The Public Health Departments of Ottawa County, Muskegon County, Ionia County and Kent County (“Local Health Departments”) jointly announce that, as of May 5, 2021, the Michigan Department of Health and Human Services (“MDDHS”) has advised them that enforcement of MDHHS’ school quarantine guidelines must be now by local health department order. The requirements of employees, including school employees, to isolate or quarantine under Public Act 339 of 2020 are not impacted by this change and remain in full effect pursuant to state law. The requirements for the wearing of face masks is embedded in MDHHS epidemic orders and remains an enforceable mandate at the state and local level.
As of this release, the Local Health Departments have advised the school districts within their jurisdictions that in consideration of current epidemiological trends, increasing vaccination coverage rates, and the availability of safe and effective vaccines, the Local Health Departments are not issuing county-wide orders requiring all school districts to comply with the MDHHS’ quarantine guidelines. Instead, the Local Health Departments will 1) maintain their continual assessment of vaccination and new case data; 2) consult with hospitals, infectious disease experts and educators; and 3) respond as warranted to particular school situations with individually developed guidance and, if necessary, orders. This is consistent with their long-standing standard enforcement approach to communicable diseases and also will be applicable to COVID-19.
The Local Health Departments continue to recommend that the local school districts use the MDHHS’ quarantine guidelines as best practices for the protection of area children, teachers and staff and the prevention of outbreaks in the school setting.
The Tri-unity Christian boys basketball (shown here in a 2019 practice) is one of the many local sports teams currently unable to hold full-contact practices or compete. (WKTV/K.D. Norris)
Anybody hoping for the rapid resumption of high school winter contact sports such as basketball and wrestling — athletes, coaches, parents and fans — after the successful state-approved fall sports rapid testing pilot program, are going to be disappointed.
Despite the touted success of the recent testing of football and volleyball players engaged in contact sports, in a dual effort of both the Michigan Department of Health and Human Services (MDHHS) and the Michigan High School Athletic Association (MHSAA), the testing protocol will not be used for winter sports. And, so, current plans are that it will be at least Feb. 21 before prep basketball, hockey, wrestling and competitive cheer can begin competition.
“The purpose of the pilot (program) was always to ease the pathway to expanded use of antigen testing to support school reopening, which is the state’s priority given limited testing resources,” Bob Wheaton, MDHHS public information officer, said to WKTV this week.
The MHSAA “also have said all along that MDHHS told us testing would never be an option for winter sports,” Geoff Kimmerly, MHSAA assistant director for communications, said to WKTV. But the state governing body for high school sports still touts the success of the program and advocates for the beginning of winter contact sports, even without rapid testing.
The South Christian High School football team returns to practice Wednesday, Dec. 30, after mandated COVOD-19 testing was completed. (WKTV/K.D. Norris)
“This past weekend the MHSAA concluded its remaining Fall tournaments with 11-Player Football Finals,” a Jan. 27 statement from the MHSAA reads. “Earlier this month, Girls Volleyball, Lower Peninsula Girls Swimming & Diving and 8-Player Football Finals were competed to conclude those seasons.
“All four were allowed to complete their seasons because those teams took part in the MDHHS rapid testing pilot program. Results of that program were overwhelmingly positive. A total of 5,376 individuals (athletes, coaches, team personnel, cheerleaders, etc.) were tested, and 57 — or 1 percent — tested positive at some point in the pilot. Nearly 30,000 rapid antigen tests were administered — and 99.8 percent were negative.”
(According to the statement, the statistics were through Jan. 19, and were provided to the MHSAA by the MDHHS.)
And MHSAA leadership clearly believes not allowing Michigan athletes to return to the basketball courts and wrestling mats is unfair and could be putting the athletes at a greater risk of COVID-19 infection.
“Each week, we see hundreds of examples of children and families competing in non-school competition, both in-state and out-of-state,” Mark Uyl, MHSAA executive director , said in the Jan. 27 statement. “This not only is in violation of current MDHHS orders, but sending all of these families into different states will only become an impediment to getting students back in school full time.
“But we can contribute to students returning to in-person learning by allowing MHSAA member schools to begin full activities, participating locally and against more local competition, and under the guidance of trained, professional educators,” Uyl said.
State’s goal is safe communities and schools, first
“Counties around the country have faced outbreaks of COVID-19 associated with sports teams,” MDHHS’s Wheaton said to WKTV. “In Michigan, there were 42 outbreaks associated with athletics (K-12 schools, professional, collegiate, and commercial venues) in August and September 2020 before restrictions on contact sports were implemented … Outbreaks of this magnitude have the potential to affect not just a sports team, but the community in which the players and coaches reside as well.”
