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Missouri and CDC study: COVID-19 spread is rare in K-12 schools – with certain precautions

March 19, 2021 By Alisa Nelson

A two-week pilot study involving some Missouri K-12 schools says the risk of spreading COVID-19 in schools is rare – if certain safety measures are taken. The results are similar to those of other states who have evaluated coronavirus transmission in schools.

Dr. Jason Newland, a pediatric infectious disease specialist and professor of pediatrics at Washington University School of Medicine, was involved in the investigation. He tells Missourinet 57 schools in St. Louis County and Springfield-Greene County were involved in the effort.

Missouri and CDC study: COVID-19 spread is rare in K-12 schools – with certain precautions (Photo courtesy of Ashley Byrd/Missourinet)

“We have learned that doing this safely to not have transmission, you need to do certain things, which is the things we talked about throughout the pandemic – wearing a mask, using distancing, which we learned could be three feet in the school, keeping kids out that were ill, washing their hands. These factors in our study were key and were important to show rare transmission in schools. I think that’s great. I think we’ve learned that by doing these things we can have school in-person that can be safe not only for our students but also for our staff and teachers,” Newland says.

At the beginning of December, the Centers for Disease Control and Prevention came to Missouri to partner with the state and work on the first-of-its-kind COVID-19 study. Newland tells Missourinet thousands of students and teachers were involved.

“The final numbers of the cases that we had, we had 56 cases, 270 contacts that we identified in 22 of these 57 schools. So, that also demonstrates that you just don’t have always a lot of cases. This was done in December, when we had the height of our pandemic in our communities. So, I think that is also important to remember that we were doing this when a lot of people said, ‘Wow, you are crazy to be in school.’ But we had school and we showed rare transmission during that time,” says Newland.

For months, most of Missouri’s K-12 schools have been learning in-person at least partially.

Two groups who were considered close contacts to someone with COVID-19 were tested over the course of the review. The first group included those wearing masks who were allowed to attend in-person classes. The other group contained individuals required to quarantine for 10-14 days, regardless of whether they were wearing a mask.

Newland says a more in-depth project about transmission in these schools is underway.

“We want to understand and have more numbers to be better with our conclusions,” he says. “One of the important things in the pilot was investigating this modified quarantine versus the full quarantine. In the pilot, we learned that nobody that was placed in this modified quarantine was positive. So, we are doing more investigation with the full project. The key here is that the modified quarantine’s goal is to provide these contacts, where we think is a low, low risk situation, the opportunity to remain in in-person school because of all the benefits of in-person school, beyond just the education but the social supports, the food supports, all these things that schools provide. We thought this is extremely important because we needed the data. So, our pilot project was a way to start at least looking at the data. It doesn’t give you definitive answers, but the current pilot project showed that among those 30 kids we were able to test, that were in modified quarantine, none of them tested positive. We had no transmission. I think we need more information on that and that’s what our full project is going to help do.”

The study is part of an ongoing collaboration involving the CDC, Washington University School of Medicine, St. Louis University, the Missouri Department of Health and Senior Services, the Missouri Department of Elementary and Secondary Education, the Springfield-Greene and St. Louis County Health Departments and school districts in the St. Louis and Springfield areas. Three school districts in St. Louis County and three districts in Springfield-Greene County will be part of the contuing effort.

To view the findings of the pilot study, click here.

Copyright © 2021 · Missourinet

Filed Under: Education, Health / Medicine, News Tagged With: CDC, COVID-19, Dr. Jason Newland, Missouri Department of Elementary and Secondary Education, Missouri Department of Health and Senior Services, Springfield-Greene Health Department, St. Louis County Health Department, St. Louis University, Washington University

Fauci to Washington University: Some U.S. regions reaching the ‘unimaginable’ in COVID-19 pandemic

January 8, 2021 By Alisa Nelson

The nation’s top infectious disease expert spoke virtually to a group of faculty and students Thursday at Washington University in St. Louis. Dr. Anthony Fauci says the nation’s COVID-19 infection count, death toll, and number of hospitalizations are stunning.

Photo courtesy of Washington University

“The number are so extraordinary that we have become numb to them,” he says. “As of yesterday, there are 360,000 deaths. We have had a situation where we are now averaging between 200,000 and 300,000 new infections per day and between 2,000 and 3,000 deaths per day.”

