COVID-19 Registry List

To get answers as quickly as possible, researchers and health care providers have created COVID-19 registries that cover everything from asthma and diabetes to pregnancy and pulmonary embolism.

Since COVID-19 is truly a novel disease, we continue to look for answers about how to best treat our patients who are getting sick.

Fever and cough are the most common symptoms in this COVID-19 pediatric registry.
Fever and cough are the most common symptoms in this COVID-19 pediatric registry.

And to get those answers as quickly as possible, researchers and health care providers have created COVID-19 registries that cover everything from asthma and diabetes to pregnancy and pulmonary embolism.

COVID-19 Registry List

Not surprisingly, there is a COVID-19 registry to cover just about every aspect of this new disease.

The results from these registries will hopefully help us come up with better COVID-19 treatment protocols and answer some very important questions, such as whether or not SARS-CoV-2 truly is triggering new cases of type 1 diabetes and why some people have lingering symptoms.

More on COVID-19

Why Do Some People Still Think Hydroxychloroquine Works for COVID-19?

We are more than six months into the COVID-19 pandemic and we are still talking about hydroxychloroquine, a dangerous treatment that doesn’t work.

As the COVID-19 pandemic continues to rage throughout the world, we don’t have a vaccine, there are few treatments and no cure, and as some still refuse to wear masks in public or social distance, there are still those think that hydroxychloroquine works.

We are still talking about hydroxychloroquine.

Can you guess why?

Why Do Some People Still Think Hydroxychloroquine Works for COVID-19?

Sure, it’s not complicated…

The US has a stockpile of hydroxychloroquine.

There are plenty of people pushing for the continued use of hydroxycloroquine as a treatment for COVID-19, even though many experts were skeptical from the beginning and there are new warnings from the FDA.

“Based on its ongoing analysis of the EUA and emerging scientific data, the FDA determined that chloroquine and hydroxychloroquine are unlikely to be effective in treating COVID-19 for the authorized uses in the EUA. Additionally, in light of ongoing serious cardiac adverse events and other potential serious side effects, the known and potential benefits of chloroquine and hydroxychloroquine no longer outweigh the known and potential risks for the authorized use.”

FDA cautions against use of hydroxychloroquine or chloroquine for COVID-19 outside of the hospital setting or a clinical trial due to risk of heart rhythm problems

But how do these folks convince anyone to listen to them?

Zev Zelenko is one of the doctors pushing hydroxychloroquine as a treatment for COVID-19.

Mostly it is because people want to believe that there is a treatment, especially when the alternative is doing nothing.

Dr Urso is another doctor pushing hydroxychloroquine as a treatment for COVID-19.

They want to believe, even though that false hope for an effective treatment puts them at risk of dangerous side effects.

An extra risk without any benefits, as hydroxycholorquine doesn’t actually work as a COVID-19 treatment.

“We know that every single good study – and by good study I mean randomised control study in which the data are firm and believable – has shown that hydroxychloroquine is not effective in the treatment of Covid-19.”

Anthony Fauci on Coronavirus: Hydroxychloroquine ineffective says Fauci

Again, then, why do so many people think that hydroxychloroquine and these other protocols actually work?

In addition to some poorly done studies that say it works, it is mostly because of the anecdotal data and testimonials they are hearing from the doctors who have appointed themselves experts on treating COVID-19.

How are they determining that false negatives are really false negatives?
How are they determining that false negatives are really false negatives?

For example, is the fact that there are no deaths and only one hospitalization on this list of COVID STATS from the McKinney Family Medicine a good reason to take hydroxychloroquine?

“The overall cumulative hospitalization rate is 120.9 per 100,000 population.”

COVIDView Weekly Summary

Of course not, especially when you consider that you likely wouldn’t expect any hospitalizations or deaths when you only have 271 COVID-19 patients.

Wait, why is that?

With a hospitalization rate of 120 per 100,000 cases, you can expect one person to be hospitalized for every 1,000 cases!

Of course, that rate is higher in groups with higher risk factors, but even if all of the patients at McKinney Family Medicine were older and had some risk factors, it is doubtful that you would expect more than one hospitalization.

“Mild to moderate (mild symptoms up to mild pneumonia): 81%”

Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19)

Remember, most people with COVID-19 have mild symptoms and recover without any specific treatments.

Unfortunately, some don’t, especially those in high risk groups.

Craig Spencer warns that anecdotes about hydroxychloroquine are harming people.

