Cooped up too long, yearning for a day at the beach or a night on the town 鈥 and enticed by the easing of restrictions just as the warm weather arrived 鈥 many people have bolted from the confines of home. And who can blame them?
But Houston 鈥 and San Antonio and Phoenix and Miami and Los Angeles 鈥 we have a problem.
COVID-19 is spiking in Texas, Arizona, Florida, California and other states, forcing officials once again to shut down bars, gyms and the indoor-dining sections of restaurants.
But that does not mean we can鈥檛 spend time with the important people in our lives. Our mental health is too important to avoid them.
You can expand your social bubble beyond the household 鈥 if you heed now-familiar health guidelines and even take extra precautions: Limit the number of people you see at one time, and wear a mask if meeting indoors is the only feasible option or if you can鈥檛 stay at least 6 feet from one another outdoors. Disinfect chairs and tables, and wash your hands, before and after the visit. If food and drink are on the agenda, it鈥檚 best for all involved to bring their own, since sharing can raise the risk of infection.
Arthur Reingold, a professor of epidemiology at the University of California-Berkeley鈥檚 School of Public Health, and his wife, an epidemiologist for the Centers for Disease Control and Prevention, have begun spending time with another couple around their age who have a large patio. 鈥淭hey have us go around the back; they don鈥檛 have us go through the house,鈥 says Reingold, 71. 鈥淲e sit on chairs that are a good 10 to 12 feet away from each other, and we talk. We bring our food, and they bring their food.鈥
And they don鈥檛 wear masks. 鈥淚 personally believe the risk from that situation, even without a mask, is pretty minimal,鈥 Reingold says. 鈥淏ut if people wanted to try to do that and wear a mask, I don鈥檛 think that would be unreasonable.鈥
And while we are on the topic of masks, please remember they don鈥檛 make you impervious to infection. 鈥淵our eyes are part of the respiratory tree. You can get infected through them very easily,鈥 says George Rutherford, a professor of epidemiology at UC-San Francisco. If you are medically vulnerable, or just want to be extra careful, consider wearing a or goggles.
Most of us have wrestled with the question of how big a gathering is too big. It鈥檚 impossible to give an exact answer, but the smaller the better. And keep in mind there is no such thing as zero risk.
In the U.S. as a whole, the average infection rate is currently about 1% to 2%, which means one or two people in a group of 100 would typically be infected, says Dr. Yvonne Maldonado, a pediatrician specializing in infectious diseases at Stanford University鈥檚 School of Medicine. In any individual setting, however, these percentages don鈥檛 necessarily apply, she says. And a gathering in an area where the COVID-19 rate is surging 鈥 or already high 鈥 is more dangerous than one of the same size in a place where it鈥檚 not. So stay informed about the status of the pandemic in your area.
Be wary even of friends you鈥檝e known and loved a long time. That may sound callous, but you need to know something about the behavior and recent whereabouts of anyone with whom you plan to visit. Don鈥檛 be shy about asking where and with whom they have been in recent weeks. If they are a close enough friend for you to want to see them, they should understand why you are asking.
A that generated controversy on Twitter in recent days listed numerous activities, ranked from lowest to highest risk. Among the riskiest behaviors: going to a bar, a movie theater or any other crowded venue 鈥 and eating at a buffet. You could ask questions based on that list, or a similar one, to determine if it鈥檚 safe to visit with someone.
With regard to play dates for your children, public health experts say you should apply the same safety precautions as for adult get-togethers. 鈥淐hildren can play together, especially if their families have been socially distancing, the activities do not involve physical contact, and they can engage in the activities with sufficient physical spacing,鈥 says Stanford鈥檚 Maldonado.
Another question, never far from my mind, is whether it鈥檚 risky to let a plumber or electrician or handyman into the house. I鈥檝e put off needed house repairs for several months because of my uncertainty about it.
I put the question to the public health experts I interviewed for this column, and they agreed: As long as you both wear masks and stay a healthy distance apart, the visit should not pose a significant threat. But ask the person what precautions he took on visits to other homes. If he works for a company, check its policies for employees who go from home to home.
Because I have two large dogs, I have also wondered whether they could be potential virus spreaders 鈥 not through their respiratory droplets, but because the virus might land on their fur. When I鈥檓 out walking them in the evening and see neighbors with their canines, we usually keep our distance, but once in a while somebody wants to pet one of my dogs, and I鈥檝e been tempted to pet theirs 鈥 but have resisted.
My experts say I shouldn鈥檛 worry. It is theoretically possible to catch the virus off a dog if somebody just sneezed on it, but that鈥檚 an unlikely scenario. The dog鈥檚 owner poses a bigger risk.
For those of us who have craved more human contact, it may come as a welcome surprise that some public health experts think it can be safe to hug people (though not dog owners you don鈥檛 know) if you follow certain guidelines: Do it outdoors; wear a mask; point your faces in opposite directions; avoid contact between your face and the other person鈥檚 body; keep it brief and wash your hands afterward.
Shannon Albers, a 35-year-old resident of Sacramento, says she started hugging people again after reading in The New York Times.
鈥淎fter 89 days I finally got to hug my mom, and she started crying,鈥 Albers recalls. 鈥淲e were standing on the driveway, and I said, 鈥楧o you want a hug?鈥 She immediately tightened her mask and started coming down the driveway, and I said, 鈥榃ait, Mom. There鈥檚 rules.鈥欌
Chronically ill and elderly people may not want to risk it, says UC-Berkeley鈥檚 Reingold. 鈥淏ut if you are out drinking beers with somebody in a crowded room, I鈥檓 not sure the hug makes a difference, frankly.鈥
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