He says every day is a new reckon for the number of people hospitalized with the coronavirus.

“There are some regions of the country that are really getting to the point of what we consider the unimaginable – where you actually have to triage and determine who is going to get take care of and who is not,” Fauci says.

Missouri reports today 416,758 coronavirus cases since March, 5,912 COVID-19 deaths, and 2,841 people in a Missouri hospital getting treated for the virus.

Fauci says the pandemic will get worse before it gets better due to recent holiday gatherings. But he says vaccinations will be the real gateway to life going back to normal.

According to Fauci, the most unexpected obstacle during the COVID-19 pandemic has been the lack of a uniform response. He says public health has been emersed in a divisive society during the pandemic – something he says he has not experienced before.

“There are regions of the country where hospitals are filled with people in intensive care units who are dying,” he says. “And the people in the community still feel it’s fake news, it’s a hoax, and it’s a conspiracy. That to me is unimaginable.”

He says the response has been as unimaginable as the rioters this week at the U.S. Capitol.

Copyright © 2021 · Missourinet

Filed Under: Health / Medicine, News Tagged With: COVID-19, Dr. Anthony Fauci, Washington University

Fauci to deliver virtual COVID-19 lecture to Washington University students

January 6, 2021 By Alisa Nelson

Dr. Anthony Fauci (Photo courtesy of the National Institute of Allergy and Infectious Diseases)

The nation’s top infectious disease expert will be giving a virtual lecture Thursday to Washington University School of Medicine faculty and students. The public can also listen live to Dr. Anthony Fauci’s talk about COVID-19 and its impact on the fields of public health and infectious diseases.

The talk will be geared toward Washington University and BJC HealthCare employees, residents, fellows and students.

His lecture will run from 8-8:45 a.m. No registration is required.

To view the lecture, click here. The School of Medicine’s website will also have a recording of Fauci’s lecture after he speaks.

Copyright © 2021 · Missourinet

Filed Under: Education, Health / Medicine, News Tagged With: BJC Healthcare, COVID-19, Dr. Anthony Fauci, Washington University

If you have had COVID-19, should you still wear a mask and get vaccinated?

January 5, 2021 By Alisa Nelson

If you have already had COVID-19, health experts still advise people to wear a mask and get the vaccine. Dr. Mati Hlatshwayo Davis, an infectious disease specialist at Washington University in St. Louis, tells Missourinet there is a period of time after your symptoms subside that you could still infect others.

If you have had COVID-19, should you still wear a mask and get vaccinated?

“There is no way for you to know exactly where you are in that period,” she says. “Even after they are past that period, they need to wear masks to protect others as well as themselves.”

Hlatshwayo Davis says wearing masks, getting the vaccine, social distancing and proper hand washing are the most effective ways to protect you and others.

“We know that there is going to be some level of immunity, but at this point, we don’t know how long that lasts for. So certainly months out, you don’t know if you still have a level of immunity to covid,” she says.

The CDC is recommending those infected with the coronavirus to wait 90 days from the time they had COVID-19 before getting vaccinated.

“We do not know exactly how natural immunity that is in place may interact with the vaccine. We’re still early in this in trying to figure out exactly what’s going on,” Hlatshwayo Davis says.

A new strain of COVID-19 has made its way to the United States. Hlatshwayo Davis says there have been other strains of the virus but they have not had a significant impact like this latest one.

“What is worrisome about this new strain is that it has multiple mutations and there is data to show that it may transmit COVID at higher rates than we have seen previously,” she says. “There is nothing that has shown that this has either different symptoms or is a more severe presentation of COVID. All that we are seeing right now is higher clusters of people, particularly in the United Kingdom and in South Africa.”

She says Pfizer and Moderna, who have researchers testing the new strain against the vaccine, think the drugs currently being used will be effective against the new strain.

Copyright © 2021 · Missourinet

Filed Under: Health / Medicine, News Tagged With: COVID-19, Dr. Mati Hlatshwayo Davis, Washington University

CDC, Missouri officials begin work on first-ever COVID-19 study within K-12 schools

December 10, 2020 By Alisa Nelson

Missouri is partnering with the CDC, Washington University and St. Louis University to help local K-12 schools and public health leaders review current COVID-19 measures. CDC workers arrived over the weekend to begin working on the first-ever pilot project within elementary and secondary schools.

