Promoting Healthy Environments

This resource was last updated December, 2021.

The Basics for Outdoor Learning During the Pandemic

When it comes to promoting learning and health during COVID-19, it is important to consider outdoor learning and play as part of your “Plan A” — among the first things you do to reduce the risk of viral transmission. The good news? This investment in outdoor learning will also pay off for child well-being and learning over the long term.

© Eli Khashayar, Golestan Education

© Eli Khashayar, Golestan Education

 

 

“In general, the risk of COVID-19 transmission is lower when playing outdoors than in indoor settings.”

— Centers for Disease Control and Prevention, in Guidance for COVID-19 Prevention in K-12 Schools

“Get as much outdoors as you can.”

— Dr. Fauci, August 13, 2020, during a Facebook LiveChat, as reported by the Associated Press


How Does the Virus Spread?

Transmission Routes

Close contact. The novel coronavirus (SARS-CoV-2) is transmitted when people who are infected with it breathe, cough, or sneeze droplets into the air (1) and other people inhale the droplets or vapor containing the microscopic virus or these droplets land on their eyes nose or mouth. (A droplet of saliva or mucus is big and heavy enough to fall on a surface, while an “aerosol” is small and lightweight enough to float around in the air. Breathing and speaking normally produce both.)

“Shared air.” Research suggests that aerosolized virus can hang in the air for a period of time, possibly up to several hours, after an infected person breathes in enclosed spaces or indoors.

People can be infected with the COVID-19 virus and show no symptoms; children and young adults are less likely to show symptoms of the virus than older adults. Even if they show no symptoms, they can transmit the virus to others.

© Drew KellY Photography

© Drew KellY Photography

How Does Being Outdoors Affect Transmission Risk?

The virus spreads far less easily outdoors than indoors due to far greater air circulation. Children can get COVID-19 (at similar rates to adults) (2). Being outdoors, however, does not entirely eliminate the risk of the virus being spread. Since this is the case, apply the same prevention measures outdoors that you would indoors.

Recognize that outdoor learning may likely include periods of time indoors, either for whole groups or smaller groups of children and adults. Bathroom use, inclement weather, first aid, providing care to students with chronic conditions, and eating lunch or snacks may all require additional vigilance. Ensure prevention measures and planning account for time spent indoors where the risk of transmission is higher.

Reference for the information above: (1) CDC. (2020, October 28). How COVID Spreads. (2) CDC (2021, December 17). Science Brief: Transmission of SARS-CoV-2 in K-12 schools.

Please visit the CDC’s webpage for additional updates, including Science Brief: Transmission of SARS-CoV-2 in K-12 schools (2021, March 19), as well as this resource from the American Academy of Pediatrics, COVID-19 Guidance for Safe Schools and Promotion of In-Person Learning (2021, November 2).


Preventing Spread

Image used with permission from © Ian M. Mackay, Phd, Dip Bis Mgmt, Virologist, Associate Professor, UQ Child Health Research Centre, Faculty of Medicine, The University of Queensland.   For more information and copies of this graphic in additional …

Image used with permission from © Ian M. Mackay, Phd, Dip Bis Mgmt, Virologist, Associate Professor, UQ Child Health Research Centre, Faculty of Medicine, The University of Queensland.
For more information and copies of this graphic in additional languages, please click here.

Use multiple layers of protection

It is important to add many layers of protection, as shown in the graphic above, since no single intervention is perfect at preventing spread.

