What you need to know about the coronavirus right now 06-05-20

(Reuters) – Here’s what you need to know about the coronavirus right now:

When coronavirus and protests collide

Australian authorities are taking legal action to try to stop a Black Lives Matter protest scheduled for Saturday in Sydney, citing the risk of an outbreak of COVID-19 given the thousands expected to attend.

French police have also banned a demonstration planned for Saturday in front of the U.S. Embassy in Paris because of what they said were risks of social disorder and health dangers from large gatherings.

New York Governor Andrew Cuomo and Centers for Disease Control and Prevention director Robert Redfield have urged participants in protests sweeping the United States to get tested for the coronavirus.

Demonstrations are planned in several cities around the world this weekend.

Hydroxychloroquine or not?

An influential study that found hydroxychloroquine increased the risk of death in COVID-19 patients has been withdrawn a week after it led to major trials being halted, adding to confusion about a malaria drug championed by U.S. President Donald Trump.

The Lancet medical journal pulled the study after three of its authors retracted it, citing concerns about the quality and veracity of data.

The World Health Organization will resume its hydroxychloroquine trials after pausing them in the wake of the study. Dozens of other trials have resumed or are in process.

Surging cases in Brazil, Mexico and India

The number of coronavirus deaths in Brazil has blown past Italy’s toll, while Mexico reported a record number of new cases, as Latin American leaders push to end quarantine measures and kick their economies back into gear.

Latin America as a whole has become a new focus of the pandemic, with health officials urging governments not to open their economies too fast and to avoid public crowds.

India’s coronavirus infections are meanwhile rising at the fastest daily rate than at any time in the past three months, but it plans to open shopping malls, restaurants and places of worship next week.

More drinkers cut than increase alcohol

People missing out on drinking in restaurants and bars during lockdowns are not entirely making up for it by pouring more at home, a survey of nine countries conducted on behalf of beer, wine and spirits companies showed.

The International Alliance for Responsible Drinking, made up of 12 major alcoholic beverage companies, said its survey of 11,000 people found that 30% were drinking less than before, and only 11% were drinking more.

(Compiled by Karishma Singh and Nick Tattersall)

Singapore plans wearable virus-tracing device for all

By John Geddie and Aradhana Aravindan

SINGAPORE (Reuters) – Singapore plans to give a wearable device that will identify people who had interacted with carriers of coronavirus to each of its 5.7 million residents, in what could become one of the most comprehensive contact-tracing efforts globally.

Testing of the small devices, which can be worn on the end of a lanyard or carried in a handbag, follows limited take-up of an earlier smartphone-based system and has further fuelled privacy concerns about contact tracing technology.

The tiny city-state, with one of the highest COVID-19 caseloads in Asia, is one of many countries trying to use technology to allow them to safely reopen their economies.

Singapore will soon roll out the device, which does not depend on a smartphone, and “may then distribute it to everyone in Singapore,” Vivian Balakrishnan, the minister in charge of the city-state’s smart nation initiative, said on Friday.

The government did not specify whether carrying the device would be mandatory.

The government’s earlier TraceTogether app encountered problems, especially on Apple <AAPL.O> devices where its operating system suspends Bluetooth scanning when the app runs in the background. Balakrishnan said repeated discussions with Apple failed to resolve the problem.

The pivot to wearables is a signal that Singapore has no immediate plans to adopt contact-tracing technology from Apple and Google rolled out last month, which has several restrictions designed to protect users’ privacy.

Michael Veale, a lecturer in the law on digital rights and regulation at University College London who has been involved in developing contact-tracing apps, said Singapore’s move into wearables presented “accountability and privacy concerns.”

“Users will likely find it hard to scrutinize what the device is actually doing, or what information the back-end server uses or links,” Veale said.

Singapore has said data collected through its earlier app is encrypted and stored locally in the user’s phone, and will only be transferred to authorities if the individual is confirmed to be infected with COVID-19.

Some businesses have already adopted wearables for contact tracing in locations where smartphone usage is restricted, while governments like Bahrain and Hong Kong have used them for monitoring people under quarantine.

Vendors pitching wearables include Accent Advanced Systems, Kerlink, Microshare Inc and TRACEsafe Technologies Inc, though the companies have declined to comment on potential customers.

David Su, CEO of wireless chips firm Atmosic, said he expected “multiple governments, if not all governments in Asia” to adopt wearables because they are an affordable and reliable way to ensure widespread automated contact tracing.

