Return to childhood class, FFP2 only for the frail, in presence only if negative without fever or symptoms. ISS GUIDELINES [PDF]

After those for primary and secondary school, the Higher Institute of Health has developed strategic indications for the mitigation of infections from Covid in the context of educational services for children managed by local authorities, other public bodies and by private individuals, and by public and private-run state and private preschools.

The document it follows that dedicated to first and second cycle schools, published in recent days, and has been developed, taking into account the didactic and educational peculiarities of childcare services. The indications have been defined by the Higher Institute of Health with the Ministries of Health and Education and with the Conference of Regions and Autonomous Provinces.

It is advisable, in identifying the mitigation and control measures that can be implemented in the school environment, to implement a planning of possible interventions to be gradually modulated based on the risk assessment, providing for adequate preparation of schools.

The possible basic preventive measures provide that the stay in school is allowed only without symptoms / fever and prohibited in the event of a positive test; hand hygiene and ‘respiratory etiquette’, or methods of protection during coughing and sneezing; the use of Ffp2 masks for school staff at risk of developing severe forms of Covid-19; ordinary (periodic) and extraordinary sanitation in the presence of one or more confirmed cases; tools for managing suspected / confirmed cases and frequent contacts and air changes.

The document then provides for a ‘second level’ of measures to be taken “Gradually and only following precise decisions of a national health nature”, in the event of public health needs and changes in the epidemiological framework. The rules to be respected include: the spacing of at least 1 meter between adults; educational activities to be carried out by providing stable groups of children, compatibly with the available spaces and organizational potential, to minimize the opportunities for contact between children belonging to different groups; the use of bathrooms by children controlled in such a way as to avoid crowding and the intersection of different groups.

Basic preventive measures in place at the time of school resumption

The document identifies as possible basic preventive measures for school recovery:

  • School stay allowed only without symptoms / fever and without diagnostic test for positive SARS-CoV-2;
  • Hand hygiene and respiratory etiquette;
  • Use of respiratory protective equipment (FFP2) for personnel at risk of developing severe forms of COVID-19;
  • Ordinary (periodic) and extraordinary sanitation in the presence of one or more confirmed cases;
  • Tools for managing suspected / confirmed cases and contacts;
  • Frequent air changes.

Possible additional measures, to be implemented individually or in combination

The document identifies additional preventive measures as possible on the basis of any public health needs and changes in the epidemiological framework, to be adopted gradually and only following precise decisions of a national health nature:

  • Spacing of at least 1 meter between adults;
  • Educational activities to be carried out by providing stable groups of children, compatibly with the available spaces and organizational potential, to minimize the opportunities for contact between children belonging to different groups;
  • Use of the bathrooms by children controlled in such a way as to avoid crowding and the intersection of different groups;
  • Avoid the promiscuous use of toys between children belonging to different groups. It is not allowed to bring objects or games from home into the activity spaces;
  • Reception and reunification: where possible, organize the reception area outside; if in a closed environment, particular attention is paid to thorough cleaning and frequent and adequate ventilation of the space. Only one accompanying adult can access the facility;
  • Periodic sanitation of all environments by preparing a well-defined time schedule, to be documented through a regularly updated register. The surfaces touched more frequently must be disinfected at least once a day;
  • Outings and suspended external teaching activities;
  • Use of surgical masks, or FFP2 type respiratory protection devices, in a static and / or dynamic position for anyone who enters or remains in the school premises (to be modulated in the different contexts and phases of school attendance), except for children;
  • Use of FFP2 type respiratory protection devices for all school staff (to be modulated in the different contexts and phases of school attendance);
  • Concession of gyms / clubs to third parties with the obligation of sanitization not charged to the school staff and at the conclusion of the activities on the day of use;
  • Administration of meals in canteens by limiting as much as possible the promiscuity between children of different groups;
  • Consumption of snacks in the same experience space dedicated to the group of children.

The guidelines for primary and secondary school

The indications outline two scenarios, with “basic” measures to be applied already upon return and “further measures” for which schools will still have to be prepared in case the situation gets worse.

As the published document indicates, the obligation to wear a mask for school staff lapses: the measure will be valid only for teachers and ATA at risk of developing severe forms of Covid-19 (the same also for pupils).

Workers who need or want to protect themselves with a mask should use a respiratory protective device of type FFP2.

Back to class: masks for everyone and a distance of one meter with a boom of infections. ISS operational lines [scarica PDF]

Return to childhood class, FFP2 only for the frail, in presence only if negative without fever or symptoms. ISS GUIDELINES [PDF] – Horizon School News