© Thomas Kuoh Photography

© Thomas Kuoh Photography

REDUCE RESPIRATORY TRANSMISSION 

The COVID-19 pandemic mainly spreads through the air, so it is vital to reduce airborne transmission. Outdoor environments naturally have greater ventilation, air flow, and air volume than indoor spaces do, and air is not recirculated outside. Outdoor spaces like school grounds and parks are also generally larger than school buildings and indoor classrooms, so there is usually more room to increase the distance between people and between cohorts outside. These conditions make airborne virus transmission much less likely outdoors. (2) 

REDUCE CONTACT TRANSMISSION 

The virus may also spread via surface contact, although this is now understood to be less likely than airborne transmission. Outside, direct sunlight reduces virus survival on outdoor surfaces. When weather conditions include high temperatures and high humidity, those factors also further reduce virus survival on outdoor surfaces. Porous natural surfaces outdoors also decrease virus survival. Taken together, these factors suggested that virus transmission via outdoor surfaces is less likely than from indoor surfaces. (3) 


References 2, 3, 4 above summarize information from:
Dr. Nooshin Razani, MD, MPH, Founder and Director of the Center for Nature and Health at UC San Francisco, in the recorded webinar, Demythologizing COVID-19: How to Use Outdoor Learning Spaces to Help Control COVID-19 Transmission as Schools Reopen.  

FOLLOW BEST PRACTICES OUTDOORS

While the overall evidence points to lower transmission rates outdoors, there are still some gaps in health science data that must be filled to better understand the specific pathways of transmission outdoors. (4) This means that it is important for schools to continue using similar COVID-19 health protocols when they are outside, that they practice inside:

Wear masks. Everyone should wear a face covering—specifically, a cloth mask that is double layered, without a valve. Wearing a mask decreases the likelihood that someone with the virus will breathe, cough, or sneeze the droplets and aerosols into the air or onto a surface. Wearing a mask also decreases the likelihood that the wearer will be exposed to the virus.

Maintain distance. For elementary students, try to keep students at least 3 feet apart and adults at least 6 feet apart. For middle and high school students, a distance of 3 feet or more between students is adequate if community spread is low or moderate; however, try to keep students at least 6 feet apart if community spread is high. Maintaining a distance between people who do not live together will help reduce the spread of this virus. This is true even when people are wearing face coverings. (See the March 19, 2021 press release from the CDC.)

Wash hands. Wash hands frequently with soap, for at least 20 seconds, or use an alcohol-based hand sanitizer with at least 60 percent alcohol if soap and water are not readily available. This is especially important after touching surfaces that other people touch (such as a door handle), and will help reduce the spread of this virus. Provide outdoor hand washing facilities, if possible.

Stay home if sick. Make sure people who may be sick do not come to school. Anyone showing symptoms of being sick should stay home and avoid contact with others until their symptoms have subsided and their quarantine is over. According to the American Academy of Pediatrics, “adequate and timely COVID-19 testing resources must be available and accessible as a means for limiting spread and helping symptomatic students who do not have COVID-19 return in a timely way.”

(See American Academy of Pediatrics, COVID-19 Planning Considerations: Guidance for School Re-entry, and CDC, Isolate If You Are Sick.)

Use cohorts. Create and maintain small cohorts (separate groups) of children and adults. Keep each cohort completely separate from other cohorts to prevent close contact and reduce the risk of transmission. In cohorts, children and staff spend time only with those in that cohort. 

Clean and disinfect surfaces. Cleaning and disinfecting high-touch surfaces is important. Start with indoor surfaces, and remember that children learning and playing outdoors will need to use indoor restrooms. Frequently cleaning and disinfecting these high-touch surfaces (door handles to the school and classrooms, bathroom door handles, sink fixtures, towel dispensers, air dryer buttons, bathroom stall handles and locks, and toilet flush handles), will help reduce the likelihood of transmitting this virus (along with other common germs). Outdoors, focus on playground equipment and handles. It is not recommended to disinfect sand boxes, wood chips, or other porous natural surfaces outside.

Promote air circulation. Keep air flowing in outdoor classrooms, since ventilation is a primary reason to be outdoors. Avoid putting walls on tents and other outdoor shelters, and limit each to one wall if necessary.


Additional Guidance About Cleaning

What Is the Difference Between Cleaning and Disinfecting?

Cleaning physically removes germs, dirt, and impurities from surfaces or objects by using soap (or detergent) and water. This process does not necessarily kill germs, but by removing them it lowers their numbers and the risk of spreading infection.

Disinfecting kills germs on surfaces or objects. Disinfecting works by using chemicals to kill germs on surfaces or objects. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower the risk of spreading infection.