A simple wristband with a Bluetooth chip, battery and some memory could cost about $10, or possibly less, according to vendors.

(Reporting by John Geddie and Aradhana Aravindan in Singapore; Paresh Dave in San Francisco and Douglas Busvine in Frankfurt; Editing by Robert Birsel, Toby Chopra and William Mallard)

‘It’s not over’: COVID-19 cases rise in some nations easing lockdowns: WHO

WHO
GENEVA (Reuters) – Some countries have seen “upticks” in COVID-19 cases as lockdowns ease, and populations must protect themselves from the coronavirus while authorities continue testing, the World Health Organization (WHO) said on Friday.

The epicenter of the pandemic is currently in countries of Central, South and North America, particularly the United States, WHO spokeswoman Margaret Harris said.

“On upticks (in cases), yes we have seen in countries around the world – I’m not talking specifically about Europe – when the lockdowns ease, when the social distancing measures ease, people sometimes interpret this as ‘OK, it’s over’,” Harris told a U.N. briefing in Geneva.

“It’s not over. It’s not over until there is no virus anywhere in the world,” she said.

Harris, referring to U.S. demonstrations since the killing of George Floyd 10 days ago, she said that protesters must take precautions. “We have certainly seen a lot of passion this week, we’ve seen people who have felt the need to be out and to express their feelings,” she added. “”We ask them to remember still protect yourself and others.”

To avoid infection, the WHO advised people to maintain a distance of at least 1 metre (3 feet), frequently wash hands and avoid touching their mouth, nose and eyes, Harris said.

(Reporting by Stephanie Nebehay; Editing by Kevin Liffey and Pravin Char)

Does drug touted by Trump work on COVID-19? After data debacle, we still don’t know

By Kate Kelland and Alistair Smout

LONDON (Reuters) – Scientists are resuming COVID-19 trials of the now world-famous drug hydroxychloroquine, as confusion continues to reign about the anti-malarial hailed by U.S. President Donald Trump as a potential “game-changer” in fighting the pandemic.

The renewed research push follows widespread criticism of the quality of data in a study published by The Lancet, an influential medical journal, which found high risks associated with the treatment.

The World Health Organization, which had last week paused trials when The Lancet study showed the drug was tied to an increased risk of death in hospitalized patients, said on Wednesday it was ready to resume trials.

The WHO’s change of mind is “a wise decision”, according to Martin Landray, co-lead scientist on the Recovery trial, the world’s largest research project into existing drugs that might be repurposed to treat COVID-19 patients.

“What all this episode really reflects is that without randomized trials, there is huge uncertainty,” said Landray, a professor of medicine and epidemiology at Oxford University.

Randomized studies are the gold standard in research, randomly assigning a treatment to one group of people and a dummy to another group so that the two can be compared. The Lancet study was a “retrospective observational” study, using a data set from an analytics firm, to see what effects the drug had had on some COVID-19 patients, compared to those who did not get it.

The WHO’s about-face came after nearly 150 doctors signed a letter to the Lancet outlining concerns about the study’s conclusions. The journal itself published an expression of concern about the research this week, saying “serious scientific questions have been brought to our attention”.

Some scientists said the episode had set back efforts to determine whether hydroxychloroquine was an effective or risky treatment for COVID-19, as some other trials around the world had also halted following the WHO’s initial decision to pause.

“It’s really impacted quite negatively the sort of studies that would be able to say if there is a benefit or harm,” Will Schilling told Reuters. He is co-lead on the UK COPCOV study which was paused last week, just days after its launch.

“At the moment, we don’t really know. That’s why these studies are needed, and now they’ve been slightly waylaid by all of this.”

Scientists acknowledge, though, that studies are being conducted at break-neck speed while garnering unprecedented levels of attention that could give findings unwarranted weight.

THE PRESIDENT’S TAKING IT

The drug has hit global headlines in large part because of its promotion by Trump, who said in March it could be a game-changer and last month revealed he was taking it himself, even after his own Food and Drug Administration (FDA) had advised that its efficacy and safety were unproven.

In the absence of clear scientific evidence, some authorities and consumers are buying up stocks of the drug in case it turns out to be effective. Britain, for example, is spending millions of pounds bulk-buying tablets.

Hydroxychloroquine has been shown in laboratory experiments earlier this year to be able to block the SARS-CoV-2 virus that causes COVID-19, but this effect has not been replicated in rigorous trials in people.

