Source: The Atlantic
āDo you really want to be the reason that Tulane and New Orleans have to shut down again?ā That was the question that Erica Woodley, the dean of students at Tulane University, posed in a July 7Ā emailĀ scolding students for their ādisrespectful, selfish and dangerousā partying during the Fourth of July weekend. āThis type of behavior is indefensible and truly shameful,ā she admonished. Woodley went on to warnāin bold and all capsāthat students who hosted gatherings with more than 15 people would face dire punishment: suspension or expulsion.
With new coronavirus cases on the rise in most states, the notion that universities can reopen safely for in-person instruction in the fall isĀ questionable, maybe evenĀ fantastical. According to aĀ soon-to-be-published studyĀ led by Yale and Harvard researchers, outbreak control would require testing all studentsĀ every two orĀ threeĀ daysāa tall order when the federal government isĀ blocking the fundingĀ needed to do so. And universities thatĀ do intend to screen studentsĀ for the virus are creating those plans without federal guidance: The Centers for Disease Control and Prevention, somewhat mysteriously, hasĀ failed to recommendĀ testing for students without symptoms or exposure.
Michael J. Sorrell: Colleges are deluding themselves
Tulane officials are only saying what their counterparts on other campuses appear to be thinking. In college towns across the country this spring, university administratorsĀ railed against studentsĀ who attended large off-campus parties; in some communities, police intervened. In one recentĀ survey of 70 universities, more than half reported they were considering updating their codes of conductāor had already done soāto require compliance with social-distancing measures. Like Tulane, some are threateningĀ āswift and severeāĀ disciplinary action for students who flout the guidelines.
The increasing number of coronavirus cases amongĀ young adults, with outbreaks tied toĀ barsĀ andĀ house parties, has shaped what has become a common narrative about the coronavirus pandemic: Careless 20-somethings are ruining life for the rest of us. Deborah Birx, the governmentās coronavirus-response coordinator, said earlier this month that officials wereĀ surprisedĀ by the increase in infections among people ages 18 to 35 after they had been āso good and so disciplined through March and April.ā According to Birx, when young people saw photos on social media of their friends having a good time, āthey all went out and about.ā As the federal governmentĀ spectacularly failsĀ to contain the virus, young partygoers have become the latest scapegoat for Americaās pandemic woes.
Americans are making decisions every day about coronavirus risk and social contact, but peopleās calculations are not all the same. Risk taking typically peaks during young adulthood, when people are most responsive to the rewards of a risky choice. During the pandemic, young people face different risks from older adults: Although the former may transmit the virus to others, they are at substantiallyĀ lower risk of complicationsfrom coronavirus infection than older peopleābut atĀ far greater riskĀ ofĀ psychiatric disordersĀ that can be triggered or worsened by social isolation. People feelĀ lonelyĀ when they experience a mismatch between the relationships they want and those they have. In a pandemic, that discrepancy may be greatest for college students, who are experiencing the yawning gap between dorm life and quarantine life. āA lot of people are calling attention to coronavirus because itās right in front of us,ā an 18-year-old named AudreyĀ told NPRĀ earlier this month. āBut at the same time, teensā depression rateāitās a silent threat.ā The issue isnāt that young people are universally unconcerned about the pandemic; itās that they realize itās not the onlyāor even the greatestārisk they face.
Nor is socializing the only route by which the coronavirus spreads. The recent rise in cases among young adults was predictable based onĀ labor-force statisticsĀ alone. In the bars, restaurants, and retail establishments that have resumed service as part of most statesā reopening plans, theĀ majority of employeesĀ are 34 or younger. But rather than taking responsibility for reopening high-risk environments prematurely, officials haveĀ againĀ shiftedĀ the blameĀ to the young people who keep those industries running. California Governor Gavin Newsom recently described those under 35 as āthe age cohort that believes in many cases that they are invincible, and they are somehow immune from the impacts of COVID-19.ā New York Cityās official Twitter feed recently circulated a chart showing that rates of coronavirus infection had plateaued or were increasing in younger age groups. The accompanying message, complete with a wide-eye emoji,Ā declared, āLooking at you, millennials and Gen X. Do better.ā From statements such as these, one might conclude that saving the country from the coronavirus isnāt up to those who decide which establishments are open or closed; rather, itās theĀ personal responsibilityĀ of young peopleāand never mind that, for them, exposure isnāt always a choice.
