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���Public Health Schools Update

for Parents and Guardians

Tuesday, August 25, 2021

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Este webinar se transmite simultáneamente en español. Haga click en el botón de interpretación del idioma que aparece en su pantalla si desea escuchar esto en español.

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Context

We know how to do this!

100% of Schools offered in-person instruction in 2020-21

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COVID -19 Cases: Marin County

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Data accessed �8/25/2021

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Cases by Vaccination Status

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Data accessed 8/25/2021

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Prevalence of variants in Marin: 100% Delta

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Data accessed 8/25/2021

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Disease versus infection: Vaccination

Compared to vaccinated residents, unvaccinated Marin residents are:

  • 5 times more likely to be infected with COVID-19

  • 50 times more likely to be hospitalized with COVID-19

  • 186 of 187 Marin County COVID-19 deaths have been in unvaccinated residents

  • More breakthrough cases are occurring with Delta surge; milder symptoms

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Marin County COVID-19 Hospitalizations

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Data accessed 8/25/2021

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Disease versus infection: Children Age 0-19

20% of popn, 18.3% of cases, 1.2% of hospitalizations, 0% of deaths

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Data accessed 8/25/2021

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Health Defined

  •  A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity.“
    • WHO Constitution (1948)

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Looking Back on School Data�

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Date

Tier

Student days

Suspected

In-School�Transmission

October 8, 2020

Red

62,934

0

November 10, 2020

Orange

265,625

0

December 3, 2020

Red

401,032

1

January 15, 2021

Purple

739,883

7

February 12, 2021

Purple

1,075,862

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March 10, 20221

Red

1,332,358

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April 16, 2021

Orange

1,842,838

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May 14, 2021

Orange

2,345,748

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June 11, 2021

Yellow

2,805,650

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Looking Back on Public Health Guidelines�

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First Public Health Guidelines initially issued June 18, 2020 for the Fall of 2020

Expectation that evolving nature of COVID-19 would result in changing guidelines

Guidelines revised on August 12, 2020 –> December 8, 2020 –> March 23, 2021

Marin Schools proved guidelines to be effective, and that schools remain the safest place for students – structured – supervised – protected environment

August 18, 2021 update reflects the fourth version of guidelines

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Looking Ahead

on Public Health Guidelines�

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Expectation is that COVID-19 will continue to evolve, and guidelines will continue to change over time

Some guidelines are currently listed as not currently applicable (eg. routes into campus, and schedules for arrivals)

Mitigation strategies may shift (eg. masking indoors or masking indoors & outdoors)

Vaccination rates among adults and students may impact where a particular school lands on a continuum of mitigation strategies

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Face Masks and COVID-19 Risk

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Masks and face coverings | Marin County Coronavirus Information (marinhhs.org)

Wearing a mask reduced individual risk for infection with SARS-CoV-2-like viruses by nearly 70%

Safe, Simple, and Effective

CDC summary evidence:

  • Cloth masks offer both individual protection and source control
    • Individual benefits from mask wearing increase with increasing community mask use
  • Wearing masks by both the infected and uninfected person gives the uninfected person the most protection

Marin County Public Health urges all Marin schools to adopt universal mask wearing policies (indoors and outdoors) while community transmission remains moderate - high.

Source: Centers for Disease Control and Prevention; Chu et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. The Lancet. 395: 10242; P1973-1987. JUN 2020. DOI: https://doi.org/10.1016/S0140-6736(20)31142-9

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Face Masks References

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Commentary: Physiological and Psychological Impact of Face Mask Usage during the COVID-19 Pandemic.

In healthy populations, wearing a mask does not appear to cause any harmful physiological alterations, and the potentially life-saving benefits of wearing face masks seem to outweigh the documented discomforts.

Masks Do More Than Protect Others During COVID-19: Reducing the Inoculum of SARS-CoV-2 to Protect the Wearer.

Exposing society to SARS-CoV-2 without the unacceptable consequences of severe illness with public masking could lead to greater community-level immunity and slower spread as we await a vaccine.

Masks and Face Coverings for the Lay Public : A Narrative Update.

Even small reductions in individual transmission could lead to substantial reductions in population spread…there is no evidence that masks result in significant physiologic decompensation or that risk compensation and fomite transmission are associated with mask wearing.

Moral foundations underlying behavioral compliance during the COVID-19 pandemic.

During the COVID-19 pandemic, government and public health officials have advocated three behaviors to help "flatten the curve" of the disease-staying-at-home, wearing face masks, and social distancing. Our study with 1033 Americans revealed that caring and fairness concerns predict complying with all behaviors. The findings document the innate intuitions that guide one's decision to comply with such behaviors.

The impact of face masks on children-A mini review.

Our mini review only found one pediatric study, and eight adult studies, which explored the medical parameters of mask wearing, and these did not report any harmful effects. Further studies are needed so that evidence-based recommendations can be produced for different age groups.

Downsides of face masks and possible mitigation strategies: a systematic review and meta-analysis.

There are insufficient data to quantify all of the adverse effects that might reduce the acceptability, adherence and effectiveness of face masks. New research on face masks should assess and report the harms and downsides.

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Universal Masking

Guideline #24� �

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All staff as well as all students are required to wear face coverings indoors, and recommended to wear face coverings outdoors based on the direction of public health, unless there is a medical or behavioral contraindication or exemption. Students from grades TK - 2 should be supported and taught how to wear them properly, and specific outdoor and appropriately distanced activities may be scheduled for students at all grade levels to remove face coverings for brief periods of time.

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Updated Guidance

August 4, 2021 ~ 32 Point Plan

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COVID-19 Testing – Many options are available!�(HHS Website)

  • Health Care Provider
  • Curative (🡪)
  • Logistics Health Incorporated
    • San Rafael (West America Bank Parking Lot)
    • Novato (Margaret Todd Senior Center)
    • Marin City (St. Andrew’s Presbyterian Church)
  • Commercial Pharmacies
  • Urgent Care Centers

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Curative Schedule:

  • Armory "Jury Duty" Parking Lot - NEW SCHEDULE  �Sunday - Thursday 8am to 3pm  
  • Marin Health and Wellness CampusMondays, 10am to 4pm
  • San Rafael Community Center �Tuesdays, 8am to 3pm
  • Downtown parking lot #2 Wednesdays, 10am to 4pm 
  • Piper Park Thursdays, 10am to 4pm 
  • Novato Library �Fridays, 10am to 4pm 

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COVID-19 Vaccines – Everyone get Vaccinated!�Marin Vaccine Finder (HHS Website)

Many Options Available!

  • Health Care Providers
  • Hospitals
  • Clinics
  • Public Health
  • Pop-Up Clinics

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  • 89% of students 12-17 in Marin County are now completely (79%) or partially (10%) vaccinated

  • Potential October Timeframe for eligibility of students <12

  • Pop-Up Clinics check the HHS Website:

https://coronavirus.marinhhs.org/vaccine

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Student and Family Resources

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What’s next?

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Thank you����

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