A separate study by University of Minnesota scientists of the potential preventative effect of hydroxychloroquine against the new coronavirus found it did not protect patients who had been given it prior to being exposed to COVID-19.

Here again, though, the waters have been muddied. The New England Journal of Medicine, which published the research on Wednesday, noted in an editorial, however, that there were limits to the scope of the study.

The University of Minnesota study also was limited in the scenario it tested, said Richard Chaisson, a Johns Hopkins researcher who is running a separate trial of the drug to determine whether it is effective in treating patients with moderate to severe versions of COVID-19.

There is still a need for robust studies looking at whether it might work in low doses before or after exposure, as well as against mild cases, moderate cases, hospitalized patients and seriously ill ones, he added.

WHO’S KNOCK-ON EFFECTS

The WHO decision to halt its trials last week had knock-on effects across the drug industry and medical profession.

French drugmaker Sanofi temporarily stopped enrolling recruits to its own study and pulled supplies of the drug for treatment. The UK COPCOV trial, aimed at establishing if hydroxychloroquine can prevent healthcare workers from contracting COVID-19, hit pause just a week after its launch.

Those studies are yet to resume.

Several European countries also have stopped using the drug for treating some COVID-19 patients.

Some trials have, however, continued despite the WHO’s move.

Novartis has not changed course with its study and the UK Recovery trial paused only briefly before moving ahead after safety checks. It is still enrolling patients and has signed up 4,500 recruits so far – 1,500 patients who are on the drug and around 3,000 who aren’t.

In short, the jury’s still out on hydroxychloroquine for COVID-19, according to Landray at Recovery.

“People can quote data, people can quote experts, but there is continuing huge uncertainty,” he said.

(Additional reporting by Michael Erman in New York; Writing by Josephine Mason and Peter Henderson; Editing by Pravin Char)

Study panning anti-malaria drug Trump took against COVID faces new questions

By Michael Erman

NEW YORK (Reuters) – British medical journal the Lancet on Tuesday said it had concerns about data behind an influential article that found hydroxychloroquine increased the risk of death in COVID-19 patients, a conclusion that undercut scientific interest in the medicine championed by U.S. President Donald Trump.

Hydroxychloroquine – which has anti-inflammatory and antiviral properties – inhibited the coronavirus in laboratory experiments but has not been proven effective in humans, particularly in placebo-controlled, randomized clinical trials considered the gold standard for data.

The debate has become highly politicized, and many scientists have voiced concern.

Nearly 150 doctors signed an open letter to the Lancet last week calling the article’s conclusions into question and asking to make public the peer review comments that preceded publication.

“This is not some sideshow or minor issue,” said Dr. Walid Gellad, a professor at University of Pittsburgh’s medical school, who was not a signatory of the letter but has been critical of the study.

“We’re in an unprecedented pandemic. We’ve organized these enormous clinical trials to figure out if something works. And this study stopped or paused a couple of those trials, and changed the narrative around a drug that no one knows if it works or not,” he said.

The observational study published in the Lancet on May 22 looked at 96,000 hospitalized COVID-19 patients, some treated with the decades-old malaria drug that Trump said he took and has urged others to use.

Several clinical trials were put on hold after the study was published.

The study, using data provided by healthcare data analytics firm Surgisphere, was not a traditional clinical trial that would have compared hydroxychloroquine to a placebo or other medicine.

The Lancet’s editors said in a note that serious scientific questions about the study were brought to their attention and an independent audit of the data has already been commissioned.

Surgisphere said in a statement that the audit “will bring further transparency to our work (and) further highlight the quality of our work.”

Earlier on Tuesday, the New England Journal of Medicine (NEJM) said it was concerned about the quality of the data behind a different study it published in May that also used data from Surgisphere and had the same lead author.

Dr. Mandeep Mehra, the lead author and a professor of Medicine at Harvard Medical School, defended the use of the Surgisphere dataset as an intermediary step until clinical data is available.

“I eagerly await word from the independent audits, the results of which will inform any further action,” Mehra said in a statement after the Lancet note.

The World Health Organization (WHO) suspended hydroxychloroquine’s use in a large trial on COVID-19 patients after the Lancet study. Following the WHO trial suspension, the governments of France, Italy and Belgium halted the use of hydroxychloroquine for COVID-19 patients.

Among the critics of the study to sign the letter last week were several academics from the University of Oxford and Mahidol Oxford Tropical Medicine Research Unit (MORU) in Bangkok, which had been conducting the global “COPCOV” trial of hydroxychloroquine as a treatment of COVID-19.