Missouri officials begin work on first-ever COVID-19 study within K-12 schools

The effort will track COVID-19 infections among students and staff based upon whether they were wearing masks in school when they came into close contact with someone infected with the virus. They will be tested over a 30-day period.

Schools participating in the project are being identified in St. Charles, St. Louis, and Greene Counties. Participation of students, workers and employees is voluntary.

During a Missouri Board of Education meeting this week, State Department of Elementary and Secondary Education spokeswoman Mallory McGowin says the project is being piloted for the next couple weeks until schools go on winter break.

“And then the entire data collection and review process is anticipated to be completed within about three months. So likely when schools resume in the new calendar year, there will be more of ability to add participating districts,” she says. “The project will also involve a survey of school-based mitigation strategies. That survey will be sent to schools throughout the state to help the researchers and medical professionals working on this project better understand the measures that are being implemented across the state.”

The findings could lead to additional health measures being taken.

The results of the study will be published for the nation’s school systems to see.

Copyright © 2020 · Missourinet

Filed Under: Education, Health / Medicine, News Tagged With: CDC, Mallory McGowin, Missouri Board of Education, Missouri Department of Elementary and Secondary Education, Saint Louis University, Washington University

CDC in Missouri Monday to begin landmark COVID-19 study within schools

November 25, 2020 By Alisa Nelson

The Centers for Disease Control and Prevention will have boots on the ground in Missouri Monday to begin a first-of-its-kind COVID-19 study within some K-12 schools. Missouri Department of Health and Senior Services Director Randall Williams says the state pitched the study idea to the CDC.

CDC in Missouri Monday to begin landmark COVID-19 study within schools

He tells Missourinet two groups of students will be tested for COVID-19 over a 30-day period.

“Students who are identified as close contacts at school that are wearing masks. So, if the patient who was identified and the student was identified at school, then in one arm of the study, they can still come to school. Now, they will quarantine when they are at home when they leave school,” says Williams.

The other group being tested are students considered a close contact who are required to quarantine for 14 days, regardless of whether they were wearing a mask.

Teachers will be included in the case and contact investigation.

“The prevailing evidence to date after about eight months is, is that there is a very low risk of catching COVID-19 at school just from proximity if you are wearing a mask,” says Dr. Williams.

Missouri does not have a statewide mask requirement. Earlier this month, the state Department of Elementary and Secondary Education loosened the guidelines for making students and staff quarantine after exposure to someone with COVID-19, if they were properly wearing masks at school.

Williams did not have information about the number of schools and which schools are involved.

“You need to check a certain number to reach what is called the power to make a conclusion. So, that all is being done by our epidemiologists at the CDC, Washington University, and St. Louis University. They will determine how many people you need to study to make that observation,” Dr. Williams says.

He says the results of the study will be published for the nation’s school systems to see.

Copyright © 2020 · Missourinet

Filed Under: Education, Health / Medicine, News, Politics / Govt Tagged With: Centers for Disease Control and Prevention, COVID-19, Missouri Department of Elementary and Secondary Education, Missouri Department of Health and Senior Services Director Randall Williams, St. Louis University, Washington University

Missouri partners with Washington University for roll out of new COVID-19 saliva tests

September 8, 2020 By Alisa Nelson

The state of Missouri is working with Washington University in St. Louis to offer its new COVID-19 saliva test statewide soon. Officials reportedly hope to launch the tests later this month or in October.

Missouri Economic Development Department Director Rob Dixon

During a press conference in St. Louis, Missouri Economic Development Department Director Rob Dixon says the state is working alongside the school to scale up and expand the production of the test’s raw materials.

“We’re also looking at, of course, if there’s any job creation, that would be created in the private sector, if there’s anything the state could do to assist on that. I would just say none of that has been committed or confirmed yet. Obviously, there are still many details yet that we are working through,” says Dixon.

Dr. Jeff Milbrandt with Washington University says the school is working to order, assemble and distribute the new testing materials.

