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Beckons Archives - Virus Reports https://virusreports.net/tag/beckons/ Sat, 20 Jun 2020 17:21:04 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.7 https://s3.us-west-1.wasabisys.com/virusreports/2020/05/cropped-virus-favicon-32x32.png Beckons Archives - Virus Reports https://virusreports.net/tag/beckons/ 32 32 Summer beckons: Do’s and don’ts for a pandemic http://virusreports.net/summer-beckons-dos-and-donts-for-a-pandemic/ http://virusreports.net/summer-beckons-dos-and-donts-for-a-pandemic/#respond Sat, 20 Jun 2020 17:21:04 +0000 https://virusreports.net/summer-beckons-dos-and-donts-for-a-pandemic/ Even if the covid-19 virus is as sensitive to climate as other seasonal viruses, Collins wrote, that wouldn’t be enough to slow its spread through the population right now — as evidenced by its rapid spread across such tropical nations like Brazil and Ecuador.Still, summer does open up more opportunities for outdoor activities, which all…

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Even if the covid-19 virus is as sensitive to climate as other seasonal viruses, Collins wrote, that wouldn’t be enough to slow its spread through the population right now — as evidenced by its rapid spread across such tropical nations like Brazil and Ecuador.

Still, summer does open up more opportunities for outdoor activities, which all agree are far safer than indoor ones. “We have very little evidence of outdoor transmission. It’s not zero — there are definitely cases reported — but it’s much, much lower than inside,” says Gretchen Snoeyenbos Newman, an infectious-disease physician at the University of Washington.

Of course, we can’t be outside all the time. When escaping the summer heat and mugginess indoors, try for as much ventilation as possible, and continue to observe safe behaviors: Wear a mask, keep interactions brief and make sure you’re not too close to other people, says Bhadelia Nahid, an infectious-diseases physician and the medical director of Special Pathogens Unit at Boston Medical Center.

A case study of indoor coronavirus transmission at an air-conditioned restaurant in China found that even people seated at a different table from the infected person were infected if they sat downstream from where the air conditioning was blowing. Tables in the restaurant were about one meter, or 3.3 feet, apart and the study’s authors hypothesize that strong airflow from the air conditioner may have spread respiratory droplets carrying the virus.

“To prevent the spread of the virus in restaurants, we recommend increasing the distance between tables and improving ventilation,” they wrote.

The basics of coronavirus spread haven’t changed now that it’s summer: Coming into close contact with infected people who have coughed, sneezed or breathed heavily or talked near you poses the greatest risk, according to the Centers for Disease Control and Prevention.

The risk of catching the virus from close contact is much higher than from touching shared surfaces, it says. What makes this tricky is that “there’s a lot of data to show that even if you don’t have symptoms, you can still pass the virus,” says Marilyn Roberts, a microbiologist in the School of Public Health at the University of Washington.

With this in mind, here is some guidance from health experts for common summer situations and activities.

Public restrooms

“Public restrooms are already gross,” Snoeyenbos Newman says. To make matters worse, they’re often poorly ventilated. Public toilets “have always been places where illness has been spread, so what I’m going to tell you — you should consider doing for the rest of time.”

First, wear a mask and clean your hands before you go in, she says. Once in the restroom, do your business, and before you flush, close the lid (if there is one). The coronavirus has been found in feces, and although it’s not clear yet whether it spreads this way, a new study suggests that “plumes” from the toilet when flushed may spread the virus.

When you’re done in the stall wash your hands with soap and water and dry them with whatever is available. Some studies have suggested that air dryers could potentially blow pathogens around the room, but it’s not clear that this is a source of covid-19 spread. “I would preferentially use a paper towel, but the air dryers aren’t enough of a worry to not use them,” Snoeyenbos Newman says. Don’t touch your phone or your face while you’re in the restroom, and as soon as you’re out, clean your hands again with a sanitizer, to make sure you didn’t pick up anything from the door. Do all of this, and you should be fine, Snoeyenbos Newman says.

As with other indoor space, don’t go into a crowded restroom, and if it’s a place that might be busy, look for some kind of monitoring to control crowding.

Restaurants

The risk at restaurants is from other people, not food, says Donald Schaffner, a food microbiologist at Rutgers University. To date, there’s no evidence that anyone has contracted the coronavirus via food, he says.