The trial was paused last week, after the Lancet article.

In March, Trump, with little scientific evidence, said hydroxychloroquine used in combination with the antibiotic azithromycin had “a real chance to be one of the biggest game-changers in the history of medicine.” He later said he took the drugs preventively after two people who worked at the White House were diagnosed with COVID-19.

Trump and Brazilian President Jair Bolsonaro discussed a joint research effort on using hydroxychloroquine as both a prophylaxis and treatment for the coronavirus, the White House said on Tuesday.

(Reporting by Michael Erman; additional reporting by Alistair Smout, Editing by Bill Berkrot, Peter Henderson and Tom Brown)

Explainer: Are asymptomatic COVID-19 patients safe or silent carriers?

By Cate Cadell and Roxanne Liu

BEIJING (Reuters) – China said 300 symptomless carriers of the novel coronavirus in Wuhan, the epicenter of the pandemic, had not been found to be infectious, in a bid to reassure people as countries ease restrictions. But some experts say asymptomatic infections are common, presenting a huge challenge in the control of the disease.

WHAT IS ASYMPTOMATIC AND PRE-SYMPTOMATIC?

The World Health Organization (WHO) defines https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200402-sitrep-73-covid-19.pdf asymptomatic cases as those who don’t show symptoms but have been confirmed infected through a lab test. WHO notes there are few reports of truly asymptomatic cases.

The incubation period, or the time a person takes to show symptoms after getting infected, is the pre-symptomatic phase, the WHO says. Carriers can infect others during this period.

Health experts are not yet sure whether asymptomatic or pre-symptomatic cases are infectious. Some say data so far suggests those cases are probably equally likely to be able to spread infection.

The WHO agrees that pre-symptomatic carriers are infectious, and adds that there is also a possibility – although little evidence so far – that people who are asymptomatic may also transmit the virus. The WHO had said in early April that there had been no documented asymptomatic transmissions.

WHAT ELSE DOES CHINA SAY?

China has reported around 83,000 cases of COVID-19, the disease caused by the new coronavirus. It does not include asymptomatic cases in that total official count, but began reporting them separately on a daily basis on March 31.

That has raised concerns about Beijing’s commitment to transparency, and some experts say it could also paint a misleading picture of how the virus spreads.

“If you watch (such asymptomatic cases) really closely, you would see something … that probably fits with a more realistic mild disease than a complete asymptomatic,” Ian Mackay, a virologist at the University of Queensland said.

“But the term is around now and it’s going to stick. It’s a nice piece of theatre, but I don’t think it’s going to give useful information.”

Asymptomatic cases under medical observation in China dropped to 357 as of Tuesday from 1,541 as of March 30.

Wuhan has tested almost its entire population of 11 million and found no new COVID-19 cases.

Wuhan’s low rate of symptomless carriers is in line with China’s previous reporting, said Zhong Nanshan, the government’s senior medical adviser, adding that the result showed that the country didn’t cover up the epidemic as some U.S. politicians claimed.

HOW ABOUT REST OF ASIA?

Some countries in Asia include asymptomatic carriers in their total confirmed cases.

In Vietnam, which has just over 300 COVID-19 cases, almost 37% were symptomless, according to health ministry data.

Researchers concluded that asymptomatic infection was common and found two asymptomatic patients had infected at least four other people.

South Korea, which had early success in taming the outbreak through aggressive testing, said 20%-30% were asymptomatic. A senior health official said the virus could be widely transmitted during the incubation period, but asymptomatic patients were less likely to transmit it.

Singapore, which has the highest number of cases in Southeast Asia, does not give data on asymptomatic cases but has said an overwhelming majority of positive cases in its crowded migrant workers’ dormitories show mild or no symptoms.

The Philippines said about 13% of its nearly 19,000 cases were asymptomatic. In India, some 28% of 40,184 people who tested positive between Jan. 22 and April 30 were asymptomatic, according to a study.

(Reporting by Cate Cadell and Roxanne Liu in Beijing; Additional reporting by Kate Kelland in London, John Mair in Sydney, James Pearson in Hanoi, John Geddie in Singapore, Neil Jerome Morales in Manila, Sangmi Cha in Seoul, Rocky Swift in Tokyo and Miyoung Kim in Singapore; Writing by Sayantani Ghosh in Singapore; Editing by Kim Coghill)

Confusion, missing ballots as eight U.S. states vote during coronavirus pandemic

By John Whitesides and Jarrett Renshaw

WASHINGTON (Reuters) – Confusion, missing mail-in ballots and long lines at some polling centers marred primary elections on Tuesday in eight states and the District of Columbia, the biggest test yet of voting during the coronavirus outbreak.

