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Screen College Students for COVID Every 2 Days, Researchers Advise
U.S.-based colleges and universities continue to struggle with how they will receive students while containing the spread of COVID-19.
Nearly 40% of schools say they will bring students back to campus, according to the Chronicle of Higher Education, which has compiled a database of college and university responses to COVID since the spring.
Even at schools where classes are 100% online, many students are living off-campus and taking online courses rather than remaining at home with their parents.
Researchers say schools would have to test their students every two days for COVID-19 to ensure their health and safety, and screening after symptoms emerge won’t control the spread, according to a study published July 31.
“We believe that there is a safe way for students to return to college in fall 2020,” the study authors wrote in JAMA Network, the publishing site of the Journal of the American Medical Association, on July 31.
“Screening every two days using a rapid, inexpensive, and even poorly sensitive test, coupled with strict interventions ... was estimated to yield a modest number of containable infections and to be cost-effective,” the authors wrote.
Another study by Cornell University in upstate New York suggested if students were tested every five days, that population would be safer in their campus bubble than the online student population, which would freely circulate where they reside.
But not every school is equipped to conduct COVID-19 testing at that pace because of staffing and cost.
At Mercer University in Macon, Georgia, the school community “must unilaterally share the responsibility of taking the necessary steps to minimize the risk of COVID-19 infections throughout our campuses.” Students will take a survey, and “may be required to be tested for the SARS-CoV-2 infection (COVID-19), depending on their survey responses. Regardless of survey results, any student may request and be tested for COVID-19.”
“Symptom-based screening alone was not sufficient to contain an outbreak,” the study authors wrote.
COVID-19 “can be transmitted by highly infectious but asymptomatic ‘silent spreaders,’” lead study author A. David Paltiel, Ph.D., of the Yale School of Public Health, described to VOA.
“It simply isn’t possible to move swiftly enough to contain an outbreak using nothing more than symptom-based monitoring. You can’t play catch-up with this virus,” Paltiel wrote.
“A school that tests and responds only when symptoms have been observed is like a fire department that responds only to calls when the house is already known to have burnt to the ground.”
At the State University of New York (SUNY) system, students are required to produce negative test results that were taken within 14 days before their arrival back to campus. The university asks them to quarantine between the test and receiving results, according to SUNY’s website.
“If you have symptoms consistent with COVID-19 or a temperature that is over 100 degrees Fahrenheit or 38 degrees Celsius, you will be directed to contact Student Health Services for an evaluation and a determination if you need to have a COVID-19 PCR test,” said the letter to students sent by Rick Gatteau, Stony Brook’s vice president for student affairs.
This, again, may be insufficient, the researchers said.
“Many schools are considering the option of carefully monitoring students for the symptoms of COVID-19 and using signs of illness to trigger isolation, contact tracing, and quarantine. We explored thousands of scenarios and failed to find even one plausible circumstance under which this strategy would be sufficient to contain an outbreak,” he wrote VOA.
“This sets a very high bar — logistically, financially, and behaviorally — that may be beyond the reach of many university administrators and the students in their care.”
At private universities like Stanford University in California, which has a $27.7 billion endowment, students will be tested for free.
“Each student will be tested twice: Once on approximately days 0-2 upon arrival, and then again on days 5-7 of their residence within Stanford housing. The tests will come at no cost to students,” according to the university’s COVID-19 FAQ’s page.
At Columbia University in New York City, all students, faculty and staff returning to campus will be required to take a COVID-19 test, they stated on their website.
“Students who test positive through the university testing program will be referred for contact tracing and will be required to isolate in designated on-campus rooms or in their off-campus residences until released by Yale Health,” Yale University stated on its webpage. “Medical monitoring and advice will be provided by Yale Health during isolation.”
Other educators say it is a struggle to manage social behaviors among young college students that might thwart their efforts.
University of Connecticut Professor Sherry Pagoto in the allied health sciences department, with graduate student Laurie Groshon, conducted student focus groups about returning to campus.
College students return to campus in a few weeks. We wanted to know their thoughts about quarantine, symptom tracking, contact tracing, and mask wearing on campus, so my grad student @laurie_groshon and I did focus groups to find out.
— Sherry Pagoto (@DrSherryPagoto) July 11, 2020
Here’s what students told us
1/x
“Every student we asked said that this is not realistic and will likely fail,” Pagoto tweeted.