If you’re going to eat out, takeout poses the lowest risk. Dining at a restaurant is far riskier, because it puts you in proximity to other people. Your server and other employees should be wearing masks, and ideally so should patrons when they’re not eating, Schaffner says.

Eating outside is your best option, as it allows for natural ventilation and may give you more space for social distancing, says Saskia Popescu, an infection-prevention epidemiologist at George Mason University. Even outside, it’s important that there’s plenty of space between tables and room for servers to move between them without getting too close. Time spent in proximity to others is part of the risk equation, so you don’t want to linger too long after your meal.

Bike paths and other outdoor exercise spots

There’s been a lot of talk on social media and neighborhood message boards about the risk posed by people who exercise — breathing heavily — without a mask. But infectious-disease experts say that if you are outside and keeping a proper distance, the risk here is actually pretty low.

Although a European experiment that went viral earlier this year suggested that people who are walking, running or biking could spread droplets farther than six feet, the research wasn’t peer reviewed or published in a journal, and was widely criticized by public health experts for failing to understand transmissibility. Basically, outdoors in a non-crowded environment you’re unlikely to get a “minimum infectious dose,” Columbia University virologist Angela Rasmussen told Vox.

Even if they’re not wearing a mask, your exposure to people running or biking by you is very brief, and that reduces the risk, Popescu says.

Farmers markets

Best practices here comes down to some basic principles: Everyone should be wearing masks, and the arrangements of booths and lines should ensure adequate social distancing, Schaffner says. “I’d look for some kind of crowd control.” There should be an orderly flow where you come in here and walk in a one-way pattern and exit there, he says.

The risk of picking up the coronavirus from fresh produce is minimal, Schaffner says. “As far as we know, there are no documented cases of transmission from food.” Even so, it’s worth it for things to be arranged so that the vendor handles the produce wearing gloves and patrons don’t touch the food until it’s purchased. “Do you want someone picking up five apples to find the perfect one? Probably not,” Schaffner says. In any case, wash your stuff when you get it home, as you should do even when not in a pandemic.

Road trips with someone outside your household

A car is a confined space, and if you’re on a road trip, you’re probably sharing that space for multiple hours, which makes it a high-risk activity, Nahid says. You can reduce the risk by opening the windows, wearing masks and spacing yourself apart if you can (if you’ve got two people in the car have one of them ride in the back seat, on the passenger side), she says. But if you or someone you live with is in a high-risk category, you should probably drive separately when traveling with a non-household member.

Hotels and other lodging

Hotels, Airbnbs and other similar rental lodging should be considered a moderate risk, Nahid says. As long as the linens are clean and the surfaces have been disinfected, you’re very unlikely to catch the coronavirus in your room. It’s the interactions with other people that pose the risk. “You’re leaving home and have the potential to run into other people,” she says. It’s these interactions with other people, particularly if they have come from areas where coronavirus rates are high, that pose your greatest risk at hotels.

Experts advise you to call ahead and ask what measures are in place to ready the room or rental place and how long it’s been since the last guest. Ask for a room that nobody has stayed in recently — one study found that under laboratory conditions the virus could last a maximum of 72 hours on a surface, Snoeyenbos Newman said. “If the time is less than that, I would consider wiping down hard surfaces like remotes, light switches, faucets, etc., There aren’t major concerns about linens or bedding,” she said. The Environmental Protection Agency keeps a list of disinfecting products suitable to use against the coronavirus.

Find out how hotels are monitoring employees for the coronavirus — ideally there should be daily temperature checks, and any employee not feeling well should not come to work or should be sent home right away. And, of course, make sure that employees will be wearing masks.

As for your behavior in hotels, avoid common areas — don’t congregate in the lobby or other shared spaces — and wash your hands after touching things in the check-in area.

And again, when you get back to your room, wash your hands and wipe down high-touch surfaces. Snoeyenbos Newman says.

Barbecues

Barbecues can be a pretty high-risk activity, experts said, because they usually consist of people milling around the grill — and the chips and drink area — and socializing in close contact, Snoeyenbos Newman says. It’s hard to wear a mask in this situation, because people are eating and drinking. And people typically drink alcohol at a barbecue, which often further increases the risk.

