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Contact Tracing in Schools

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>>CLICK HERE for PDF of the RCPS
Contact Tracing in Schools presentation.











RCPS Contact Tracing in Schools

February 18, 2021

Presentation by

April Fallon, MSW, LCSW
Director of Community and Student Support

Cindy Ball
Chief of Strategy and Innovation

Sources include:
Georgia Department of Public Health’s COVID-19 School Guidance (DPH Guidance)
www.CDC.gov  
www.GNRhealth.com

INTRODUCTION
Image shows four points, says "Box it in to get us all working again. 1) Test widely. 2) Isolate all infected people. 3) Find everyone who has been in contact with infected people. 4) Quarantine all contacts self-isolate for 14 days."
 

Following Department of Public Health (DPH) and CDC Guidance
1. Terminology
2. What to do if a Staff Member or Student Becomes Sick at School
What if a Positive Test Result is Reported?
3. Contact Tracing
What is Contact Tracing?
Reporting to Public Health
Contact Tracing in Schools
4. Communicating with Stakeholders
Parents/Guardians (Students)
Community


Terminology – Know What it Means
Quarantine –  those identified as a close contact must be excluded from school and all school related activities until they meet DPH’s “Return to School Guidance After COVID-19 Illness or Exposure”.
Isolation -  1. keeping separated from others 2. A Confirmed Case must isolate a minimum of 10 days from onset of symptoms
Waiting Area – an area or space that separates those who are ill from those who are well
Confirmed Case – one who has received a positive COVID-19 test result
Suspected Case – one who has symptoms consistent with COVID-19 but has not tested
Exposure – cumulative 15 minutes or more within 6 feet of a Confirmed Case, regardless of wearing a mask – within 48 hours of onset of symptoms of Confirmed Case or test date if Confirmed Case is asymptomatic
Close Contact – a person who has spent a cumulative 15 minutes or more within 6 feet of a Confirmed Case, regardless of wearing a mask - within 48 hours prior to the onset of symptoms of the Confirmed Case or the date of the positive test if the Confirmed Case is asymptomatic.
Contact Tracing – identifying Close Contacts of a Confirmed or Suspected Case
Symptomatic – a person experiencing symptoms that are consistent with COVID-19
Asymptomatic – a person who has no symptoms


What to do if a Staff Member Becomes Sick at School or Reports a Positive Test Result
Staff Members
Staff who become ill at school should immediately contact an administrator and be allowed to leave campus
Recommend that Staff who are ill get tested for COVID-19
Staff who receive a positive COVID-19 test result must immediately notify an administrator and school Contact Tracing should begin
Staff who receive a positive COVID-19 test result must follow the DPH guidance for isolation and may not return until at least 10 days from the onset of symptoms
Staff who leave work due to illness, have a known exposure to COVID-19, or test positive for COVID-19 must contact Dr. Kimberly McDermon, Chief of Human Resources at kmcdermon@rockdale.k12.ga.us


WHAT TO DO IF A STUDENT BECOMES SICK AT SCHOOL OR REPORTS A NEW COVID-19 DIAGNOSIS
Student(s) reports or exhibits symptoms of COVID-19.

Teacher/staff notifies  clinic and student is escorted for symptom screening.

If screening reveals need for isolation, clinic notifies parent/guardian for pickup. Student is provided surgical mask and is isolated.

Parent/guardian picks up student and is advised to contact healthcare provider for evaluation and possible need for testing.

Either A or B:

A) Student with NEGATIVE COVID-19 result - Student(s) return to school following DPH guidance.

B) Student with positive COVID-19 test result - Student is newly identified as having COVID-19 and must follow DPH criteria for isolation.  Family members are requested to quarantine. Contact Tracing Begins. School Contact Tracer investigates and communicates

What is Contact Tracing?
Contact Tracing is  identifying Close Contacts of those with confirmed COVID-19 and notifying them of their exposure. Tracing starts at 48 hours prior to the onset of symptoms of the Confirmed Case or the date of the positive test if asymptomatic. DPH requires schools and businesses to do contact tracing to help reduce the spread of the virus.

Example 1 -  Suzy doesn’t feel well on Tuesday, has a fever, cough and sore throat.  On Wednesday she tests positive for COVID-19 and her mother notifies the school.  Contact tracing will start 48 hours prior to the onset of symptoms, which in this case is Sunday. 

