USA TODAY/“It’s an uphill fight,” said Cable, who is leading a Des Moines school district committee working on the issue. “It’s one thing to say you have to physically distance in the classroom. It’s another thing to actually do it.”

School nurses will be on the lookout for signs of COVID-19, the disease the virus causes. It could be especially tough to sort out those cases as late-summer allergy season brings a wave of coughs and sneezes. Then schools will see outbreaks of colds and flu, which cause many of the same symptoms that COVID-19 brings.

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