And that’s why we need to work to control COVID-19 with face masks, social distancing, handwashing, testing, contact tracing, and quarantining, and stop all of the pseudo-scientific nonsense about hydroxychloroquine and other COVID-19 misinformation.

More on Hydroxychloroquine

Are One in a Billion Children Dying of COVID-19?

Paul Thomas doesn’t think parents should be concerned because he thinks only one in a billion children are dying of COVID-19.

Why do some people think that only one in a billion children are dying of COVID-19?

There were 7 deaths among the 7,780 children with COVID-19 in the study and Paul Thomas somehow translated that into a rate of one in a billion.
There were 7 deaths among the 7,780 children with COVID-19 in the study and Paul Thomas somehow translated that into a rate of one in a billion.

The usual suspects…

Are One in a Billion Children Dying of COVID-19?

In his video about face masks and face shields, Paul Thomas describes a study about pediatric patients with COVID-19.

“We identified 131 studies across 26 countries comprising 7780 pediatric patients.”

Hoang et al on COVID-19 in 7780 pediatric patients: A systematic review

What did they find?

They found that most of the kids in the study with COVID-19 recovered and had “overall excellent prognosis.”

“Seven deaths were reported (0·09%) and 11 children (0·14%) met inclusion for multisystem inflammatory syndrome in children.”

Hoang et al on COVID-19 in 7780 pediatric patients: A systematic review

Most, but not all…

“They looked at 131 studies that included over 7000 children from 26 different countries. There were only seven deaths out of the 6.4 million cases of COVID-19. Understand, that’s about one in a billion if you look at the world population. One in a billion children dying of COVID. Oh my gosh! No! You don’t need to be afraid for your child.”

Paul Thomas on FACE MASKS & FACE SHIELDS: Should We Wear Them?

One in a billion?

Even if you don’t know anything about statistics or epidemiology and haven’t looked at the study, you can guess that it wasn’t saying that only one in a billion children are dying of COVID-19!

Instead, most people will quickly see that there were seven deaths among 7,780 pediatric patients.

So among the children who got COVID-19, a relatively high percentage, at nearly 0.1%, died.

If only one in a billion children were truly dying of COVID-19, then only one child would have died! While the world population has indeed reached nearly eight billion people, keep in mind that they aren’t all children!

This North American Pediatric ICU database has recorded at least 39 pediatric COVID-19 deaths.

Anyway, so far, there have been over 70 pediatric COVID-19 deaths in the United States alone. So much for one in a billion children dying of COVID…

Should you be afraid for your child?

Are you getting advice about COVID-19 from Paul Thomas???

More on Kids Dying with COVID-19

What to Know About Face Masks and COVID-19

Wearing a face mask is safe and may help slow the spread of COVID-19.

Why do some people still think they shouldn’t wear a mask to help control the COVID-19 pandemic?

A chain link fence won't keep out a mosquito, but it will keep out a dog covered in ticks...
A chain link fence won’t keep out a mosquito, but it will keep out a dog covered in ticks…

The usual suspects…

Confusion About Face Masks and COVID-19

Much of the confusion about face masks stems from the fact the initial guidance from the WHO and CDC said that wearing a mask wasn’t necessary for everyone.

“Wearing medical masks when not indicated may cause unnecessary cost, procurement burden and create a false sense of security that can lead to neglecting other essential measures such as hand hygiene practices. Furthermore, using a mask incorrectly may hamper its effectiveness to reduce the risk of transmission.”

Advice on the use of masks in the community, during home care and in health care settings in the context of the novel coronavirus (2019-nCoV) outbreak – WHO Interim guidance January 2020

Using a mask incorrectly?

If you are going to wear your mask under your chin or with your nose or mouth exposed and think you are protected and not social distance, then wearing a mask might actually get more people sick. With little information that masks were helpful, this fear that they would create a false sense of security likely influenced initial guidance.

Experts were likely also concerned about a limited supply of medical masks at the time.

Of course, as we have gotten more information about the SARS-CoV-2 virus and how it spreads, that guidance about face masks changed.

“CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain (e.g., grocery stores and pharmacies), especially in areas of significant community-based transmission.”

Use of Cloth Face Coverings to Help Slow the Spread of COVID-19 (April 2020)

We know that the best way to avoid getting COVID-19, at least until we get a vaccine, is going to be trying make sure you are never exposed to the SARS-CoV-2 virus. In addition to social distancing and washing your hands, wearing a face mask correctly will help to decrease your risk of exposing others. And if those around you are wearing a face mask, then they won’t expose you!

