Post by Nadica (She/Her) on Nov 23, 2024 3:26:33 GMT
(Don’t get) COVID for the holidays - Published Nov 22, 2024
As we’re facing the next COVID surge (brought on by holiday travel), I thought I might try a different kind of COVID post. You can skip to here for some easy to do tips and tricks you might have missed, or you can read down for my discussion of why this is important.
I have recently been writing and thinking a lot about why so many of my friends and family’s actions on COVID are so different from mine. Namely why so many people I know no longer seem very interested in either preventing themselves from being sick or, importantly, not spreading sickness to anyone else.
In my own case, the experience of staying home to stop the spread in 2020 forced me to strongly reconsider my behavior up to that point. Why had I ever thought it was OK to go to work or ride the subway with the flu, unmasked and taking no precautions, knowing that the flu certainly hospitalizes and kills people each year? Even if the flu was no big deal for my body, my behavior had limited other people—particularly disabled people—from comfortably being in public during flu season. I had knowingly spread around an illness. I radically reconsidered a lot of my behavior, and in particular, 2020 pushed me to focus more specifically on disability justice in my activism. A disability justice framework pushes us beyond thinking about individual access to consider how ableism limits us all from liberation.
Getting back to why this reconsideration didn’t happen on a mass level, understanding disability justice also means understanding that ableism is the current social order. And if it’s the order of the day, like other oppressive ideologies, that means we are all drenched in it and it is impossible to avoid ever doing something ableist. Furthermore, most people are going to act in ableist ways, most of the time. None of this are exempt from this, but not even trying is definitely worse!
I am also well aware that good COVID information is hard to come by, especially if you are not on the regular lookout for it. And if you do go looking for it, it can quickly get overwhelming. So I’d like to offer here a very short, distilled list of things people might have missed since 2020. (I’ve not taken the time to track down citations for all of these things; you’ll have to trust me that I got them from trustworthy sources or you can verify on your own. I’m happy to give more info on any of these too.)
Some of these things are easy enough to do. I’m offering this list because from a “stop the spread” mindset, each specific thing you do is helpful. This list is not meant to be comprehensive, and it’s hopefully not overwhelming. You don’t have to be perfect or avoid COVID 100% of the time or make this part of your identity, but I’d like to ask everyone reading this to take one step up in your mitigations for the holiday season, since this is reliably a time with huge increases in virus transmission. With around a thousand people still dying every week from COVID in the US, you don’t know whose life you may save by being a little more careful.
Masking
This is the biggest bang for your buck, precaution-wise. If it’s hard for you to mask all the time in public, consider masking in places that disabled people really can’t avoid, like the pharmacy, the grocery store, and on public transportation.
I’d also suggest that if masks are uncomfortable, try different kinds of masks! The Aura is my favorite mask – it’s tight to my face so my glasses don’t fog and head straps don’t hurt my ears like ear straps do. Wellbefore sells masks in different sizes and colors, and Armbrust has sampler packs. Just try a bunch and see what works for you!
Finally, know that if at all possible, you should wear an N95 or KN95 mask. This is a change since spring 2020 because the current variants of COVID are more contagious.
Mouthwash
Washing your mouth out with a mouthwash containing CPC (cetylpyridinium chloride) before or after seeing people, or just regularly, will kill some of the virus in your mouth and keep you below the threshold to get sick and/or shed the virus to others. This is a really easy one; CVS brand mouthwash has CPC.
Sip mask
These valves will allow you to drink without breaking the seal of your mask. This is great for airplane travel, crowded conferences, or other risky spaces that you need to be in for an extended amount of time.
Airplane
The most dangerous time on an airplane from a virus transmission standpoint is the time sitting on the runway (because of the way they circulate and filter the air onboard). Even if you don’t mask up during the flight, this is the best time to mask. (And if you do mask, this is the worst time to have a snack or drink – try to keep your mask on for all of this period.)
Space out risky or crowded events
Don’t go to a wedding and a concert in the same weekend! Illness takes 3-5 days to develop after exposure, so give yourself time to know if you got sick from the last thing before potentially spreading that to the next thing.
Air purifiers work!
This is a great one for places that you can’t avoid, like school, work, or daycare. You can make your own Corsi-Rosenthal box, but there’s also a variety of high quality air purifiers you can get for $70-100. You want to make sure it has a HEPA or Merv13+ filter on it, and check how quickly it changes out the air in a room. Since COVID is airborne, there can be COVID in a space even after the person has left it. Setting up air purifiers and/or opening windows until enough air has circulated before you remove your mask is a great way to make a space COVID safer
Test before going to events, even if you don’t feel sick
Rapid tests (the kind you’re used to getting from the government and at the drug store)
False negatives from these are rampant but a positive test reliably means you have COVID. The accuracy of these tests also increases a LOT if you take two of them 48 hours apart.
Better home tests are now available
Metrix and Pluslife are both testers you can buy that offer a similar level of accuracy to a PCR test (that is, very accurate!). These devices are expensive, but so is another COVID infection: think of the missed work, cost of Paxlovid, and potential for Long COVID to keep you down even longer.
It’s a good idea to get an updated vaccine 2x a year too; like the flu shot, these vaccines are updated to try to fend off the particular variants that are circling. Be mindful though that vaccination will not necessarily stop transmission, especially of asymptomatic cases. Handwashing is also good for general prevention, but it doesn’t really stop COVID transmission. In the early days of COVID, researchers guessed that it was spread by physical droplets. That’s why we were instructed to wash our hands and groceries. But now we know that COVID is airborne; it spreads more like cigarette smoke than spit!
