Breathe Baby Breathe

In my conversation with the Asshole about the transmission of Covid I reiterated that it was an AIRBORNE virus and that Covid had a longer life suspended in air. We are unsure what the time frame was but in the beginning it was presumed 15-30 minutes in a poorly ventilated area. Okay so I decided at that point it was mask on and limit any time indoors when shopping to under 30 minutes. And I washed my hands prior to shopping and again after. I always was produce and any containers for food I always switched out to my own and threw out the provided ones. I might wipe down those I did not but that was the extent of it. I never wiped down mail, packages or anything. Uh by that time it reached me dozens of hands had touched it and DNA transfer alone is an issue so just unpack your shit, toss the boxes and wash your hands again.

But the big issue is the one surrounding ventilation. I was amazed at how few buses had windows open and yes they have the ability to ventilate subway cars and they don’t but the reduced passenger level led to less of an issue and again I just got up and off and move and still do. That said I am not on anyone form longer than 30 minutes in which that is a problem. Right now again we do not know enough about the lingering affect to be comfortable with extensive hanging out unmasked for me so when at the Theater I drink with a straw under my mask, I do what I have to to simply feel safer.

The Asshole in this course of our convo did not seem to grasp it at first and then I breathed on the glass and made a fog, that then becomes a gas that breaks up and circulates in the air. I saw a glimmer of light and then we ended the discussion, as I am not a teacher of science but I do get how we have solids into liquids and vice a versa. Temp change is a key as well in understanding transmission and I am not sure at this point if we have settled the argument that humidity is or is not an affect to Covid’s ability to linger and transmit.

But the real amusing factor is watching the morons in the gym. They are always half dressed and that issue that liquid into solid means that sweat is a gas that becomes something liquid that can drop on a piece of equipment and in turn dry and dissipate into the air and where it can linger. But by having strong ventilation as in opening windows, having a fan with a HEPA filter or some type of more complex equipment can reduce that. And sure enough almost everyone comes in, closes windows and then breathes as if they are climbing Everest while running up and down and touching everything in their path, with uncovered legs and arms dripping sweat. Good times fun times. The minute the gym hits the 3 to 4 person mark and they start closing windows the time clock begins and within 15 mins I am out. I have a mask there that I don for that same period and quickly wipe and move out. Men are the most bizarre but many women of late also seem to think that if they act like an asshole they will find one of their own. I watched a couple with masks arrive yesterday and shut all the windows. Informed and stupid are a wonderful combo.

Below is an article about ventilation and how all this time has passed and so few changes have been made with regards to that subject. It is what I told the Asshole why I won’t eat indoors and and those stupid plexiglass barricades is why I did the demo, it is a spit collector not a protector. He ranted about those but by that time I had tuned out his bullshit as I have zero respect for a Father who doesn’t do right for his own well being or that of his family.

Virus at Once

The benefits of ventilation reach far beyond the coronavirus. What if we stop taking colds and flus for granted, too?By Sarah Zhang

Colorful lines trace air circulating in a person's head.
Shira Inbar

September 7, 2021

Updated at 3:00 p.m. ET on September 7, 2021

When London vanquished cholera in the 19th century, it took not a vaccine, or a drug, but a sewage system. The city’s drinking water was intermingling with human waste, spreading bacteria in one deadly outbreak after another. A new comprehensive network of sewers separated the two. London never experienced a major cholera outbreak after 1866. All that was needed was 318 million bricks, 23 million cubic feet of concrete, and a major reengineering of the urban landscape.

The 19th and early 20th century saw a number of ambitious public-health efforts like this. The United States eliminated yellow fever and malaria, for example, with a combination of pesticides, wide-scale landscape management, and window screens that kept mosquitoes at bay. One by one, the diseases that people accepted as inevitable facts in life—dysentery, typhoid, typhus, to name a few more—became unacceptable in the developing world. But after all this success, after all we’ve done to prevent the spread of disease through water and insects, we seem to have overlooked something. We overlooked air.