“They pointed out that students are eager to see each other and will find a way to do so when they arrive on campus. They said that students who live one to two hours away will try to find a way to go home,” she tweeted. “They said off campus students will likely find their way on campus.”
Dr. Ravina Kullar, an infectious disease expert, backed up the students’ feedback.
“Preventing infection requires everyone to abide by strict infection control measures, including mask-wearing, hand hygiene, and social distancing on campus,” Kullar told VOA.
Colleges have a responsibility to supply students with adequate screening, masks and hand hygiene supplies, Kullar said, but success lies in the hands of the students and staff in abiding by strict COVID-guidance and not having mass social gatherings.
So many opportunities for exposure, and absolutely no routine testing. I'm worried.
— Dr. Theresa Chapple (@Theresa_Chapple) July 31, 2020
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College athletes push for voter turnout while largely avoiding controversy as election nears
Lily Meskers faced an unexpected choice in the lead-up to the first major election she can vote in.
The 19-year-old University of Montana sprinter was among college athletes in the state who received an inquiry from Montana Together asking if she was interested in a name, image and likeness deal to support Sen. Jon Tester, a three-term Democrat seeking re-election. The group, which is not affiliated with the Tester campaign, offered from $400 to $2,400 to athletes willing to produce video endorsements.
Meskers, who is from Colorado but registered to vote in Montana, decided against the deal because she disagrees with Tester's votes on legislation involving transgender athletes in sports.
"I was like, OK, I believe that this is a political move to try to gain back some voters that he might have lost," Meskers said. "And me being a female student-athlete myself, I was not going to give my endorsement to someone who I felt didn't have the same support for me."
Professional athletes such as LeBron James, Colin Kaepernick and Stephen Curry have taken high-profile stances on hot-button topics and political campaigns in recent years, but college athletes are far less outspoken — even if money is available, according to experts in the NIL field. Being outwardly political can reflect on their school or endanger potential endorsement deals from brands that don't want controversy. It can certainly establish a public image for an athlete — for better or for worse — or lead to tensions with teammates and coaches who might not feel the same way.
There are examples of political activism by college athletes: A Texas Tech kicker revealed his support for former President Donald Trump on a shirt under his uniform at a game last week and a handful of Nebraska athletes a few days ago teamed up in a campaign ad against an abortion measure on the Tuesday's ballot.
Still, such steps are considered rare.
"It can be viewed as risky and there may be people telling them just don't even take that chance because they haven't made it yet," said Lauren Walsh, who started a sports branding agency 15 years ago. She said there is often too much to lose for themselves, their handlers and in some cases, their families.
"And these individuals still have to figure out what they're going to do with the rest of their lives, even those that do end up getting drafted," she added.
College coaches are not always as reticent. Auburn men's basketball coach Bruce Pearl has used social media to make it clear he does not support Kamala Harris, Trump's Democratic opponent in next week's presidential election. Oklahoma State football coach Mike Gundy once caused a stir with a star player for wearing a shirt promoting a far-right news outlet.
Blake Lawrence, co-founder of the NIL platform Opendorse, noted that this is the first presidential election in the NIL era, which began in July 2021. He said athletes are flocking to opportunities to help increase voter turnout in the 18-to-24 age demographic, adding that one of his company's partners has had 86 athletes post social media messages encouraging turnout through the first half of the week.
He said athletes are shying away from endorsing specific candidates or causes that are considered partisan.
"Student-athletes are, for the most part, still developing their confidence in endorsing any type of product or service," he said. "So if they are hesitant to put their weight behind supporting a local restaurant or an e-commerce product, then they are certainly going to be hesitant to use their social channels in a political way."
Giving athletes a voice
Many college athletes have opted to focus on drumming up turnout in a non-partisan manner or simply using their platforms to take stands that are not directly political in nature. Some of those efforts can be found in battleground states.
A progressive group called NextGen America said it had signed players in Arizona, Michigan, Nevada, New Hampshire, Pennsylvania and Virginia to encourage voting among young people. Another organization, The Team, said it prepped 27 college athletes in Pennsylvania, North Carolina, Arizona and Michigan to lead volunteer voter participation opportunities for students. The organization also said it got more than 625 coaches to sign a nonpartisan pledge to get their athletes registered to vote.