What to Know About Face Masks and COVID-19

But what about the idea that the pore size of the masks are too big to stop the small size of the SARS-CoV-2 virus?

This 2009 photograph captured a sneeze in progress, revealing the plume of salivary droplets as they are expelled in a large cone-shaped array from this man’s open mouth, thereby, dramatically illustrating the reason one needs to cover his/her mouth when coughing, or sneezing, in order to protect others from germ exposure. Photo courtesy CDC/James Gathany
A sneeze in progress, revealing the plume of salivary droplets as they are expelled in a large cone-shaped array from this man’s open mouth. Photo by James Gathany.

The thing is, the SARS-CoV-2 virus, while it is very small, isn’t just floating around in the air by itself! It gets carried in and on larger respiratory droplets.

And if the mask blocks those respiratory droplets, then it should keep you from exposing others to the SARS-CoV-2 virus.

What about the claim that face masks cause folks to breath their own carbon dioxide, even leading to breathing problems?

OSHA has issued guidance to protect workers from getting COVID-19, which includes that they wear face coverings.
OSHA has issued guidance to protect workers from getting COVID-19, which includes that they wear face coverings.

Most folks realize this isn’t a real problem, after all, health professionals wear face masks all of the time without any problems, right?

But just think about these arguments…

On the one hand, they are worried that the pore size of face masks won’t block out the SARS-CoV-2 virus, which is about 0.1 μm in diameter.

But then they think these very same face masks will block carbon dioxide? How big are carbon dioxide molecules???

They are about 1000 times smaller than the SARS-CoV-2 virus…

So a face mask is not going to affect your ability to breath well.

Who Should Not Wear a Face Mask

Not surprisingly, a face mask is even recommended for folks with asthma, as long as their asthma is well controlled.

“There is no evidence that wearing a face mask makes asthma worse.”

AAAI Recommendations on the use of face masks to reduce COVID-19 transmission

Infants and toddlers under age two years can skip wearing a face mask because of the risk of suffocation, as can “anyone who has trouble breathing, is unconscious, incapacitated or otherwise unable to remove the mask without assistance.”

If you have “trouble breathing” though, you likely have a severe respiratory condition and you aren’t simply someone who doesn’t want to wear a mask.

Flyers about the Americans with Disabilities Act (ADA) and the use of face masks due to the COVID-19 are fake.

Are you ready to put on a mask now?

Since we are seeing higher rates of COVID-19 in states that don’t have mask mandates, the only confusion should be over why anyone still won’t wear a mask when they are around other people.

More on Controlling COVID-19

The Experts Defending Anthony Fauci

Anthony Fauci is receiving a lot of support from doctors, scientists, and public health experts.

Not surprisingly, more and more experts are speaking out to defend Dr. Anthony Fauci.

Anthony Fauci is receiving a lot of support from doctors, scientists, and public health experts.
Anthony Fauci is receiving a lot of support from doctors, scientists, and public health experts.

These experts understand that Dr. Fauci “deserves our deepest gratitude and support” and is “our best hope in these challenging times.”

The Experts Defending Anthony Fauci

Harold Bauchner certainly wasn’t alone in stating his public support for Dr. Fauci.

“As 12,000 medical doctors, research scientists and public health experts on the front lines of COVID-19, the infectious diseases community will not be silenced nor sidelined amidst a global pandemic. Reports of a campaign to discredit and diminish the role of Dr. Fauci at this perilous moment are disturbing.”

IDSA Statement in Support of Anthony Fauci, M.D.

The Infectious Disease Society of America issued their own statement.

“If we have any hope of ending this crisis, all of America must support public health experts, including Dr. Fauci, and stand with science.”

IDSA Statement in Support of Anthony Fauci, M.D.

And so did the Association of American Medical Colleges, whose members comprise all 155 accredited U.S. and 17 accredited Canadian medical schools; nearly 400 major teaching hospitals and health systems, including 51 Department of Veterans Affairs medical centers; and more than 80 academic societies, with 173,000 faculty members, 89,000 medical students, 129,000 resident physicians, and more than 60,000 graduate students and postdoctoral researchers in the biomedical sciences.

“The AAMC is extremely concerned and alarmed by efforts to discredit Anthony Fauci, MD, our nation’s top infectious disease expert. Dr. Fauci has been an independent and outspoken voice for truth as the nation has struggled to fight the coronavirus pandemic….

Taking quotes from Dr. Fauci out of context to discredit his scientific knowledge and judgment will do tremendous harm to our nation’s efforts to get the virus under control, restore our economy, and return us to a more normal way of life.