This turned out to have devastating consequences for the beginning of the coronavirus pandemic. The original dogma, you might remember, was that the novel coronavirus spread like the flu, through droplets that quickly fell out of the air. We didn’t need ventilation or masks; we needed to wash our hands and disinfect everything we touched. But a year and half of evidence has made clear that the tiny virus-laden particles indeed linger in the air of poorly ventilated areas. It explains why outdoors is safer than in, why a single infected person can super-spread to dozens of others without directly speaking to or touching them. If we are to live with this coronavirus forever—as seems very likely—some scientists are now pushing to reimagine building ventilation and clean up indoor air. We don’t drink contaminated water. Why do we tolerate breathing contaminated air?

It’s not just about COVID-19. The scientists who recognized the threat of airborne coronavirus early did so because they spent years studying evidence that—contrary to conventional wisdom—common respiratory illnesses such as the flu and colds can also spread through the air. We’ve long accepted colds and flus as inevitable facts of life, but are they? Why not redesign the airflow in our buildings to prevent them, too? What’s more, says Raymond Tellier, a microbiologist at McGill University, SARS-CoV-2 is unlikely to be the last airborne pandemic. The same measures that protect us from common viruses might also protect us from the next unknown pathogen.


To understand why pathogens can spread through the air, it helps to understand just how much of it we breathe. “About eight to 10 liters a minute,” says Catherine Noakes, who studies indoor air quality at the University of Leeds, in England. Think four or five big soda bottles per minute, multiply that by the number of people in a room, and you can see how we are constantly breathing in one another’s lung secretions.

The particles emitted when people cough, talk, or breathe come in a range of sizes. We’ve all been unwittingly sprayed by large droplets of saliva from the mouth of an overenthusiastic talker. But smaller particles called aerosols can also form when the vocal cords vibrate to air rushing out from the lungs. And the smallest aerosols come from deep inside the lungs. The process of breathing, says Lidia Morawska, an aerosol scientist at Queensland University of Technology, in Australia, is essentially a process of forcing air through the lungs’ moist passages. She compares it to spraying a nebulizer or perfume bottle, in which liquid—lung secretions, in this case—becomes suspended in exhaled air.

Even before SARS-CoV-2, studies of respiratory viruses like the flu and RSV have noted the potential for spread through fine aerosols. The tiny liquid particles seem to carry the most virus, possibly because they come from deepest in the respiratory tract. They remain suspended longest in the air because of their size. And they can travel deeper into other people’s lungs when breathed in; studies have found that a smaller amount of influenza virus is needed to infect people when inhaled as aerosols rather than sprayed up the nose as droplets. Real-world evidence stretching back decades also has suggested that influenza could spread through the air. In 1977, a single ill passenger transmitted the flu to 72 percent of the people on an Alaska Airlines flight. The plane had been grounded for three hours for repairs and the air-recirculation system had been turned off, so everyone was forced to breathe the same air.

In official public-health guidance, however, the possibility of flu-laden aerosols still barely gets a mention. The CDC and World Health Organization guidelines focus on large droplets that supposedly do not travel beyond six feet or one meter, respectively. (Never mind that scientists who actually study aerosols knew this six-foot rule violated the laws of physics.) The coronavirus should get us to take the airborne spread of flu and colds more seriously too, says Jonathan Samet, a pulmonary physician and epidemiologist at the Colorado School of Public Health. At the very least, it should spur research to establish the relative importance of different routes of transmission. “We had done such limited research before on airborne transmission of common infections,” Samet told me. This just wasn’t seen as a major problem until now.

At the University of Maryland, Donald Milton—one of the few longtime airborne-transmission researchers—is about to embark on a multiyear, controlled trial aimed at understanding influenza. Flu patients and healthy participants will share a room in this study. And they will take different precautions, such as hand-washing plus face shields or having good ventilation, which would presumably stop either droplet or aerosol transmission. The trial is meant to prove which intervention works the best, and thus which transmission route is dominant. When Milton had managed to get funding for a different aerosol study in the 2000s, he said a public-health official told him, “We’re funding you to put the nail in the coffin of the idea that aerosols are important.” Now, Milton says, “We’ll find out which direction the nail is being driven here.”


