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Toxic stress contributes to a variety of negative outcomes for children. And unfortunately, COVID-19 has increased the likelihood of children experiencing childhood trauma, adverse childhood experiences (ACEs), and toxic stress. States and territories should have programmatic, and policy mechanisms to both prevent and mitigate the lifelong effects. A CDC Vital Signs Report found that preventing or mitigating ACEs could reduce depressive disorder by 44%, smoking by 33%, and unemployment by 15%.

Developing and implementing contact tracing programs in K-12 schools presents a crucial opportunity for both health department and school leaders to keep students healthy, and schools open. This brief shares considerations for health departments working with schools to develop and implement contact tracing programs.