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How can schools mitigate the spread of COVID-19 during extracurricular activities?

Spread can be minimized by limiting activities to those that are compatible with masking and physical distancing; cohorting to minimize the number of contacts (groups should be stable with limited numbers); limiting spectator attendance to family members; create distance between households in audience areas; and routine monitoring of symptoms and immediate exclusion, as appropriate. Athletics, because of excessive exhalation, close physical contact, and a lack of masks, present an increased risk of exposure to COVID-19. Similar risks exist with band and choir rehearsals/performances and other indoor extracurricular activities when mitigation measures are not implemented.