“Most people, when they drink, tend to stand closer and talk louder, and both of those things increase the risk of transmission,” Snoeyenbos Newman says. Alcohol also decreases inhibition and so good intentions about social distancing can get pushed aside. If there’s going to be drinking, “you need to be really honest about how much you’re going to drink and how that will affect your group dynamic.”

If you’re going to host a Fourth of July barbecue, you should have some kind of stringent plan in place for ensuring that people don’t get too close (or too drunk). One way is to keep it small with widely spread out chairs and tables and assign people places to sit and hang out. Avoid shared utensils, and don’t have communal dip, but remember that your biggest risk is the person next to you, not the food, Schaffner says.

Camping

If you’re camping with people you live with, you’re basically just taking your house to a different place, and that’s fine, Snoeyenbos Newman says. Most campsites provide a good buffer between you and other camping groups, and that’s also good, she says. If you’re camping together with other people, you want to make sure to keep the six-foot distance rule. That means separate tents and some plans on how you’ll enforce social distancing, especially for circumstances like eating or sitting around the campfire where it’s easy to slip. As for using public bathrooms at camp grounds, see above.

Swimming (pools, lakes, ocean)

There’s no evidence to suggest that the coronavirus is transmitted through water, so the danger from swimming, whether it’s a pool, lake or beach, is from interacting with other people outside of the water, Popescu says.

Locker rooms and indoor showers are close, confined spaces that are best avoided.

Ideally, pools and public beaches should provide some kind of crowd control to help people stay six-feet apart, whether in the pool, on the beach or sitting along the edge of the water (except for household members, who can be together). This might mean having sign-ups for a pool to limit the number of people using the space at one time, or it could mean marking off poolside or beach spaces where people lay down their towel and lounge about when they’re not in the water.

Playgrounds

Playgrounds are a situation where there’s not much consensus on what to do, Snoeyenbos Newman says. One issue here, she says, is that a child with the coronavirus touches the monkey bars and then your child touches the monkey bars and then his face. “Kids are really just not reliable about not touching their faces,” she says, which is why in many areas where the pandemic has been severe, playgrounds have been closed.

Still, the biggest risk is probably interactions with other children or adults at the playground, which you’ll want to limit. The CDC and other public health groups have now said it’s unlikely — but not impossible — to get infected with the coronavirus from contaminated surfaces, Roberts says. Which means that the risk from your child touching the playground equipment is probably fairly low, though not zero. This is really an individual decision, Roberts says. If you allow your child to go to the playground, she advises you to monitor what they do and make sure you’ve got wipes and a means to wash their hands afterward.

Recreational games

Whether you’re playing tennis, pickle ball or bocce ball, the things to think about are keeping your social distance and avoiding a lot of touching shared objects, Nahid says. Keep some sanitizer nearby to keep hands clean, and use your own equipment, rather than sharing. As long as you can do that, it’s probably low risk. Stick to games where players can be spaced six-feet apart, and avoid such games as volleyball or basketball where players come into close contact and everyone is using the same ball (and potentially breathing all over it.)

Ice cream shops

There is evidence that the coronavirus survives better in low temperatures, so theoretically it’s possible that if someone with covid exhales into the freezer case you could be exposed via the ice cream, but to get infected you’d have to stick it up your nose very soon after, Schaffner says. Even if there was some exhaled virus on the ice cream, “it’s gross to think about, but there’s no evidence that it spreads that way,” he says. The single biggest risk — again — is going to be other people in the store. The clerk should be wearing a mask, and you need keep your distance from other patrons.

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Memorial Day Beckons, but the Coronavirus Pandemic Looms http://virusreports.net/memorial-day-beckons-but-the-coronavirus-pandemic-looms/ http://virusreports.net/memorial-day-beckons-but-the-coronavirus-pandemic-looms/#respond Sat, 23 May 2020 19:22:22 +0000 https://virusreports.net/memorial-day-beckons-but-the-coronavirus-pandemic-looms/ BOSTON — A sailboat race from Cape Cod to the island of Nantucket has marked the unofficial beginning of summer for the last 49 years. But the Figawi regatta, which raises money for veterans over Memorial Day weekend, will not involve any actual boats this year. Instead, organizers will host a virtual cocktail party from…

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BOSTON — A sailboat race from Cape Cod to the island of Nantucket has marked the unofficial beginning of summer for the last 49 years. But the Figawi regatta, which raises money for veterans over Memorial Day weekend, will not involve any actual boats this year. Instead, organizers will host a virtual cocktail party from a boathouse, among other online events.