A virus that lingers in the air is an uncomfortable and inconvenient revelation. Scientists who had pushed the WHO to recognize airborne transmission of COVID-19 last year told me they were baffled by the resistance they encountered, but they could see why their ideas were unwelcome. In those early days when masks were scarce, admitting that a virus was airborne meant admitting that our antivirus measures were not very effective. “We want to feel we’re in control. If something is transmitted through your contaminated hands touching your face, you control that,” Noakes said. “But if something’s transmitted through breathing the same air, that is very, very hard for an individual to manage.”

The WHO took until July 2020 to acknowledge that the coronavirus could spread through aerosols in the air. Even now, Morawska says, many public-health guidelines are stuck in a pre-airborne world. Where she lives in Australia, people are wearing face masks to walk down the street and then taking them off as soon as they sit down at restaurants, which are operating at full capacity. It’s like some kind of medieval ritual, she says, with no regard for how the virus actually spreads. In the restaurants, “there’s no ventilation,” she adds, which she knows because she’s the type of scientist who takes an air-quality meter to the restaurant.

Earlier this year, Morawska and dozens of her colleagues in the fields of building science, public health, and medicine published an editorial in Science calling for a “paradigm shift” around indoor air. Yes, vaccines and masks work against the coronavirus, but these scientists wanted to think bigger and more ambitious—beyond what any single person can do to protect themselves. If buildings are allowing respiratory viruses to spread by air, we should be able to redesign buildings to prevent that. We just have to reimagine how air flows through all the places we work, learn, play, and breathe.

The pandemic has already prompted, in some schools and workplaces, ad hoc fixes for indoor air: portable HEPA filters, disinfecting UV lights, and even just open windows. But these quick fixes amount to a “Band-Aid” in poorly designed or functioning buildings, says William Bahnfleth, an architectural engineer at Penn State University who is also a co-author of the Science editorial. (Tellier, Noakes, and Milton are authors too; the author list is a real who’s who of the field.) Modern buildings have sophisticated ventilation systems to keep their temperatures comfortable and their smells pleasant—why not use these systems to keep indoor air free of viruses too?

Indeed, hospitals and laboratories already have HVAC systems designed to minimize the spread of pathogens. No one I spoke with thought an average school or office building has to be as tightly controlled as a biocontainment facility, but if not, then we need a new and different set of minimum standards. A rule of thumb, Noakes suggested, is at least four to six complete air changes an hour in a room, depending on its size and occupancy. But we also need more detailed studies to understand how specific ventilation levels and strategies will actually reduce disease transmission among people. This research can then guide new indoor air-quality standards from the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE), which are commonly the basis of local building codes. Changing the building codes, Bahnfleth said, is what will actually get buildings to change their ventilation systems.

The challenge ahead is cost. Piping more outdoor air into a building or adding air filters both require more energy and money to run the HVAC system. (Outdoor air needs to be cooled, heated, humidified, or dehumidified based on the system; adding filters is less energy intensive but it could still require more powerful fans to push the air through.) For decades, engineers have focused on making buildings more energy efficient, and it’s “hard to find a lot of professionals who are really pushing indoor air quality,” Bahnfleth said. He has been helping set COVID-19 ventilation guidelines as chair of the ASHRAE Epidemic Task Force. The pushback based on energy usage, he said, was immediate. In addition to energy costs, retrofitting existing buildings might require significant modifications. For example, if you add air filters but your fans aren’t powerful enough, you’re on the hook for replacing the fans too.


The question boils down to: How much disease are we willing to tolerate before we act? When London built its sewage system, its cholera outbreaks were killing thousands of people. What finally spurred Parliament to act was the stench coming off the River Thames during the Great Stink of 1858. At the time, Victorians believed that foul air caused disease, and this was an emergency. (They were wrong about exactly how cholera was spreading from the river—it was through contaminated water—but they had ironically stumbled upon the right solution.)




