Adviso ry Pa ne l 4: Pub lic He a lth, Sa fe ty, & L o g istic - - PowerPoint PPT Presentation

Adviso ry Pa ne l 4: Pub lic He a lth, Sa fe ty, & L

• g istic s

We e k o f Se pte mb e r 20, 2020

Who We Are

Pub lic He a lth Pro fe ssio na ls Sc ie ntists I

nfe c tio us Dise a se Spe c ia lists

Physic ia ns a nd Nurse s Bro o kline Pa re nts

Who We Are

 E

le na Sa voia , MD MPH, De puty Dire c to r, E

me rg e nc y Pre pa re dne ss Pro g ra m, Ha rva rd Sc ho o l o f Pub lic He a lth (c o -c ha ir)

 Da ve Ga c ioc h, Pa rtne r, Mc De rmo tt Will & E

me ry L L P (c o -c ha ir)

 L

a n De nnie , RN, BS, CMAC, Oc c upa tio na l He a lth Nurse , F

e nwa y He a lth

 Be nja min L

ina s, MD MPH, Asso c . Pro f., I

nfe c tio us Dise a se s, BU/ BMC

 Nira Polloc k, MD, PhD, Asso c ia te Me dic a l Dire c to r, I

nfe c tio us Dise a se s Dia g no stic L a b o ra to ry, Bo sto n Childre n’ s Ho spita l

 Boris Pe rlovsky, Dire c to r, I

nno va tio n Stra te g y. Ca mb ridg e I nno va tio n Ctr.

 Se re na Ra ja biun, MPH PhD, Asst. Pro f. o f Pub lic He a lth, UMa ss L

• we ll

 Visha kha Sa bha rwa l, MD, Pe dia tric I

nfe c tio us Dise a se , BMC

 Be n Somme rs, MD PhD, Pro f. o f He a lth Po lic y, Ha rva rd Sc ho o l o f Pub lic

He a lth; Pro f. o f Me dic ine , Ha rva rd Me dic a l Sc ho o l.

 L

a kshma n Swa my, MD MBA, Pulmo na ry/ Critic a l Ca re Physic ia n, Me dic a l

Dire c to r a t Ma ssHe a lth Pa yme nt & Ca re De live ry I nno va tio n

 Je nny T

a m, PhD, Se nio r Sta ff Sc ie ntist, Wyss I

nstitute , Ha rva rd Unive rsity

Wha t We ’ ve Be e n Do ing

We e kly Me e ting s F

rida ys 3-4:30pm, o pe n to pub lic – ple a se fe e l fre e to jo in

Sta ke ho lde r E

ng a g e me nt & Outre a c h

 Pa re nts, T

e a c he rs, Sta ff

 Bro o kline Pub lic He a lth Adviso ry Bo a rd a nd Bro o kline He a lth

De pa rtme nt

 PSB a nd Sc ho o l Co mmitte e

E

xpe rt Gue sts

E xpe rt Pre se nta tio ns

Sa ra Ble ic h, PhD Nutritio n a nd He a lth E q uity Aug ust 21 Sa rita Chung , MD Sta ff Sa fe ty - L e sso ns fro m Pe dia tric s Aug ust 7 Jo se ph Alle n, PhD He a lthy Building s & Ve ntila tio n July 17 & Aug ust 21

All se ssio ns available o nline : https:/ / www.b ro o kline .k12.ma .us/ Pa g e / 2621

Wha t We ’ re F

• c using On

E

vide nc e Re vie w o n COVI D & Sc ho o ls

T

e sting Optio ns a nd Stra te g ie s

Co mmunity Re o pe ning Be nc hma rks L

e sso ns & Da ta fro m Summe r Pro g ra ms

E

nha nc e d Ve ntila tio n

Multiple L

a ye rs o f Risk Re duc tio n

All do c ume nts available o nline : https:/ / www.b ro o kline .k12.ma .us/ Pa g e / 2621

K e e ping Sc ho o l L

• w-Risk fo r All

1. Minimize like liho o d o f infe c te d pe o ple c o ming to sc ho o l

• Clo se ly mo nito r c o mmunity COVI

D-19 pre va le nc e me tric s

• Da ily sympto m c he c ks a nd q ua ra ntine s
• Co nta c t tra c ing fo r a ny individua ls who te st po sitive