Likewise, college campuses that are reopening for in-person instruction are banking on the personal responsibility of students to make it all workāand students are being set up to take the fall when the plans fail. Even as her email implied the opposite, Woodley told students that Tulane believes they are āconscientious enough and mature enoughā to wear masks, wash their hands, and avoid large gatherings. After all, she wrote, āIf we didnāt, we would not be reopening.ā Students, like administrators, will be motivated to keep campuses open. But resisting the temptation to socialize wonāt be easy for studentsāand with universities reopening their campuses in the midst of a raging pandemic, the responsibility for keeping campuses safe is hardly the studentsā alone.
Universities have no business reopening if they canāt provide a healthy environment for students, faculty, and staff. Frequent testing and contact tracing are most crucial for safely reopening, but effective public-health messaging needs to support risk reduction for students. First, hereās whatĀ wonātĀ work to stop the parties: berating the students who choose to host or attend them. Shaming people for their risky behaviors isĀ not an effective public-health strategyĀ and can be counterproductive. The more that students are castigated for having house parties or going to bars, the moreĀ reluctantĀ they will be to disclose potentially stigmatizing information to contact tracers in the event of an outbreak.
Partygoers have already been hesitant to cooperate with contact tracersĀ off campusāand this reluctance will only be amplified for students who fear being disciplined for breaking the rules. Students who put the campus community at grave risk should face appropriate consequences, but students also need to be reassured that they wonāt be punished for disclosing symptoms, testing positive, or sharing contacts from an illicit gathering. A similar model is used to address substance use on some campuses, such asĀ Tufts University, where students who call for medical attention for an alcohol- or drug-related emergency are exempt from punishment.
Students are making their own educated judgments about how their school should proceed. University of Connecticut studentsĀ told a team of behavioral scientistsĀ that they wanted some education about how to reduce risk to themselves and others and that compassionate and supportive public-health messages would be more effective thanĀ moralisticĀ orĀ fear-basedĀ ones. Hearing that university administrators understand how difficult some forms of social distancing are for students might make the students more motivated to stick with it. And when some students inevitably break the rules, administrators should remember that young people want to socialize not because they are selfish, but to reduce loneliness, and communications should be designed accordingly.
As much as administrators want to rely on studentsā maturity and conscientiousness, expectations need to be realistic. Some schools are requiring an on-campus quarantine at the beginning of the semester, butāas the UConn studentsĀ agreedāan abstinence-only approach that orders students to lock themselves in their dorm rooms would likely fail. Instead, campuses could adopt aĀ harm-reduction approach, which has been successful in minimizing the unintended consequences of other behaviorsāincluding sex and substance useāinĀ young people. Students should be told not to throw parties in a pandemic, just as they are told not to engage in underage drinking on campus. But universities should also acknowledge that some students are going to socialize and will need tools to minimize harmsājust as some students will drink and need free rides home.
Students need to hear not just what theyĀ canātĀ do, but also what theyĀ canĀ do. Although house parties are a no-go, small outdoor gatheringsāespecially withinĀ social bubblesāare a reasonable choice. In addition toĀ guidanceĀ on ways to socialize as safely as possible, campuses could provide lower-risk alternatives to crowded indoor parties: Think movies, yoga classes, and concertsāall outdoors with social distancing encouraged and school-branded masks provided. TheĀ Cardinal Nights programĀ at Stanford University uses a similar approach to reduce drinking on campus, providing alcohol-free options for socializingāincluding sports games and comedy nightsāthat divert students from higher-risk activities.
College students will need to adapt their behaviors for universities to function in the fall, but students are not solelyāor even primarilyāresponsible for keeping campuses safe. Shaming and threatening students will only obstruct public-health efforts. If universities want to reopen and stay open, administrators need to adopt a compassionate and realistic approach that supports students in staying socially connected and mentally healthyānot just free of coronavirus infection.
JULIA MARCUSĀ is an epidemiologist and assistant professor at Harvard Medical School and Harvard Pilgrim Health Care Institute.Ā
JESSICA GOLDĀ is a psychiatrist and an assistant professor at Washington University in St. Louis, where she sees college and graduate students in her outpatient practice. The Atlantic wantsĀ to hear what you think about this article.Ā Submit a letterĀ to the editor or write to [email protected].
ZNetwork is funded solely through the generosity of its readers.
Donate