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Sarah Gonzales for NPR
NPR Ed
A College Student Is Coming Home. Should The Whole Family Wear Masks?
Elissa Nadworny
November 14, 2020
Sandy Kretschmer imagines her son Henry returning home from college,
dropping his bags and then giving her a big hug. But she knows the
reality of this homecoming may be a lot different.
"I'll probably have a mask on, and he'll have a mask on when I hug him," she says.
Henry plans to take a COVID-19 test a few days before he leaves Iowa
State University where he's a junior, and he'll self-quarantine until
he heads home to Chicago.
The Kretschmers are taking these precautions because some family
members have underlying conditions that put them at higher risk of
becoming seriously ill with COVID-19. Henry's father has an autoimmune
disease, and his 78-year-old grandfather is in hospice care.
Families all across the country are facing a similar dilemma: They want
their students home for Thanksgiving, but no one wants the virus to
come home with them.
"I want to make sure that I'm not bringing anything home to my parents,
and I don't want them to get sick," says Brianna Sislo-Schutta, a
junior at the University of Minnesota.
Home is just a 20-minute drive from campus, in the suburbs of St. Paul.
"That's why I went to school in my home state," she says. "I love my
family. I love spending time with them."
In normal years, she would go home often for a meal or a visit. This
year she's forgone the weekend trips home — afraid she might get her
parents sick. But Thanksgiving is a hard holiday to miss, which has
meant some hard conversations about what the visit might look like.
"As a mother, it's just gut-wrenching," says Brianna's mom, Toni
Schutta. "Can I be inside with my child? If so, for how long? Do we
have to wear masks?" she asks.
Some students are choosing not to risk it and have decided to stay on
campus for the holidays, says Amira Roess, an epidemiologist at George
Mason University in Fairfax, Va.
"There are students who are choosing to stay in the dorms because they have family members who are high risk," she says.
Other experts agree: If a family member is especially vulnerable, the
safest option is to celebrate lovingly — but remotely — this year. But
for college students and their families who are considering spending
Thanksgiving together, here are some precautions you can take to reduce
the risk of spreading infections.
Get tested — but don't rely exclusively on test results
A few colleges are requiring students to get tested before they leave campus and head home.
"It's kind of like the last phase of our semester," says Daniel
Diermeier, chancellor of Vanderbilt University, in Nashville, Tenn. He
says the exit testing is to make sure that the families and the
communities the students are returning to "feel good about their
students coming home."
The State University of New York requires on-campus students to test
negative before heading home for the break and Gov. Roy Cooper of North
Carolina just announced the state will send rapid tests to colleges
ahead of Thanksgiving. The University of Minnesota, where Brianna
Sislo-Schutta is a junior, is also offering free coronavirus testing.
"I know testing isn't 100%, but it definitely makes it a little less
scary for me. I can go home and feel better and have peace of mind,"
she says.
But remember a test is just a snapshot of the day it is taken, says Dr.
Judy Guzman-Cottrill, a pediatric infectious disease specialist at
Oregon Health & Science University. "One negative test does not
mean that you are home free." And even if a test is negative, it's not
a guarantee the person taking it is not infected.
She recommends students take another test when they get home, and in
the meantime, they should stay masked up after they return home and
keep 6 feet away from other family members.
Masks and social distancing may seem like they take all the warmth and
humanity out of the holiday, but Guzman-Cottrill says any place where
5% or more COVID-19 tests return positive is a high-risk zone. Before
traveling, students and parents should evaluate the rates of infection
on campus and the surrounding community.
Not all colleges are offering students testing before they leave for
the holidays. The College Crisis Initiative did a random survey of
about 100 four-year institutions and found that only eight were
offering additional testing to students before the break.
"There's a sense, at least at some colleges, that once the semester
finishes and students leave, it's not their problem," says Robert
Kelchen, an associate professor of higher education at Seton Hall
University in New Jersey. Seton Hall transitioned to online classes
this week, amid a rising number COVID-19 cases on campus. The school is
encouraging all students to get tested at the university health center
before they head home.
Limit your social activities starting now
For colleges that don't have resources for exit testing, many are
encouraging students to essentially lock down before heading out for
Thanksgiving.
"If you don't have testing available, you really have to be cautious
starting now to make sure you don't bring it home," says Rebecca Smith,
an epidemiologist at the University of Illinois at Urbana-Champaign.
And remember, "any form of travel involves some amount of risk," she says. "Just relying on testing alone is not enough."
There are 13 days until Thanksgiving and the virus' incubation period
ranges from about five to 14 days. "If you were to be exposed any time,
starting now, you could be infectious at the time that you go home for
Thanksgiving," Smith says.
Getting tested once doesn't mean you won't test positive for the virus
a day later, she says. So the best defense for students — and the
family planning to welcome them in — is to limit activities to the
essentials.
"No parties obviously," says Smith, and "limit your social circles to
only the people in your bubble and keep that bubble small."
Students should stay masked up after they return home, says epidemiologist Guzman-Cottrill.
"The only time they should be removing their mask should be when they
are eating and eating in a separate room, I think, is the safest
decision, or eating outdoors," she says.
And while it may seem like this takes the joy out of the holiday, with
the virus surging across the country, the extra precautions are worth
taking, our experts say.
"The last thing we want is big family gatherings that end up being somebody's last Thanksgiving," Smith says.
And there are all sorts of things that you can do outdoors with your family that are safer than meals, says Smith.
"You could play outside, you could play croquet or bocce quite safely.
You can play cornhole with your family safely outdoors," she says.
Outdoor activities are safer because airflow helps dilute the virus, thus reducing the risk of infection.
The Sislo-Schutta family usually gathers with at least 20 friends and
family members at their home, but this year it will be just immediate
family and they're planning to do Thanksgiving dinner around the fire
pit.
And there will be one more big change this year — they won't be having a turkey!
"The new plan is to make spinach lasagna," Brianna's mom says. "It's going to be a lasagna Thanksgiving."
That's fine with Brianna. "I'm honestly not a huge Thanksgiving food
person," she says. "I just enjoy spending time with my family."
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