Covid-Like Illness and Covid-19 Outbreak Response in Schools Guidance
People with Symptoms
If a person develops COVID-19 symptoms while at the school, they will be isolated in a pre-determined isolation space. If a separate room is not available, they must be kept at least two metres away from others.
The most common symptoms described in children include:
- feeling unwell/unusual fatigue
- body/muscle/joint aches
- cough (new or worsening)
- runny nose/nasal congestion/sneezing
- loss of sense of taste or smell
- sore throat
- shortness of breath or difficulty breathing
When assessing for COVID-19 symptoms, it is important to think about the time of year and what is usual for the person.
- Are the symptoms normal for this person ie. asthmatic cough, chronic runny nose
- Are the symptoms new and worsening
- Is the person feeling unwell ie. fever, new cough, etc
A medical mask will be provided to and worn by the symptomatic student/staff/volunteer, unless there are safety issues that prevent the person from wearing a mask.
For symptomatic students:
- Parents or caregivers will be notified to come and pick up their child immediately. They can be tested at a drop in testing clinic, or contact 811 or the child’s health care provider for direction, if required. They should isolate at home until a negative test is reported.
- If the child is unable to isolate within the home on their own, one parent can isolate with the child if they are able to isolate away from the remainder of the household.
- The remainder of the household is not required to isolate while awaiting the result if the symptomatic person can isolate away from the family.
- If the student is young and requires close contact and care while isolated at school, staff can continue to care for the child until the parent is able to pick up the child. Caregivers are to be mindful of hand hygiene and avoid contact with the respiratory secretions of the student. A mask is to be worn by the staff person caring for the child.
For symptomatic staff/volunteers:
- If a staff member or volunteer in a school becomes symptomatic, they will immediately isolate themselves from other staff and students, notify their administrator, and go to a drop in testing clinic or call 811.
For anyone who becomes symptomatic while at school:
- Staff/students/volunteers must wash their hands before and after touching a mask as per mask guidance, and before and after touching any items used by the person who symptomatic
- All items that the person touched/used while symptomatic must be cleaned and disinfected as soon as the person has left the building. Items that cannot be cleaned and disinfected (e.g., paper, books, cardboard puzzles) must be either disposed of or removed and stored for a minimum of 24 hours.
- When students/staff/volunteers are symptomatic and have tested negative for COVID-19, return to school should take place once they are feeling well and symptoms have improved.
Schools should not provide notification to staff or students’ families if a staff member or student becomes ill at home or at school, including if they display symptoms of COVID-19, unless directed to by public health.
In the event of confirmation of a case of COVID-19 connected with a school, public health will lead the response and provide guidance; including ensuring appropriate public health supports are in place to coordinate the response. Contact tracing involves identifying the contacts of a positive case and contacting those who may have been exposed. Public Health may:
- Request records that identify cohorts/groups of staff, students, volunteers and visitors in the school for a specified timeframe;
- Offer testing to staff, volunteers and students that may have been exposed to a positive case; and
- Advise staff, volunteers, and students if they have been in close contact with a positive case and if they need to self-isolate or self-monitor, be tested, and when they can return to school.
- Students and staff with cold, influenza, or COVID-19 like symptoms should stay home, self-isolate, and be assessed by a health-care provider. Testing is recommended for anyone with these symptoms, even mild ones.
- Self-isolation and testing are also required for those who are considered a close contact of a confirmed case. Public health staff will identify and notify close contacts of a confirmed case. The CPHO will work with school authorities to quickly:
- identify cases
- identify close contacts1
- initiate isolation measures when needed
- provide follow-up recommendations
- A single COVID-19 case that is associated with a school does not necessarily constitute an outbreak and will not automatically lead to school closure. Two or more unrelated cases associated with a school would be considered a COVID-19 cluster. Two or more related cases in a school would be considered a COVID-19 outbreak. Even in an outbreak scenario, it is possible that only the group of students and staff who came in close contact1 with the positive cases will be required to stay home and self-isolate for 14 days. Public Health will contact those individuals who are close contacts.
1 Close contact is defined as someone who lives with or otherwise had close, prolonged contact ( > 15 minutes) (within 2 metres) with a case up to 48 hours prior to symptom onset or while the case was symptomatic and not isolating, OR had direct contact with infectious body fluids of a case (e.g., was coughed or sneezed on) without the appropriate use of recommended personal protective equipment.
School Outbreak Management
School Outbreak Definition
- An outbreak in a school is defined as two or more lab-confirmed COVID-19 cases in students and/or staff (or other visitors) in a school with an epidemiological link, within a 14-day period, where at least one case could have reasonably acquired their infection in the school (including transportation and before/after school care).
- Examples of reasonably having acquired infection in school include:
- No obvious source of infection outside of the school setting; OR
- Known exposure in the school setting
Public Health will assess the need for partial or full school closure based on the following criteria and plans:
- Sporadic cases or clusters in the local community: test, trace and isolate, and where appropriate group isolation.
- Sporadic cases in school: test, trace and isolate, and group isolation (e.g., class/cohort).
- Clear clusters in school across cohorts: consider full school closure with outbreak control response to minimize onward transmission and re-open school as quickly as possible.
- Widespread local community transmission: consider provincial scale school closures.
The Chief Public Health Office will be working closely with Education on any decisions regarding school closures.
Communication to parents, guardians and staff regarding a case(s) of COVID-19 in a school will be the responsibility of the principal, with support from CPHO. All public communication will be coordinated between the school, Public Schools Branch and CPHO.
Declare the Outbreak Over
The Chief Public Health Office will determine when the outbreak is considered over.
At least 28 days have passed with no evidence of ongoing transmission that could reasonably be related to exposures in the school;
No further ill people associated with the initial exposed cohorts with tests pending.