wear masks that would be a start right because there are potentially going to be with our kid during the entire School and if it helps them feel more comfortable I think it would be a reasonable to start there okay Jeanette ask for the math have our school name and logo on them I am so sorry I did not I did not say that during my presentation yes they will they will have it it will be a a Bejeweled Saint Francis mask orbi Math training to ensure nose covering yes we are definitely looking into that are bored actually just had a conversation about that during our last meeting on Wednesday I'll see if there's anything I'm an I don't think so so again I thank you for your and I will definitely after the presentation continue to go through questions that I may have missed will record them discuss them if you were not in Donna and I can figure out to you were based on your description in the Q&A box then we can reach out to you I'm so again thanks for your attention and I hope you all enjoy your weekend take care

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