Assessing Outdoor Activities for Children During Ongoing Pandemic Restrictions - Internal Medicine

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Epidemic prevention issues


Hello Doctor, I am a social worker at a children's home with about 30 residents.
Due to the pandemic, classes have been extended until June 14, and we have been hesitant to let the children go outside before May 28 due to concerns about the spread of the virus.
However, we have learned that the Level 3 alert will continue.
While we are concerned about the pandemic and recognize the importance of preventive measures, we are also worried that the children are feeling cooped up since they haven't been able to go outside.
Therefore, we discussed allowing the children to go out in small groups, no more than 5 at a time, for 20-30 minutes.
They will wear masks throughout the activity, and the location will be at the riverside (an open area).
After exercising, they will return to the home to take a quick shower.
Do you think this is advisable? Is the risk high?

Dora, 20~29 year old female. Ask Date: 2021/05/25

Dr. Hong Yuanbin reply Internal Medicine


Hello, the current recommendation regarding the pandemic is still to prioritize indoor activities.
The risk outdoors mainly depends on the likelihood of coming into contact with others throughout the process, especially since children tend to interact with various surfaces and people.
This is an important factor to consider, so the decision may vary based on your specific plans.
There is no definitive answer.
Thank you for your question.

Reply Date: 2021/05/25

More Info


In the context of the ongoing pandemic, assessing outdoor activities for children, especially those in a residential care setting, requires a careful balance between the physical and mental well-being of the children and the need for safety measures to prevent the spread of COVID-19. Your plan to allow small groups of children to engage in outdoor activities while adhering to safety protocols is a commendable approach, but it is essential to consider several factors.

First and foremost, the mental health of children is a critical concern during extended periods of confinement. Children thrive on social interaction and physical activity, both of which are vital for their emotional and psychological development. The lack of outdoor activities can lead to increased anxiety, behavioral issues, and a general sense of restlessness. Therefore, providing opportunities for safe outdoor play can be beneficial for their overall well-being.

Your proposal to allow groups of no more than five children to engage in outdoor activities for 20-30 minutes while wearing masks is a reasonable strategy. Outdoor environments, especially open spaces like riverbanks, typically present a lower risk of virus transmission compared to indoor settings. The fresh air and increased ventilation can help mitigate the risk of airborne transmission. However, it is crucial to ensure that the children maintain physical distancing during these activities, as close contact can still pose a risk.

Additionally, it is important to monitor the health of the children closely. Before any outdoor activity, screening for symptoms of COVID-19 should be conducted. If any child exhibits symptoms such as fever, cough, or difficulty breathing, they should remain indoors and be evaluated by a healthcare professional. Furthermore, regular hand hygiene practices should be emphasized, including washing hands before and after activities and using hand sanitizer when soap and water are not available.

Another consideration is the local and state health guidelines regarding outdoor activities during the pandemic. It is essential to stay informed about the latest recommendations from public health authorities, as these guidelines can change based on the current state of the pandemic. If the area is experiencing a surge in cases, it may be prudent to reassess the plan for outdoor activities.

In summary, your approach to allowing children to engage in outdoor activities in small groups while following safety protocols is a positive step towards addressing their physical and mental health needs during the pandemic. However, it is vital to remain vigilant about health guidelines, monitor the children's health, and ensure that safety measures are strictly followed. By doing so, you can help create a safe and supportive environment for the children while also promoting their well-being during these challenging times.

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