At first, regulars vowed to sail from Hyannis to Nantucket anyway, said Shelley Hill, executive director of Figawi Charities. “But as time went on and everybody learned more,” she said, “that idea has gone away.”

Crowded parades. Mobbed beaches. Congested public ceremonies. Jam-packed backyard barbecues. Memorial Day, which has come to mark the beginning of hot weather across much of the United States, typically brings millions of Americans shoulder to shoulder, towel to towel.

But this year these first rites of summer are taking place as the country grapples with the coronavirus pandemic and cautiously emerges from two months of quarantine. Cooped-up Americans are eager for social interaction and fun. Yet public health officials warn that those impulses could result in an uptick in coronavirus cases.

Many traditional Memorial Day events have been canceled or replaced with socially distant formats. Elected officials and event organizers are struggling to bring back as much normalcy as possible without jeopardizing public health. The results have been hopeful, maddening and bewildering. But many Americans are pressing on, and trying to preserve what is important while letting go of what is not.

A Memorial Day parade from Vidalia, La., to the Natchez National Cemetery in Mississippi has roots going back to 1867. But instead of marching this time, people will motorcade in masks and gloves to let veterans know “that they have not been forgotten,” said Laura Ann Jackson, co-chair of the parade.

“It’s going be different this year,” she said.

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Credit…Bryan Anselm for The New York Times

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Credit…Bryan Anselm for The New York Times

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Credit…Bryan Anselm for The New York Times

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Credit…Bryan Anselm for The New York Times

Although the Memorial Day ceremony in Fort Walton Beach, Fla., is still on, organizers are begging the public not to come. Instead of filling 500 chairs, the solemn event honoring fallen veterans will be livestreamed into residents’ homes.

“It’s been really difficult for us to say, ‘We really don’t want you there,’” said Tom Rice, chairman of the committee that sponsors the event, which will feature the national anthem and a benediction from a priest. “So far, there’s been no blowback.”

The iconic boardwalk in Ocean City, Md., opened on May 9 to throngs of people, but signs reminded beachgoers that contagion is still afoot, and that groups of 10 or more were discouraged.

In Massachusetts, beaches will be allowed to reopen for swimming on Memorial Day, but volleyball is banned and sunbathers must place their towels 12 feet apart. In New York City, Mayor Bill de Blasio opted to keep the city’s beaches closed over the weekend and even threatened to cordon them off with fencing, prompting elected officials on Long Island to try to ward off a flood of would-be beachgoers from the city by restricting access to local residents.

In California, where tens of thousands have flocked to beaches in recent weeks, Gov. Gavin Newsom had announced that he was shutting beaches down to protect public health, but then backtracked and allowed them to open for “active use,” which does not include lounging on beach towels.

Mayor Will O’Neill of Newport Beach, Calif., said the city was unlikely to fine or arrest sunbathers on his city’s seven-mile stretch of beach.

“At a time when tens of thousands of people have been released from jails, why are we being told to arrest moms on beach blankets and seniors under umbrellas?” he asked. “There was no data or science supporting the decision.”

He estimated that about 40,000 people showed up in late April on the first warm weekend of the year, but he said that beachgoers have generally followed social-distancing rules and that neighborhood complaints have gone down since the beaches have been open.

At this stage of the pandemic, people are beginning to feel the negative health effects of social isolation, which Steve Cole, a social genomics researcher at the University of California, Los Angeles, argued can increase the chances of chronic disease and other types of illnesses the longer it goes on. Over the summer, he is planning to take his children to the Grand Canyon as soon as logistically possible, and socialize in small groups with trusted friends.

“We should be able to find some equilibrium between those two extremes,” he said. “We don’t want to be packed like sardines in a crowd, but at the same time, a lone human being is a recipe for death.”

But across the country, many of the normal opportunities for fellowship and summer fun have been canceled or transformed beyond recognition.

On Lake Champlain in upstate New York, the cabins at Camp Dudley will be empty this summer for the first time since 1885. In neighboring Vermont, campgrounds will be allowed to open, but only at 25 percent capacity.