The most extensive balloting since the pandemic sparked lockdowns in mid-March served as a dry run for the Nov. 3 general election. It offered a glimpse of the challenges ahead on a national scale if that vote is conducted under a lingering threat from COVID-19.

All of the states voting on Tuesday encouraged or expanded mail-in balloting as a safe alternative during the outbreak, and most sharply reduced the number of in-person polling places as officials struggled to recruit workers to run them.

That led to record numbers of mail-in ballots requested and cast in many states, along with an explosion of complaints about delayed ballots and questions about where to vote after polling places were consolidated.

“The big story out of Pennsylvania is really voter confusion,” said Suzanne Almeida, interim director of government watchdog Common Cause Pennsylvania.

Polling places in at least four Pennsylvania counties opened late, and voting machines failed in at least three of the state’s counties, including Philadelphia, according to the Pennsylvania Election Protection Coalition voting rights group.

While most in-person voting locations featured extensive safety protocols – including masks, sanitizer and social distancing for lines – there were lapses.

“It is a mess in there. People confused. No social distancing, it is packed with machines, tables and people,” Rich Garella, of the voting rights group Protect Our Vote Philly, said of one south Philadelphia location.

The voting in some areas also was complicated by massive protests after an African-American man died in police custody in Minnesota last week. Philadelphia Mayor Jim Kenney said a city curfew would not be enforced until 30 minutes after polls close. In Washington, voters and poll workers will be exempt from that city’s curfew, Mayor Muriel Bowser said.

Robert Wood, 54, said he considered not going to the polls given the dual threat of the coronavirus and riots. But the South Philadelphia resident said he thought last week’s events made it even more important.

“As a black man, I know a lot of people lost their lives so that I can vote. I take that seriously,” Wood said.

Counting the flood of mail-in ballots could delay the results, officials said. In Pennsylvania, Governor Tom Wolf extended the deadline for receiving mailed ballots postmarked by June 2 to June 9 in six counties, including Philadelphia.

Pennsylvania and three of the other states voting – Indiana, Maryland and Rhode Island – had delayed their nominating contests from earlier in the year to avoid the worst of the coronavirus outbreak that has killed more than 105,000 people in the United States. Iowa, Montana, New Mexico, South Dakota and the District of Columbia also were voting on Tuesday.

The primaries come amid a partisan brawl over voting by mail, which Democrats support as a safe way to cast a ballot and Republican President Donald Trump condemns as ripe for fraud. Numerous studies have found little evidence of voting fraud tied to mail-in ballots.

Former Vice President Joe Biden has essentially wrapped up the Democratic presidential nomination to face Trump in November, but seven of the states also will have primaries for state and congressional offices.

Among the top races contested on Tuesday is a Republican congressional primary in Iowa. U.S. Representative Steve King, who has a long history of making racially charged remarks, faces a stiff re-election challenge after being largely abandoned by party leadership.

(Reporting by John Whitesides and Jarrett Renshaw; Editing by Soyoung Kim, Peter Cooney and Jonathan Oatis)

U.S. health experts, officials warn protests may add to virus spread

By Caroline Humer

NEW YORK (Reuters) – Public health experts and government officials, including New York’s governor, are warning that large street protests over racial inequities and excessive police force could worsen the spread of the novel coronavirus.

The protests over the death of an unarmed black man, George Floyd, in police custody in Minneapolis last Monday, have spread to cities including New York, Los Angeles, and Baltimore.

They are bringing together hundreds, sometimes thousands, of people just as the country is reopening after lengthy lockdowns to stop the spread of COVID-19, the disease caused by the coronavirus.

“We’re talking about reopening in one week in New York City and now we’re seeing these mass gatherings over the past several nights that could in fact exacerbate the COVID-19 spread,” New York Governor Andrew Cuomo said on Monday.

Atlanta Mayor Keisha Lance Bottoms recommended to Georgians that if they were at a protest, they should consider being tested for COVID-19.

Health experts say the close proximity of participants, running and yelling or chanting, may increase transmission because people emit more respiratory droplets under these conditions.

Conversely, the protests have largely been outside, where motion of the air from breezes or people moving quickly can diffuse the virus, said Dr. William Schaffner, an infectious disease expert at Vanderbilt University Medical Center.

