RE-OPENING SCHOOLS POST COVID-19 - Oliver Wyman

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RE-OPENING SCHOOLS POST COVID-19 - Oliver Wyman
RE-OPENING
SCHOOLS POST
COVID-19
May 2020
RE-OPENING SCHOOLS POST COVID-19 - Oliver Wyman
DECREASE IN INFECTION RATES WILL ALLOW RE-OPENING OF SCHOOLS

Change in school closure figures from April to now1                                           Rationale for school re-openings

                                                                                              • Governments are easing
                                                                                                lockdown measures to restart
                                                                                                economies
                                                                                              • Schools critical given link to
                                                                                                parents re-joining the workforce
                                                                                     80k        and contributing to the economy
                                                                                              • Importance to avoid further
                                                                                                disruptions to the academic
                                                                                                year, in particular for graduating
                                                                                                classes
 Country-wide closures

  Localized openings                              Country-wide closures   Learners impacted   • Singapore, Denmark, and
                                                                                                Germany are some of the first
                                          April

     Schools open                                       195                 91.3%
                                                                                                countries to begin gradual re-
                                                  Country-wide closures   Learners impacted     opening of schools
                                                        153                 68.5%
                                          Now

  Opening strategies include fundamental changes to logistics, processes, and procedures to ensure
  preparedness for potential waves of infection
Source: UNESCO COVID-19 Impact on Education as of 20/05/20
1. From 31-Mar to 20-May – see appendix for details

© Oliver Wyman                                                                                                                   2
RE-OPENING SCHOOLS POST COVID-19 - Oliver Wyman
CURRENT THINKING IS A STAGED APPROACH TO RE-OPENING SCHOOLS

   1    Pre-opening
                                               2   Opening
                                                                                      3   Post-opening

• Extensive track, trace, and testing      • Openings                             • Close monitoring of infection rates
  both through swab testing and              – Staged openings with priority to     with continued track/trace
  purpose-built apps                            critical grades                   • Quarantine measures should
• Preparation of schools:                    – Staggered arrivals, lessons, and     infections be detected
  – Staff training with enhanced                breaks                            • Continued education of staff,
    roles for nursing staff, facilities,   • School area                            students, and parents in
    and counsellors                          – Temperature checks at entry          maintaining hygiene practices at
  – Physical space planning to               – Enhanced sterilization and           school and at home
    ensure small groups with                    cleaning processes                • Clear and effective communication
    sufficient distance                      – Masks and general PPE                between schools, students, and
  – Scenario planning in case of                distribution to students and        parents
    infection                                   staff
  – Planning for infection waves,          • Classroom area
    flexibility to shift to and from         – Limiting interaction (desk
    distance learning                           distancing, screen dividers…)
                                             – Limiting students in classrooms
                                                and physical space planning
 Structural measures implemented will allow for eventual scaling and greater prevalence of school
 openings prior to the end of the current academic year
© Oliver Wyman                                                                                                            3
BUT PHYSICAL DISTANCING WILL MEAN A DECREASE IN PUPILS PER CLASSROOM,
INCREASING SPACE REQUIREMENTS
                                                                        26 Pupils, 2.38 m2 per pupil
• Based on the UK’s baseline design for                schools1 a
  primary school for 210 students requires 1315m2
  – Equivalent to 6.3m2 per student or 26 students per
     classroom
• Should this decrease to 15 students per classroom, as
  per latest guidance, classroom space requirement will
  increase by 1.74X
• Expanding capacity by, for example, re-purposing
  rooms such as a sports hall will still mean 30% of                    15 Pupils, 4.13 m2 per pupil
  students cannot be accommodated
• These figures exclude the requirements for staff and
  other key workers within the school
• Thus full school re-opening will require a holistic set
  of solutions to minimize additional cost whilst
  fulfilling obligations to students, parents, and
  teachers / staff

                                                                             1 Pupil

  Restrictions will mean on average 30% of students cannot be accommodated
1. Education and Skills Funding Agency, 2018
Source: GOV.UK baseline designs for schools guidance

© Oliver Wyman                                                                                         4
HOLISTIC SOLUTIONS NEED TO CONSIDER A VARIETY OF FACTORS TO ENSURE SAFE
RE-OPENING WITH REDUCED CLASS SIZES

Considerations to re-opening schools given space limitations
 Consideration                 Issue                       Solution(s)                 Implications                  Cost   Complexity

           Accommodating       Unable to accommodate       Staggering school day       • Downtime for students
           all students        all students at the same    into shifts                   during the day
                               time due to limited                                     • Extra teaching capacity
                               space                                                     required
           Teacher             Should school day be        Extend teaching hours       • Significant cost expected
           numbers             staggered extra teaching    and/or hiring more          • Risk of teaching
                               capacity will be needed     teachers                      imbalance / standards