Clean surfaces and objects using soap and water prior to disinfection. See additional guidance on cleaning and disinfecting school facilities on the CDC’s website.

How Likely Is the Virus Spread via Outdoor Surfaces? 

See our summary on outdoor high-touch surfaces. (Information and link coming soon!)


Reference for information above: CDC. (2020, November 19). Cleaning, Disinfection, and Hand Hygiene in Schools – a Toolkit for School Administrators. Centers for Disease Control and Prevention. Please visit the CDC’s webpage for additional updates.

Sign posted in the schoolyard at Golestan Education, © Green Schoolyards America

Sign posted in the schoolyard at Golestan Education, © Green Schoolyards America

Outdoor hand washing station at Golestan Education, El Cerrito, California © Green Schoolyards America

Outdoor hand washing station at Golestan Education, El Cerrito, California
© Green Schoolyards America


Rules of Thumb to Guide Decision-Making

See the CDC decision-making tool for parents, caregivers, and guardians.

Emphasize the tried and true. Do things we already know to reduce the likely transmission of the virus: wash hands, wear masks, maintain distance, and stay home when sick. NOTE: This guidance DOES NOT APPLY when thinking about issues involving equity. In fact, it is often most critical to question the “usual path” and, to the degree possible, engage community stakeholders in shaping the way forward.

First, do what is in your control. Focus first on addressing factors that are to some degree within your control.

Expect uncertainty. This virus is new, circumstances change, and we receive new information every day. This means that we may not yet know the answers to many questions. At the same time, we do know basic strategies that turn out to be extremely effective in reducing the risk of spreading this virus.

Layer reasonable strategies. Use all the risk-mitigation strategies you reasonably can without losing sight of the overarching goal of sustaining healthy, positive, equitable learning environments.

Keep goals in mind. If your efforts to mitigate risk cause enough stress to eliminate the benefits of children learning, playing, and connecting, then stop. Regroup, reassess, and get some perspective.

Be as nimble as possible. When it comes to moving forward without all the ideal information, keep an open mind and expect surprises. You will help others become more nimble if you model this kind of expectation.

Pandemic-related Health reminders on the school’s front door at Golestan Education © Green Schoolyards America

Pandemic-related Health reminders on the school’s front door at Golestan Education
© Green Schoolyards America


References

American Academy of Pediatrics. (Retrieved 2020, November 21). COVID-19 Planning Considerations: Guidance for School Re-entry. (n.d.).

Centers for Disease Control and Prevention. (2020, updated November 20). Scientific Brief: Community Use of Cloth Masks to Control the Spread of SARS-CoV-2.  

Centers for Disease Control and Prevention. (2020b, April 30). Community Mitigation Resources: Resources to Help Slow the Transmission of the Virus in Communities.

Centers for Disease Control and Prevention. (2020a, April 30). Communities, Schools, Workplaces, & Events.

Centers for Disease Control and Prevention. (2020c, November 13). Communities, Schools, Workplaces, & Events.

Davies, N.G., Klepac, P., & Eggo, R.M. (2020) Age-dependent effects in the transmission and control of COVID-19 epidemics. Nature Medicine, 26, 1205–1211.


Credits

This article was written by Mary Michaud, MPP, Health & Social Impact Strategies, LLC in December 2020.
It was reviewed by Eric M. Cherry, MS, Principal Scientist, Hexagon Environmental; Sarah Gill, MPP; Kathy Reiner, MPH, BA, BSN, RN; and Christina Vassallo MSN, FNP-BC.


National COVID-19 Outdoor Learning Initiative

The National COVID-19 Outdoor Learning Initiative supports schools and districts around the country in their efforts to reopen safely and equitably using outdoor spaces as strategic, cost-effective solutions to increase physical distancing capacity onsite and provide access to abundant fresh air. The Initiative seeks to equitably improve learning, mental and physical health, and happiness for children and adults using an affordable, time-tested outdoor approach to keeping schools open during a pandemic.