Delaware County Medical Society Summer/Fall 2020 - 27

Schools are also a source of daily nutrition for students
and many children, not just those in poorer communities,
rely on schools for healthy meals. Organized gym classes
in schools also afford students an opportunity for regular
physical activity. By not attending school many children
have lost access to regular meals during the week. Without
regular gym classes, many children are at risk for more
sedentary lifestyles. As expected, many physicians around
the county and across the state are reporting children with
poorer nutritional and lifestyle habits due to the pandemic.
One of the most important things that schools provide for
our children is a safe environment, both physically and
emotionally. It has been well documented that child abuse
reporting in the state of Pennsylvania has been down by
50% or more since the pandemic has been declared. While
there are many factors for this, a large piece is the simple
fact that students do not have safe outlets to disclose abuse,
or access to teachers and school staff who can report the
abuse.
One function that schools provide that is often overlooked
in many of the discussion on reopening schools is the
development and execution of Individualized Education
Plans (IEPs) and 504 Plans* for children with learning
disabilities and/or underlying medical diagnoses like
Attention Deficit Hyperactivity Disorder (ADHD). These
accommodations have become much more challenging for
school districts to execute and surveil during the pandemic.
In short, special education has been negatively impacted
by the pandemic, ultimately putting these more vulnerable
students at risk, not just academically, but socially and
emotionally.
In the beginning stages of the pandemic when schools
were shutting down, the vast majority of school districts
quickly pivoted to implement remote or distance learning.
While this has been the solution for the majority of school
districts during the pandemic, it has exposed a multitude
of inequities that affect our children. Not all students
have ready access to internet services or technology
devices required for effective distance learning. Parental

or guardian employment also plays a major role in the
delivery and efficacy of distance learning. Many students
have parents or guardians that are considered essential
workers; or their parents or guardians need to continue
working to maintain a source of income during the
pandemic. As a result, this leaves much less time for these
caregivers to facilitate and teach their children. This may
be less concerning for older middle school and high school
students, but there is now increased accountability on both
the student and the caregiver to complete and submit the
work. Finding affordable and quality child care for schoolaged children during the pandemic has also proven to be
quite difficult for parents of all socioeconomic levels. While
distance learning may have been the best option while we
were under stay-at-home orders, now that many people are
back to work, resuming high quality distance learning in
the Fall has the potential to be even more challenging.
One of the most important things stated above is that
schools provide a safe environment - not just for students,
but for teachers and school staff. This includes establishing
an environment that significantly reduces exposure to
COVID-19. For any school to reopen, school districts
must develop an appropriate and effective "Health & Safety
Plan" that addresses, but is not limited to, the cleaning of
the physical space; guidelines on how to act in the event
a student, teacher, or staff member contracts COVID-19
or has a significant exposure; steps on how to quickly
and seamlessly transition to remote/distance learning
if necessary. One of the biggest pieces of these plans is
implementing appropriate social distancing measures
throughout the building for the entirety of the school day.
The recommendation is that schools construct classrooms
to allow students to be 6 feet part from each other and the
teacher. However, this may not be feasible for many school
districts. There is some flexibility in this recommendation,
but it isn't ideal. Creative changes to the physical design and
construct of the classroom may help overcome some of the
social distancing obstacles. Wearing face masks will also be
mandatory for students, teachers, and all staff upon return.

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DELAWARE COUNTY MEDICINE & HEALTH

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Delaware County Medical Society Summer/Fall 2020

Table of Contents for the Digital Edition of Delaware County Medical Society Summer/Fall 2020

Delaware County Medical Society Summer/Fall 2020 - 1
Delaware County Medical Society Summer/Fall 2020 - 2
Delaware County Medical Society Summer/Fall 2020 - 3
Delaware County Medical Society Summer/Fall 2020 - 4
Delaware County Medical Society Summer/Fall 2020 - 5
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Delaware County Medical Society Summer/Fall 2020 - 7
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Delaware County Medical Society Summer/Fall 2020 - 12
Delaware County Medical Society Summer/Fall 2020 - 13
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Delaware County Medical Society Summer/Fall 2020 - 16
Delaware County Medical Society Summer/Fall 2020 - 17
Delaware County Medical Society Summer/Fall 2020 - 18
Delaware County Medical Society Summer/Fall 2020 - 19
Delaware County Medical Society Summer/Fall 2020 - 20
Delaware County Medical Society Summer/Fall 2020 - 21
Delaware County Medical Society Summer/Fall 2020 - 22
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Delaware County Medical Society Summer/Fall 2020 - 25
Delaware County Medical Society Summer/Fall 2020 - 26
Delaware County Medical Society Summer/Fall 2020 - 27
Delaware County Medical Society Summer/Fall 2020 - 28
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Delaware County Medical Society Summer/Fall 2020 - 30
Delaware County Medical Society Summer/Fall 2020 - 31
Delaware County Medical Society Summer/Fall 2020 - 32
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https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyWinter2019
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyFall2018
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietySummer2018
https://www.nxtbook.com/hoffmann/delcomed/DelcoMedicalSocietySpring2018
https://www.nxtbook.com/hoffmann/delcomed/DelcoMedicalSociety
https://www.nxtbook.com/hoffmann/delcomed/DelawareCountyMedicalSocietyWinter2017
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