“A lot of people were wearing masks. That will also help dampen the possibility of spread,” he said.

If there are infections, alerting people that they have been near someone with the virus will be difficult, especially if people do not want it known they attended a protest, he and other experts said.

More public health officials may start to make statements to the effect of, “‘If you were at one of these protests, you should consider yourself exposed,'” said Dr. Amesh Adalja, an infectious disease expert at the Johns Hopkins University Center for Health Security.

(Reporting by Caroline Humer; additional reporting by Maria Caspani in New York; editing by Lewis Krauskopf and Tom Brown)

Special Report: U.S. school closures dramatically shrinking public education, Reuters finds

By M.B. Pell, Kristina Cooke and Benjamin Lesser

NEW YORK (Reuters) – Jennifer Panditaratne’s third-grade daughter had been seeing a reading specialist once a week before her Florida school closed abruptly in March due to the novel coronavirus.

Since then, her child has had no contact with the specialist. Panditaratne is left to download her daughter’s special education material and sit with her as she does her school work—in between her own calls as a maritime lawyer in South Florida.

“Is it the same material? Sure,” she said. “But is it being administered by a professional who knows what they are doing? No.”

More than two months after schools across the United States began closing in an effort to slow the spread of the coronavirus, the shutdown is taking a profound toll on the nation’s system of education, Reuters found by surveying nearly 60 school districts serving some 2.8 million students.

Almost overnight, public education in the United States has shrunk to a shell of its former self, the review found, with teacher instruction, grading, attendance, special education and meal services for hungry children slashed back or gutted altogether.

The survey encompassed school districts from large urban communities, such as Miami-Dade County Public Schools and the Houston Independent School District, to the smallest rural settings, including San Jon Municipal Schools in eastern New Mexico and Park County School District 6 in Cody, Wyoming. The survey reflects what is happening only in those districts that responded.

Reuters found:

– A large majority of responding districts, 47 of 57, reported they are providing elementary and middle school students with half or less the usual face time with teachers. Eight of those districts said students receive little to no direct instruction. In Philadelphia, tens of thousands of elementary and middle school pupils receive little to no live instruction—and high schoolers receive none at all.

– Fewer than half of districts even take attendance and many of those that do say fewer kids are showing up for class. Riverbank Unified School District in Stanislaus County, California, no longer takes attendance. But educators there learned through Google Classroom and phone calls that only about half of their 3,000 students are participating in virtual school and completing assignments.

– Public schools play a crucial role in feeding America’s poor children—but the lockdown is gutting that role. About three-quarters of districts reported they served a cumulative 4.5 million fewer meals a week. In Washoe County, Nevada, the school district provided 251,000 meals a week before the shutdown. Since then: Just over 39,000 a week.

– About a third of districts aren’t providing federally required services to their special needs students, such as physical and occupational therapy like they did before schools were closed. “One of the many things keeping me up at night is, how are we providing education to those who most need it?” asked Michael Lubelfeld, superintendent of the North Shore School District 112 outside Chicago.

In the School District of Philadelphia, superintendent William Hite already sees young children falling behind, including those missing critical face-to-face teacher time through the district’s early literacy program. For older students, he worries that the loss of the school structure’s safety net could lead to delinquency and crime.

“This is in no way a sufficient replacement of teacher instruction of students in classrooms,” Hite said. “I think the impact has already been felt here.”

Several education researchers who reviewed the survey results said that, if anything, the responses likely represent a rosy picture of what is actually happening in the nation’s schools.

Betheny Gross, associate director at the Center on Reinventing Public Education at the University of Washington, believes the results reflected more “optimism” than may be warranted. “This is reflective of what superintendents think is happening,” Gross said, while the reality may actually be worse.

Gross cited the high percentage, 84%, of districts reporting that at least some students are still receiving at least some live instruction. She said her own review of material posted online detailing what administrators across the country expected instruction to look like during the closure revealed that only a “small share” of districts were setting a standard that included live instruction.

While few children have died from COVID-19, the disease caused by the novel coronavirus, and serious complications for them have been rare, public officials shut down schools to prevent the disease from spreading. Nineteen children under the age of 14 died from COVID-19 from February 1 through May 23, estimates the Centers for Disease Control and Prevention, a figure hovering just above 0% of all U.S. virus deaths.

