New fear-based headlines are popping up every day about the SARS-COV-2 delta variant, now the dominant strain in the U.S., with the focus on evidence of its increased transmissibility, questions about its particular ability to "break through" vaccine protection and the impact that the variant may have on a return to school. The public health emergency of the pandemic as we knew it in California has entered a new stage. We are now in a "control" phase in our state. Vaccines provide a force field of immunity in our communities that leave mainly unvaccinated, high-risk individuals (and those without prior COVID-19 infection) vulnerable to serious disease. That number is getting smaller every day ... and the epidemiology is clear that children are not at high-risk for severe disease. There is no evidence that children have served as vectors for transmission of the virus, have worse long-term outcomes or that the delta variant has led to higher rates of hospitalization in children. In fact, we are seeing exactly what we would expect to see with a successful vaccination campaign: As more adults gain immunity, children are protected, too. This is particularly important as plans for school reopening in the fall reach high gear. The negative health and educational impacts of school closures on children are now abundantly clear. The WHO Europe's guidance should be taken to heart by state and local officials here in California: In-person restrictions and school-closure should be a measure of last resort.
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