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COVID – 19 info (so far)

by kschoen 0 Comments

*Edit 2023.01.11*  New information about indoor air quality:

https://thetyee.ca/Analysis/2023/01/11/Revolution-Clean-Indoor-Air/?utm_source=daily&utm_medium=email&utm_campaign=110123

The new studio build is underway! Looking forward to being able to use a space that has better ventilation than my in-house basement studio.


So I have been doing as much research as possible over the last few months, trying to stay up to date on the latest research on COVID-19 to understand what the best practices for flute and recorder lessons might be for staying safe and healthy during this pandemic.

I am now going to try to write a bit of a summary of what I have found out (so far) to the best of my understanding, acknowledging that as research continues things will probably change.

*Edit 2021.08.24* Hooray for vaccinations! Fully vaccinated individuals are less likely to become infected when exposed to COVID-19, and if they do become ill, they will probably have less severe symptoms. That means you might end up with a prolonged nasty case of bronchitis, but you won’t have to be hospitalized. This, combined with the fact that vaccinations are not available to the majority of school age students (yet) means that we still need to understand the need for exposure reduction protocols (masks) and ventilation, as described below.

There are two questions that need to be answered before we really know how to stay safe:

  1. How much of the virus do you need to be exposed to before you become ill?
  2. How do droplets and aerosols that may contain the virus travel through the air?

The general idea at the moment, is that the longer you are exposed to the virus, or the higher concentration of virus you are exposed to, increases the risk of serious illness. This is why outdoors is much safer than indoors. Indoors, especially in poorly ventilated spaces, there are opportunities for the amount of virus to build up over time. So the best practice is to limit the length of time and the number of  people you are in contact with when you are indoors. And because the virus will build up over time if a series of people use the same space one after the other, we have to think of total usage, not just the few moments that one person is in the space.

The virus is in the water droplets and aerosols (very small vapour particles) that are emitted by people when they breathe, talk, sing, or play wind instruments.  Interestingly enough, recent research as of August 22/20 (see links to U.Cincinnati and the Speaking / Singing study links below) seem to be showing that there is not much difference in aerosol emission between instruments and speech when all are at the same volume, but when anything gets louder, that’s when the aerosol emissions go up. So talking loudly to a large group may be of as much concern as playing a wind instrument. There are also individuals who are “super-emitters” and produce more aerosols than average – many of these studies are using fairly small test groups or individuals, so if any one person is such a “super-emitter” it will skew the results.

We don’t know how much virus is carried by what size of droplet, and we don’t know how much virus is needed to cause illness. To further complicate things, as the aerosols hang in the air the water evaporates from them, potentially making the concentration of virus higher as the droplet shrinks. Large droplets fall to the ground after about 2 metres, which is why that is the recommended social distance, but the aerosols can hang out much longer and travel farther, as they behave more like a gas. A good image is to think of a smoker, and how the smoke travels after it is blown from their mouth. This image also demonstrates why masks are recommended, and plastic face shields are not recommended as PPE without also using a mask (and shows how ineffective a plexiglass shield on its own is as protection against aerosol spread) .

So a music teacher, who normally sees a series of students in their home studio or school classroom over the course of several hours, is not just considering the contact with one student in one lesson, but the accumulated contact over time from many students and parents. This accumulated contact can build up a high concentration of potentially infectious aerosols in the air of the teachers’ studio, no matter what “safe” distance they remain apart.  And in the case of a home studio, the teacher also lives in the house, and continues to breathe that air after the lessons are done for the day.

Most homes and classrooms are not equipped with high volume HVAC systems that can provide complete fresh air exchange quickly enough to control this situation. Some recommendations have been made regarding leaving rooms empty for a specified time between users, but in most homes and schools (especially in the winter) this would just recirculate the air, not exchange it for fresh. Open windows help a lot, but again, there are limitations to this practice during severe winter weather! A music teacher, who has a limited number of hours of the day available for lessons, will not find it economically feasible to take  30 min between each lesson for air exchange, even if air exchange was possible in their teaching space.

*Edit 2020.11.13* Here is a great article with an infographic that explains the effect of ventilation on virus spread in a variety of indoor environments really well:

https://english.elpais.com/society/2020-10-28/a-room-a-bar-and-a-class-how-the-coronavirus-is-spread-through-the-air.html

*Edit 2021.08.24* Here is an article supporting the use of portable HEPA filters to reduce particulate spread in aerosols in indoor environments, which supports the use of the HEPA filters in the Cincinnati study cited below:

https://www.cdc.gov/mmwr/volumes/70/wr/pdfs/mm7027e1-H.pdf

*Edit 2020.11.05* I have seen a lot of crazy ideas on social media recently about instrument covers and masks with holes in them (!?) to make playing wind instruments “safer”. Let’s get one thing straight: aerosols are emitted from holes. Making a hole in a mask is like not wearing a mask at all. Period. As for instrument covers – the problem there is that these concentrate aerosol levels within the cover, so you end up releasing more virus at one time into the air when you take the cover off than you would if you were playing with an uncovered instrument IN A WELL VENTILATED SPACE. Since severity of COVID-19 symptoms seem to be linked to the concentration of virus one is exposed to, I would not recommend anything that would concentrate virus particles .

This is just the ventilation question. There is also the cleaning of high touch surfaces between students, as we can also be exposed to the virus by touch. Even if you don’t touch a surface, you can leave behind potential infection when the aforementioned aerosols settle onto surfaces. Even when everyone has their own instrument, stand, music, and other supplies, we still need to consider cleaning doorknobs, railings, and consider either not permitting student use of the bathroom (toilets produce a considerable aerosol mist when flushed!) or allowing time to clean all these surface between each student. Again, not economically feasible given the amount of potential teaching time that would get used up doing this housecleaning.