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Covid for Assholes

 

Covid the most mysterious virus since the last one be that Zika, Ebola, H1N1, SARS, Hep B, Herpes, AIDS, pick one continues to dominate the fear factor of captive Americans thanks to Crazy Dopey Grandpa’s inability to communicate effectively

 As I worked out in the gym this morning ignoring the signs to not open the window I began to workout when a man came in and for 30 minutes grunted and huffed his way through some sweat filled mania workout and another woman came in sat on equipment then texted for most of her 20 minutes in and then washed down the sit up chair she was using went to the bathroom for several more I assume texting and then she also left. At that point I removed my mask finished my run and then wiped down my equipment and shut the windows and turned the air conditioning back on. The most dangerous thing in the room aside from the coughing, huffing asshole was that air conditioner recirculating air. Opening the windows is essential but again this rational thought cannot be accomplished here as no one reads shit all about this, instead they are sure the endless closing of spaces, wiping them down, taking temps and washing hands is the key to prevention. WRONG WRONG WRONG. It is avoiding close contact without masks with anyone for any time frame over 15 minutes or so. I am over going places with people so I have to mask up and cannot walk in the air alone mask off, sitting reading or just enjoying my time being out. I have a two hour train ride on Monday so this should be interesting I suspect I can do my part to avoid to close of contact but we shall see. 

That said I have no changed my behavior at all since the beginning. I wear gloves to the store and throw them out the minute I am out as I cannot touch a lemon, then wash my hands and if I don’t like it then put it back to stares. So with gloves my handling of items seems to be ignored. I could have put them on coughed and wiped my ass with them but who would know that? As for packages and groceries I just handle them as I always do, I do wash my fruit and veg and put them in the proper bags for preservative means, any items in containers the store provides I change out for my own as they again are better measures to preserve the food. And then I wash my hands and slap down a bleach martini! The whole Covid is on a box is hilarious as again we would all be dead by now. And if Covid was transmissible through food prep and handling we would all be dead by now. 

The absurd bullshit down to not touching items in a store and having any item returned sit for 72 hours is laughable. My favorite is the spa that makes you put bags on shoes while you are being serviced. BWHAAAA. The issues again folks is contact and ventilation. Note the Starbucks story or even the hairdresser in St Louis where the only one infected was a co-worker whom she had unmasked contact with while servicing over a 100 clients between the. The key is covering transmission methods and that is down to masks and of course wisdom of monitoring your own behavior. That last one seems to be a problem. I would talk about the best and brightest the college students and their overwhelming need to party down in a pandemic. What a group of fucking assholes. That is America’s future. And they vote. Two things that make me glad to be old. And no I won’t be in a restaurant eating anytime soon. I will sit outside under a heat lamp or light matches. It is again the time indoors and the proximity. So I had my hair done it took over an hour and quarantined for three days after that, and again when I had my hair dyed. Why? Because I cannot trust others to be as responsive. 

So head out to those raves and rub up against someone and see how that works for you. It is why I will not go for a conventional massage despite needing it as being naked in a closed off room scares the shit out of me and frankly will negate the benefits. I will not go to a Yoga class unless they have windows that open. And insist on having windows, air filtration versus cleaning the fucking pen and washing your hands when you arrive. Sorry that is just a panacea to calm you. 

This is why schools are not opening as they cannot maintain that essential critical element of clean circulated air and done so with enough distance between the students, teachers and other staff. Get it? You don’t. Well you are an asshole. 

 

 

 The Most Likely Way You’ll Get Infected With Covid-19 You don’t have to sanitize your apples anymore, but you do have to wear a mask

 Dana G Smith 

This story is part of “Six Months In,” a special weeklong Elemental series reflecting on where we’ve been, what we’ve learned, and what the future holds for the Covid-19 pandemic. 

At the beginning of the pandemic in March, Jeffrey VanWingen, MD, a Michigan family physician, scared the bejeezus out of people and infuriated food scientists. During his 13-minute video, which went viral on YouTube and has been viewed over 26 million times, VanWingen tells people that when they come back from the grocery store, they should leave groceries outside for three days, spray disinfectant onto each product, and soak produce in soapy water. His rationale was that those items might carry the novel coronavirus and could potentially infect people after they come into contact with them. 

