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Supporting COVID-19 School Safety for Children With Disabilities and Medical Complexity
Michael R Sherby1, Luther G Kalb2, Ryan J Coller3
1Washington University in St Louis, St Louis, Missouri.
Insights
Children with intellectual and developmental disabilities (IDDs) and medical complexity (CMC) faced challenges during the COVID-19 pandemic. This report details screening testing models to ensure safe school operations for these vulnerable children.
Area of Science:
- Public Health
- Pediatrics
- Infectious Disease Epidemiology
Background:
- Children with intellectual and developmental disabilities (IDDs) and medical complexity (CMC) were disproportionately affected by the COVID-19 pandemic.
- Schools are vital for educational, therapeutic, medical, and social needs of children with IDDs and CMC.
- Implementing pandemic prevention strategies in schools for this population presents unique challenges due to higher risks of complications and mortality.
Purpose of the Study:
- To describe the implementation of screening testing models for SARS-CoV-2 in children with IDDs and CMC.
- To identify generalizable and scalable approaches for safe school operations.
- To support safe school functioning during current and future pandemics for high-risk children.
Main Methods:
- Implementation of various screening testing models for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
- Focus on high-risk pediatric populations, specifically children with IDDs and CMC.
- Evaluation of approaches to facilitate safe school operations.
Main Results:
- Details on the implementation of specific screening testing models are provided.
- The study aims to identify effective strategies for managing SARS-CoV-2 in school settings for vulnerable children.
- Findings are intended to inform scalable and generalizable approaches.
Conclusions:
- Effective mitigation strategies are crucial for children with IDDs and CMC due to their increased risk.
- Screening testing models can facilitate safe school operations for high-risk children.
- The described models offer potential solutions for managing infectious diseases in educational settings during pandemics.
Abstract:
Children with intellectual and developmental disabilities (IDDs) and children with medical complexity (CMC) have been disproportionally impacted by the coronavirus disease 2019 pandemic, including school closures. Children with IDDs and CMC rely on schools for a vast array of educational, therapeutic, medical, and social needs. However, maintaining safe schools for children with IDDs and CMC during the coronavirus disease 2019 pandemic may be difficult because of the unique challenges of implementing prevention strategies, such as masking, social distancing, and hand hygiene in this high-risk environment. Furthermore, children with IDDs and CMC are at a higher risk of infectious complications and mortality, underscoring the need for effective mitigation strategies. The goal of this report is to describe the implementation of several screening testing models for severe acute respiratory syndrome coronavirus 2 in this high-risk population. By describing these models, we hope to identify generalizable and scalable approaches to facilitate safe school operations for children with IDDs and CMC during the current and future pandemics.
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