2. Multi-la ye re d de fe nse a g a inst in-sc ho o l tra nsmissio n

• Unive rsa l ma sking a nd o the r PPE
• Physic a l dista nc ing – de fa ult 6-fe e t fo r no w
• E

nha nc e d c la ssro o m ve ntila tio n

• F
• c us o n ha nd hyg ie ne
• I

nc re a se d surfa c e c le a ning a nd disinfe c ting

• Co ho rting me a sure s

Ke y point: multi-laye r e d de fe nse me ans we ar e not r e lying on pe r fe ct e xe cution of any par ticular str ate gy

 Adhe re nc e to a c o mpre he nsive se t o f c ritic a l he a lth a nd

sa fe ty re q uire me nts

 Physic a l dista nc ing  Ma sks  I

mpro ve d ha nd hyg ie ne a nd c le a ning

 We ll ve ntila te d indo o r a nd o utdo o r spa c e  Cle a r te sting stra te g y a nd c o nta c t tra c ing  Co mmunity b e nc hma rks fo r re -o pe ning

 Po sitive te st rate s < 5% o ve r prio r 14 days in Bro o kline and in Massac huse tts  Daily ne w c ase s < 10 pe r 100,000 pe o ple o ve r prio r 14 days in Bro o kline and in Massac huse tts

• Co nside r pa using in-pe rso n sc ho o l whe n a ny 2 me tric s fa il
• Ba se d o n c o mb ine d re c o mme nda tio ns fro m the Wo rld He a lth

Org a niza tio n, Ame ric a n F e de ra tio n o f T e a c he rs, a nd Ha rva rd Glo b a l He a lth I nstitute

Co mmunity Be nc hma rks

Co mmunity Be nc hma rks - Sta tus

Co mmunity Be nc hma rks - Sta tus

E nha nc e d Ve ntila tio n E xpla ine d “Air Co ve r”

 GOAL

: use inc re a se d fre sh a ir e xc ha ng e a nd a ir

filtra tio n (ME RV-13 o r hig he r) a s a n e xtra la ye r of

de fe nse a g a inst virus tra nsmissio n

 T

ARGE T : a t le a st 4 (initia lly) a nd 5 (ultima te ly) a ir

c ha ng e s pe r ho ur thro ug h A+B+C b e lo w

 IMPL

E ME NT AT ION PL AN:

 A: I

nc re a se fre sh a ir b y o pe ning windo ws/ do o rs, using fa ns,

• pe ning HVAC syste m da mpe rs, a nd me a suring a ir flo ws

 B: I

nc re a se filtra tio n o f re c irc ula te d a ir b y using ME RV-13 filte rs whe re ve r we c a n—a nd me a suring a ir flo ws

 C: Add po rta b le a ir c le a ne rs with HE

PA filte rs whe re ne e de d to me e t ta rg e ts

 Mo nths o f lo st le a rning  Wide ning g a ps in e duc a tio na l a c hie ve me nt, e spe c ia lly

fo r so me stude nts o f c o lo r a nd tho se in lo we r inc o me ho use ho lds

 Sc ho o l c lo sure s a lso thre a te n so me c hildre n’ s sa fe ty, due

to inc re a se d c hild ne g le c t, hurt c hildre n’ s me nta l he a lth, a nd ke e p ma ny fro m g e tting e no ug h to e a t

Ha rms o f Pro lo ng e d Sc ho o l Clo sure

Ra te s o f I nfe c tio n in Childre n

Rate s o f infe c tio n (asympto matic o r o the rwise ) in po pulatio n-base d studie s are signific antly lo we r amo ng kids than adults, e ve n whe n sc ho o ls have be e n o pe n. Gudbjartsso n e t al., Ne w E ng J Me d 2020. L ave zzo e t al., Nature 2020.

 Studie s o f sc ho o ls with kno wn c a se s o f COVI

D-19 sho w tha t infe c tio n risk a mo ng o the r te a c he rs a nd stude nts a re lo w.

 I

n mo st c a se s, sc ho o ls did no t c lo se b ut use d c o nta c t tra c ing a nd q ua ra ntining inste a d

F ull E vide nc e Re vie w Upda te d Re g ula rly a t: https:/ / www.b ro o kline .k12.ma .us/ Pa g e / 2621

T ha nk yo u!