 Six months later, we’ve learned a lot about how SARS-CoV-2 spreads, and it turns out most of VanWingen’s tips are largely unnecessary and some are flat-out dangerous (you should never bleach your food, but hopefully you already knew that). Instead of obsessing over objects and surfaces, scientists now say the biggest infection risk comes from inhaling what someone else is exhaling, whether it’s a tiny aerosol or a larger droplet. And while a virus traveling through the air sounds terrifying, the good news is there is a safe, cheap, and effective way to stop the spread: wearing a mask. 

Here are the three primary pathways of transmission, and what experts know about them six months in. Surfaces don’t seem to matter as much as originally thought The surface or fomite theory — that you’ll get infected by coming into contact with objects that carry the virus, called fomites, like door handles, shopping carts, or packages — was the original leading contender because that’s how scientists and epidemiologists think most respiratory diseases are spread. For example, when a person sick with a cold coughs or sneezes, tiny snot and saliva particles that carry the virus go shooting out of their nose and mouth and land on nearby surfaces. If someone else touches that surface and then touches their mouth, nose, or eyes they could become infected with the virus. This is why we’re supposed to wash our hands before eating or preparing food, and after using public transportation, or touching door handles, especially during cold and flu season. “I’m not saying that you can’t get it, that it’s impossible to get it from surfaces, but a very specific set of events have to occur for that to happen.” 

Supporting this idea, an early study published in the New England Journal of Medicine found that SARS-CoV-2 survived on various surfaces for several days, including 24 hours on cardboard and 72 hours on plastic. Public health organizations recommended hand hygiene as the first line of defense against the virus, and there were runs on Lysol wipes and hand sanitizer at supermarkets and drugstores, the supply chains for which still have not recovered. 

The problem, says Emanuel Goldman, PhD, a professor of microbiology and biochemistry at Rutgers University, is that the experiments those recommendations were based on “were the wrong experiments to do” because they were not representative of how people come into contact with the novel coronavirus in the real world. “They started out with a humongous, totally unrealistic amount of virus at the beginning of the experiment, and then, sure enough, they found virus at the end. But they started out with so much more than you would ever encounter in real life,” he says. “You would have to have 100 people coughing and sneezing on one small area of surface to get the amount of virus that was used in the papers that reported the survival of the virus on surfaces.” It turns out that despite the catastrophic harm it’s caused, the novel coronavirus is actually quite fragile, and it doesn’t like being out in the open where it can dry up. 

 According to the NEJM paper, the virus’s half-life is a relatively short six hours, meaning that every six hours 50% of the virus shrivels up and becomes inactive or noninfectious. That means if you start with 100 virus particles, after six hours that number halves to 50 particles; six hours later there are 25 virus particles left, and fewer than 10 virus particles remain after 24 hours. However, if there are huge quantities of virus to start, many more will be left behind after each six-hour window, and it will take longer for all of the virus to disintegrate. Instead of buying another can of Lysol, maybe invest in an air purifier, more comfortable two-ply cloth masks, or even an outdoor fire pit or space heater. “If you start out with a realistic amount, and a realistic amount would be between 10 and 100 virus particles, because that’s what a droplet of a cough or sneeze is likely to have, then your virus is gone in a day,” Goldman says. “Now, I’m not saying that you can’t get it, that it’s impossible to get it from surfaces, but a very specific set of events have to occur for that to happen.”

 Regardless, it’s critical that people keep washing their hands — although that’s something we should all be doing for normal hygiene anyway — but, Goldman says, you don’t have to do anything excessive, like disinfecting your groceries. Close range droplets are the new leading theory In May, the CDC updated its guidelines to state that fomites were not a major source of transmission. Instead, the agency said, the primary route of infection was probably virus-laden droplets — those snot and saliva particles that are at the root of the fomite theory. But instead of worrying about them after they land on surfaces, the bigger concern now is coming into contact with the droplets while they’re still in the air. When you expel air — whether it’s by sneezing, coughing, talking, singing, shouting, or even breathing — tiny bits of saliva, ranging in size from an imperceptible mist to visible spittle, are pushed out. Heavier particles fall to the ground relatively quickly and are categorized as droplets, while the tinier particles stay afloat in the air for longer. When talking and breathing, the typical droplet trajectory is about three to six feet, hence the six-foot distancing recommendation. If the droplets are expelled with more force, like with a sneeze or a cough, they can travel further before hitting the earth. Being in close contact with someone raises the risk that you’ll be exposed to the small droplets they’re expelling, and many scientists now think that’s how most people become infected with the virus. One reason is that a virus inside a freshly exhaled droplet is more likely to be alive and infectious than a virus that’s been sitting on a doorknob for several hours. The other reason is that, in close range, breathing in the air that someone else just breathed out is going to expose you to a higher quantity of virus particles — called the inoculum — than after the droplets disperse and fall to the ground. “It’s not that [surface spread] can’t happen, it’s just that the likelihood is less than if someone was actually right in front of you breathing live virus in their droplets onto you,” says Nahid Bhadelia, MD, an infectious diseases physician and associate professor at the Boston University School of Medicine. “That is a much bigger inoculum, [and] it’s much more likely that there’s a lot more live virus in it, so that’s why it’s a higher risk.” 

