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Tumas Beinort, a physician at Cambridge University Hospital, a member of the Independent Expert Advisory Council, presented the experts and the Government with a possible plan to ensure safe contact education.
According to the expert, the safe renewal of contact education could be implemented by implementing at least five essential steps.
These include a pre-return test, lower classes, use of masks, ventilation and rapid isolation of symptomatic individuals, preventive cumulative tests, 24-hour monitoring. from smear to isolation, short 7-day quarantine and shoot sequencing.
On Monday, Prime Minister Ingrida Šimonytė stated that beginners and subsequent graduates will receive back-to-school knowledge in the coming weeks; this may be the last week of February.
“The educational community can expect knowledge in the coming weeks. We would very much like to test large-scale tests in schools and we plan to do so. Of course, that knowledge would reach the beginners first, but we would also like to see graduates go back to schools.
To that end, there is now a debate about the special tests that we could do in school groups to test there. I think it would be a great life facilitator for the school to start functioning normally or at least in a mixed way. I think this is a matter for the next few weeks, “I. Šimonytė told reporters on Monday.
Next week, the students are leaving. After his vacation, the Prime Minister already promises concrete steps for specific educational institutions.
The discussion plan raised the question of when and in what age group students could return to class. Elementary school children are expected to be able to return to educational institutions when the municipality has 100,000. population in 14 days of texts from 150 to 200 cases. Graduates: when morbidity falls to the limit of 100-150 cases per 100 thousand. population in 14 days.
All other students are expected to return to blended learning, with morbidity in the municipality of 25 to 100 cases per 100,000. population in 14 days, which is in line with scenario B. When morbidity is less than 25 cases per 100,000. all the students in the town would go back to school.
Secure Contact Education Update – 5 steps
The actions of the measures are divided into 5 main steps, but the plan notes that new strains of coronavirus can further change this plan.
The first step is to put out the chimneys in the existing kindergartens.
The second step is the pilot schools: the return of primary school students with epidemiological control.
The third step is to return to other primary schools and high schools to contact education with epidemiological control. Monitoring with data systematization.
The fourth step is to return the students of the remaining grades to education in contact with epidemiological control.
The fifth step: 4 weeks. from the resumption of contact education, depending on the results of follow-up and prevalence in society, the transition from asymptomatic tests to follow-up tests.
Implementation principles
1. Before resuming the contact education process, turn off the current chimneys in educational institutions. (Number of people in kindergartens right now?)
2. People who need to be in isolation (have symptoms of COVID-19, homes with symptoms or diagnosis of COVID-19, recent contact of COVID-19, who came from abroad more than 7 days ago, should not enter the institution educational).
3. People who have experienced symptoms in an educational institution will be isolated immediately and without waiting for the testing process.
4. Before returning to the educational institution for the first time, all persons must have a negative PCR class test (to allow for a massive cumulative PCR asymptomatic test)
5. Strive to carry out the educational process in smaller groups: the probability of an outbreak is lower, fewer people have to isolate themselves during the infection.
6. Non-pharmacological preventive measures are applied in educational institutions: masks (for school children), room ventilation, hand hygiene, breaks at different times.
7. Preventive tests of asymptomatic people are carried out in the first weeks after the resumption of contact learning: every 7 days. Cumulative PCR or antigen test 2 times a week. Epidemiological surveillance.
8. The laboratory will communicate the test results to the designated person responsible for infection control at that facility.
9. From stain to isolation.
Test of 5 groups of samples
T. Beinort defined that analyzing a set of 5 samples could be a division of a class or catenary into stable groups of 5 individuals, their swabs pooled in the same virological medium.
Only cumulative tests are performed, so labs are not overloaded with additional reload work, the likelihood of lab errors is reduced.
If the accumulation is positive, the class should isolate itself. This would stop the spread of infection, for maximum tactical effectiveness, it should be done less than 24 hours after smear collection.
Individual reevaluations of positive individuals at mobile points, follow-up and isolation of positive contacts outside the educational institution would also be organized. Accumulated CRP for the isolated class on isolation day 7 and CRP: return of individuals to contact education.
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