A return to youth and high school sports in 2021 was given the green light by Minnesota Gov. Tim Walz on Dec. 28, but with certain restrictions.

The most controversial of those restrictions has been a mandate of masks for all athletes, with exceptions in gymnastics, wrestling, cheerleading, and boys swimming and diving.

A restriction that is drawing criticism from many, including the Let Them Play MN Facebook group.

"Returning to practice is one step forward, but imposing masks during sports are a dangerous two steps back for Minnesota's young people," stated Dawn Gillman, founder and executive director for Let Them Play MN, in a press release.

The group filed a lawsuit against the mandate on Friday, Jan. 8.

"We don't want another kid to pass out, or worse, at practice," Gillman said.

During a Jan. 6 press conference, as quoted in the Pioneer Press, Walz said seeing his son return from practice last week with a smile on his face was a welcome sight.

"There are implications of this," said Walz, a former high school coach. "That emotion I had last night after seeing my guy come back smiling after (his first) sports practice in many months was overwhelming. There’s a mental health piece that goes with this that we’re very, very well aware of.

"(We’re) trying to (mesh) that well-being, the economy and controlling the spread," said Walz, of requiring masks.

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On Jan. 7, 26 state representatives sent a letter to the governor asking him to repeal the youth sports mask mandate.

"We write to you today with an urgent request for you to reconsider your regulations in Executive Order 20-99 requiring youth, aged 18 and younger, to wear a face covering while participating in sporting events. Guidance provided by Center of Disease Control, the World Health Organization, and other leading research institutions agree that face coverings during youth sporting events pose a potential health risk to participants and may cause more harm than the intended good," stated letter author and Minnesota Rep. Kristin Robbins (R-Maple Grove).

"The World Health Organization states 'children should not wear a mask when playing sports or doing physical activity, such as running, jumping or playing on the playground so that it doesn’t compromise their breathing.' Wearing a mask that covers a child’s nose and mouth during high intensity exercise could lead to fainting, hyperventilation, or vomiting. The Center for Disease Control explains, saying that all 'people engaged in high intensity training activities, like running, may not be able to wear a mask if it causes difficulty breathing.'"

Practices began Jan. 4, with athletes required to wear masks in sports such as basketball, hockey and dance team. Wrestlers wore masks in all conditioning drills, while gymnasts removed masks only during active participation in bars, beam, floor, and vault routines.

The letter to Walz, co-signed by House Minority Leader Kurt Daudt, pointed to data on COVID-19 spread among children indicating that transmission rates are incredibly low and an overwhelming majority of children who contract COVID-19 display mild symptoms and recover quickly.

Gillman and Let Them Play MN argue Walz and the Minnesota Department of Health have yet to provide data showing transmission of COVID in participation.

Dr. Richard Scott, deputy division director for Carver County Health and Human Services, summarized Walz's mandate as a meet-in-the-middle.

"From what we've found from the research, it shows the value of wearing multi-layered masks, or face coverings or face masks, in significantly reducing the spread. Some studies show it can be up to 80% reduction in spread. Knowing that, we can look at mitigation strategies as a package. When we put into use multiple strategies are engaged together, we feel like we can be more lenient and allow for more activity," Dr. Scott said.

He said if masks were to be removed for athletics, the types of allowed activity would likely be lessened.

BACK IN ACTION

As the competition season draws near, the first date for competitions Jan. 14, one school has taken it into their own budget to purchase approved equipment for their athletes. A CCM mask was ordered for every hockey player in the Litchfield/Dassel-Cokato hockey program. That mask is approved by the Minnesota State High School League when worn with a splash shield on the helmet.

"Myself, and others in public health, acknowledge that sports and physical activity brings many positives to our youth. We want to provide opportunities for kids to engage these activities, but in the safest manner possible," Dr. Scott said.

Masks during competition certainly will have its challenges. It will take some getting used to. Is the game going to be stopped for a mask falling down? Who will enforce proper usage of the mask? Coaches? Athletic directors? Officials?

Dr. Scott believes the benefits of wearing a mask outweigh the nuisance of wearing one in competition.

"I know other people have other priorities, and I respect that, but as a public health professional, I have to give my recommendation based on the science and how it relates to health. And then let other decision makers decide on how the risk-benefit weighs according to other competing priorities," he said.

State Rep. Dean Urdahl, R-Acton Township of Meeker County, one of the legislators who signed on to the letter, said he did so after hearing from "a large number (of) people expressing concern," as well as reports from the CDC and World Health Organization regarding the effects of wearing a mask during vigorous exercise.

"They seem to be pointing in the direction that there is potentially more harm than good coming from masks on athletes," Urdahl said.

A former high school cross country coach who led his New London-Spicer teams to 18 state meets, including winning three consecutive girls state championships from 2000-2002, Urdahl said he recognized wearing a mask would be difficult in any sport.

"And hearing about kids getting sick at practices and really struggling with having to wear masks, it seemed like a reasonable thing to recommend," Urdahl said of asking the governor to remove the mask mandate for youth sports.

In addition, he said, the spread and severity of COVID-19 among school-age children has not been very high.

However, Walz and the MDH state that masks are necessary at this point. Masks have been worn through competition in volleyball and basketball in neighboring Wisconsin all school year.

"The very nature of athletic activities — physical exertion, extended periods of close contact, and typically no masks — makes them environments for potential spread. Games in particular remain a source of increasing outbreaks because they bring people together. It is critical that people adhere to guidelines not just during athletic activities but also during the activities that surround games and practices like carpooling and meals," the website StaySafeMN said.

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