Given the limitations of our physical teaching situations, and the fact that there is no information yet regarding the length or concentration of virus exposure that leads to illness, most music teachers are continuing to teach remotely for their personal safety and the safety of their students.

Personally, I am exploring these options to speed up the return to in person lessons:

  1. There have been some encouraging results in some studies regarding the use of portable HEPA filters with UVC sterilizing lights to reduce aerosols. I am following this thread with interest, as putting such a filter into my studio space would be quite feasible (if it does prove to reduce aerosols enough for safety).
  2. The detached garage in my back yard has been slated for demolition and replacement for some time. I am exploring options for turning the replacement garage into a separate teaching studio, and rebuilding with these ventilation concerns in mind.
  3. While the weather is mild, I want to try some outdoor lessons.

If you want to follow up on the science behind my summary, here are some links to recent studies. I also want to thank Sasha Garver and Adam Schwalje, for using their connections in the medical  community to inform the musical community about the most recent research. Adam was also involved in assisting with the Preucil School of Music COVID-19 protocols  and the U of Iowa music department COVID-19 protocols (click on the link for examples using HEPA filters, UVC lights, and 30 – 60m ventilation periods between room usage, along with upgraded ventilation systems to make this a practical solution).

Before citing these links, please double check any of this information! Remember that many of these studies are (at time of posting) very recent and not peer-reviewed. There is lots of ongoing research, and this is the information that I have been able to glean in my own reading.  Please do not take this as a comprehensive or up to date date list (although I will add to it when I can). However, since beginning this page, I have been surprised to notice how far behind some of our government guidelines are when compared to the most recent information.

edit

Fall 2020 lesson scheduling and start-up

Scheduling: 

Most years, I will just have all my students continue in their same lesson time as the previous year unless they require a change.

This year, I have a change that will require a revision of my teaching schedule.

The Augustana campus of U of A, where I teach sessionally, has revised its B.Mus degree to focus on applied pedagogy and studio teaching. As part of this, they have asked me to start a program that can provide Suzuki method teacher training and demonstration classes. This is very good news for the future of Suzuki music education in Alberta, but it does mean that I will have to change my university teaching day to Wednesday instead of Tuesday the way it has been previously.

Rather than just asking all my Wednesday people to switch to Tuesdays, I would like revise my entire teaching schedule, and give everyone a change to change their lesson time to one that might be more convenient, while things are up in the air. To this end, I will be asking everyone to give me three different times when they could come for a lesson, in order of preference. I will collect these times and try to create a schedule that is the most convenient for everyone. In order to see all the times in one place and make sure I haven’t missed anyone, I will be asking you to fill out a Google form with this information. Here is the link: https://forms.gle/QBj9xKFeNf2pUY9q9

Summer duet project:

In our last lessons in June, I was telling all of you that I wanted to try and set up some opportunities to meet outside and play duets, since we had not really seen each other in person since we all went to on line lessons mid March. Since I am now writing this at the beginning of August, it is pretty obvious that I haven’t done this yet. Unfortunately, life caught up to me  – my husband, who had been on the waiting list for open heart surgery when the pandemic closed everything except emergency services at the hospitals, received a call at the end of June when things opened up, telling him to be ready for surgery mid-July. So everything came to a halt while we dealt with this. I am grateful that if it had to be done so suddenly, it did happen in the summer when our schedules were less busy. I would have had to take several weeks off had it happened during the lesson term.

I still want to do a duet project as part of our lesson start-up at the end of August, and get together outdoors before the weather gets too cold. Here’s the plan:

  1. Have our first lesson the week of August 31, and organize our duet assignment.
  2. Work with a recording of the second part the following week.
  3. Meet in person outdoors week of September 14, weather permitting.
Developing independence:

I have always considered one of my most important goals as a teacher is to help my students learn to work independently. In order for this to happen, a student needs these skills:

  • be able to learn by ear (hear pitch and key relationships, rhythm and meter, articulation, phrasing, dynamics, and other nuances )
  • be able to listen to themselves objectively
  • be able to self assess and make corrections without prompting
  • be able to recognize previously learned patterns in new contexts
  • be able to recognize when you don’t know something, and know where to go to find out.
  • eventually, be able to read music

One of the best tools for developing the objective listening and self assessment is making recordings of your playing and listening to them. This is why we do this as a very important part of the graduation program. Back in January, I was drawing up a plan for having my students do more of this kind of work. And then COVID-19 came along, and we were all on line.  To make up for the shortcomings of sound quality with lessons over the internet, I had many of you experiment with sending me recordings, and put a large amount of material up as on line resources, but it was all done in a hurry and not as well organized as I would have liked. Now I would like to take a deep breath and approach this in a more organized way.

So here’s the plan:

  • There will be the occasional week where our lesson does not involve meeting at the same time.
  • Instead, you will send me a recording of a specific practice project.
  • I will send you written feedback and/or a demonstration recording.
  • You will send me a second recording, showing changes based on the feedback received.
  • We will review that recording together as part of your next regularly scheduled lesson.

Unlike an in-person lesson, where all playing and feedback is immediate, this asynchronous lesson will allow you to listen to yourself after you record, think about whether  you are really accomplishing your goals in playing the piece, and make another attempt (or two or three, over several days) until you are satisfied enough to send it to me.

Scheduling asynchronous lessons for the weeks when there are statutory holidays will also help us to keep our momentum going over breaks without needing to reschedule lessons. I will still have extra lesson days as usual! Asynchronous lessons will be in addition to, not instead of, extra lesson days.