Of course, no single thing works perfectly. The best model is still the Swiss cheese model, but that also means each thing you do helps. If you’re reading this, please consider doing *one more thing* to take care of yourselves and others. I love you
As we’re facing the next COVID surge (brought on by holiday travel), I thought I might try a different kind of COVID post. You can skip to here for some easy to do tips and tricks you might have missed, or you can read down for my discussion of why this is important.
I have recently been writing and thinking a lot about why so many of my friends and family’s actions on COVID are so different from mine. Namely why so many people I know no longer seem very interested in either preventing themselves from being sick or, importantly, not spreading sickness to anyone else.
In my own case, the experience of staying home to stop the spread in 2020 forced me to strongly reconsider my behavior up to that point. Why had I ever thought it was OK to go to work or ride the subway with the flu, unmasked and taking no precautions, knowing that the flu certainly hospitalizes and kills people each year? Even if the flu was no big deal for my body, my behavior had limited other people—particularly disabled people—from comfortably being in public during flu season. I had knowingly spread around an illness. I radically reconsidered a lot of my behavior, and in particular, 2020 pushed me to focus more specifically on disability justice in my activism. A disability justice framework pushes us beyond thinking about individual access to consider how ableism limits us all from liberation.
Getting back to why this reconsideration didn’t happen on a mass level, understanding disability justice also means understanding that ableism is the current social order. And if it’s the order of the day, like other oppressive ideologies, that means we are all drenched in it and it is impossible to avoid ever doing something ableist. Furthermore, most people are going to act in ableist ways, most of the time. None of this are exempt from this, but not even trying is definitely worse!
I am also well aware that good COVID information is hard to come by, especially if you are not on the regular lookout for it. And if you do go looking for it, it can quickly get overwhelming. So I’d like to offer here a very short, distilled list of things people might have missed since 2020. (I’ve not taken the time to track down citations for all of these things; you’ll have to trust me that I got them from trustworthy sources or you can verify on your own. I’m happy to give more info on any of these too.)
Some of these things are easy enough to do. I’m offering this list because from a “stop the spread” mindset, each specific thing you do is helpful. This list is not meant to be comprehensive, and it’s hopefully not overwhelming. You don’t have to be perfect or avoid COVID 100% of the time or make this part of your identity, but I’d like to ask everyone reading this to take one step up in your mitigations for the holiday season, since this is reliably a time with huge increases in virus transmission. With around a thousand people still dying every week from COVID in the US, you don’t know whose life you may save by being a little more careful.
Masking
This is the biggest bang for your buck, precaution-wise. If it’s hard for you to mask all the time in public, consider masking in places that disabled people really can’t avoid, like the pharmacy, the grocery store, and on public transportation.
I’d also suggest that if masks are uncomfortable, try different kinds of masks! The Aura is my favorite mask – it’s tight to my face so my glasses don’t fog and head straps don’t hurt my ears like ear straps do. Wellbefore sells masks in different sizes and colors, and Armbrust has sampler packs. Just try a bunch and see what works for you!
Finally, know that if at all possible, you should wear an N95 or KN95 mask. This is a change since spring 2020 because the current variants of COVID are more contagious.
Mouthwash
Washing your mouth out with a mouthwash containing CPC (cetylpyridinium chloride) before or after seeing people, or just regularly, will kill some of the virus in your mouth and keep you below the threshold to get sick and/or shed the virus to others. This is a really easy one; CVS brand mouthwash has CPC.
Sip mask
These valves will allow you to drink without breaking the seal of your mask. This is great for airplane travel, crowded conferences, or other risky spaces that you need to be in for an extended amount of time.
Airplane
The most dangerous time on an airplane from a virus transmission standpoint is the time sitting on the runway (because of the way they circulate and filter the air onboard). Even if you don’t mask up during the flight, this is the best time to mask. (And if you do mask, this is the worst time to have a snack or drink – try to keep your mask on for all of this period.)
Space out risky or crowded events
Don’t go to a wedding and a concert in the same weekend! Illness takes 3-5 days to develop after exposure, so give yourself time to know if you got sick from the last thing before potentially spreading that to the next thing.
Air purifiers work!
This is a great one for places that you can’t avoid, like school, work, or daycare. You can make your own Corsi-Rosenthal box, but there’s also a variety of high quality air purifiers you can get for $70-100. You want to make sure it has a HEPA or Merv13+ filter on it, and check how quickly it changes out the air in a room. Since COVID is airborne, there can be COVID in a space even after the person has left it. Setting up air purifiers and/or opening windows until enough air has circulated before you remove your mask is a great way to make a space COVID safer
Test before going to events, even if you don’t feel sick
Rapid tests (the kind you’re used to getting from the government and at the drug store)
False negatives from these are rampant but a positive test reliably means you have COVID. The accuracy of these tests also increases a LOT if you take two of them 48 hours apart.
Better home tests are now available
Metrix and Pluslife are both testers you can buy that offer a similar level of accuracy to a PCR test (that is, very accurate!). These devices are expensive, but so is another COVID infection: think of the missed work, cost of Paxlovid, and potential for Long COVID to keep you down even longer.
It’s a good idea to get an updated vaccine 2x a year too; like the flu shot, these vaccines are updated to try to fend off the particular variants that are circling. Be mindful though that vaccination will not necessarily stop transmission, especially of asymptomatic cases. Handwashing is also good for general prevention, but it doesn’t really stop COVID transmission. In the early days of COVID, researchers guessed that it was spread by physical droplets. That’s why we were instructed to wash our hands and groceries. But now we know that COVID is airborne; it spreads more like cigarette smoke than spit!
Of course, no single thing works perfectly. The best model is still the Swiss cheese model, but that also means each thing you do helps. If you’re reading this, please consider doing *one more thing* to take care of yourselves and others. I love you