America should be applauding Dr. Fauci for his service and following his advice, not undermining his credibility at this critical time.”

AAMC Statement in Support of Anthony Fauci, MD

Hopefully Dr. Fauci knows how much the majority of people value his work and trust his opinions.

“We have been very fortunate to have Dr. Anthony Fauci at the helm directing infectious diseases research at NIH for so many years. His leadership and support of a rigorous scientific process has been critical to transforming HIV from a death sentence to a chronic condition​, saving millions of lives worldwide. His voice and expertise need to be amplified not silenced if we are going to get control of the COVID-19 pandemic​, which has now taken the lives of more than 135,000 Americans and more than 570,000 people worldwide.”

HIV Medicine Association Stands with Science and Anthony Fauci, MD

And we know that the only way out of the COVID-19 pandemic is with our public health experts, like Anthony Fauci, leading the way.

“In his role as Director of the National Institute of Allergy and Infectious Diseases (NIAID), Dr. Fauci has fostered a longstanding and productive collaboration with the ATS. He has faithfully served the American people through six presidential administrations, always providing sound, science‐based guidance to threats large and small. As we move forward to combat COVID‐19, his scientific knowledge, expertise, and counsel will continue to be of critical importance.”

Statement by the ATS Executive Committee supporting Anthony S. Fauci, M.D., Director, National Institute of Allergy and Infectious Diseases

As cases of COVID-19 once again surge, one thing is becoming clear:

Science, not politics, must guide COVID-19 response

AIBS Supports Dr. Fauci

We can’t wish the SARS-CoV-2 virus away…

I am a pediatrician and #IStandWithFauci.

We need health experts like Anthony Fauci to help guide us through this. And we need people to listen to his advice.

More on Anthony Fauci

Who Are the Real COVID-19 Experts?

Don’t be confused by fake COVID-19 experts pushing their own agendas that are opposite the guidance of the real experts.

Why are you still confused about who you should listen to for advice about COVID-19 and who the real experts are?

Why is an oral surgeon treating people with COVID-19?
Why is an oral surgeon treating people with COVID-19?

The usual suspects…

Who Are the Real COVID-19 Experts?

Consider that in Texas, where COVID-19 cases are once again surging, Texas Senator Bob Hall is telling folks that they should no longer be afraid and is touting his very own COVID-19 “experts,” including:

  • Dennis Spence DDS, MD – an oral surgeon
  • Robin Armstrong, MD – an internal medicine doctor, he gave hydroxychloroquine to dozens of elderly patients in nursing homes without informed consent in his own “observational study.”
  • Brian C. Procter, MD – a family medicine doctor who has become one of Collin County’s leading Botox and Juvederm providers, and has made claims about successfully treating COVID-19 patients using “hydroxychloroquine, azithromycin, losartan, aspirin, zinc, and CBD [Cannabidiol oil] as an anti-inflammatory.” Proctor has also come out against wearing masks!
  • Richard P. Bartlett, MD – a family practice doctor, he is pushing the idea that budesonide, an inhaled steroid, is a silver bullet cure for COVID-19. Of course, that wouldn’t explain why people with asthma, who already take these drugs daily, die with COVID-19…
  • Stella Immanuel, MD – a pediatrician who continues to push the use of hydroxychloroquine.
  • Richard Urso, MD – an opthalmologist who seems to think that hydroxychloroquine should be available over the counter..

With so many docs writing scripts for their patients, it’s kind of like it is already…

Hydroxychloroquine should not be available over the counter!
Why is an ophthalmologist an expert on COVID-19?

So are any of these folks experts on COVID-19?

There is no evidence that Urso's COVID-19 cocktail will stop the SARS-CoV-2 virus.
There is no evidence that Urso’s COVID-19 cocktail will stop the SARS-CoV-2 virus.

While they are physicians, none seem to have any extra training in public health, virology, or infectious diseases.

Just as I wouldn’t go to Dr. Fauci if I had a cataract, I wouldn’t go to an ophthalmologist if I needed help dealing with a novel viral pandemic…

These folks do not seem to be experts and should likely not be making any treatment or policy recommendations that are outside their areas of expertise.

Listen to the real experts. #IStandWithFauci
Listen to the real experts. #IStandWithFauci

You should not be listening to them, especially when their recommendations go against the guidance of the real experts on COVID-19, such as:

You certainly shouldn’t be listening to politicians touting so-called experts pushing unproven and dangerous cures and treatments, as they have one goal – to make you think the COVID-19 pandemic isn’t that bad…

A naturopathic doctor had a lot to say about COVID-19 at this City Council meeting that voted to allow 4th of July activities in the city...
A naturopathic doctor had a lot to say about COVID-19 at this City Council meeting that voted to allow 4th of July activities in the city…

But how do you explain their “success” they are having with their COVID-19 patients?

