School & District Management Opinion

We Are Pediatricians. Here’s How to Reopen Schools Safely

12 principles for defining safe reopenings
By Danny Benjamin & Kanecia Zimmerman — January 28, 2021 4 min read
A clean face mask on top of scattered sharpened pencils
  • Save to favorites
  • Print

The finding offered this week by researchers from the U.S. Centers for Disease Control and Prevention that schools have not been hotbeds of rapid on-campus transmission of COVID-19 or even of significant student-to-staff infection grabbed headlines and raised hope that we can get children back in class soon—a goal we as pediatricians share. While the poet Gertrude Stein famously wrote, “A rose is a rose is a rose,” we need to be clear as a nation that when it comes to reopening schools safely, that safe is not safe is not safe.
The ABC Science Collaborative we lead (and whose research the CDC cited) has partnered with nearly 50 school districts in North Carolina to help educators and families understand the most current and relevant data about COVID-19 so that they may make decisions that will keep teachers, staff, and children safe when they return to the classroom.
First and foremost, no school can be called safe without following what North Carolina calls “the 3Ws"—wear a mask, wait at [a safe] distance, and wash hands. Beyond that, with our school partners, we have determined 12 principles that define safe school reopening during this pandemic:

  1. Be transparent. Schools should report all COVID-19 cases weekly. We know that schools are rarely super-spreaders and that infection rates in schools are reflective of infection rates in communities—not vice versa. Reporting cases makes this fact clear.
  2. Make a road map for contact tracing and testing. School districts and health departments should make these road maps available to the public in writing to describe exactly who will do what for successful contact tracing. This should include timing and the details of how tracing happens and highlight the differences for how this is done for young children (who may not have effective verbal communication) as well as adults.
  3. Develop a dashboard. Districts should have a way to see and use school-level data in making decisions. Dashboards should be school-specific (for principals and vice principals) and districtwide (available for superintendents and other district leaders). These dashboards should include numbers available to the public such as cases, information specifically for school leaders on within-school transmission rates, number of staff and students in quarantine, testing rates, vaccination status, and comparisons of this information with countywide data.
    Simply calling school reopening 'safe' in a public meeting or on a website does not make it so.
  4. Work with a trusted third party to analyze data. Many districts lack the expertise to analyze secondary transmission rates adjusted for population as well as other concerns related to emerging science, virology, and epidemiology. A third party, such as a university or nonprofit, also can act as a clearinghouse for knowledge management across districts in a region or state.
  5. Leverage up-to-date metrics. The experience in North Carolina, Mississippi, Wisconsin, Western Europe, Asia, and Australia gives us insights into how much COVID-19 “spread” to expect in schools that adhere to masking, physical distancing, and handwashing, including metrics such as secondary transmission per 10,000 students. These metrics are preferable to county data because the crucial element of managing schools is to prevent spread within schools. The details of these metrics for considering when to move from in-person to remote instruction can vary by district, and the precision of these metrics will improve as we gather more data.
  6. Develop a plan for clear communications. Before providing face-to-face instruction, districts should have in place a detailed plan for communicating about cases and within-school transmissions if they occur.
  7. Be precise. The details of how students, staff, and visitors will adhere to the 3Ws for the entire school day should be clear to all and can be customized for each school, depending on the age of students and their ability to follow the guidance. ABC has models for elementary, middle, and high schools.
  8. Consider special-needs settings. These teachers and students need additional precautions. Plans should be developed locally, and these school communities should receive allocation of extra resources as masking is not always possible. These could include additional personal protective equipment (or PPE), flexible hours, additional face shields, and creative approaches to ventilation and airflow.
  9. Consider extracurriculars. Activities including sports, the arts, and other school-sponsored activities need their own detailed plans for masking, physical distancing, and handwashing. CDC’s researchers noted the increased risk of transmission associated with these activities.

