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Open Letter To AASD
Open Letter To AASD
We, the undersigned, 113 healthcare providers from across the greater Appleton area, appreciate the
incredible dedication you continue to demonstrate to our community. Throughout the pandemic you
have time and again made difficult choices informed by the best evidence available. We understand
that at your most recent meeting, the board deemed masking “optional” within the Appleton Area
School District, and we are writing today to urge you to reconsider this decision. The American
Academy of Pediatrics recommends that all persons in schools, regardless of vaccination status, wear
masks. The Centers for Disease Control is also recommending that all individuals, even those who
are fully vaccinated, should mask indoors in areas of high transmission or poor ventilation, including
within schools.
Locally we are seeing an increase in COVID-19 infection rates, likely attributable to B.1.617.2 (Delta
variant). We are seeing breakthrough infections in vaccinated individuals. Only 50% of individuals in
Outagamie County are vaccinated (60% of those eligible [age 12+] are vaccinated). It is critical to note
as well that vaccines are not yet available for children ages 0 to 11. Test positivity rates are 2% in
Outagamie County, and an average of 19 cases per day were reported in Outagamie County, a 187
percent increase from the average two weeks ago.1 As you can see in the figure below, new cases
per day in Outagamie County are increasing, which suggests that the situation will become
exponentially worse before it gets better.
We urge you to reconsider reinstating the mask policy throughout the district, as inconvenient as it
may be for many people. We understand that students often cannot and do not wear the masks
properly all day long, but masks are the only defense that unvaccinated children have against
coronavirus. While it is true that COVID-19 causes mild infection in many children, that is not always
true. We have seen severe infection and even death in pediatric patients with COVID-19. There is
also an equity issue at stake as we seek to protect children and staff with immune deficiencies,
diabetes, and other health problems that put them at higher risk. Some students live in
multi-generational homes where elders will be at greater risk. Further, there are racial and ethnic
disparities to consider, as Hispanic or Latino and non-Hispanic black children have had higher
cumulative rates of COVID-19-associated hospitalizations than non-Hispanic white children.2
Low vaccination rates have allowed new variants to evolve, which puts all of us, even vaccinated
individuals, at risk.3 Finally, masks proved to be effective last year at significantly reducing influenza
(flu) transmission.4 Reducing flu cases means that we save lives and we protect our overburdened
healthcare system.5 The health system could become overwhelmed with patients and forced to ration
care if the highly contagious Delta variant behaves as expected. A universal masking policy, grounded
in scientific evidence, at this point in time can protect our treasured children, educators, and the
greater community.
1
https://www.nytimes.com/interactive/2021/us/outagamie-wisconsin-covid-cases.html
2
https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e3.htm
3
https://www.co.lincoln.or.us/hhs/page/cdc-update-covid-19-pandemic-and-delta-variant
4
https://www.hsph.harvard.edu/news/hsph-in-the-news/a-sharp-drop-in-flu-cases-during-covid-19-pandemic/
5
https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a6.htm
Sincerely,
Source: https://www.nytimes.com/interactive/2021/us/outagamie-wisconsin-covid-cases.html