The spread of the delta variant of Covid-19 may have reached a plateau in the United States, the most recent data suggest. Many have pointed to unvaccinated people as the primary driver of this latest surge. Mark Sulkowski, an infectious disease expert at Johns Hopkins, says optimism early in the summer contributed.

Sulkowski: One of the other factors was this return to normal activity. A poll taken in June where one out of three Americans thought we had turned the corner and optimism was reaching a peak – 89% of people were optimistic about the coronavirus situation- as they called it in the poll. Domestic and international travel, just a resurgence of travel as well, so people were getting back to normal activities, we went to reductions in mask wearing requirements and things like that, which are now reversed.  :31

Sulkowski says knowing the range of factors that helped the virus spread are informative in controlling it as well as helping people reduce their own risk. At Johns Hopkins, I’m Elizabeth Tracey.

In person school days are here, with many involving masking, physical distancing, and testing for Covid infection. Jennifer Katzenstein, a child psychologist at Johns Hopkins, says parents might consider a daily check in with their child as part of the new routine.

Katzenstein: I’ve been starting to really allocate time each day where you really sit with your child and listen. And as parents that can be really hard because you want to ask all the questions about the day and you want to find out what’s been going on. But if we can start spending five or ten minutes each day sitting with our child, asking how the day went, and then not filling that silence with more words, but rather just sitting and listening, so that they can share with us how they’re feeling.  :26

Katzenstein says the rapid pace of change that’s going on right now with regard to requirements designed to reduce the risk of Covid infection for kids in school can add to the stress of adapting to in person classes. She advocates mindfulness for parents, too, as any stress their child is experiencing affects everyone in the family. At Johns Hopkins, I’m Elizabeth Tracey.


Shutdown and transition to virtual school was tough on everyone, and now returning to school in person for many is also providing challenges. Jennifer Katzenstein, a child psychologist at Johns Hopkins, says this is all normal.

Katzenstein: (Jennifer) There’s a range of emotions as kids return to school, especially after virtual school for the length of time that they’ve been in virtual school. One of those may be relief, returning to the school setting, returning to their social interactions. But there also may be anxiety and worry, about returning to school with the demands of the school day. What I’m seeing, especially for our middle schoolers, is more uncertainty and anxiety, especially now that they’re changing classes. So for some of the kids going back to school is a big jump developmentally that can be causing anxiety and stress.  :29

Katzenstein says parents should try to be aware both of their children’s emotions as well as their own as we all accustom ourselves to the new routine. She advises seeking help if any issues seem to be worsening or if parents are feeling overwhelmed. At Johns Hopkins, I’m Elizabeth Tracey.


Covid-19 infection can be frightening for anyone, and now that kids are back in school many parents are more worried than ever. Aaron Milstone, a pediatric infectious disease expert at Johns Hopkins, says if parents are worried about a child’s symptoms they should not hesitate to reach out.

Milstone: I know one of the common questions I get is about what should be that threshold for parents to seek attention and go to their doctor. And I always tell parents if you’re worried it’s always okay to check in with your doctor. I mean there’s no harm in calling, scheduling an appointment and getting checked out. This year when kids have symptoms it’s equally important to get tested, cause we really need to know if kids have COVID so we can appropriately keep them away from their family members and other students, to keep their community safe.  :26

Milstone reminds parents that they really know their own child best, so when parents feel concerned it’s worth following up. Early recognition and management of a worsening condition is more likely to resolve well. At Johns Hopkins, I’m Elizabeth Tracey.


Mask or no mask? While for adults that may be a decision, most school districts around the country have opted in for this strategy to reduce Covid-19 transmission among their students. Aaron Milstone, a pediatric infectious disease expert at Johns Hopkins, comments.

Milstone: We’ve learned over time that masks really do help kids to stay in school. Not only are they going to prevent the spread of COVID virus this year, where we learned last year is they help prevent the spread of other respiratory viruses, like influenza, the common cold, even the illnesses that give kids vomiting and diarrhea in the winter. All those other viruses are equally disruptive for families so not only will masks help curb COVID spread but hopefully they’ll keep kids healthy this winter, and in school.  :26

Milstone points to soaring rates of infectious diseases like respiratory syncytial virus or RSV, around the country as masks and distancing have been relaxed or abandoned as evidence that these physical barriers have real benefits. He notes that parents may consider setting a good example by wearing mask also. At Johns Hopkins, I’m Elizabeth Tracey.


Now that most children are back in school, the majority of them in person, parents and kids need to continue their vigilance against becoming infected with COVID. Allison Agwu, a pediatric infectious diseases expert at Johns Hopkins, says that starts with masking up.

Agwu: Masks, masks and more masks, and I think even if masks are not being required really masking in schools and out of schools, to protect yourself, particularly in indoor spaces or where you can’t guarantee the distancing. Many schools are putting in distancing within the desks, the lunch, etc, and emphasizing the importance if your school doesn’t have that, of masking, distancing and making sure you’re being safe, a few schools don’t do that, most are, and talking to your kids about abiding by those rules for masking and distancing  .:27

Agwu notes that parents can help their kids by making sure they’ve got more than one mask on hand if one is soiled, and helping them run through strategies to avoid risking contagion in settings like sports or the cafeteria. She says parental support is critical. At Johns Hopkins, I’m Elizabeth Tracey.


Kids are back in school in person now in many parts of the United States and the world, yet both they and their parents are still worried about activities and contagion risk, especially in children younger than 12 years of age and others not yet vaccinated. Aaron Milstone, a pediatric infectious disease expert at Johns Hopkins, offers some words of encouragement.

Milstone: Kids are frustrated because they feel that things are being taken away from them. And I keep telling parents that parents are creative and resilient and we can find fun things for our kids to do, even in this pandemic. And we did that last year. So even in this fourth wave, even as we go through the winter, I mean parents really need to set a positive tone for their kids and say we can find fun and safe things for you to do. Put your mask on, get your vaccine, and if we’re smart we can continue to let kids enjoy the kind of day to day stuff and going back to school.  :28

Milstone says preparation is everything, including providing masks and backups to kids, helping kids strategize on ways to stay safe even if they’re among unmasked people, and being reassuring. At Johns Hopkins, I’m Elizabeth Tracey.