{"id":49741,"date":"2021-03-05T18:15:32","date_gmt":"2021-03-05T17:15:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49741"},"modified":"2021-03-05T18:24:08","modified_gmt":"2021-03-05T17:24:08","slug":"school-closures-have-had-a-huge-impact-on-childrens-futures","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/05\/school-closures-have-had-a-huge-impact-on-childrens-futures\/","title":{"rendered":"School closures have had a huge impact on children&#8217;s futures"},"content":{"rendered":"<p><em><span style=\"font-weight: 400\">As schools across Europe are starting to reopen, these authors consider the longer term impact that schools closures have had on children\u2019s wellbeing.<\/span><\/em><\/p>\n<p><!--more--><\/p>\n<p><span style=\"font-weight: 400\">Italian children with backpacks stand by the school gates and wait for their school to open. This has become a familiar sight in Italy as schools across the country have been closed due to the covid-19 pandemic. In October 2020, the governor in Campania, Southern Italy used a regional ordinance to stop classroom lessons in primary, middle, and high schools after a worrying increase of SARS-CoV-2 cases. Some children, parents, and teachers chanted \u201cGive us back the school\u201d in demonstrations that took place after the decision.<\/span><\/p>\n<p><span style=\"font-weight: 400\">This decision to close schools in Italy in the autumn came as cases of SARS-CoV-2 started to increase in Europe in the Autumn. Schools in Italy had initially reopened during the second wave of the pandemic, which began in Europe at the end of the summer, and after a long period of weakening restrictive measures. The resumption of classes coincided with the return to work of millions of Italians after the summer break and the start of autumnal weather, which kept people indoors and increased the opportunity for respiratory diseases like covid-19 to spread.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">More than a month after the reopening of schools in the Campania region, Italy, at the end of the summer, students infected with covid-19 numbered 5,793 (0.08% of the entire student population), teachers numbered 1,020 (0.14% of the total) and employees among non-teaching staff 283 (0.14% of the total).<sup>1<\/sup>\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Data from studies worldwide have shown that children are less easily infected by covid-19; they were infected in lower numbers during the first wave, particularly children aged younger than 14.<sup>2,3<\/sup> There is considerable uncertainty about the extent to which school closures contributed to controlling the first wave of the pandemic. <sup>4,5<\/sup> Recent estimates show that school closures during the second European outbreak could lead to more, not fewer, deaths from covid-19.<sup>6<\/sup> Schools may indirectly support measures against the pandemic as the fact that children and teenagers are required to respect certain rules during school hours may trigger positive attitudes outside school.<\/span> <span style=\"font-weight: 400\">An analysis of schools reopening in Germany hints that this may have even reduced the increase in cases in school-age children.<sup>7<\/sup> However, <\/span><span style=\"font-weight: 400\">data from Italy in February 2021<sup>8<\/sup><\/span><span style=\"font-weight: 400\">\u00a0suggests that more young children are being infected with new variants of covid-19 and experts have called for schools to be reopened cautiously in light of these data.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Some regional governors have justified their decision to close schools by claiming that students and parents would overload public transport and increase covid transmission. Public transport is overcrowded, particularly around school opening and closing times, and the problem is widespread in all Italian regions. But while politicians have had months of lockdown to find solutions and implement better public services, they are solving the transport problem with school closures. The educational mission of schools is being subordinated to the need to reduce public transport overcrowding. Unfortunately, this is only one example of how bad policy contributes to worsening of the pandemic. Governments have not used time during lockdown effectively to consider strategies for keeping schools safe.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">While we are aware of the need to find a balance between an almost normal life and the best way to control the pandemic, the rights of children and their families must not be forgotten.<sup>9<\/sup> Children have already suffered the consequences of decisions taken during the first wave. Compelling data from UNICEF shows the staggering negative consequences for children worldwide, fuelling systemic inequities for an entire generation.<sup>10<\/sup><\/span><\/p>\n<p><span style=\"font-weight: 400\">It is vital that politicians implement the necessary social rules to contain the virus but without forgetting the educational value that a different, renewed and innovative school environment can have in this challenging epidemiological period. As schools across Europe gradually start to reopen, we must remember that each day of school closures will shape societies for years to come, and this must be balanced against any benefits for pandemic control. The effects of school closures cannot be minimised. This key issue requires urgent global measures to protect children\u2019s rights once and for all.<\/span><\/p>\n<p>See also:<\/p>\n<ul>\n<li class=\"highwire-cite-title\"><a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n524\">Covid-19: Keeping schools as safe as possible<\/a><\/li>\n<li id=\"page-title\" class=\"highwire-cite-title\"><a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n521\">Closing schools is not evidence based and harms children<\/a><\/li>\n<li class=\"entry-title\"><a href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/02\/03\/covid-19-and-schools-known-unknowns\/\">Covid-19 and schools\u2014known unknowns<\/a><\/li>\n<\/ul>\n<p><em><strong>Danilo Buonsenso<\/strong> <span style=\"font-weight: 400\">works at the Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli, the Dipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Universit\u00e0 Cattolica del Sacro Cuore, and the Global Health Research Institute, Istituto di Igiene, Universit\u00e0 Cattolica del Sacro Cuore, Rome, Italy.