The State’s chief medical officer Dr Tony Holohan said it is “the right time” to ease Covid-19 measures in schools given the low risk of transmission in such settings.
From Monday, children aged 12 or younger will no longer have to restrict their movements or undergo contact tracing if identified as a close contact of a case in a school or outside a household.
In a statement issued by the Department of Health ahead of the changes, Dr Holohan said that it was “very reassuring” to see the Covid-19 positive rate decrease from 16 per cent to 5 per cent, despite a significant increase in the numbers of children referred for testing in recent weeks.
“Despite this increased testing, there has only been a relatively modest increase in the detection of cases in the school going age group,” he said.
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The comments came as a further 1,459 confirmed cases of Covid-19 have been reported on Sunday afternoon.
As of 8am, 296 coronavirus patients were hospitalised, of which 65 were in ICU.
Dr Holohan, chairman of the National Public Health Emergency Team (Nphet), said that it would take “some time” for people to adjust to the new advice for close contacts.
He urged people if they have symptoms such as cough, fever, fatigue, headache or sore throat to isolate and contact their GP and “be guided by their advice”.
“Both nationally and internationally, the evidence tells us that schools are a low-risk setting for the transmission of Covid-19 among school-going children and, as such, now is the right time to evolve our contact tracing approach, while maintaining the infection prevention and control measures in place in educational settings,” he said.
Close contacts of Covid-19 cases in special educational needs settings and respite care may still be required to restrict movements and be tested, said Dr Holohan.
Given the “substantially higher risk of transmission in households as compared to any other setting”, children aged 12 or under who are identified as household close contacts will still be required to restrict movements, regardless of whether or not they have symptoms, he said.
Children aged 12 or under who display Covid-19 symptoms must still “rapidly self-isolate, not attend childcare or school or socialise” and follow all medical and health guidance.
Earlier, another prominent Nphet member described as “untrue nonsense” a theory that there is a “policy” to allow children be infected with Covid-19 in order to build immunity.
Prof Phillip Nolan, who is also President of Maynooth University, published a series of tweets on the topic on Sunday.
“The idea that there is some secret ‘policy’ to allow children become infected and build immunity is untrue nonsense. We have had just over 30,000 cases in a population of about 570,000 5-12-year-olds,” he said.
“Even if this is an underestimate of the numbers previously infected, at current infection rates (2,000-2,500 per week) it would take 3-5 years for all existing children to become infected.
“If force of infection declines as most of those 12 and older are vaccinated, infection rates in those aged under 12 will also decrease, and birth rates (1000 per week) will compete with infection rates to keep the proportion of children with natural immunity low,” he continued.
“The current policy is to balance the low risk of transmission in the school setting against the benefits of continuing in-person education. We have time to consider the risks, opportunity costs and benefits of vaccinating children.”
Monday will see an end to contact tracing of asymptomatic cases in the classroom.
Under the changes, children under 13 who are close contacts of confirmed coronavirus cases in schools or childcare will no longer be required to self-isolate from September 27th if they are symptom-free.
The changes will not be applied to children who attend special schools.
The move comes after thousands of children were out of school, after they were told to self-isolate or restrict their movements due to being exposed to the virus.
Meanwhile, Trinity College immunologist Prof Luke O’Neill questioned changes to contract tracing in primary schools, saying that a “clear explanation” for this decision has not been given.
“We should keep up with the contact tracing...I would like a clearer explanation as to why we are not, it’s a very good weapon to use, and it would certainly reassure teachers,” said Prof O’Neill.
“For the next month or two, certainly until the end of winter, we should be using every weapon we have.”
Speaking on Brendan O’Connor on RTÉ Radio One, Prof O’Neill said he thought children should self-isolate if exposed to the virus.
He added that in Germany, there is mass antigen testing in schools. “It’s another weapon...why there wasn’t extensive antigen testing in schools all through this is a mystery to many of us.”
Prof O’Neill said that while antigen tests are not as accurate as PCR tests, this can be explained to people, and the antigen tests should be used in conjunction with PCR testing.
Prof O’Neill said it was “wise” to not vaccinate the under 12s just yet.
He said that while schools pose a risk, if the majority of adults are vaccinated the chance of children getting infected is lower.
“If they do get infected it will be a mild, benign disease in the vast majority...a tiny minority of course do get really sick.”
Prof O’Neill added that it would be wrong to vaccinate children while more vulnerable people in other countries have not received a first dose. “It’s unethical, we could have saved loads of lives in developing countries.”
Prof O’Neill added that he recently attended a conference with other immunologists in Munich, Germany.
He said that at the conference, there was a sense that we were emerging from the pandemic. “There was a lot of talk of next spring as a key turning point, by then we should have 85 per cent of people either vaccinated or infected, and that means they are protected.
“That means the virus will have gone endemic, and if you do catch it, symptoms will be like the common cold.”
Prof O’Neill said this was a reasonable assertion, but it is still unknown what exactly will happen.
