{"id":69457,"date":"2020-11-10T00:00:00","date_gmt":"2020-11-10T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2020\/11\/10\/how-to-handle-covid-19-during-the-holidays\/"},"modified":"2022-09-02T17:30:18","modified_gmt":"2022-09-02T22:30:18","slug":"how-to-handle-covid-19-during-the-holidays","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2020\/11\/10\/how-to-handle-covid-19-during-the-holidays\/","title":{"rendered":"How to handle COVID-19 during the holidays"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p><P><I>In this article, Mark Rupp, MD, chief of the UNMC Division of Infectious Diseases, shares guidelines on how to handle the holidays.<\/i><\/p>\n<p>&#8220;This year, having gatherings with extended family from different regions is too risky,&#8221; Dr. Rupp said. &#8220;If we don&#8217;t pay attention to the current situation, we&#8217;re going to have even more transmission and more people dying than would otherwise.&#8221;<br \/>\n<P>In the past week, we&#8217;ve seen a record number of COVID-19 patients in Nebraska hospitals. This year, you can meet virtually to protect people at higher risk.<br \/>\n<P>&#8220;People can still have a meaningful holiday,&#8221; Dr. Rupp said. &#8220;In my family, we go around, and each person says what they&#8217;re thankful for. It&#8217;ll be virtual this year, but you can still get a lot of the meaningful aspects of your family gathering over Zoom or Skype. Next year at this time, we&#8217;re going to be together.&#8221;<br \/>\n<P>If you get together with people you don&#8217;t live with this year, despite the risks, consider these three things.<br \/>\n<P><B>1. Who are you putting at risk?<\/b><br \/>\n<P>Older adults and people with preexisting conditions are at higher risk for severe COVID-19 illness.<br \/>\n<P>&#8220;Think about the priority of keeping them safe versus getting together for this one year,&#8221; Dr. Rupp said. &#8220;If they do come, make it a brief visit with no hugging or close contact. Perhaps, a brief interaction to see and greet one another rather than a prolonged shared meal around the table.&#8221;<br \/>\n<P><B>2. What precautions are you taking before you meet?<\/b><br \/>\n<P>Because of the extremely high community spread rate, all attendees should self-quarantine before they get together. That means everyone avoids seeing anyone outside their household for two weeks before you get together. Some people have in-person work or school. In those cases, limiting optional encounters will help.<br \/>\n<P>If you&#8217;re the host, communicate ground rules before people get there. Email everyone about bringing masks, how long the gathering will last and steps you&#8217;re taking to prevent spread.<br \/>\n<P>Monitor yourself for symptoms. If you have a fever or cough in the two weeks before your visit, stay home and do not attend the gathering.<br \/>\n<P>Avoid traveling to other areas. If you must travel, driving is safer than flying because airports involve waiting in enclosed spaces with others who aren&#8217;t from your household.<br \/>\n<P><b>3. How are you limiting risk at the gathering?<\/b><br \/>\n<P>Many of our patients have told us and contact tracing is showing they are contracting COVID-19 at indoor gatherings with family and friends where masks aren&#8217;t being worn. Masks have worked for years in clinical settings to control the spread of infectious diseases.<br \/>\n<P>In addition to wearing masks, you should also take other precautions. &#8220;Masks are just one layer of protection on top of physical distancing, hand hygiene and improved ventilation,&#8221; Dr. Rupp said. <\/p>\n<p>Here are ways to reduce risk at the gathering:<\/p>\n<ul><Li>Wear masks, especially indoors;<br \/>\n<LI>Keep it small and invite 10 people or fewer;<\/p>\n<li>Meet outside if you can. If it&#8217;s too cold to meet outside, open windows to increase the ventilation;\n<li>Have hand sanitizer available and use good hand hygiene;\n<li>Reduce exposure time to less than an hour instead of multiple hours;\n<li>Have one person handle all the food; and\n<li>Keep six feet apart as the bare minimum of distance. In crowded areas with poor ventilation, the virus can still infect people who are 6 feet apart.<\/ul>\n<p><P>&#8220;Sitting around the table, eating and drinking and talking and laughing, guarantees that the virus will spread if one of the participants has COVID-19,&#8221; Dr. Rupp said. &#8220;You may feel perfectly healthy and still be shedding the virus. You won&#8217;t necessarily know.&#8221;<br \/>\n<P>The choices you make for your holiday celebration have real consequences for the rest of our community. We know people have COVID-19 fatigue. So do we. Continuing to limit how we see family and friends is difficult, but the alternative is so much worse. Vaccine-less herd immunity, or giving up all infection control attempts, would mean millions of cases and deaths from a preventable disease. Please consider the impact of your actions on our health care workers and our community.<br \/>\n<P>&#8220;The folks who are truly deserving of recognition are the nurses, doctors and staff in our COVID-19 units, emergency departments and intensive care units who continue to heroically care for these patients,&#8221; Dr. Rupp said. &#8220;They will continue to do so as long as it is humanly possible, but they are not inexhaustible.&#8221;<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Mark Rupp, MD: &#8216;People can still have a meaningful holiday&#8217; while being safe.<\/p>\n","protected":false},"author":27,"featured_media":69112,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-69457","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","department-college-of-medicine","department-covid-19","department-internal-medicine","department-unmc-today-todays-headlines","author_override-nebraska-medicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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