The US Virgin Islands resumed limited in-person instruction in March 2021 for pre-kindergarten through third grade and special education. The Governor has delayed the start of all other grades until September 14th 2021. The Virgin Islands has two school districts that include St. Croix and St Thomas / St. John. The Virgin Islands Department of education includes 31 public schools within the K-12 system, and 28 parochial and private schools and is expected to total between 11,000-15,000 students and staff. Thus far,15 cases have been reported among re-opened schools and current contact tracing and mitigation efforts have prevented outbreaks. Close contacts can test out of quarantine at day 7 and non-close contacts at day 4.The Department of Health (DOH) has piloted re-opening projects with private schools of which some re-opened in the Fall 2020. These school nurses have been trained to provide rapid point of care testing for symptomatic persons and are provided a web portal to efficiently report all results directly to the DOH. All test supplies are tracked using the same electronic information system and can be reconciled with tests performed. Contact tracing and case investigations are conducted by the DOH. Surveillance and mitigation strategies for schools have been effective and the DOH does not currently recommend routine asymptomatic screen testing. Despite the theoretical benefit, literature reviews have found no real-work evidence to support or refute screening testing in preventing outbreaks and the potential harms can outweigh the benefit if other mitigation strategies prove effective. In some cases, the sensitivity of rapid point of care tests for asymptomatic persons have been demonstrated to be as low as 40-60% and as high as 89-100%. Relying solely on testing is not effective mitigation and may include potential harm: physical discomfort or possible injury of swabbing; false sense of assurance and related behavior change; false pos
itivity when rates are low; increased human resources; and testing fatigue.