The success they think they are having is built on anecdotal evidence.

“The overall cumulative hospitalization rate was 107.2 per 100,000 population. Among the 0-4 years, 5-17 years, 18-49 years, 50-64 years, and ≥ 65 years age groups, the highest rate of hospitalization is among adults aged ≥ 65, followed by adults aged 50-64 years and adults aged 18-49 years.”

COVIDView Weekly Summary

And misses the fact that most folks don’t end up in the hospital when they have COVID-19…

They also do a lot of cherry picking, ignoring any studies or evidence that show what they are doing might not be right.

“Hydroxychloroquine and chloroquine, with or without azithromycin or clarithromycin, offer no benefit in treating patients with COVID-19 and, instead, are associated with ventricular arrhythmias and higher rates of mortality, according to a major new international study.”

More Evidence Hydroxychloroquine Is Ineffective, Harmful in COVID-19

Still confused?

More on COVID-19 Experts

What to Do if You Have Been Diagnosed with COVID-19

Do you know what to do if you get diagnosed with COVID-19?

Do you know what to do if you think you might be sick or have already been diagnosed with COVID-19?

What's worse than having a party when you have symptoms of COVID-19? How about refusing to cooperate with contact tracers who are trying to control an outbreak?
What’s worse than having a party when you have symptoms of COVID-19? How about refusing to cooperate with contact tracers who are trying to control an outbreak?

Hopefully you know that you shouldn’t host a party and expose lots of other folks…

What to Do if You Have Been Diagnosed with COVID-19

Unfortunately, lots of mistakes are being made that are causing COVID-19 cases to again rise.

“For COVID-19, a close contact is defined as anyone who was within 6 feet of an infected person for at least 15 minutes starting from 48 hours before the person began feeling sick until the time the patient was isolated.”

COVID-19 Frequently Asked Questions

One of them is that many people simply don’t understand the importance of staying away from others if they have been diagnosed (isolation) or exposed (self-quarantine) to SARS-CoV-2.

“If possible, have the person who is sick use a separate bedroom and bathroom. If possible, have the person who is sick stay in their own ‘sick room’ or area and away from others. Try to stay at least 6 feet away from the sick person.”

Caring for Someone Sick at Home

What happens if you don’t stay away from other people?

You may expose others, beginning in the days before you start to show symptoms (presymptomatic transmission).

Ideally, folks would be getting this information to self-quarantine after their COVID-19 exposure from a contact tracing team.
Ideally, folks would be getting this information to self-quarantine after their COVID-19 exposure from a contact tracing team.

Once you are diagnosed with COVID-19, be sure to tell all of your close contacts that they have been exposed, which includes everyone who was within 6 feet of you for at least 15 minutes starting from 48 hours before you began feeling sick. That way, they can begin to self-quarantine and avoid exposing others if they get sick too.

How Long Will Your Quarantine Last?

How long will you have to stay home, away from other people?

It depends…

The CDC provides a variety of scenarios to help explain how long folks should stay in quarantine.
The CDC provides a variety of scenarios to help explain how long folks should stay in quarantine.

If you are in self-quarantine because you were exposed to someone with COVID-19, then you should stay home for 14 days after your last contact with that person. That’s the incubation period for the SARS-CoV-2 virus. Keep in mind that your quarantine restarts every time you have a new exposure.

On the other hand, if you are in isolation because you have been diagnosed with COVID-19, then you should stay home until:

  • at least 10 days have passed since your positive test (if you have been asymptomatic)
  • you are fever free for at least three days, have improving respiratory symptoms, and it has been at least 10 days since your symptoms began

You might also be able to end your quarantine early if you have two negative tests in a row at least 24 hours apart, of course, while fever free and with improving respiratory symptoms.

If You Have COVID-19

What if you need to go to the doctor or ER after you have been diagnosed with COVID-19?

Call ahead so that they can be prepared and don’t end up exposing any staff or patients.

Hopefully you will have mild symptoms that will go away as you rest and stay hydrated, but if you develop emergency warning signs or symptoms (trouble breathing, chest pain, confusion, and trouble staying awake, etc.), then seek emergency care, being sure to mention that you have been diagnosed with COVID-19.

