Could the Delta Variant Stop a Normal School Year Before it Starts?
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For a brief moment, it felt like parents had made it. School was wrapping up. People, including kids 12 and older, were getting vaccinated. Mask mandates were easing. But now we’re facing the delta variant — a highly contagious strain of the coronavirus. States with large outbreaks are seeing rising case numbers among children as well as adults. As it reaches into our communities, how does this strain affect children, and how can we help them safely navigate their days?
How dangerous is the delta variant for children?
Doctors say there isn’t a good sense yet about whether the delta variant is more severe than the previous versions of the coronavirus, but one thing is clear: “It is certainly more transmissible,” said Sean O’Leary, vice chair of the Committee on Infectious Diseases for the American Academy of Pediatrics. For comparison, the alpha variant, which was the most predominant in the United States before this one, was estimated to be 50% more transmissible than the original coronavirus.
The delta variant is 50% to 60% more transmissible than the alpha variant. “We’re in this situation where things are opening up while this is more predominant,” O’Leary said. “There are a lot of reasons for concern for all of us in general. Cases have jumped for kids specifically.”
The virus’s ability to spread quickly is especially worrisome because “only half of the children who are eligible are vaccinated,” said Jennifer Lighter, pediatric infectious-disease specialist at New York University Langone Health. “That’s pitiful.” COVID-19 and the flu in children have “the same kind of morbidity,” she said, but added, “If it’s preventable, I don’t want any child getting it.”
One bit of reassurance: It looks as if the illness caused by the delta variant is no more severe than that caused by the other variants, said Allison Bartlett, a pediatric infectious-disease specialist with University of Chicago Medicine.
How can I protect my tweens or teens, if they are vaccinated or if they aren’t?
“The most important thing that we can do is everyone who is eligible to be vaccinated, be vaccinated,” O’Leary said. “That is the best way we can protect society and children, including younger children.”
In addition, we must use the same measures we have all along to protect vaccinated and unvaccinated children, he said: “Be thoughtful about what you’re doing, where you’re going, and outdoors is safer than in. In larger crowds, wear a mask. And that applies to kids down to 2.”
The vaccine is effective in preventing severe disease among recipients, which is a vaccine’s job, Bartlett said. “But it doesn’t protect them from getting infected at all,” she said. The best way to avoid the delta variant is just what we’ve been told so far. “Kids playing outdoors together at a playground is reasonable without masks now, even if they’re not vaccinated,” she said. “But when crowds get bigger or move indoors, masking by everyone is important to keep kids safe.”
Should I keep my kids out of stores and other indoor places?
During this phase of the pandemic, O’Leary said, approach the idea of taking unvaccinated children to indoor public places the same way you do during flu season. “In general, for a kid under 12, the risk for them is not the same as influenza, but it’s in the ballpark,” he said. “So the same decisions you’d make during flu season, this is similar.”
Making decisions about visiting indoor public spaces can be done on a case-by-case basis, Bartlett said. “If kids don’t need to be out and about, then we can spare them the exposure,” she said. “But if you and your child are masked and in a store that isn’t super crowded, it’s a reasonably safe thing to do, if a place is encouraging masking among others.”
What you do also depends on where you live and how viral the spread is in that community. If there is a lot of spread, take more precautions. Finally, if you or your children are in contact with someone who is immunocompromised, you need to take extra precautions.
Should I go along with eased restrictions that seem to be happening at camps now, or re-tighten my own because of the spread of the variant?
Bartlett said she hopes that parents in areas where masks aren’t mandated will make it clear to children that it’s important to mask up when indoors. The kids are protecting themselves, but even more, they are protecting others if, in fact, a kid has the virus and doesn’t know it. She also hopes that adults interacting with children wear masks as well. “We want those around them to wear their masks to protect our child,” she said.
How does this affect a return to school? Should I be worried about sending my children back in person?
“It makes sense to have layered mitigation measures but to have kids in school,” O’Leary said. “We absolutely want kids in school.” The benefits of in-person school, she and other experts say, outweighs the risks of getting the virus. But schools must keep safety measures in place. “Kids are just missing too much school, and that needs to shift now,” Lighter said. “Not being in school caused a lot of unnecessary harm.”
For the vast majority of kids, Bartlett said, “there was less engagement in learning, less social emotional development, no physical therapy, occupational therapy … meals. And having friends and support systems. All those nonacademic components are essential and outweigh the risk of a COVID infection if we’re doing everything to minimize the risk.”
In a recommendation that goes beyond directives from the Centers for Disease Control and Prevention, the American Academy of Pediatrics has advised that everyone in schools wear masks, particularly because “you can’t verify who is vaccinated and who isn’t,” Lighter pointed out. If everyone is wearing masks, the chance for spreading the virus is much lower.
What do I do if my kids go to schools where masks aren’t mandated?
“I’m very concerned about schools that are not mandating mask use,” Bartlett said. “I don’t have great solutions at the moment other than [pointing out that] clearly the AAP is very strong in our opinion about wearing masks all the time in schools where not everyone is vaccinated.”
The specialists we spoke to were frustrated about the messaging around masks — from some adults. Even if a school doesn’t mandate masks, families should make sure their children are wearing them indoors, they said.
“Kids do fine with masks … They understand the rationale behind it,” Bartlett said. “They’re vulnerable and want to get back to hanging out with friends. Masking will allow them to do that.”
This article originally appeared on the Washington Post.