<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Cristina De Rose<\/strong> works at the Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy.<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Damian Roland<\/strong> works for the<\/span> <span style=\"font-weight: 400\">SAPPHIRE Group, Health Sciences, Leicester University, UK.<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Alasdair P. S. Munro<\/strong> works at the National Institute of Health Research Southampton Clinical Research Facility and Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust and the University of Southampton, UK.<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Sebasti\u00e1n Gonz\u00e1lez-Dambrauskas<\/strong> works at the<\/span> <span style=\"font-weight: 400\">Cuidados Intensivos Pedi\u00e1tricos Especializados (CIPe), Casa de Galicia, and the Red Colaborativa Pedi\u00e1trica de Latinoam\u00e9rica (LARed Network), Montevideo, Uruguay.<\/span><\/em><\/p>\n<p><em><b>Competing interests: <\/b>none declared.\u00a0<\/em><\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><a href=\"http:\/\/www.salute.gov.it\/portale\/nuovocoronavirus\" target=\"_blank\" rel=\"noopener\">http:\/\/www.salute.gov.it\/portale\/nuovocoronavirus<\/a>,<\/span><span style=\"font-weight: 400\">\u00a0Accessed on October 24th, 2020<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Poll\u00e1n M, P\u00e9rez-G\u00f3mez B, Pastor-Barriuso R, Oteo J, Hern\u00e1n MA, P\u00e9rez-Olmeda M, et al. Prevalence of SARS-CoV-2 in Spain (ENE-COVID): a nationwide, population-based seroepidemiological study.<\/span><i><span style=\"font-weight: 400\"> Lancet<\/span><\/i><span style=\"font-weight: 400\">. 2020;0. doi:10.1016\/S0140-6736(20)31483-5.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Russell M. et al Susceptibility to SARS-CoV-2 Infection Among children and Adolescents Compared With Adults. A Systematic Review and Meta-analysis. <\/span><i><span style=\"font-weight: 400\">JAMA Pediatr. <\/span><\/i><span style=\"font-weight: 400\">2020. doi:10.1001\/jamapediatrics.2020.4573.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Auger KA, Shah SS, Richardson T, Hartley D, Hall M, Warniment A, et al. Association Between Statewide School Closure and COVID-19 Incidence and Mortality in the US. <\/span><i><span style=\"font-weight: 400\">JAMA.<\/span><\/i><span style=\"font-weight: 400\"> 2020;324:859. doi:10.1001\/jama.2020.14348.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Iwata K, Doi A, Miyakoshi C. Was school closure effective in mitigating coronavirus disease 2019 (COVID-19)? Time series analysis using Bayesian inference. <\/span><i><span style=\"font-weight: 400\">Int J Infect Dis<\/span><\/i><span style=\"font-weight: 400\">. 2020;99:57\u201361. doi:10.1016\/j.ijid.2020.07.052.<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Rice K, Wynne Ben, Martin V, Ackland GJ. Effect of school closures on mortality from coronavirus disease 2019: old and new predictions. <\/span><i><span style=\"font-weight: 400\">BMJ. <\/span><\/i><span style=\"font-weight: 400\">2020;371:m3588<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Isphording IE, Lipfert M, Pestel N. School Re-Openings after Summer Breaks in Germany Did Not Increase SARS-CoV-2 Cases. <\/span><i><span style=\"font-weight: 400\">IZA DP No.<\/span><\/i><span style=\"font-weight: 400\"> 2020;1379<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Covid-19: More young children are being infected in Israel and Italy, emerging data suggest. BMJ 2021;372:n383<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Faust SN, Munro APS. It\u2019s Time to Put Children and Young People First During the Global COVID-19 Pandemic. <\/span><i><span style=\"font-weight: 400\">JAMA Pediatr.<\/span><\/i><span style=\"font-weight: 400\"> 2020. doi:10.1001\/jamapediatrics.2020.4582.<\/span><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/data.unicef.org\/topic\/education\/covid-19\/\"><span style=\"font-weight: 400\">https:\/\/data.unicef.org\/topic\/education\/covid-19\/<\/span><\/a>, <span style=\"font-weight: 400\">Accessed on October 24<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\">, 2020<\/span><\/li>\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33464019\/\">School closures during the covid-19 pandemic<\/a>: A Catastrophic Global Situation<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As schools across Europe are starting to reopen, these authors consider the longer term impact that schools closures have had on children\u2019s wellbeing. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/05\/school-closures-have-had-a-huge-impact-on-childrens-futures\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":421,"featured_media":48237,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-49741","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>School closures have had a huge impact on children&#039;s futures - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/05\/school-closures-have-had-a-huge-impact-on-childrens-futures\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"School closures have had a huge impact on children&#039;s futures - The BMJ\" \/>\n<meta property=\"og:description\" content=\"As schools across Europe are starting to reopen, these authors consider the longer term impact that schools closures have had on children\u2019s wellbeing. 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England took major steps towards the resumption of normal life over the weekend with the easing of coronavirus lockdown restrictions on the hospitality sector, allowing bars and restaurants to reopen, plus a shift to a 'one-metre plus' social distancing rule. Covid-19 deaths across the whole UK meanwhile now stand at 44,236, including a further 16 recorded today. 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