What if you need to go somewhere else?

You shouldn’t go anywhere or be around other people if you are in isolation after being diagnosed with COVID-19.

“People who are in isolation should stay home until it’s safe for them to be around others. In the home, anyone sick or infected should separate themselves from others by staying in a specific “sick room” or area and using a separate bathroom (if available).”

Isolate If You Are Sick

When in isolation, you should stay home except to get medical care.

What if you need food, medicine, or something else that you don’t have in your home? Ideally, you would order it and have it delivered, being sure to not expose the delivery person. If that isn’t an option, call your local support services for help.

More on COVID-19

Why There is Still So Much COVID-19 Confusion

Cognitive biases, heuristics, and logical fallacies are likely affecting how you are viewing information and advice about COVID-19.

Early on, it was easy to understand why there was so much confusion about COVID-19, after all, it took some time before we even got a real name for the new or novel virus that is causing this pandemic.

And now?

While there is still a lot more research to do, we have already learned a lot about the best ways to help prevent and treat COVID-19 infections.

Do you know who to turn to for trusted information and advice about COVID-19?

Too many people don’t seem to understand that though…

Why There is Still So Much COVID-19 Confusion

Many people also don’t understand that advice and recommendations often shift and change as we get new information.

“It is irrational to hold any view so tightly that you aren’t willing to admit the possibility that you might be wrong.”

What would it take to convince you that you were wrong?

And of course, you have to expect that to happen when you are dealing with a brand new disease!

So what are people confused about?

Everything from the effectiveness of face masks to prevent the spread of the SARS-CoV-2 virus (they do) to whether our COVID-19 death counts have been inflated (we are probably seeing under-counts).

Surprisingly, some people are still confused about just how deadly COVID-19 infections really are.

If you think made-up news and information is true, you might want to rethink where you regularly get your news and information from...
If you think made-up news and information is true, you might want to rethink where you regularly get your news and information from

Why are so many people still confused?

“Compared with other Americans, adults who “often” use social media to get news about COVID-19 report higher levels of exposure to the conspiracy theory that the pandemic was intentionally planned.”

Three Months In, Many Americans See Exaggeration, Conspiracy Theories and Partisanship in COVID-19 News

Where are they getting their information???

Who do you trust for information and advice about COVID-19?

I’m guessing it isn’t from experts…

Who to Trust About COVID-19

Adding to a lot of the confusion we are dealing with are folks pushing misinformation.

As you learn who to trust for information about COVID-19, you will hopefully develop the skills you need to be more skeptical about all of the things you see and read.

“Although my main message is that awareness of cognitive biases can lead to more effective messages and measures to mitigate the effects of the pandemic, where cognitive bias is regarded as harmful, it may be helpful to take steps to reduce such bias. Education and awareness of cognitive biases are key, so that individuals and organisations question flawed or traditional thinking habits and try to promote evidence based thinking. At an individual level, the additional advice is to slow down in your thinking, pause and reflect, and seek external views.”

Covid-19 and cognitive bias

And you will hopefully turn to sources that many of us use, including:

Still confused?

Check your biases.

Don’t let them get in your way of following the advice from the experts that could protect you and your family from getting and spreading the SARS-CoV-2 virus.

What does that mean?

Well, if you don’t think anyone should tell you to wear a mask, then you will likely look for information and advice that says masks don’t work and aren’t necessary (confirmation bias).

You will also likely not believe any information and advice that says COVID-19 is deadly.

Why?

Well, if you believed it was deadly, then you would work to avoid it and try to keep those around you safe, including doing things like wearing a mask. Instead, cognitive dissonance, the anxiety you get from believing in two things that contradict each other, will push you towards believing things that reinforce your idea that you don’t have to wear a mask.

What to Know About COVID-19 Confusion

Tired of being confused about COVID-19 and other things?

“It’s sobering to note all the ways in which human brains distort decision processes; perhaps it’s a wonder that any good decision is ever made.”

How to Make Better Decisions About Coronavirus

Be more skeptical and look for new sources of information and advice and understand how cognitive biases, heuristics, and logical fallacies affect our decision making.

More on COVID-19 Confusion

What Did the AAP Say About Sending Kids Back to School?

The AAP has offered guidance for a safe way to get our kids back in school during the COVID-19 pandemic. Will schools follow any of it when they open up?

The American Academy of Pediatrics recently issued some guidance about what to do about kids going to school this fall.