“The Fluidigm Corporation kits, of course, are made in California where the corporation is located,” he says. “But all of the things that go into the testing besides that kit and instrument, we’re trying to make here in Missouri.”

Milbrandt says the new test will help to move away from the limited testing supply since the COVID-19 crisis began. He says the test is very accurate, cost-effective and easier than a nasal swab test. It also frees up a shortage of certain lab supplies required to process samples – ultimately saving some money.

“This will allow us to help return to school more safely, help return to work more safely and help us identify outbreaks in our most vulnerable populations at a very early stage,” he says. “We are now working with the state of Missouri to make the test more broadly available to all of our residents.”

Milbrandt says the test can also be changed to use for other viruses, such as the flu.

U.S. Senator Roy Blunt, R-Missouri

The Columbia Daily Tribune reports the saliva test can return results within 24 hours and labs can process about 20,000 samples daily. Missouri currently conducts about 100,000 tests weekly.

Washington University is ranked fourth nationally in federal research funding. U.S. Senator Roy Blunt, R-Missouri, says the school is a national leader in research.

“$500 million dollars – half a billion dollars – comes to this campus every year from the federal government, matched by another $500 million from university resources, from individual gifts that make that all happen,” says Blunt.

Blunt, who chairs a U.S. Senate committee that funds health, education and labor, says five years ago, the National Institute of Health had not had a research funding increase in a decade.

Copyright © 2020 · Missourinet

Filed Under: Education, Health / Medicine, Legislature, News, Politics / Govt Tagged With: COVID-19, Dr. Jeff Milbrandt, Fluidigm Corporation, Missouri Economic Development Department Director Rob Dixon, Missouri U.S. Senator Roy Blunt, National Institute of Health, Washington University

Missouri primary election spotlight: Can the state afford to expand Medicaid?

August 3, 2020 By Alisa Nelson

A Medicaid expansion measure is one of the hot items at the ballot box in Tuesday’s primary election. Missouri voters will be asked whether to expand Medicaid to another 230,000 low-income adults. Currently, about 950,000 Missourians get government-funded healthcare. Under Amendment 2, Missouri adults earning up to $18,000 annually could qualify.

Missouri primary election spotlight: Can the state afford to expand Medicaid?

The clash between those for and against the plan has been largely about the way Medicaid expansion would affect the state’s bank account and philosophical contrasts. The messaging is very different depending on who you talk to.

During a statewide anti-expansion tour, State Treasurer Scott Fitzpatrick, a Republican, says the plan would cost the state another $200 million annually and would mean less money for other priorities.

“We fund prisons and if we want to close prisons and let violent criminals out of jail – that’s one option,” he says. “If we want to turn into Illinois and not fund our pension obligations – that’s another option and turn into a state with a junk credit rating. When you get down to it, one of the few discretionary items that we can decide how much money we’re going to spend without substantial consequences to the state is on education.”

Fitzpatrick, a former chairman of the House Budget Committee, says Missouri’s Medicaid obligations already make up about 40% of the state’s annual operating budget and it continues to grow each year.

“The state of Missouri already has a very generous Medicaid opportunities for families with children,” he says. “If you have a family and you have children and you are making less than 300% of the federal poverty level, which for a family of four is about $76,000, you can get your kids on Medicaid in the state of Missouri. If you are a pregnant woman and you need prenatal care and you don’t have access to health insurance and you are making less than 300% of the federal poverty level, you can get on Medicaid in the state of Missouri. The people that we are talking about, by and large expanding Medicaid to, are people who are working age, who are physically able to work and in many cases are choosing not to for whatever reason.”

State Representative Kip Kendrick, D-Columbia, insists the state would save money. Kendrick is the ranking Democrat on the House Budget Committee.

“Most states actually see a cost savings in the first year to two years and then that cost savings continues to grow,” Kendrick tells Missourinet affiliate KWIX in Moberly. “As more people come on, they tend to come on to that expanded role at a 90/10 (federal) match rather than a 60/40 (federal) match as you typically see in states that haven’t expanded. So, it’ll end up being cost savings for the state and provide greater access to healthcare and do a lot to shore up our hospitals and clinics around the state at a difficult time in the middle of a pandemic.”

