Effective School Health Measures: Navigating Safety During Classes - Internal Medicine

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How to implement disease prevention measures in schools?


Hello Doctor, I am a sophomore student.
In order to graduate early, I have already taken courses from the junior and senior years.
However, since the pandemic, the school's attitude has been quite lax, merely going through the motions.
Wearing masks is not mandatory, and there are no real regulations regarding seating arrangements or attendance in class.
I have always felt that I should wear my mask and, when classes are boring or too slow, I just go to the library to study on my own.

This semester, there is a required course where attendance is strictly enforced, and missing more than three classes will result in failing.
In this class, there are some international students, such as those from Southeast Asia.
Although it is December and they should have undergone quarantine upon arriving in Taiwan, I still feel a bit anxious during discussions.
I would like to ask you, if the student is seated two rows behind me in a lecture hall, with me in the front row and her in the third row, and I can hear her talking to a classmate next to her after class, but I am not sure if she has been in Taiwan for a while since she is in a different class.
I wear a mask during class, and the international students also wear masks and I haven't heard any coughing or sneezing.
Should I be overly concerned? I live with my grandparents, so I am particularly worried about possibly being asymptomatic and affecting my family.
I apologize for reaching out to you during your busy schedule, and thank you for your time.

Xiao, 10~19 year old female. Ask Date: 2020/12/25

Dr. Hong Yuanbin reply Internal Medicine


Hello, foreign students entering Taiwan will undergo a home quarantine process.
If the foreign classmates you mentioned have already completed this process and are asymptomatic, your learning environment should be relatively safe.
Additionally, if you are also wearing a mask, there should be no concerns about contracting COVID-19, and your family members are safe as well.
Thank you for your question.

Reply Date: 2020/12/25

More Info


Navigating safety during classes, especially in the context of ongoing health concerns such as COVID-19, is a legitimate concern for many students today. Your proactive approach to wearing a mask and self-educating when classes become unengaging is commendable. However, it’s essential to address your worries about potential exposure to illness, particularly since you live with elderly family members who may be more vulnerable.

First, let’s discuss the current understanding of COVID-19 transmission. The virus primarily spreads through respiratory droplets when an infected person coughs, sneezes, talks, or breathes. It can also spread by touching surfaces contaminated with the virus and then touching the face. Given that you mentioned the international students in your class are wearing masks and you have not observed any coughing or sneezing, the risk of transmission in that specific classroom setting appears to be low. The fact that you are seated at a distance (with an empty row between you) further reduces the likelihood of exposure.

However, it’s important to remain vigilant. Here are some effective school health measures you can consider to navigate safety during classes:
1. Continue Wearing Masks: While it may not be mandated, wearing a mask is a simple and effective way to protect yourself and others, especially in indoor settings where social distancing may not be fully maintained.

2. Practice Good Hygiene: Regular hand washing with soap and water for at least 20 seconds or using hand sanitizer with at least 60% alcohol can help reduce the risk of infection. Avoid touching your face, especially your eyes, nose, and mouth.

3. Maintain Distance: Whenever possible, try to keep a safe distance from others, especially in crowded or enclosed spaces. If you feel uncomfortable in a particular situation, it’s okay to choose a seat that allows for more space.

4. Stay Informed: Keep up with your school’s health guidelines and any updates regarding COVID-19 protocols. If you feel that the measures in place are insufficient, consider discussing your concerns with school administration or health services.

5. Monitor Your Health: Be aware of any symptoms that may arise, such as fever, cough, or loss of taste/smell. If you experience any symptoms, it’s crucial to get tested and self-isolate until you receive your results.

6. Communicate with Family: Since you live with your grandparents, it’s important to communicate with them about your school environment and any concerns you may have. They may also have specific health precautions they would like you to follow.

7. Consider Vaccination: If you haven’t already, consider getting vaccinated against COVID-19, as vaccines have been shown to significantly reduce the risk of severe illness and transmission.

8. Mental Health Matters: The anxiety surrounding health and safety can be overwhelming. Make sure to take care of your mental health by practicing relaxation techniques, engaging in physical activity, and seeking support if needed.

In conclusion, while the risk in your classroom setting appears to be low, it’s wise to remain cautious and proactive about your health and the health of your family. By following these measures, you can help create a safer environment for yourself and those around you. If you have ongoing concerns, don’t hesitate to reach out to your school’s health services for further guidance. Stay safe and take care!

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