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 o 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 o 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 Jo se ph Alle n, PhD He a lthy Building s & Ve ntila tio n July 17 & 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 Sa ra Ble ic h, PhD Nutritio n a nd He a lth E q uity 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 o 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 o 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 o 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

Co mmunity Be nc hma rks  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 - 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 : a t le a st 4 (initia lly) a nd 5 (ultima te ly) a ir ARGE T c ha ng e s pe r ho ur thro ug h A+B+C b e lo w  IMPL AN : E ME NT AT ION PL  A: I nc re a se fre sh a ir b y o pe ning windo ws/ do o rs, using fa ns, o 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

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

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

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