    See Also

    A staff member holds the door open for kids on the first day of school at Goodwin Frazier Elementary School in New Braunfels, Texas on Tuesday, Aug. 25, 2020.
    A staff member holds the door open for students on the first day of school at Goodwin Frazier Elementary School in New Braunfels, Texas, last August.
    Mikala Compton/Herald-Zeitung via AP
  10. Walk, then run. Starting back to in-person learning slowly (for example, in a hybrid model) can give everyone a chance to adapt to the new procedures and policies.
  11. Implement lessons learned. Whenever there is a cluster or secondary transmission, school leaders should work with school staff to understand the event and to implement lessons learned.
  12. Acknowledge pandemic fatigue but stay adherent. Pandemic fatigue is real, but so are data that show that we should target more than 99 percent adherence to masking by students, teachers, and staff on school property at all times (except for eating and drinking) to be safe. “I wear a mask to protect you; you wear a mask to protect me,” is something that can resonate with even the youngest students. Implement strategies to ensure long-term adherence to mask compliance, distancing, and hand hygiene that can include a hot line or web portal to report non-compliance or daily walk-throughs.

The translation of our state motto is “to be rather than to seem.” Simply calling school reopening “safe” in a public meeting or on a website does not make it so. Taking a set of evidence-based steps before reopening schools and following through diligently and routinely once they are open will make classrooms and campuses safe again for students and staff.

A version of this article appeared in the February 10, 2021 edition of Education Week as Pediatricians on How to Reopen Schools


This content is provided by our sponsor. It is not written by and does not necessarily reflect the views of Education Week's editorial staff.
IT Infrastructure Webinar
A New Era In Connected Learning: Security, Accessibility and Affordability for a Future-Ready Classroom
Learn about Windows 11 SE and Surface Laptop SE. Enable students to unlock learning and develop new skills.
Content provided by Microsoft Surface
Classroom Technology K-12 Essentials Forum Making Technology Work Better in Schools
Join experts for a look at the steps schools are taking (or should take) to improve the use of technology in schools.
This content is provided by our sponsor. It is not written by and does not necessarily reflect the views of Education Week's editorial staff.
Budget & Finance Webinar
The ABCs of ESSER: How to Make the Most of Relief Funds Before They Expire
Join a diverse group of K-12 experts to learn how to leverage federal funds before they expire and improve student learning environments.
Content provided by Johnson Controls

EdWeek Top School Jobs

Teacher Jobs
Search over ten thousand teaching jobs nationwide — elementary, middle, high school and more.
View Jobs
Principal Jobs
Find hundreds of jobs for principals, assistant principals, and other school leadership roles.
View Jobs
Administrator Jobs
Over a thousand district-level jobs: superintendents, directors, more.
View Jobs
Support Staff Jobs
Search thousands of jobs, from paraprofessionals to counselors and more.
View Jobs

Read Next

School & District Management What Schools Can Do to Tackle Climate Change (Hint: More Than You Think)
For starters, don't assume change is too difficult.
7 min read
Haley Williams, left, and Amiya Cox hold a sign together and chant while participating in a "Global Climate Strike" at the Experiential School of Greensboro in Greensboro, N.C., on Friday, Sept. 20, 2019. Across the globe hundreds of thousands of young people took the streets Friday to demand that leaders tackle climate change in the run-up to a U.N. summit.
Haley Williams, left, and Amiya Cox participate in a Global Climate Strike at the Experiential School of Greensboro in Greensboro, N.C., in September 2019.
Khadejeh Nikouyeh/News & Record via AP
School & District Management 'It Has to Be a Priority': Why Schools Can't Ignore the Climate Crisis
Schools have a part to play in combating climate change, but they don't always know how.
16 min read
Composite image of school building and climate change protestors.
Illustration by F. Sheehan/Education Week (Images: iStock/Getty and E+)
School & District Management Some Districts Return to Mask Mandates as COVID Cases Spike
Mask requirements remain the exception nationally and still sensitive in places that have reimposed them.
4 min read
Students are reminded to wear a mask amidst other chalk drawings on the sidewalk as they arrive for the first day of school at Union High School in Tulsa, Okla., Monday, Aug. 24, 2020.
Chalk drawings from last August remind students to wear masks as they arrive at school.
Mike Simons/Tulsa World via AP
School & District Management Women Get Overlooked for the Superintendent's Job. How That Can Change
Three female superintendents spell out concrete solutions from their own experience.
4 min read
Susana Cordova, former superintendent for Denver Public Schools.
Susana Cordova is deputy superintendent of the Dallas Independent School District and former superintendent for Denver Public Schools.
Allison V. Smith for Education Week