As a result, social distancing has become one of the recommended ways to prevent transmission, the idea being that if you stay more than six feet away from someone, you won’t be hit by the majority of their exhaled droplets. Supporting this theory, most people catch the virus from someone they live with and presumably are in frequent close contact with.

 In one study from China, for example, an infected person had a 17.2% chance of spreading the virus to a family member who lived with them, but just a 2.6% chance of giving it to someone outside the home. “I think people have this preconceived notion that if it’s airborne it’s like the measles or like smallpox where it only takes one viral particle to infect you, and this is almost certainly not the case with this coronavirus. Most coronaviruses are probably in the hundreds.” However, there have been several documented instances of infections that don’t fit with droplet or surface spread because they happened even when people maintained their distance. Perhaps the most famous example is the choir rehearsal outside of Seattle, Washington, a superspreader event where 52 out of 61 people were infected during a two-and-half-hour practice. What’s notable about this case is that the singers maintained distance from each other and used plenty of hand sanitizer, per safety guidance at the time. Also, the infected person was presymptomatic, so they weren’t coughing or sneezing and projecting droplets further. Despite all this, one person was still able to infect 52 others. A study conducted in hamsters in a lab (that’s right, it turns out hamsters are the best animals in which to study coronavirus spread) found similar results in a more controlled environment. 

The researchers showed that the animals could infect each other not only through direct contact when they were housed in the same cage, but also when they were separated in different cages in the same room. Based on these studies and other mounting evidence, many scientists began to believe that the virus is transmitted through droplets and aerosols, those tiny mistlike particles that can travel farther through air currents and remain afloat for longer. Aerosol transmission has gradually gained acceptance Despite these observations, some public health experts were initially reluctant to say that the virus is airborne, partly because they didn’t want to alarm the public. There are also debates between epidemiologists, virologists, and aerosol engineers about what the word airborne really means — whether the size of the particles or their behavior (how quickly they fall to the ground, whether they can be carried on a gust of air) matters more, and what questions must be answered before a disease can be defined as such. Part of the resistance to calling Covid-19 airborne is also rooted in history. For centuries, doctors and scientists didn’t know how diseases spread. 

One theory was that infections traveled in invisible clouds called miasmas or “bad air.” It wasn’t until the 1860s that Louis Pasteur’s germ theory of disease began to take hold, cemented in the 1890s with the discovery of viruses. As a result, scientists waged a campaign during the early 20th century to discredit the idea of miasmas and airborne spread with the goal of getting the public to take germs — and personal hygiene — seriously. “That became the paradigm of epidemiology and infectious diseases from 1910 until now,” says Jose Luis Jimenez, PhD, a professor of chemistry at the University of Colorado, Boulder who specializes in aerosols. “For medicine, during all this time, a disease going through the air is extremely difficult. It’s an outlandish proposition.” As a result of this legacy, public health experts initially believed that SARS-CoV-2 couldn’t be spread through the air because the presumption was that virtually no diseases were. There have been a few exceptions made over the years, but those were for viruses that are so contagious they couldn’t conceivably be spread any other way — namely, measles and chickenpox. “For diseases like measles and chickenpox, because they are extremely transmissible, the evidence became too obvious,” Jimenez says. “They’re so transmissible through the air that it just became undeniable, and they were accepted as transmitted through aerosols.” 