Competitive cheerleading is just one of several high school winter sports on hold at this time. (WKTV/Joanne Bailey-Boorsma)
Sports that require “frequent closeness between players” — including basketball and wrestling — make it more difficult to prevent disease transmission, according to the MDHHS. And the risk of COVID-19 transmission is increased by the number of individuals a player physically interacts with, as well as the intensity and duration of that interaction.
“The arrival of the new B.1.1.1.7 variant also means even more caution must be taken so we avoid the rapid rise in cases, hospitalizations, and deaths that other countries that have seen this variant have experienced,” Wheaton said.
“Even with mitigation measures in place, such as wearing of masks, disease transmission cannot be completely prevented when players are in prolonged or intense contact,” Wheaton continued. “These risks are even greater for indoor contact sports where there is not natural ventilation to mitigate the close proximity of participants. Teams that can implement robust public health measures may be able to decrease risk, but risk remains elevated.”
And when asked about when contact sports might be able to begin in 2021, Wheaton said that is at unknown at this time — for several reasons, including the lack of resources to implement a more widespread rapid testing program.
“Contact sports can be more safely played at this time when teams undertake significant infection control steps that include testing participants at least three times a week on alternating days, ensuring no social contact outside of school and the team, and supervision by medical staff,” Wheaton said. “It is not easy to meet these standards, and typically requires institutional support from a college or university, or professional sports organization, to have sufficient resources and infrastructure to comply.
In the fall sports pilot program, about 200 schools that allowed several thousand high school athletes to safely complete their fall volleyball, football, and swimming and diving championships under these protocols, according to the MDHHS. But the enhanced testing during this pilot uncovered dozens of positive cases that could have otherwise spread to the rest of the team and their communities.
“We will continue to carefully watch the data to assess what other activities can be permitted,” Wheaton said in conclusion.
And the MHSAA will be ready when — and if — the state allows winter contact sports to begin.
“We have said from the start of the 2020-21 school year that we would do everything possible to have three seasons, and play all three to completion,” Uyl has previously said. “Our strong advocacy for all sports and seasons — and especially winter sports —continues every day.”
Both Michigan and Kent County report COVID-19 numbers routinely, but a big question these days is what specifically does those numbers mean — people who are sick, people who had the virus and did not get sick, people who never contracted the virus for whatever reason?
Kent County, for example, reported 3,385 cases as of May 23 (with 68 deaths), while statewide numbers had 54,881 “confirmed cases” as of May 25.
The Michigan Department of Health and Human Services (MDHHS) announced last week that it had changed the way it reports data on COVID-19 testing to make those numbers a little clearer.
“The change makes the data more accurate and relevant as the state continues to expand diagnostic testing to help slow and contain the spread of COVID-19,” the Man 23 MDHHS statement read. “The update to the website separates out the results of two different types of tests – serology and diagnostic. Michigan – along with some other states – has not separated data for diagnostic and serology tests.”
Data on serology testing – also known as antibody testing – is separated from the other testing numbers. Currently, serology testing can be used to help determine whether someone has ever had COVID-19, while traditional viral diagnostic tests determine if someone has active disease.
“Accuracy and transparency are paramount as we continue to respond to this pandemic,” Dr. Joneigh Khaldun, chief medical executive and chief deputy for health, said in supplied material. “We continue to expand and improve data reporting to make sure the public understands where their community stands with the COVID-19 outbreak.”
Digging into the numbers
MDHHS emphasizes that the change in reporting does not affect the number of lab-confirmed COVID-19 cases in Michigan. It does lower the percentage of positive tests over the last nine days — when serology testing became more common. Michigan’s overall percentage of positive tests since the beginning of the outbreak remains virtually the same — changing from 14.2 percent positive tests to 14.3 percent.
Michigan’s COVID-19 website now shows results for 512,891 total tests reported to the state – with 450,918 diagnostic test results and 61,973 serology results.
Diagnostic tests are most helpful in tracking the spread of COVID-19 since they can show the number of people who currently have the COVID-19 virus. Serology tests are still being studied regarding their utility. They are currently most helpful in understanding how much a community may have been exposed to the disease.
“However, it is unknown if the presence of an antibody truly means someone is immune to COVID-19, and if so, for how long,” the statement continues. “Results of antibody tests should not change decisions on whether an individual should return to work, or if they should quarantine based on exposure to someone with the disease.”
Approximately 12 percent of Michigan’s tests overall have been serology tests; about 60 percent of those have been from the past nine days.
