2020 Virtual Meeting Pediatric Update June 13 2020

2020 Virtual Meeting & Pediatric Update June 13, 2020 – 8 a. m. – 11: 45 a. m. June 14, 2020 – 1 p. m. – 5: 45 p. m.

GUIDANCE FOR ALABAMA SCHOOLS TO RE-OPEN KAREN LANDERS, M. D. , F. A. A. P. ASSISTANT STATE HEALTH OFFICER

FACULTY DISCLOSURE v I do not have a significant financial relationship with the manufacturers of commercial products and/or providers of commercial services discussed in this CME activity. v I do not intend to discuss use of a commercial product/service. v I do not intend to discuss an unapproved/ off-label use of a commercial product/device in my presentation.

APRIL 6, 2020 - THE STATE ORDERED SCHOOLS TO CLOSE THE REMAINDER OF THE SCHOOL YEAR JUNE 1, 2020 – THE STATE WILL BEGIN PHASING IN THE RE-OPENING OF SCHOOLS v LIMITED CAMPUS ACCESS FOR GRADES 7 -12 FOR SUMMER LEARNING WITH LIMITATIONS AUGUST 2020 – PLANS TO RE-OPEN THE 2020 -21 SCHOOL YEAR. DETAILS TO FOLLOW CURRENTLY THERE HAVE BEEN 15, 775 CASES OF COVID-19 REPORTED IN ALABAMA v ~10% OF THE CONFIRMED CASES ARE PERSONS OF SCHOOL AGE

THE RISK OF COVID-19 SPREAD INCREASES IN SCHOOL SETTINGS AS FOLLOWS: v LOWEST RISK- VIRTUAL ONLY CLASSES, ACTIVITIES, AND EVENTS v MORE RISK- SMALL, IN PERSON CLASSES, ACTIVITIES, AND EVENTS. SMALL GROUPS OF STUDENTS AND SAME TEACHER STAY TOGETHER. STUDENTS REMAIN 6 FT APART AND DO NOT SHARE OBJECTS. v HIGHEST RISK- FULL SIZED, IN PERSON CLASSES, ACTIVITIES, AND EVENTS. NO SOCIAL DISTANCING, AND STUDENTS SHARE MATERIALS OR SUPPLIES. STUDENTS MIX BETWEEN CLASSES/ACTIVITIES.

PROMOTE BEHAVIORS TO REDUCE THE SPREAD OF COVID 19 EDUCATE STAFF AND FAMILIES ABOUT STAYING HOME WHEN APPROPRIATE POST SIGNS IN VISIBLE LOCATIONS AND BROADCAST ANNOUNCEMENTS, THAT PROMOTE EVERYDAY MEASURES AND DESCRIBE HOW TO STOP THE SPREAD OF GERMS CLOTH FACE COVERINGS SHOULD BE WORN BY STAFF AND STUDENTS WHEN FEASIBLE v CLOTH FACE COVERINGS SHOULD NOT BE USED ON CHILDREN YOUNGER THAN 2 v ANYONE WITH BREATHING ISSUES v ANYONE WHO CANNOT REMOVE THE FACE COVERING WITHOUT ASSISTANCE HAND HYGIENE AND RESPIRATORY ETIQUETTE v REINFORCE HANDWASHING WITH SOAP AND WATER FOR 20 SECONDS v HAND SANITIZER WITH AT LEAST 60% ALCOHOL v COVER COUGHS AND SNEEZES WITH TISSUES. DISCARD IMMEDIATELY AND SANITIZE v PROVIDE ADEQUATE SUPPLIES INCLUDING: SOAP, SANITIZER, TISSUES, DISINFECTANT WIPES, PAPER TOWELS, CLOTH FACE COVERINGS, NO-TOUCH TRASH CANS

MAINTAIN HEALTHY ENVIRONMENTS: CLEAN AND DISINFECT FREQUENTLY TOUCHED SURFACES WITHIN SCHOOL AND SCHOOL BUSES ESTABLISH HAND HYGIENE STATIONS AVOID SHARING ELECTRONIC DEVICES, CLASSROOM MATERIALS, ETC ENSURE VENTILATION SYSTEMS OPERATE PROPERLY MODIFY CLASSROOM LAYOUTS FOOD SERVICE- USE DISPOSABLE ITEMS, HAVE GRAB AND GO LUNCHES PREPARED

MAINTAIN HEALTHY OPERATIONS: REQUIRE SICK STUDENTS AND STAFF TO STAY HOME. ANYONE WITH A FEVER OF 100. 4 OR HIGHER CANNOT BE ADMITTED IN THE FACILITY RECOGNIZE SIGNS AND SYMPTOMS ADEQUATE NUMBER OF THERMOMETERS FOR SCREENING IMPLEMENT ISOLATION MEASURES IF A STUDENT BECOMES SICK, FOLLOWED BY CLEANING AND DISINFECTING THE AREA OF ISOLATION ADDRESS ANY STUDENTS/FAMILIES OR STAFF WITH VULNERABLE HEALTH CONDITIONS

RESOURCES: CDC GUIDELINES FOR SCHOOL SETTINGS https: //www. cdc. gov/coronavirus/2019 -ncov/community/schools-childcare/schools. html ALABAMA DEPARTMENT OF EDUCATION GUIDELINES https: //www. alsde. edu/covid-19 ALABAMA DEPARTMENT OF PUBLIC HEALTH GUIDELINES https: //www. alabamapublichealth. gov/covid 19/index. html