When bringing their concerns to Schlissel, the faculty members noted the metric regarding more than 70 new cases per million in the county had been met. According to data published on MI Safe Start Map, daily new cases per million were above 70 in Washtenaw County around a dozen times during the last weeks of September. After that point, the daily new cases per million fell below the threshold. The University posted the metrics online Wednesday. Schlissel had previously declined to name a specific threshold such as a certain number of cases that would require the campus to close again. Information Professor Kentaro Toyama, who has been vocal in his criticism of Schlissel, wrote in his email to the president that the metrics were not stringent enough. “Many of us believe, incidentally, that these response metrics are lenient -- they are weaker than the standards at other universities,” Toyama wrote. “The language on the website calls these ‘situations that might provoke changes in our campus plans,’ which unfortunately commits to no action, and is logically equivalent to this summer’s propaganda.” When a threshold is breached, the University begins a review of campus operations to consider what response is needed. In an email to The Daily Friday night, University spokesperson Rick Fitzgerald said Schlissel was in discussions with public health experts and advisers about the next steps. “He was confirming what had been noted in the email, that in Washtenaw County there are more than 70 new cases per million,” Fitzgerald wrote. “As he indicated, the Campus Health Response Committee is carefully considering the situation. It is important to note that, as the president said, ‘there are many options for interventions that must be tailored to the exact circumstances.’” Other triggers include an inability to conduct prompt case investigation and contact tracing or limited bed capacity or personal protective equipment at Michigan Medicine. Additional metrics are five days of test positivity rates above 20% from on and off-campus testing or five days of sustained increases in infections among students, staff or faculty, which would be determined in coordination with the Washtenaw County Health Department. Possible mitigation strategies range from restricting travel on-campus students to pausing in-person classes for two weeks or even pivoting to fully online classes for the remainder of the semester. More extreme options could include a shelter- in-place order issued in coordination with local public health officials or closing residence halls. However, the guidelines note that the latter measure “must be evaluated and undertaken with care due to the risk of seeding infections from the student population into other communities.” Public health experts have also noted the potential danger of sending students back home from a campus that has become a COVID-19 hotspot. On Tuesday, University Housing identified clusters of COVID-19 cases at Mosher- Jordan Residence Hall and Alice Lloyd Residence Hall. Earlier in September, a cluster was reported at South Quad Residence Hall. At the start of the pandemic last spring, students in dorms faced uncertainty about whether or not they would be forced to return home or if they could stay on campus. The University eventually offered a $1,200 refund to students who left the residence halls. In an interview with The Daily Thursday, Schlissel said he does not anticipate needing to send students home in the near future. “I very much doubt that the pandemic will get bad enough that we literally have to send everybody home,” Schlissel said. “I think there’s a long way between sending everybody home and where we are now where we can scale back prudently, and really truly limit things to things that can only happen face-to-face.” In a video posted with the criteria on Wednesday, Preeti Malani, chief health officer at the University, said the metrics were based on those currently in use at the state and local level, as well as national guidelines. “There is no one single number or single piece of information that will prompt an immediate change,” Malani said. “... These response metrics are meant to prompt a broader review by public health and medical experts.” According to the University’s COVID-19 dashboard, there have been 555 cases on campus since Aug. 30, the day before fall classes started. As of Friday night, 2,571 tests have been conducted this week, with a 1.5% positivity rate. In a press release Friday, Jimena Loveluck, health officer for Washtenaw County, noted that young people accounted for the majority of cases. “We are currently seeing a sharp increase in cases among local, college-age individuals,” Loveluck said in a statement. “We know social gatherings without precautions are a primary source of exposure. We can prevent additional spread by keeping all gatherings small, using face coverings and distance, and fully cooperating with case investigators and contact tracers.” County data showed a “significant increase” in the proportion of cases among people between 18 and 22 years old, who made up 78% of reported cases from Sept. 17 to Sept. 30. Aspects of the University’s reopening plan have been met with pushback from public health professionals. Julia Marcus, an infectious disease epidemiologist and professor at Harvard