Schools in several states have closed temporarily as quickly spreading respiratory illness drive up student absences. But this time, COVID-19 isn鈥檛 to blame.
The Centers for Disease Control and Prevention has warned that the country is experiencing a surge of two seasonal illnesses鈥攊nfluenza and respiratory syncytial virus, or RSV鈥攖hat is much earlier and more intense than ina typical year.
And that鈥檚 keeping affected kids out of the classroom at a crucial time, when educators are going to great lengths to restore school attendance habits that cratered during the pandemic. Student absences are a concern for school leaders, even if they are considered excused, said Hedy Chang, the executive director of Attendance Works, an organization that promotes ways to measure and address chronic absenteeism.
鈥淓ven if we know a kid is missing school for health reasons, we still have to worry about them 鈥� especially if they were already struggling [with academics or attendence] before the illness,鈥� as many students were, she said.
RSV is a respiratory virus that typically causes mild symptoms similar to a cold. While most people recover in a week or two, RSV can be serious for young children and elderly adults, Dr. Jose Romero, the director of CDC鈥檚 National Center for Immunization and Respiratory Diseases, said in a recent call with reporters. While rates of RSV typically reach a seasonal peak alongside cases of the flu in the winter months, officials have tracked an unusually early spike in cases of both illnesses this year, he said.
鈥淲e suspect that many children are being exposed to some respiratory viruses now for the first time, having avoided these viruses during the height of the pandemic,鈥� Romero said.
Hospitals reaching capacity
The surge in respiratory illness has caused children鈥檚 hospitals around the country to warn that they have reached capacity. In Pittsburgh, the University of Pennsylvania Medical Center Children鈥檚 Hospital last week to treat an influx of children reporting major respiratory symptoms, like trouble breathing and severe cough.
Schools are also feeling the effects, some shifting to remote learning or closing for several days to slow the spread within their buildings.
In Ohio, the Lynchburg-Clay Local School District cancelled elementary school and sent middle and high school students home for remote learning Nov. 3 and Nov. 4 after several days where about 20 percent of students鈥攁nd many staff members鈥攚ere absent with the flu, Superintendent Jack Fisher told 澳门跑狗论坛.
鈥淕iven the circumstances of the last two years and the staffing levels, we are a little quicker to make immediate course corrections, such as shutting down for a brief time, instead of plowing through as we used to do,鈥� he said.
Like many school systems, the district was already operating on very tight margins before the flu outbreak, Fisher said. The district has struggled to hire adequate classified staff, and the substitute pool for positions like bus drivers and aides is 鈥渞azor thin,鈥� he said. So when key student support employees grew ill, it became difficult to operate in-person.
After Williamstown, Ky., schools faced a similar staffing dilemma and climbing rates of student absences, district leaders cancelled classes for the first week of November.
We suspect that many children are being exposed to some respiratory viruses now for the first time, having avoided these viruses during the height of the pandemic.
鈥淥ur student attendance was down, and then we started having staff drop off, and we were starting to have trouble covering classrooms with the substitute shortage,鈥� Todd Dupin, director of pupil personnel and operations,.
At least 26 of Kentucky鈥檚 171 school systems because of widespread illness so far in November, the Kentucky School Boards Association said.
Schools and districts in states including Alabama, Louisiana, Michigan, Virginia, and Wisconsin have had similar closures in recent weeks. Some districts that were closed for Election Day opted to take the Monday before off as well to give custodial staff time to deep clean and students time to heal.
Influenza, RSV, and other common seasonal illnesses spread through inhalation of droplets that are projected into the air when infected people cough or sneeze. They can also live on surfaces like desks and toys, spreading through touch.
In its , the CDC recommends many strategies that also reduce the risk of transmitting RSV: regular handwashing, advising students to cover their mouths when they cough, advising families to keep children home until they are fever-free for at least 24 hours, regular disinfecting of surfaces, and communication with local health officials to monitor possible outbreaks.
In a press briefing last week, CDC officials also emphasized that COVID-19 variants continue to spread, stressing the importance of vaccinations to prevent severe illness. That warning came after most schools have lifted the most intense pandemic precautions, like universal masking requirements.
Tackling chronic absenteeism
The combination of illnesses has created a fresh challenge for school systems that were already concerned about chronic absenteeism, long before two years of pandemic-related disruptions threw their student engagement efforts into disarray.
Under the federal Every Student Succeeds Act, 36 states and the District of Columbia incorporate data on chronic absenteeism in the formula they use to determine which schools need additional support.
While states and districts use varying definitions of chronic absenteeism, it is commonly defined as the number of students who miss 10 percent or more of school days, even for excused absences related to issues like sickness or bereavement.
The most recent federal data show at least 10.1 million students were chronically absent during the 2020-21 school year, up from about 8 million in years prior to the health crisis. Attendance Works, which suspects absences were undercounted during remote learning, to conclude nationwide rates of chronic absenteeism may have doubled over the last three years.
Chang said schools need to maintain connections to students when they are out for personal illness or when schools close to prevent an outbreak. That might mean the continuation of remote learning, providing at-home learning materials, or a check-in phone call from a teacher or counselor.
Administrators should provide families with information about illnesses like RSV to help them separate out what symptoms justify an absence and what signs of more minor illnesses, like a headache, shouldn鈥檛 cause a student to stay home, Chang said.
And, as schools recover from outbreaks, they should make efforts to re-engage affected students so they can keep building a habit of attendance, she said. That may mean helping students tackle anxiety and academic needs that make school feel intimidating or unwelcoming, and it may mean status checks with teachers when students return from a string of sick days, Chang said.
鈥淛ust because we know why they missed school doesn鈥檛 mean they don鈥檛 need support in helping to come back,鈥� she said. 鈥淲e are going to need to invest in kids over time to make sure they can fully recover.鈥�
