. During the Fall 2020 school
year, we saw a layered approach also worked in schools in, for example, Missouri,20,
Utah,21 rural
Wisconsin,22 and
Florida.23
Why should we care about transmission if most cases are not
severe?
Aside from the very real concerns24 about
Long-Covid as discussed above, allowing the virus to spread unchecked
throughout our community has several serious consequences. Each time the virus
replicates, small changes known as mutations can arise. This is how new
variants develop. Increased transmission increases the opportunity for new variants to
emerge which may be better able to escape vaccine-mediated immunity and put us
all at increased risk.
Additionally, as children
infect household members, many parents will be required to miss significant
time at work which can have severe financial and career repercussions.
But everyone has antibodies…
Some schools are making
policies based on the assumption that “everyone already has antibodies.” I must
stress that this approach is also without true scientific and medical basis and
should not be informing policy
decisions. Even checking antibody levels is not informative as we have no
established level of antibodies deemed “protective.” Antibodies can vary in
quality, there are different kinds of antibodies, and antibody levels wane over
time. A child who recovered from COVID-19 more than 90 days ago (and with Delta
some say even less than 90 days) should not be considered to have immunity and
thus absolved from quarantine. This approach has not been recommended (and has often been explicitly
discouraged25 as it is
unreliable and difficult to apply) by any established professional body or
medical organization that I am aware of (i.e.: CDC, Food and Drug
Administration (FDA), World Health Organization (WHO), AAP, MSDE, Departments
of Health).
What about Mental Health and Child Development?
We don’t give kids enough
credit for their resilience. There is currently no scientific evidence
that wearing a mask results in poor physical or mental health. In the over 18
months the pandemic has been raging, we have accumulated data showing the
benefits of masking, yet studies showing the harm have not been forthcoming.
As far as developmental
concerns, most children spend significant time at home where they are
seeing caregivers’ faces without coverings. Kids are able to understand that
there are different rules in school than at home, and they are able to adapt
accordingly.
Children are highly influenced
by peers and teachers and are very in-tune to the attitudes and messaging they
pick up from parents and authority figures. Teachers and administrators serve
as role models whether or not they are wearing masks. Their actions directly
influence their students. Additionally, if all peers are required to wear
masks, social pressure will play a factor in compliance. Other schools have
successfully masked children ages two and up since last year.
I also have to wonder why my
own mental health and the mental health of my children matter less than the
mental health of those opposed to taking any preventative measures. I am
extremely grateful my children have the fortitude to wear their masks despite
being the only ones in their respective classes to do so. Yet they have been
teased, questioned, had masks pulled off, and they have to struggle with the
burden of feeling unsafe and wondering why their school is not protecting their
physical health. Parents and staff members have mentioned struggling with
anxiety, depression and despair as they feel powerless to protect themselves
and their children according to the advice of their doctors.
Additionally I have heard from numerous people that they are experiencing a
significant crisis of faith as they feel betrayed and disappointed by their
community.
Conclusion
The fact is that we are now at a time of very high community
transmission. Although it is nice to say “don’t send sick kids” and to “encourage”
vaccination, the past year has shown us that we cannot rely on people to do the
right thing of their own volition.
Popular opinion should not
hold equal weight to data and expert guidance from specialists in the field.
Schools are not being transparent
about how their decisions are being made and by whom. The committees involved
often contain doctors whose specialties are not
pediatrics, virology, epidemiology, immunology etc. While there is always a
role for rabbanim in these discussions, it must be recognized that, for the
most part, they too are not experts in the relevant fields. If schools are
choosing to go against the world, national, state, and local expert consensus
guidelines, the burden of proof lies with them to show the studies and data supporting their approach. I have not
seen any.
Hashem has given us the chochma of science to keep ourselves
healthy so as to better serve Him. Taking mitigation actions recommended by all
the leading experts is a level of hishtadlus
that is our achrayus (responsibility).
Ignoring them displays a lack of hakaras
hatov (gratitude) for what He has provided us.
To the schools: I beg you to
implement more safety measures immediately. The time for
relying on people to just do the right thing and for gentle encouragement is
not now....now we need actions to keep our children and community safe.
I am concerned about the
health of my children, the health of the family members they can infect, and
the huge potential for chillul Hashem created when the yeshiva
schools do not follow established public health guidelines. It is these
guidelines that allow schools to operate and children to stay in class with
minimal disruption. I entreat all concerned parents to not give
up trying to advocate for your children’s safety and demand the schools do
better…at least until the children’s vaccine is approved, G-d
willing, in the next month.
Dr. Michal Millrod received her
Ph.D. from the Immunology program in the Molecular Biology and Genomics
Department at The Johns Hopkins University School of Medicine. She taught
science at Bais Yaakov High School and at Maalot/WITS before pursuing
postdoctoral research at Johns Hopkins. Dr. Millrod currently works as a
research scientist for a stemcell biotech company. Dr. Millrod is an advocate
for public health and child safety. She has been a Child Passenger
Safety Technician for over five years and is currently serving as a Baltimore
City Department of Health Vaccine Peer Ambassador for the Orthodox Jewish
Community. Dr. Millrod has four young children ranging in age from six
months to ten years old.
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