The Team's executive director is Joe Kennedy, a former coach who coordinated championship visits and other sporting events at the White House during President Barack Obama's administration. In early October, it hosted a Zoom event during which panelists such as NCAA President Charlie Baker and WNBA players Nneka Ogwumike and Natasha Cloud gave college athletes advice about using their platforms on campus.
In its early days, The Team seized upon momentum from the record turnout seen in the 2020 election. The NCAA that year said Division I athletes could have Election Day off from practice and play to vote. Lisa Kay Solomon, founder of the All Vote No Play campaign, said even if the athletes don't immediately take stands on controversial issues, it's important for them to learn how.
"It is a lot to ask our young people to feel capable and confident on skills they've never had a chance to practice," Solomon said. "We have to model what it means to practice taking risks, practice standing up for yourself, practice pausing to think about what are the values that you care about — not what social media is feeding into your brain, but what do you care about and how do you express that? And how do you do it in a way that honors the kind of future that you want to be a part of?"
Shut up and play?
Two years ago, Tennessee-Martin quarterback Dresser Winn said he would support a candidate in a local district attorney general race in what experts said was very likely the first political NIL deal by a college athlete.
There have been very few since.
The public criticism and fallout for athletes who speak out on politics or social issue can be sharp. Kaepernick, the Super Bowl-winning quarterback of the San Francisco 49ers, hasn't played in an NFL game since January 2017, not long after he began kneeling during the national anthem at games.
Meskers, the Montana sprinter, said political endorsements through NIL deals could create problems for athletes and their schools.
"I just think that NIL is going to run into a lot of trouble and a lot of struggles if they continue to let athletes do political endorsements," she said. "I just think it's messy. But I stand by NIL as a whole. I think it's really hard as a student athlete to create a financial income and support yourself."
Walsh said it's easier for wealthy and veteran stars like James and Ogwumike to take stands. James, the Los Angeles Lakers star, started More Than a Vote — an organization with a mission to "educate, energize and protect Black voters" — in 2020. He has passed the leadership to Ogwumike, who just finished her 13th year in the WNBA and also is the president of the Women's National Basketball Players Association. More than a Vote is focused on women's rights and reproductive freedom this year.
"They have very established brands," Walsh said. "They know who they are and they know what their political stance is. They know that they have a really strong following that -- there's always going to be haters, but they're also always going to have that strong following of people who listen to everything that they have to say."
Andra Gillespie, an associate professor at Emory University who teaches African American politics, also said it is rare that a college athlete would make a significant impact with a political stand simply because they tend to have a more regional platform than national. Even celebrities like Taylor Swift and Eminem are better at increasing turnout than championing candidates.
"They are certainly very beneficial in helping to drive up turnout among their fans," Gillespie said. "The data is less conclusive about whether or not they're persuasive – are they the ones who are going to persuade you to vote for a particular candidate?"
Athletes as influencers
Still, campaigns know young voters are critical this election cycle, and athletes offer an effective and familiar voice to reach them.
Political and social topics are not often broached, but this week six Nebraska athletes — five softball players and a volleyball player — appeared in an ad paid for by the group Protect Women and Children involving two initiatives about abortion laws on Tuesday's ballot.
The female athletes backed Initiative 434, which would amend the state constitution to prohibit abortions after the first trimester, with exceptions. Star softball player Jordy Bahl said on social media that the athletes were not paid.
A University of Montana spokesperson said two athletes initially agreed to take part in the NIL deal backing Tester. The school said one withdrew and the other declined to be interviewed.
For Meskers, deciding against the offer boiled down to Tester twice voting against proposals to bar federal funds from going to schools that allow transgender athletes to play women's sports, a prominent GOP campaign topic. Tester's campaign said the proposals were amendments to government spending packages, and he didn't want to play a role in derailing them as government shutdowns loomed.
"As a former public school teacher and school board member, Jon Tester believes these decisions should be made at the local level," a Tester spokesperson said. "He has never voted to allow men to compete against women."
Meskers said she believes using influence as college athletes is good and she is in favor of NIL. She just doesn't think the two should mix specifically for supporting candidates.
"I think especially as student athletes, we do have such a big voice and we do have a platform to use," she said. "So I think if you're encouraging people to do their civic duties and get up and go (vote), I think that's a great thing."