A study by Washington University in St. Louis says Missouri would save about $39 million if the state expanded Medicaid. The analysis, done by the school’s Center for Health Economics and Policy, says the expansion would cost the state an estimated $118 million.

Sen. Bob Onder, R-Lake St. Louis, was also among a line of Republican legislators at the anti-expansion tour in Jefferson City.

“I would point out that the average Medicaid expansion state has seen cost overruns of 154%,” he says.

Onder, a practicing physician, says about 60% of the Medicaid expansion population already has private health insurance. If the ballot measure passes, he says they will be kicked off their insurance.

Gov. Mike Parson opposes the ballot measure and has the same financial stance as his Republican allies. During a press conference in May, Parson said the state budget is tough enough to handle with the coronavirus outbreak, let alone if Medicaid is expanded.

“There’s absolutely not going to be any extra money whatsoever,” says Parson. “Look, I don’t think it’s a time to be expanding anything in the state of Missouri right now. I’m telling you, we are going to have challenges going in to 2021 for sure when it comes to just meeting the budget with what we currently have.”

The Republican-leaning Missouri Chamber of Commerce says it backs the proposal that it says would lead to another 16,000 jobs per year for five years. Missourinet’s attempts to get the Chamber’s response about its support were not answered but in an initial statement expressing its position, President Dan Mehan called Amendment 2 a “pro-jobs measure” that will help fuel economic growth throughout our state.

“While this data makes a clear case for passing Amendment 2, the benefits of Medicaid expansion are even more significant during this time of economic hardship,” says Mehan.

Missouri Hospital Association spokesperson Dave Dillon tells Missourinet the healthcare group supports the expansion effort.

“It’s an important tool in getting people who need care some care and getting them comfortable with the idea of getting it when they need it. And that is to say that other parts of the Affordable Care Act were about keeping people healthy. You get paid – not necessarily for doing a procedure over and over again – but for the outcome of that procedure. To improve people’s health, requires you to put them in a system that you can help maintain their health. Medicaid can be that tool.”

Dillon agrees with the argument that Medicaid expansion is the vehicle for people who were never going to be able to afford to buy their own health insurance.

“But for us, if we’re going to set up a system of penalties for us not being able to keep individuals healthy – and by the way at the same time cost the healthcare system a lot more to treat in the wrong place at the wrong time – then we really need this as a tool in our tool belt to try to get those people to where if they need care for a chronic condition, if they are not even managing and don’t realize that they have diabetes, heart disease or the like, when they show up and need a stint or something really expensive, that’s an unnecessary cost. That’s a cost that we all bear because if that individual can’t pay for it, it’s going to be cost-shifted to people who can.”

He goes on to say the measure would save the entire healthcare system some money.

“There’s a hidden healthcare tax that everybody that’s got a commercial health insurance plan pays,” says Dillon. “That is attributable, in part, to the fact that we have a large number of uninsured and when they need care, they get it. They just don’t get it in an efficient place. They usually get it in the Emergency Department and then we have to write it off.”

Fitzpatrick, from southwest Missouri’s Shell Knob, says Medicaid expansion is billed as the “silver bullet” for struggling hospitals.

“I frankly don’t think that it is. I mean, it might help a little bit but frankly there are hospital systems out there that have problems that exceed what Medicaid expansion itself can solve.”

If Amendment 2 passes, Missouri would become the 38th state to expand government-funded healthcare coverage.

Polls are open Tuesday statewide from 6 a.m. to 7 p.m.

Copyright © 2020 · Missourinet

Filed Under: Health / Medicine, Legislature, News Tagged With: Dan Mehan, Dave Dillon, governor mike parson, Missouri Chamber of Commerce and Industry, Missouri Hospital Association, Missouri Treasurer Scott Fitzpatrick, Representative Kip Kendrick, Senator Bob Onder, Washington University

Washington University and St. Louis University have roles in COVID-19 vaccine trials

July 22, 2020 By Missourinet Contributor

Researchers at Washington University School of Medicine in St. Louis and the Saint Louis University Center for Vaccine Development will be a part of the national effort to find a COVID-19 vaccine.