Medical School, called Schlissel’s approach one of “false reassurance,” referencing the lack of widespread testing. Schlissel also acknowledged the increases in cases over recent weeks on Thursday. “I am very concerned,” Schlissel said. “I think we’re holding our own, but things are not heading in the right direction now.” Daily Staff Reporter Dominick Sokotoff contributed reporting. Managing News Editors Leah Graham and Sayali Amin can be reached at leahgra@umich.edu and sayalia@umich.edu. The Michigan Daily — michigandaily.com News Wednesday, October 7, 2020 — 3 METRIC From Page 1 In an interview with the Daily, University of Michigan President Mark Schlissel said that he had instructed UHS to ease up restrictions on who could receive a test, in order to encourage students to get tested. “We’re telling (UHS) to ease up because we want students to use UHS,” Schlissel said. “It’s free, it’s convenient, there’s a one-day turnaround time, and we can work with students immediately when they get a positive result to help assure their health and to make sure it doesn’t spread to others, so we’re going to have the UHS folks be a little more relaxed … You know, we want to test you.” The University has said it would test approximately 3,000 asymptomatic students a week through a voluntary surveillance testing program, with plans to ramp up capacity to 6,000 tests per week beginning in October. According to the University’s COVID-19 website, more than 3,100 students combined have been tested through the surveillance program in the last four weeks. After concerns regarding the accuracy of the school’s COVID-19 dashboard, the University incorporated off- campus positive results, more than doubling the cumulative case count since the start of the school year. Susan Ringler-Cerniglia, Washtenaw County health department communications administrator, said the county only receives the number of positive results, leaving the total number of off-campus tests conducted unknown. The county’s health department has a legal agreement with the University to alert the school of all University-related cases. To check if a positive case is tied to the University, Ringler- Cerniglia said the health department looks to see if the case is connected to an on-campus address or an out- of-state address. Both of these are usually good indicators that the person who tested positive was a student. “Is it absolutely, 100 percent foolproof? No,” Ringler- Cerniglia said. “But our experiences over the years, it works pretty well at figuring out when those positive test results come up.” Students who get tested off- campus are supposed to report both their positive or negative results to the University on the UHS website. But LSA junior Sophie Gibson, who got tested at Eastern Michigan University, said she was unaware she had to share her result. “I was told there was a rapid test for free at EMU,” Gibson said. “I did not report my results. I don’t really know how to do that.” Ringler-Cerniglia said the health department has seen an influx of rapid antigen tests recently. She expressed concern about this trend, as rapid tests have high rates of false negatives. Urgent care centers and other off-campus testing centers are not required to report their case counts or any other information to the University. Representatives from urgent care centers Michigan Urgent Care and Prognify told The Daily they do not track whether patients are students, meaning they cannot provide the University with information about the student test results. Instead, local urgent cares are required to report positive cases to the Washtenaw County Health Department, which according to Schlissel, works “hand in glove” with the University. “So they send us those results, we collaborate, and then we do the investigation, case tracking, we provide quarantine,” Schlissel said. “So all that it does when you get a positive test off campus, is it slows down by at least a day, how quickly we can intervene to try to keep a positive case from spreading amongst friends or contacts so it’s not a great strategy.” A representative from Ann Arbor Urgent Care told The Daily they charge $150 for a COVID-19 test to students without health insurance. The cost can pose a barrier to students who do not qualify for UHS testing. In a Sept. 25 email, University President Mark Schlissel said he wanted to “emphasize again the importance of students being tested at UHS, especially in light of the numbers of positive cases that we are seeing identified by off-campus testing.” As of Sunday night, the Maize and Blueprint COVID-19 dashboard showed more than 600 cases since the week of Aug. 30. The University has also confirmed COVID-19 clusters in South Quad, Mosher-Jordan and Alice Lloyd Residences Halls. Additionally, on Friday Washtenaw County exceeded the number of cases needed for administrators to reevaluate on-campus operations. After coming in contact with a friend whose roommate had tested positive, LSA junior Jordan Wank wanted to get tested for COVID-19 immediately. He said he opted for UHS because he thought the result would come back faster. “(It was) very easy,” Wank said. “I was handed a sticker and then I gave it to a doctor and they tested me and then I left. It was 36 hours from the time I contacted them to when I received my results.” Getachew