Cases are rising, the upper New England states all have state-wide face-mask mandates in place and some restrictions on travel, indoor gatherings, etc. Here’s a reminder of stuff you may have forgotten or never realized to help you stay safe:
What we’re dealing with, and how to think about it:
Covid travels most in invisible respiratory droplets which we expel from nose and mouth from breathing, talking, singing, coughing, sneezing, hiccupping, throat-clearing, burping, laughing, shouting, etc. The harder and louder any of those things happen, the farther you expel droplets, the more droplets you expel, and the longer they’re apt to hang in the air, landing on anything and anyone below them. Think of them as being like the fall mists we get – you walk out, it looks clear, but you realize, in a moment or two, that you’re actually feeling a little wet. You won’t feel the respiratory droplets unless you’re in the direct line of a cough or sneeze – too gross to think about – but they’re there, anyway. You never know when you’re walking through them, you never know when they’ve landed on you, and you never know how many have landed.
Consequently, you must assume that you’re getting covered with droplets every time you’re in a place where someone’s not wearing a mask, where someone wasn’t wearing a mask even 20 minutes or longer ago, or where someone’s mask has failed to contain their droplets (see Facemasks, below). They’re landing on and clinging to your head, your face, your clothing, your purse, etc. If there’s good ventilation, and not too many people in the area, there will be fewer droplets; if there are more people, or no or poor ventilation, there will be more droplets. Time spent + density of droplets + adequacy of ventilation = likelihood of catching the virus.
Facemasks:
Ø Are not all created equal. If you’re using a cloth one, make sure it’s made of at least 2, preferably 3 layers, of tight-woven cloth
Ø The ear loops tend to stretch (especially in cloth masks) and no longer keep the mask up properly. When this happens, don’t keep fiddling with it – replace it with a fresh mask, then wash your hands or sanitize immediately after putting the mask you removed in the trash or in your pocket.
Ø You can’t wear the same one indefinitely. If it’s cloth, wash regularly – this means you need to own at least 7 facemasks; if it’s paper, throw it out and replace it regularly. Regularly means every day or two or oftener, depending on where you’ve gone in it, and how skilled you are at safely storing it for a second wearing. For example: When you leave the hospital after having an appointment with whomever, dump it immediately you’re out of the building. Ditto if you’ve foolishly gone to a gathering. If you’re in a relatively controlled space, for a reasonably short period of time, you may be able to wear it a second time if handled appropriately (see below). If this isn’t a necessity, use a fresh one every day.
Ø If it gets wet, it is no longer protective. It doesn’t matter if it’s wet from the inside from your breath, sneezing into it, or coughing into it, or wet from the outside from precipitation. As soon as it’s wet, replace it, and dump the paper ones, put the cloth ones in the wash. Always have a clean extra mask with you in an easily accessible place.
Ø The proper way to put on a face mask and change a face mask: 1. Wash hands. If you’re where there’s no sink, sanitize hands carefully and properly. 2. Do not touch the inside of the facemask. Place the loops over your ears, then adjust over face and mouth. Make sure you pinch the metal part of paper masks to fit tightly over nose so the mask doesn’t ride up. 3. Wash your hands again, or sanitize if no sink is available. If you’re replacing a mask: 1.Take the old one off and either immediately put it in the trash or if cloth, fold it inside out and place it in a pocket or purse or, preferably, into a plastic baggie you’re carrying with you for this purpose. DO NOT place it on a surface to deal with later. 2. Without touching the inside of the new mask, put it on as described above. 3. Wash or sanitize your hands before adjusting the new mask.
Ø How to handle a used mask: Assume the part that was against your face is the cleanest part; the loops are next cleanest. If you’re trying to save the mask to wear another day, without touching the inside, fold the mask in half inside against inside; then slip it into a clean paper bag for storing. DO NOT put it on your kitchen counter, or dining room table, or anywhere else you don’t want contaminated. When you put it back on, clean hands first, do not touch the inside, and wash or sanitize hands as soon as you’ve adjusted the mask. If you’re wearing cloth masks and it’s not obvious what is the inside and what is the outside, make sure you’ve marked the inside with magic marker so it’s obvious.
Ø Store freshly-washed cloth masks in a plastic baggie.
Ø When you get home and have removed your mask, carefully wash your hands and face. Your face is also covered with whatever you walked through. Do this immediately.
Hands:
v Using hand sanitizer is not as safe as carefully washing hands. Whenever you have a choice, wash your hands, carefully, front and back, between fingers, wrists, for long enough (birthday song, remember?). If you’re where you can use one, use a nail brush also. Don’t share hand towels.
v Using hand sanitizer correctly: put a glob on, rub it thoroughly over front and back of hands, between fingers. DO NOT touch anything until the hand sanitizer has dried – if you do, you’ve just spoiled the process. Sanitizer has to stay on hands until dry – they’re alcohol, it only takes a few seconds. Don’t rush it.
v Thoroughly clean/disinfect your hand sanitizer bottle often, including the one you carry with you.
v Alcohol dries the skin, as does the dry winter air, as does frequent hand washing. Especially now, you also need to regularly use hand moisturizer. As your skin dries out, very small cracks will form in the skin, many invisible – these leave the deeper layers of your tissue open to invasion by bacteria, viruses, etc. Keep your hands moisturized.
The Six-Foot Thing:
Keeping a distance of 6 feet is just an estimate. If you’re around people not wearing masks, I’d keep a lot more distance than that – like, leaving, immediately!
The first thing to remember is that masks are not perfectly protective. They have gaps; they’re only 3 layers of protection unless you’re wearing an N-95 mask, which is fitted to you and many layers deep; and so you have to remember that there’s always a chance enough virus will penetrate to infect you, especially if your immune system isn’t at its best, which you probably won’t know until it’s too late.
The second thing to remember is that your hands are almost certainly not perfectly clean – you’ve touched too many things for them to be, including your face when you weren’t paying attention. You’ve transported whatever is lingering on your hands to your face innumberable times, and the closer you are to someone who’s talking, shouting, etc , the more virus you’ve transported upwards.
The six-foot distancing is a guesstimate. We know the virus will travel that far during normal conversation; we know it will travel up to 20 feet or more if there’s singing, shouting, explosive laughter, etc. You be the judge of what’s safe. If you’re outdoors, which way’s the breeze moving? If you’re inside or outside and there are lots of people around, leave more space. Be sensible and judgmental and don’t let anyone shame you into being less careful than you’re comfortable being!
Clothes/Shoes:
§ The soles of your shoes are covered with whatever you’ve walked through. Take them off at your door, put on indoor shoes, don’t track who-knows-what through your house. Pretend they’re covered with snow, it’ll make it easier.
§ Your clothes are also covered with whatever you walked through. It’s a good idea to change those, too, and put the ones you wore out into the hamper. Depending on where you’ve been, you should absolutely do this. Yup, more laundry.
Keep your lungs open, your spirits high:
Find things that make you laugh. Go outdoors and sing in your back yard. Dance on your deck. Cuddle a cat or dog. Invent an imaginary fantasy world where you’re the Architect, and spend some time in it every day inhabiting it with new creatures, incredible flowers, interesting foods, oceans and caves and castles and cottages. Use it as a refuge and an entertainment. Don’t make it like reality – make it your place, for your entertainment and relaxation. Have fun in it!
Stay safe and healthy!