Behind Victoria's decision to open primary schools

Behind Victoria

To the delight of parents across Melbourne, Victorian Premier Daniel Andrews recently announced that all primary school students will be back in the classroom for face-to-face learning from October 12.

The development, being celebrated across the state, follows nearly two months of Stage 4 restrictions that forced schools to return to remote and flexible learning.

In an article published in The Conversation, Fiona Russell a Principal research fellow at the University of Melbourne, along with a team of academics from the Murdoch Children's Research Institute, explained the science behind the Premier’s decision.

They say the Victorian Government’s decision to reopen the state’s primary schools was informed by an analysis of Victorian health and education department data on all cases and contacts linked to outbreaks at schools and early childhood education and care services (childcare and preschool).

“Our analysis found children younger than 13 seem to transmit the virus less than teenagers and adults. In instances where the first case in a school was a child under 13, a subsequent outbreak (two or more cases) was uncommon,” the authors wrote.

“This finding played a key role in helping make the decision for primary school children to return to school”.

1. Outbreaks in childcare and schools are driven by community transmission

“Infections linked to childcare, preschools and schools peaked when community transmission was highest in July and declined in August. In addition, they were most common in the geographical areas where community transmission was also high,” the authors wrote.

“This suggests infections in childcare, preschools and schools are driven primarily by transmission in the broader community. Controlling community transmission is key to preventing school outbreaks”.

2. School infections are much lower than in the community

According to the data, there were 1,635 infections linked with childcare, preschools and schools out of a total of 19,109 cases in Victoria (between January 25 and August 31).

“Of 1 million students enrolled in all Victorian schools, 337 may have acquired the virus through outbreaks at school,” the authors wrote.

“Of 139 staff and 373 students who may have acquired infection through outbreaks at childcare, preschools or schools, eight (four staff and four students) were admitted to hospital, and all recovered”.

The authors pointed out that the infections in childcare, preschools and schools were very rarely linked to infections in the elderly, who are the most vulnerable to COVID-19.

3. Most infections in schools and childcare centres were well contained

Of all the outbreaks in Victorian childcare centres, preschools and schools, 66% involved only a single infection in a staff member or student and did not progress to an outbreak. And 91% involved fewer than ten cases.

“Testing, tracing and isolation within 48 hours of a notification is the most important strategy to prevent an outbreak,” the authors wrote.

“The majority of infections in childcare, preschools and schools were well contained with existing controls and rapid closure (within two days), contact tracing and cleaning”.

4. Households are the main source of infection, not schools

Russel and her team found that the investigations of cases identified in schools suggest child-to-child transmission in schools is uncommon, and not the primary cause of infection in children.

“Household transmission has been consistently found to be the most common source of infection for children,” the authors wrote.

Closing schools should be a last resort

Based on our findings and a review of the international literature, Russel and her team recommend prioritising childcare centres, preschools and schools to reopen and stay open to guarantee equitable learning environments — and to lessen the effects of school closures.

“Children do transmit the virus and outbreaks can occur. But based on the international literature, this mostly happens when there are high rates of community transmission and a lack of adherence to mitigation measures [such as social distancing] at the school or childcare centre,” the authors wrote.

“Childcare centres, preschools and schools play a critical role not only in providing education, but also offering additional support for vulnerable students”.

The authors said that with childcare centres and schools being closed, along with the additional economic and psychological stress on families, family conflict and violence has increased.

“This has led to many children and young people feeling unsafe and left behind in their education and suffering mental-health conditions,” the authors wrote..

“Closing all schools as part of large-scale restrictions should be a last resort”.

The authors said this is especially the case for childcare centres, preschools and primary schools, as children in these age groups are less likely to transmit the virus, and be associated with an outbreak.

“Now that community transmission in Victoria is so low, it’s time for all kids to go back to school”.

The original version of this story first appeared in The Conversation.