Data on how school closures affect the disease’s spread in the community is limited because the pandemic is still under way. But researchers at University College London found evidence from past epidemics, previous research and modeling of coronavirus transmission in other countries that closing schools has only a slight impact on preventing contagion.

To be sure, public schools, like businesses and governments, were forced into a sudden new world with the pandemic’s spread.

Teachers, parents, researchers and district administrators told Reuters that while distance learning can improve, for the vast majority of students it will fall far short of in-person instruction. If students are not in front of teachers next school year, the public should expect only a fraction of the live instruction, special needs services going unfulfilled and far fewer meals served.

“I just don’t know how we call off school next year,” said Gregory Cizek, who studies education at the University of North Carolina.

For students, parents and educators, the Reuters survey shows, the loss of live instruction has been significant.

LIMITED HOME RESOURCES

Eliza McCord, 16, wasn’t able to participate in her math class for the first six weeks after her Fort Wayne, Indiana, high school went virtual, because her sister had a college class at the same time. Inside their home, there weren’t enough devices to go around.

Even now, her family writes a class schedule on a white board. Also in the rotation for devices and WiFi: Her mother, an elementary school special education teacher; her father, a librarian; and her younger brother, in sixth grade.

Many of Eliza’s classmates have told her they don’t have regular access to a computer to download files, or reliable access to the Internet to join Zoom calls. That said, Eliza thinks some students are not participating because their grades for the final quarter of the year don’t count.

“There are students who just have essentially given up on the rest of the school year,” she said.

Charles Cammack, chief operations officer for Fort Wayne Community Schools, said the majority of students remained engaged after schools were closed. Still, he acknowledged that after the system announced grades would not count for the fourth marking period, some students checked out.

“It would be naïve to say we didn’t know there was a risk some kids would take that position, but given the circumstances I don’t know how we could avoid that happening,” he said.

Special education services such as occupational and physical therapy are challenging to provide remotely, and some services can only be provided face-to-face, survey respondents said.

Schools also rely heavily on parental support. “For any therapy, the parents will need to follow the instructions of the teacher to complete the exercises with the students,” said Dr. Jason Lind, superintendent at Millburn School District 24 in Illinois. “This works well if parents have time to spend helping their children. If parents are also working full-time, this does not work.”

When Fort Wayne’s public school district shut down, Eliza’s mother, special-ed teacher Dawn Cortner-McCord, called the parents of her students. She gave them her personal cell number, and talks with about a third of her students daily, dropping off books and other learning materials at their homes.

But talking on the cell phone is no match for in-class teaching, Dawn said. She cited the example of twin third-grade girls who do math at a first-grade level and had been making progress with hands-on learning. Now she worries they, and other students, are falling back.

“We are just trying to maintain the skills that they have,” she said. “A lot of my students still need that sensory input.”

In Broward County Public Schools in Florida, where Jennifer Panditaratne’s daughter has not seen a reading specialist since schools closed, the district found not all teacher engagement is equal. Panditaratne said her third-grade daughter has a daily 15 minute group Zoom call with her class teacher, going over assignments for the day. Her daughter in fifth grade is getting more live video instruction, but it varies by teacher.

In March, the teacher’s union and district agreed teachers would provide at least three hours a day of deep engagement with students. Many teachers conducted live video instruction, while others used email, phone calls or discussion boards, said Daniel Gohl, the district’s chief academic officer. That left a sense of inequity. So starting this summer, all teachers will provide at least three hours of live-video instruction daily.

“We now know students and teachers need to see and talk to each other,” Gohl said. “We acknowledge we did not get everything right and we are committed to improving.”

MISSING MEALS

By law, U.S. public school districts are required to provide free or reduced-cost meals to children in need. With schools shut, getting those vital meals to the qualifying students has been hindered, in several instances, by significant hurdles.

Despite school districts’ efforts, Reuters found children are missing school meals they should have received. Thirty-four districts, or about three-quarters of those that responded, said they were providing fewer meals a week than before the closure, the Reuters survey found.

Miami-Dade County Public schools provided 1.33 million free breakfasts, lunches and after-school meals a week to its students prior to the March 16 closure. As of May 1, the district said it was serving less than one-third of that number, about 420,000 meals a week.

One reason, according to four parents in the county, was that the district made meals available, but limited pickup to twice a week, leading to long lines. Another roadblock: Lack of transportation to reach the pickup locations. Three of the parents said they were forced to find other sources of food, such as a food bank or a state-funded lunch program.