said she was pleasantly surprised by the quick turnaround of UHS testing, but still has complaints about the University’s overall testing situation. “I do still believe that the school is doing a lot of under- testing, and I don’t believe I should lie if I’ve been exposed to someone in order to get a test,” Getachew said. “So I think my frustration is still very real with the fact that it’s not as easy to get a test from the school, and my first option was to go to urgent care.” Some public health experts have been critical of the University’s plans for testing, saying it is not expansive enough to keep the virus in check. Ransom said she understands that off-campus tests may seem appealing because students can just walk in. However, Ransom said it is either less reliable or takes longer than in-house tests at UHS. “Outside testing facilities are either using an unreliable rapid test that then has to have a confirmatory PCR (nasal swab) test, or they’re using PCR tests through the state of Michigan, which is three to five days until you get your result,” Ransom said. Ransom said because UHS uses Michigan Medicine as its lab site, most students get results in 24 hours. She encouraged students to test at UHS if they can and stressed that a UHS test does not require students to quarantine on North Campus. She added that a negative test does not remove the burden of quarantining for 14 days. “Students who have a high- risk exposure will need to quarantine for 14 days, even if they have a negative test result,” Ransom said. “So the test result being negative does not free them from quarantine early. We want to make sure that everyone here on campus is safe, and so doing your part to kind of minimize risk to other students is really important.” Daily Staff Reporters Dominic Coletti and Jenna Siteman can be reached at dcoletti@umich. edu and jsiteman@umich.edu. TESTING From Page 1 The first couple of weeks of the semester went spectacularly well, the number of cases was exceedingly low, the pre-arrival screening for people in the residence halls (tested) 6000 people, we were able to identify 22 positive cases, a very low rate but those folks came to school later. So the year got off to an outstanding start. The last couple of weeks have been very difficult, and the number of cases have grown significantly. I don’t know whether it’s confidence, or misguided ideas, but more and more testing of students is being done off campus at local testing facilities, perhaps with the idea of not wanting the University to find out if somebody has the virus which, regardless of other thoughts is not a very good strategy amongst students. But things have gotten significantly more challenging the last two to two and a half weeks, probably part of it as things are getting colder, a little bit more socializing moving indoors. Another part is probably people getting tired of having to constrain the way they want to interact, so we’re sort of letting our guard down a little bit. … Everyone should realize that COVID-19 is a reportable disease so that means the law says that any testing facility has to report all positive results to the relevant county and state health department — it’s the law. So what happens when someone gets tested off-campus, if they’re positive, the result goes to the county health department, and we work hand in glove with the Washtenaw County Health Department. We meet with them on a daily basis, we’re working together trying to deal with some outbreaks in town amongst Michigan students. So they send us those results, we collaborate, and then we do the investigation, case tracking, we provide quarantine. So all that it does when you get a positive test off campus, is it slows down by at least a day, how quickly we can intervene to try to keep a positive case from spreading amongst friends or contacts so it’s not a great strategy. I do understand, though, that people have complained to me. For example, that one reason they’ll get tested off campus is the University Health Service won’t test them, or they’ll say, ‘Look, I’ve had a close contact,’ and the health service talks to them a little, and it really isn’t a close contact, it’s a casual contact and health service was saying ‘Look, you know we have to put our resources where the to close public health contacts are.’ But we’re telling (UHS) to ease up because we want students to use UHS. It’s free, it’s convenient, there’s a one-day turnaround time, and we can work with students immediately when they get a positive result to help assure their health and to make sure it doesn’t spread to others, so we’re going to have the UHS folks be a little more relaxed … You know, we want to test you. We’re ramping up our testing capacity, this coming week on Monday we switched to a saliva test … And that’s really in response to the community saying, ‘We don’t feel safe because we don’t feel there’s enough testing.’ Up to now, we’ve been using testing to do a statistical surveillance of the campus so we can act on areas where the rates are increasing. But I do think it’s important to recognize that people’s sense of safety and well-being is very important, and if we can improve that by expanding testing and maybe even making it mandatory for people in dormitories –– we’re discussing that now –– it would reassure a lot of people, and help us better deal with the pandemic collectively. TMD: So, given the sharp uptick in student COVID-19 cases over the last few weeks, are you still more confident than not, that students will be responsible and that we’ll make it through the fall semester in person? MS: You know, it’s an extremely difficult question, and I am very concerned. I think we’re holding our own, but things are not heading in the right direction now. It’s not an “all- or-none” kind of thing. In other words, when infections increase, the only option isn’t to send everybody home. There are lots of options short of that … What we do when there’s a case, or a cluster of cases, is we investigate them and we ask whether they’re spreading throughout the community, or whether they’re limited to a group of students, usually people that are socially interacting with each other. One of the places we’re running into trouble in the last couple of weeks is in the fraternities and sororities in town, both affiliated and some of the disaffiliated fraternities, where we haven’t gotten uniformly the level of cooperation that’s necessary to be able to investigate cases and try to protect people and prevent it from spreading. So that’s something we’re working very closely with the health department on, on literally an every single day basis. TMD: The Graduate Employees’ Organization went on strike earlier this month. Among GEO’s demands was the universal right to work remotely. The University has extended that right to faculty, but even in the final offer made to GEO, the University did not offer that right to graduate employees. In communications to both the graduate employees and the student body at large, other demands have been addressed, but there has not been a clear explanation of why that right cannot be given to graduate employees. Why is that? MS: Faculty do not have a universal right to decide whether they want to work in person or remotely. That may be something that you’ve been told, but that’s actually not true. The Graduate Student Instructors are actually treated the same as faculty in this regard. We try to accommodate every single person’s sense of health and safety, preexisting or predisposing conditions, etc. And at the end, it’s very difficult to identify people that are willing to say they feel forced to teach in person … So as part of the resolution of the strike, we came up with a mechanism where any GSI who feels uncomfortable or unsafe in the class and doesn’t have their question immediately resolved, can step away and teach remotely while we investigate the situation and try to fix the problem … We have no interest in being anything other than collaborative with our own students. Now what pushed us to, you know, go the route of an injunction and try to get some help, is I was very concerned that the integrity of the Michigan undergraduate curriculum was being threatened … when classes are getting canceled for a couple of weeks, and education of other people is being interfered with, why would someone want to come and be an undergraduate at the University of Michigan if I couldn’t assure that they’d actually get to take the classes they signed up for? And if it kept going on for weeks and weeks, what would happen to your semester? We would give you all incompletes. That’s it, you paid for it, but you’re not going to get any credit. So we had to come up with a way to help the GEO feel safe and be safe in the classroom and deal with their concerns around their academic progress as students in order to keep the undergraduate curriculum going. We had an agreement the very first week, and the leadership took it back to the members and the members voted it down. So we were very concerned that we weren’t going to be able to reach an agreement. And all the while, you know, of course we were continuing to pay our graduate students. We never stopped paying them, we never stopped covering their tuition, we never threatened anyone individually. The injunction was aimed at the union as opposed to individuals. We were going to sue the union if they didn’t live up to their word to go back to work. TMD: In their demands, GEO included disarming DPSS and reallocating around 50 percent of its funding. Why did the University not really address GEO’s concerns over policing in the offers extended to them beyond the creation of a review commission, and has the strike made you reconsider policing on campus? MS: I think what’s made us think hard about policing on campus is what’s been happening in the United States and, you know, not just the last few months but certainly the last few months, but in recent years, the greater and greater appreciation of disproportionate policing. The killing by police of unarmed people and very prominently Black people in recent months. The fear and anxiety that many people have simply seeing a police officer, all those things, lead us to the conclusion that, not only do we have to look at policing more broadly in society, but we have to make sure that we’re doing it right here at the University. So, I have nothing but respect and gratitude to the GEOs for bringing this up, but it’s not just a GEO issue. It’s an undergraduate student issue, it’s a schools and colleges issue, it’s a city of Ann Arbor issue. SCHLISSEL From Page 1 Read more at MichiganDaily.com