Example 2 – Suzy’s school system is offering free COVID testing and although she feels fine, she decides to take the free test on Monday.  Suzy goes to school Tuesday and later that evening the results come back and show Suzy is positive for COVID-19.  Contact tracing will start with the date of the positive test which is Monday, the day Suzy took the test.  


Close Contacts
Those who have spent a cumulative 15 minutes or more within 6 feet of a person with confirmed COVID, regardless of wearing a mask -  within 48 hours prior to the onset of symptoms of the Confirmed Case or the date of the positive test if the Confirmed Case is asymptomatic.

Exception to the 15 minutes…
When someone has spent less than 15 minutes within 6 feet of a Confirmed Case, but the time they were together was such close contact that it is probable that respiratory droplets and/or bodily fluids were shared, then that person will be identified as a Close Contact.  

Close Contacts are notified of their exposure to a Confirmed Case and will be quarantined according to DPH Guidance.  


Required Reporting to Public Health
Notify the local public health department immediately when a positive COVID-19 case is identified in the school setting (as required by § OCGA 31-12-2)
Notify the local public health department of clusters or outbreaks of COVID-19

Local health department for RCPS is the Gwinnett, Newton, Rockdale (GNR) Health Department



Reporting Individual Cases to Public Health
(Image of form for Gwinnett, Newton, Rockdale County Health Departments COVID-19 Case Report Form (School/Childcare). )
(Image of form for Gwinnett, Newton, Rockdale County Health Departments COVID-19 CLOSE CONTACTS Report Form (individuals spending more than 15 minutes within 6 feet). Says "Call GNR Epidemiology to report case (770-339-4260 and ask to speak with the Epidemiologist On Call AND fax 770-339-5971 or send this report by encrypted e-mail. " Form has columns for Name, Date of Birth, Home Address, Phone Number preferably cell phone, Last Date of Exposure, Exposure Type to Case - is the contact a student, teacher or support staff?. )


Quarantine for people with no symptoms
DPH requires a 14-day quarantine for those who have been identified as Close Contacts.  They have added two ways that time may be reduced as indicated in the flyer.

(Graphic image with logo for Georgia Department of Public Health. Says "COVID-19 Quarantine for people with no symptoms. Option 1)  Full 14 days SAFEST 14 days quarantine at home. Option 2)  After 10 days no test - 10 days quarantine at home, released from quarantine after 10th day monitor for symptoms and wear a mask and social distance. Option 3) After 7 days with test quarantine at home for 7 days, released from home after 7 days after negative test result, monitor for symptoms and wear a mask and social distance. Day 5 is earliest day to get a test. )


Two Exceptions to Quarantine
1. CDC states that anyone who has tested positive for COVID-19  does not have to quarantine due to an exposure within 90 days of testing positive.
You must monitor for symptoms, but you are exempt from having to quarantine due to an exposure for 90 days.

2. Fully vaccinated persons with an exposure to someone with suspected or confirmed COVID-19 are not required to quarantine if they meet all of the following criteria:

Are fully vaccinated for COVID-19 (i.e., it has been greater than 2 weeks following receipt of the second dose in a 2-dose series, or it has been greater than 2 weeks following receipt of one dose of a single-dose vaccine),
It has been less than 3 months since the person was fully vaccinated,
Do not experience any symptoms since current COVID-19 exposure


Communicating with Parents About an Exposure
(this letter is in English and Spanish)
(Image of the form Letter to Parents/Guardians about exposure to a student or staff member diagnosed with COVID-19.)


Contact Tracing in Schools
Each school has identified a primary and secondary Contact Tracer
Primary and secondary contact tracers attended a two-hour training along with many principals and district leaders
Over 60 people attended the training sessions
Contact Tracers will have access to a Toolkit with letters, forms, list of other school contact tracers and even a date calculator for quarantine


Keeping the Community Informed
Weekly dashboard on district website – updated on Fridays

School Name
#of New Confirmed Cases by Students  
#of New Confirmed Cases by Staff
#of New Students Quarantined due to Exposure
#of New Staff Quarantined due to Exposure

www.rockdaleschools.org/covid19tracking


Keep calm and wear a mask, wash your hands, stay 6 feet apart.