Both the Yarmouth Clam Festival and the Rockland Lobster Festival have been canceled in Maine, which relies heavily on tourism. But officials in Portland, the state’s largest city, are preparing to block off streets in June to give restaurants more space for outdoor dining, which is considered less risky than dining indoors.

“People who are looking to get out and about more are excited,” Mayor Kate Snyder of Portland said.

To protect the health of Mainers, state guidelines require out-of-state visitors to quarantine for two weeks before going out to eat.

“It’s confusing,” said Steve Hewins, president and chief executive of HospitalityMaine, which represents 1,300 hotels and restaurants. “Who is going to possibly come to Maine and quarantine for 14 days?”

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Credit…Sarah Rice for The New York Times

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Credit…Sarah Rice for The New York Times

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Credit…Sarah Rice for The New York Times

Nonetheless, he said, his group is developing a special training program for front-line restaurant and hotel workers to handle the new coronavirus-related health requirements, as hope for some semblance of a summer season builds.

Perhaps nowhere has the decision about how to handle Memorial Day weekend caused more angst and heartbreak than in Ironton, Ohio, an Appalachian town of 11,000 people that holds the holiday parade at the core of its identity.

  • Updated May 20, 2020

    • What are the symptoms of coronavirus?

      Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

    • How many people have lost their jobs due to coronavirus in the U.S.?

      Over 38 million people have filed for unemployment since March. One in five who were working in February reported losing a job or being furloughed in March or the beginning of April, data from a Federal Reserve survey released on May 14 showed, and that pain was highly concentrated among low earners. Fully 39 percent of former workers living in a household earning $40,000 or less lost work, compared with 13 percent in those making more than $100,000, a Fed official said.

    • How can I protect myself while flying?

      If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

    • Is ‘Covid toe’ a symptom of the disease?

      There is an uptick in people reporting symptoms of chilblains, which are painful red or purple lesions that typically appear in the winter on fingers or toes. The lesions are emerging as yet another symptom of infection with the new coronavirus. Chilblains are caused by inflammation in small blood vessels in reaction to cold or damp conditions, but they are usually common in the coldest winter months. Federal health officials do not include toe lesions in the list of coronavirus symptoms, but some dermatologists are pushing for a change, saying so-called Covid toe should be sufficient grounds for testing.

    • Should I wear a mask?

      The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

    • What should I do if I feel sick?

      If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

    • How can I help?

      Charity Navigator, which evaluates charities using a numbers-based system, has a running list of nonprofits working in communities affected by the outbreak. You can give blood through the American Red Cross, and World Central Kitchen has stepped in to distribute meals in major cities.


The town has hosted a parade every year since 1868, and lays claim to being the site of the nation’s oldest continuous Memorial Day observance. Tens of thousands of people flock there every year, forming crowds that can get 10 people deep.

But this year, Gov. Mike DeWine asked local officials to adhere to social-distancing guidelines that make hosting a normal parade impossible. Members of the parade committee in Ironton agonized. They did not want to be the first in 152 years to cancel.

The parade will go on, they decided, but the number of vehicles on the route will be cut back drastically. Instead of marching, participants will stay inside their vehicles. The crowd has been asked to stay on porches or watch online.

The changes have sparked outrage among some who want to honor their military dead by marching, as well as parents who have waited for years to watch their children in the high school band.

“Some of them just can’t take it,” said David Lucas, a volunteer on the parade committee who serves as its spokesman. “Everybody’s tired of being quarantined. They are stunned that they couldn’t watch their children graduate from high school. They are afraid that the whole world is going to get canceled.”

He chalked up the anger about the parade to the general frustration of a population that is tired of being cooped up at home. In quarantine, people yearned for summer, but now that stay-at-home orders are being lifted, they are realizing it still will not be like summers past.

Little League in Ironton is starting up in June, but baseball players will have to stand six feet away from one another when they are waiting to bat, and they will not be allowed to give high-fives. The fate of the county fair has not yet been decided.

Mr. Lucas predicted that a few renegades might come to town on Memorial Day anyway but that most observers “will quietly watch the parade on the internet and wonder what the world has come to.”

Jennifer Medina contributed reporting from Los Angeles.

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