Victoria Lynn Dennis, a 29-year-old customer service agent in Miami, said she hasn’t been able to access school meals for her 5-year-old pre-kindergartner and 6-year-old kindergartner because she doesn’t have a car. A week after the schools closed, someone from a nonprofit program that partners with the district came to her door with macaroni and cheese. There have been no visits since.

“Telling my kids they can’t eat as much, because we have to save it, it kills me,” she said.

Penny Parham, the food and nutrition officer for Miami-Dade schools, said her heart goes out to the students they aren’t serving. But while they are serving many students, the system can feed more young people in school cafeterias than in the district’s 50 remote distribution sites. As unemployment rises in Florida, she’s seen the lines at these sites grow longer.

“How long can it keep up and are you missing the most critical person?” she asked.

BUDGET DEFICITS, QUESTIONS LOOM

As they look ahead, nearly 70% of districts told Reuters they face a budget deficit. The total shortfall of these districts alone exceeds $450 million.

Philadelphia already faces a $38 million deficit, even after receiving federal assistance. With local revenue plummeting, that number could expand in the weeks to come.

Many school districts are now confronting a question most on the minds of parents: Will they reopen schools in the fall, or continue the distance learning?

Dan Domenech, executive director of AASA The School Superintendents Association, a group representing school district chiefs, meets every week with a task force on reopening consisting of 30 superintendents from across the country.

Three options are being considered for the fall, he said: fully reopening schools as they were prior to the pandemic; a hybrid model in which some students attend school in-person and some continue with remote learning; and continuing with complete remote learning.

The hybrid option, Domenech said, appears to have the most support. But staying entirely remote, he added, is “beginning to get some traction because the cost of opening schools and following the guidance the CDC has offered is going to be cost prohibitive.” The added costs include more buses to maintain social distancing, protective equipment for students and staff and the daily cleaning of each school.

As districts weigh that question, some parents and teachers worry what comes next.

Portia Hudson, a math teacher at Edwin Fitler Academics Plus School in the Germantown neighborhood of Philadelphia, recalls teaching virtually this spring and watching one student, already battling anxiety problems, fall five weeks behind. During another session, a second student played on a swing during class time.

“If we have virtual learning in September, that’s when I’m really going to be concerned, because virtual learning will look like it does now,” Hudson said. “Kids not logging on. Kids on swings.”

(Reporting by M.B. Pell and Benjamin Lesser in New York, and Kristina Cooke in Los Angeles. Editing by Ronnie Greene)

Eight U.S. states cast ballots on biggest voting day since coronavirus pandemic

By John Whitesides

WASHINGTON (Reuters) – Eight states and the District of Columbia hold primary elections on Tuesday, the biggest test yet of officials’ readiness to manage a surge of mail ballots and the safety risks of in-person voting during the coronavirus outbreak.

The largest day of balloting since the pandemic began will serve as a dry run for the Nov. 3 general election, offering a glimpse of the challenges ahead on a national scale if that vote is conducted under a lingering threat from COVID-19.

Four of the states voting on Tuesday – Pennsylvania, Indiana, Maryland and Rhode Island – delayed their nominating contests from earlier in the year to avoid the worst of the outbreak that has killed more than 104,000 people in the United States.

All of the states, which also include Iowa, Montana, New Mexico and South Dakota, have encouraged or expanded mail-in balloting as a safe voting alternative.

That has led to record numbers of mail-in ballots requested or cast in many states, along with an explosion of questions, confusion and reports of ballot applications delayed or lost.

Most states also will sharply reduce the number of in-person polling places as officials struggle to recruit enough workers to run them.

“We will have a lot of clarity after June 2 about what needs to be fixed for November, and we’re hoping we can come up with some clear practical solutions,” said Suzanne Almeida, acting director of government watchdog Common Cause Pennsylvania.

The primaries come amid a partisan brawl over voting by mail, which Democrats support as a safe way to cast a ballot and Republican President Donald Trump condemns as ripe for fraud. Numerous studies have found little evidence of voting fraud tied to mail-in ballots.

Former Vice President Joe Biden has essentially wrapped up the Democratic presidential nomination to face Trump in November, but seven of the states also will have primaries for state and congressional offices.

Among the top races to be decided on Tuesday will be a Republican congressional primary in Iowa. U.S. Representative Steve King, who has a long history of making racially charged remarks, faces a stiff re-election challenge after being largely abandoned by party leadership.

(Reporting by John Whitesides; Editing by Soyoung Kim and Peter Cooney)