|  Previously, CDC recommended that two cases associated 
			with a school would constitute an outbreak. The new national 
			recommendation that Illinois is adopting defines a school outbreak 
			as either (1) multiple cases comprising at least 10% of students, 
			teachers, or staff within a core group or (2) at least three cases 
			within a specified core group. A core group means only those 
			individuals who were together during an exposure period. For 
			example, this could be limited to a classroom, a sports team, 
			before/after school care, performing arts, or other groups and 
			likely does not apply to the entire school population. 
 More information about school outbreaks, exclusion, guidance, and 
			Frequently Asked Questions can be found on the IDPH website on a new 
			COVID-19 Youth and School Resources page, including youth 
			vaccination rates by county, youth cases over time, and youth 
			emergency department visits. 
			https://dph.illinois.gov/covid19/youth-school.html.
 
 
			
			 
			“In an effort to more confidently establish whether transmission of 
			COVID-19 occurred in school versus another location, IDPH is 
			following CDC’s recommendations and adopting Council of State and 
			Territorial Epidemiologists’ guidance, which updates what is 
			considered to be a school-associated outbreak,” said IDPH Director 
			Dr. Ngozi Ezike. “This change in criteria will continue to identify 
			outbreaks and help prevent further spread, but also help rule out 
			outbreaks that are not associated with the school.”
 
 To be considered part of an outbreak in a school, cases must meet 
			the criteria for a probable or confirmed school-associated case with 
			a positive test result, or the start of symptoms within 14 days of 
			each other. These individuals are identified to be close contacts 
			with each other while in the school setting and not another setting 
			outside of school. The cases must also be epidemiologically linked 
			to the school setting or extracurricular activity, meaning they were 
			at the same place at the same time.
 
			
			 
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            Masks continue to be required to be worn in schools 
			by students, staff, and visitors to help protect the health of those 
			in schools and prevent further transmission in the community among 
			vulnerable populations. 
			
			 
             
            More information about the importance of using layered prevention 
			strategies, including universal masking, to stop the spread and 
			minimize disruptions to school operations for safe in-person 
			education can be found in three new studies. These studies found 
			that school districts without a universal masking policy in place 
			were more likely to have COVID-19 outbreaks. Nationwide, counties 
			without masking requirements saw the number of pediatric COVID-19 
			cases increase nearly twice as quickly during this same period. 
			Masking also helps keep students in school. In Illinois, a student 
			who was within 3-6 feet of a case in a classroom setting is not 
			considered a close contact if both the case and close contact were 
			consistently masked for the entire exposure period. 
            
			 
            IDPH recommends vaccination for individuals 12 years and older, 
			including students. School personnel are required to be fully 
			vaccinated or tested at least weekly for COVID-19, per Executive 
			Order.
 IDPH has also teamed up with SHIELD Illinois to provide free 
			COVID-19 testing to all K-12 public schools across Illinois outside 
			of Chicago. As an alternative to exclusion from school, unvaccinated 
			students and staff who have been identified as a close contact of a 
			positive COVID-19 case now have the option of a Test-to-Stay 
			protocol, as long as both the case and contact were masked during 
			the exposure. Close contacts must be tested on days 1, 3, 5, and 7 
			after exposure. As long as close contacts remain negative, they are 
			allowed to remain in school. Participation in weekly screening 
			testing at school is strongly encouraged as an added layered 
			mitigation strategy and to support implementation of Test-to-Stay.
 
            [Illinois Office of Communication and 
			Information] 
            
			 Association 
			Between K–12 School Mask Policies and School-Associated COVID-19 
			Outbreaks — Maricopa and Pima Counties, Arizona, July–August 
			2021; 
            
			Pediatric COVID-19 Cases in Counties With and Without School Mask
			
			
			Requirements; 
 COVID-19–Related School Closures and Learning Modality Changes — 
			United States
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