The two private schools are part of the COVID-19 Prevention Network (CoVPN), a newly organized network formed by the National Institute of Allergy and Infectious Diseases (NIAID) to develop and test COVID-19 vaccines and  treatments.

According to Washington University, researchers at both universities will try to enroll about 3,000 participants in several different vaccine trials and “it will be critically important to enroll participants who are likely to be exposed to COVID-19 or those at risk for severe disease from COVID-19, including participants over age 65.”

According to a press release, both schools are well-positioned to conduct this research:

The Saint Louis University Center for Vaccine Development is home to one of 10 Vaccine and Treatment Evaluation Units in the United States. As such, SLU conducts phases 1 through 4 vaccine and treatment trials, including clinical studies with industry partners.

Washington University School of Medicine has more than 30 years’ experience leading clinical trials evaluating new treatments and vaccines for infectious diseases through its Infectious Disease Clinical Research Unit and the AIDS Clinical Trials Group. The latter has been instrumental in conducting trials to control the HIV pandemic, leading to safe and effective medications that treat and prevent HIV infection and AIDS.

For more information about vaccine trials at Washington University School of Medicine, email [email protected]; call 314-454-0058 or visit the Division of Infectious Diseases clinical trials site.

For more information about vaccine trials at Saint Louis University’s Center for Vaccine Development, vaccine.slu.edu; call 314-977-6333 or 1-866-410-6333; or email [email protected].

Filed Under: Education, Health / Medicine, News Tagged With: COVID-19 vaccine, SLU, St. Louis University, vaccine trials, Washington University

Missouri astronaut prepares for historic SpaceX launch

May 11, 2020 By Alisa Nelson

Later this month, north St. Louis County native Bob Behnken will put on his spacesuit and command the historic SpaceX flight to the International Space Station. He will strap into his seat in the cockpit of the Dragon spacecraft and fire up the vehicle. After a countdown concludes, Behnken and another NASA astronaut will lift off from the Kennedy Space Center in Cape Canaveral, Florida.

He will be aboard the first manned U.S. spaceflight in nearly a decade. The May 27 mission is also the first attempt by a private company – SpaceX – to fly astronauts to orbit.

Behnken, a Pattonville High and Washington University graduate, grew up being inspired by NASA’s programs. That inspiration has launched him into space two other times. He has logged more than 1,000 flight hours in 25 different aircraft.

Behnken says the coronavirus situation has shifted launch preparations.

“What’s really happened is the normal quarantine that astronauts go through about two weeks prior to launch to really make sure that we don’t take anything to the International Space Station or get the crew on orbit sick or be sick when we get on orbit. We’ve had to kind of stretch out and kind of begin closer to ten weeks prior,” says Behnken, a U.S. Air Force colonel.

He says the coronavirus will change the way the public gets to share the experience with the crew. For space shuttle launches, hundreds of thousands of people usually watch the launch at the Kennedy Space Center and nearby beaches. But the coronavirus outbreak has led NASA and SpaceX leaders to encourage the public to instead watch the liftoff on TV or online.

NASA is limiting the number of guests permitted at the space center, and the Kennedy Space Center Visitor Complex is not selling tickets for public viewing on NASA property. The visitor complex closed indefinitely in mid-March.

Behnken says this mission is the first one his son will get to watch him take part in.

“He’s seen me do it in old videos but he hasn’t seen me do it for real,” he says.

Behnken and his wife, K. Megan McArthur, are both astronauts.

“It’s been really interesting, I think for both my wife and I, to have gone through the process of seeing each other launch in space. That’s an aspect of our relationship I think that most couples can’t share,” he says. “Because I’ve seen her take that risk and had it be in front of her and I’ve done that to her.”

The length of the latest mission is unknown.

L-3 weeks means training complete! It also means that the launch and mission memorabilia is coalescing… https://t.co/RKyjWWVa2P pic.twitter.com/7s7QwkZTId

— Bob Behnken (@AstroBehnken) May 7, 2020

Copyright © 2020 · Missourinet

Filed Under: News, Science / Technology Tagged With: Bob Behnken, coronavirus, COVID-19, K. Megan McArthur, Kennedy Space Center, NASA, Pattonville High School, SpaceX, U.S. Air Force, Washington University

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