           Content             Reduced school day          Utilize distance learning   • Integration of curriculum
                               might mean more             solutions to supplement       with distance learning
                               content taught over         lost school-time              solution / infrastructure
                               shorter timeframe                                       • Training of teachers,
                                                                                         students, and parents
           Physical activity   Prioritization of space     Promote home exercise       • Solutions required for
                               for teaching may impact     for students as a             monitoring of activity
                               physical education          component of distance       • Training of teachers, and
                                                           learning                      parents
           Space for staff     Prioritization of space     External temporary          • Cost associated with any
                               for teaching may impact     office space given            enhancements to space
                               space allocated for staff   limited specifications      • Outdoor space may be
                                                           compared to classrooms        limited

© Oliver Wyman                                                                                                                           5
APPENDIX – SCHOOL CLOSURE APPROACHES AROUND THE WORLD
Most countries chose to close schools as a suppression measure, but approach to re-opening is varying

Closed, staying closed                     Closed, but re-opening                     (Almost) not closed

• US                                       • Israel, Norway, Finland, France          • Taiwan
  – Officials in 47 states, District of      – Re-opening beginning with primary        – Schools in Taiwan only closed for 2
     Columbia and all 5 US territories          school                                     weeks (February)
     have ordered or recommended                                                        – Schools were open through March
                                           • Singapore, Hong Kong, Czech Republic,
     that schools stay closed for the                                                      and April even while more stringent
                                             Germany, South Korea
     remainder of the academic school                                                      measures were put in place
     year                                    – Re-opening beginning with final
                                                year students with focus on exam      • Japan
  – Universities are likewise closed            administration                          – School closure decisions were left
     with many having cancelled
     summer term and considering           • Operations are being modified in              up to the city or prefecture, not
     remote learning for fall                multiple ways, e.g.                           mandated at the Federal level

• UK                                         – Spacing desks 6 feet apart
                                               Temperature checks before
  – No plans for re-opening schools            entering buildings
     have been announced
                                             – Holding classes outside
  – Unclear if schools will reopen prior
     to summer holidays                      – Limiting class sizes
                                             – Shifted schedule – half the students
                                               in school at a time supplemented
                                               with remote learning
                                             – Strict restrictions against sharing
                                               utensils, touching other students,
                                               etc.

© Oliver Wyman                                                                                                                 6
APPENDIX – SCHOOL CLOSURES WERE A DRASTIC MEASURE WITH WIDE IMPACT
Evidence is mixed on whether the measure makes sense

Are kids at risk of severe illness?                                         Do kids transmit COVID-19 to                               Do simulation models suggest
                                                                            adults?                                                    school closures impact R0?
• Initial epidemiological evidence from                                     • Multiple tracing studies suggested                       • Imperial College COVID-19 response
  China suggested lower infection rates                                       that children were rarely the index                        team’s simulation suggested that
  and lower severity of illness in children                                   case in a familial cluster and that                        while school closures reduce R0, it
  (~1%)                                                                       transmission from child to adult was                       was the least effective
                                                                              infrequent
• This evidence has been reproduced in
  Europe and the US, but criticized for                                     • A recently published study from                          • of the measures they modelled
  potential challenges due to 1) lack of                                      Wuhan                                                    • Simulations from a recent study in
  testing in children and 2) studies being                                                                                               China suggest that while school
                                                                            • and Shanghai found that while
  conducted post school closures                                                                                                         closures are not sufficient on their
                                                                              children were 1/3 as likely to get
• Studies on broadly tested populations                                       infected, they had 3 times as many                         own to control the epidemic on their
  (S. Korea) also reveal very low rates of                                    contacts (when school was open)                            own, they can reduce peak incidence
  infection in children                                                       evening out the risk of transmission                       by 40–60%
• Mortality for children has been low,                                      • Another recent study from Germany                        • A recent review of the literature also
  only a handful of cases worldwide                                           demonstrated that children that test                       sites
                                                                              positive, harbor as much virus as
• Cases of pediatric multisystem
  inflammatory syndrome (a severe                                             adults suggesting infectiousness                         • an early simulation of a SARS-like
  complication that in some cases                                           • Multiple larger studies aimed at                           illness which concludes that school
  resembles Kawasaki disease)                                                 understanding transmission patterns                        closures would reduce the effective R0
  potentially linked to COVID-19 illness                                      in children are underway (e.g. NIH                         by 12–41%
  are beginning to emerge in the US and                                       HEROS, St. Michael’s Hospital,
  Europe, but numbers are still very low                                      Toronto)

  Summary: Yes, but at a lower                                                Summary: Evidence is very                                  Summary: Most models suggest
  frequency than adults                                                       mixed                                                      some impact, but extent varies
Sources: Adapted from Science (link) and (link), New York Times (link) and (link), Don’t Forget the Bubbles (link) and Lancet (link)
© Oliver Wyman                                                                                                                                                                    7
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© Oliver Wyman                                                                          8
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