The AAP said a lot more than that parents should send their kids back to school. They offered guidance on how to safely send kids back to school...
The AAP said a lot more than that parents should send their kids back to school. They offered guidance on how to safely send kids back to school…

Not surprisingly, folks are a little confused about what they actually said…

What Did the AAP Say About Sending Kids Back to School?

It is true, the AAP guidance does favor opening up schools this fall.

“With the above principles in mind, the AAP strongly advocates that all policy considerations for the coming school year should start with a goal of having students physically present in school. The importance of in-person learning is well-documented, and there is already evidence of the negative impacts on children because of school closures in the spring of 2020. Lengthy time away from school and associated interruption of supportive services often results in social isolation, making it difficult for schools to identify and address important learning deficits as well as child and adolescent physical or sexual abuse, substance use, depression, and suicidal ideation. This, in turn, places children and adolescents at considerable risk of morbidity and, in some cases, mortality. Beyond the educational impact and social impact of school closures, there has been substantial impact on food security and physical activity for children and families.”

COVID-19 Planning Considerations: Guidance for School Re-entry

But, that isn’t all they said…

The goal is for kids to be in school this fall...

To get to that goal of opening schools, the AAP offered a list of key principles that schools should follow, including that:

  • school policies are going to have to be “flexible and nimble” so that they can quickly change as we get new information, especially “when specific policies are not working”
  • schools develop strategies that depend on the levels of COVID-19 cases in the school and community
  • schools make special considerations and accommodations for those who need them, “including those who are medically fragile, live in poverty, have developmental challenges, or have special health care needs or disabilities, with the goal of safe return to school”

So clearly, this is not a one-size-fits-all, lets open up schools no matter what kind of thing.

“Highest Risk: Full sized, in-person classes, activities, and events. Students are not spaced apart, share classroom materials or supplies, and mix between classes and activities.”

CDC on Considerations for Schools

The AAP didn’t say to simply open up schools without doing anything else…

“No single action or set of actions will completely eliminate the risk of SARS-CoV-2 transmission, but implementation of several coordinated interventions can greatly reduce that risk. For example, where physical distance cannot be maintained, students (over the age of 2 years) and staff can wear face coverings (when feasible). In the following sections, we review some general principles that policy makers should consider as they plan for the coming school year. For all of these, education for the entire school community regarding these measures should begin early, ideally at least several weeks before the start of the school year.”

COVID-19 Planning Considerations: Guidance for School Re-entry

They offered guidance on how to safely open schools.

Or at least how to open schools as safely as possible, as the alternative of keeping kids at home has risks too. And many people are skeptical that a strategy of closing schools is all that helpful in controlling the spread of SARS-CoV-2.

So the AAP guidance says that we open schools and also plan for:

  • Physical distancing – cohort classes, block schedules, rotating teachers instead of students, etc.
  • Cleaning and disinfecting
  • Testing and screening – schools will need a rapid response plan for when a child or staff member develops a fever at school.
  • Face Coverings and PPE – although it won’t be possible in all situations and for all children, “school staff and older students (middle or high school) may be able to wear cloth face coverings safely and consistently and should be encouraged to do so.”
  • Organized Activities – although this isn’t something most folks want to hear, they should understand that opening schools doesn’t mean that everything will be back to normal… “It is likely that sporting events, practices, and conditioning sessions will be limited in many locations.”

If we do all of that, will it really be safe to go to school with these guidelines?

Unfortunately, the most important part of the guidelines, the section on Testing and Screening, was a bit light on details…

“Parents should be instructed to keep their child at home if they are ill.”

COVID-19 Planning Considerations: Guidance for School Re-entry

The guidelines acknowledge that it will be too hard to do temperature checks and symptom screening each day and that schools should have a rapid response plan if anyone has a fever had school, but then what?

“Here in Colorado, I’ve been following our state health department website very closely. They update data every day and include the outbreaks in the state they are investigating. As you can imagine, there are lots and lots in long-term care facilities and skilled nursing homes, some in restaurants and grocery stores. There have been a total of four in child care centers, and we do have a lot of child care centers open. In almost every one of those cases, transmission was between two adults. The kids in the centers are not spreading Covid-19. I’m hearing the same thing from other states, as well.”

Why a Pediatric Group Is Pushing to Reopen Schools This Fall

So what’s going to happen if kids in school start to get sick and test positive for COVID-19?

Among the 950 COVID-19 in Texas daycare centers are 307 children.
Among the 950 COVID-19 in Texas daycare centers are 307 children. (Dallas Morning News)

The 60,000 members of the AAP who didn’t participate in writing the guideline know what’s going to happen…

A ton of parents from the school are going to call their pediatricians looking to get their kids tested!

What likely should happen?

That classroom or cohort and their close contacts should move to self-quarantine and home/online education until they pass the incubation period from their last contact.

“Put in place the infrastructure and resources to test, trace and isolate new cases.”

Safely Reopening America’s Schools and Communities

(I’m guessing we will get more details about this from the AAP soon and well before school starts. )

Most importantly though, our communities should do everything they can to keep their case counts down – wash hands, practice social distancing, wear a face cover.

And if we are going to send our kids back to school, we should make sure that we are protecting all of the folks making that possible.

Can we do all of that?

Sure!

Will we???

Sending Your Kids Back to School

Are you still unsure about whether or not you should send your own kids back to school?

I don’t blame you…

Some things to consider when making the decision:

  • is your child or any of their contacts at risk for a more severe case of COVID-19, including having an underlying, chronic medical condition, keeping in mind that the risk increases with age, especially once you reach age 65 years? If possible, online schooling might be a better option for students in high risk categories.
  • was staying home from school hard for your child? If your child had problems learning at home or the social isolation was an issue, than that would make going back to school even more important.
  • will your school or school district be “flexible and nimble” and respond to new information, rising case counts, and evolve their policies if necessary?

Most importantly, if you send your kids back to school, are you going to be constantly worried that they are going to get COVID-19 or bring home the SARS-CoV-2 virus? If so, then keep them home this fall.

On the other hand, if they are healthy, have no high risk contacts at home, and are eager to go back to school, then you should probably feel comfortable sending them if the school follows the guidance offered by the AAP.

More on COVID-19

What to Do if You Have Been Exposed to COVID-19

Folks need to understand that they should begin self-quarantine as soon as they learn that they have been exposed to someone with COVID-19.

Do you know what to do if you have been exposed to someone with COVID-19?

Because they could have been exposed to SARS-CoV-2, the virus that causes COVID-19, anyone who attended the party should self-isolate.
Because they could have been exposed to SARS-CoV-2, the virus that causes COVID-19, anyone who attended the party should self-isolate.

Hopefully you already know that you shouldn’t go to a party and expose lots of other folks…

What to Do if You Have Been Exposed to COVID-19

Unfortunately, lots of mistakes are being made that are causing COVID-19 cases to again rise.

“For COVID-19, a close contact is defined as anyone who was within 6 feet of an infected person for at least 15 minutes starting from 48 hours before the person began feeling sick until the time the patient was isolated.”

COVID-19 Frequently Asked Questions

One of them is that many people simply don’t understand the importance of self-quarantining themselves after they have been exposed to SARS-CoV-2.

In addition to watching for symptoms, it is important to self-quarantine for 14 days after a COVID-19 exposure, the incubation period for SARS-CoV-2, something the Florida Department of Health forgets to mention...
In addition to watching for symptoms, it is important to self-quarantine for 14 days after a COVID-19 exposure, the incubation period for SARS-CoV-2, something the Florida Department of Health forgets to mention…

What happens if you don’t self-quarantine?

You may expose others in the days before you start to show symptoms (presymptomatic transmission).

But can’t you just get tested after your exposure to see if you have it?

Sure, you can get tested, but if it is negative and you are early in your incubation period, it doesn’t mean that you still won’t become sick later on. For example, you could have a negative COVID-19 test four days after being exposed to the virus, but then develop symptoms of COVID-19 two days later.

“Yes, you are still considered a close contact even if you were wearing a cloth face covering while you were around someone with COVID-19. Cloth face coverings are meant to prevent someone from transmitting the disease to others, and not to protect someone from becoming infected.”

COVID-19 Frequently Asked Questions

What if you’re not sure if you have COVID-19 and you are waiting on your test results?

That should be a no-brainer.

Self-isolate yourself why you are waiting for your COVID-19 test results!

Ideally, folks would be getting this information to self-quarantine after their COVID-19 exposure from a contact tracing team.
Ideally, folks would be getting this information to self-quarantine after their COVID-19 exposure from a contact tracing team.

And if you think you have COVID-19, be sure to tell all of your close contacts, which includes everyone who was within 6 feet of you for at least 15 minutes starting from 48 hours before you began feeling sick.

Of course, social distancing and wearing a mask are important too.

But folks need to understand that they should begin self-quarantine as soon as they learn that they have been exposed to someone with COVID-19. That’s the easiest way to limit the spread of SARS-CoV-2 and the size of outbreaks.

More on COVID-19