As surprising as it may sound, by comparison, the novel coronavirus is not very contagious. Each person who gets infected with SARS-CoV-2 will, on average, spread it to two or three other people. A person with measles will infect 15 others. Jimenez says the WHO initially cited the coronavirus’s relatively low infectious rate as a reason why it couldn’t be spread through the air. “[They] are confusing an artifact of history with a law of nature,” Jimenez says. “They are thinking it is a law of nature that if a disease goes through the air, it has to be extremely contagious.” It wasn’t until a public outcry from over 200 scientists that the WHO finally conceded in July that aerosol transmission was possible. 

So if the novel coronavirus is airborne, why isn’t it as contagious as measles? One reason could be that measles is a heartier virus (remember that SARS-CoV-2 is relatively fragile) and can survive longer in those tiny aerosols. Another potential difference is the infectious dose — the amount of virus required to start an infection. Scientists still don’t know exactly how much of the novel coronavirus is needed to make someone sick, but it’s likely higher than conventional airborne viruses. 

“What’s the infectious dose via the respiratory route is really probably the last piece of this that isn’t completely answered yet,” says Joshua Santarpia, PhD, an associate professor in the department of pathology and microbiology at the University of Nebraska. “I think people have this preconceived notion that if it’s airborne it’s like the measles or like smallpox where it only takes one viral particle to infect you, and this is almost certainly not the case with this coronavirus. Most coronaviruses are probably in the hundreds.” Another question that needed to be answered before many public health experts could accept that SARS-CoV-2 was airborne was whether it could even survive in those smaller aerosol particles. Some viruses can’t because they dry up too quickly without a larger liquid droplet to support them. However, many scientists feel this issue has been put to rest with two recent papers (which have yet to be peer-reviewed) that provide what some have called the “smoking gun” for aerosol transmission: live, replicating virus collected from the air of Covid-19 patient hospital rooms. “Confidently, what you can say is that things that we consider aerosols, not droplets, have both [viral] RNA and [live] virus in them that is capable of replication in cell culture,” says Santarpia, who led one of the studies. “I think that between the two of [our studies], you can say that aerosols are infectious… meaning that probably we’re looking at something that’s airborne.” How to protect yourself from all transmission routes By now, most scientists and public health experts agree that SARS-CoV-2 can be spread by both droplets and aerosols, particularly in close range, although no one knows which is the dominant route of transmission. “I think it’s a false dichotomy to think of this as airborne versus droplet. Most things exist on a range,” Bhadelia says. 

 What matters more is whether people know how to properly protect themselves from the virus. Fortunately, the prevention steps for both transmission routes are largely the same: keep your distance and wear a mask. Evidence of the importance of masks, in particular, has been mounting, not only because they trap outgoing particles from escaping, which protects others, but also because they block larger incoming particles from getting into a person’s airways, protecting the mask wearer themselves. And even if some viral particles do get through, the viral dose will still be much smaller, so the person will be less likely to get seriously ill.  

A clear example of the benefits of masks is a recent outbreak in South Korea, in which one woman at a Starbucks infected 27 other customers — whom officials assume were not wearing masks because they were eating and drinking — but none of the employees, all of whom were masked the entire time. Aerosol transmission does increase the importance of one additional protective step, which is proper ventilation and air filtration. Airflow, either introducing new air into a room or filtering the existing air, can disperse and dilute any infectious aerosol particles, reducing a person’s potential exposure.Being outdoors is the ultimate ventilation, and for months public health officials have recommended that people socialize outside rather than in. However, with winter and colder temperatures coming, indoor air filtration and adherence to masks will become even more important. “The important thing on the public side is air handling, reducing the number of people in enclosed indoor spaces, and wearing a mask,” says Bhadelia. “[Aerosol transmission] explains why indoor settings are so much more important and contribute so much more to new infections than outdoor settings do.” 

  Armed with this knowledge, think about how you can make fall and winter safer, both physically and mentally. Instead of buying another can of Lysol, maybe invest in an air purifier, more comfortable two-ply cloth masks, or even an outdoor fire pit or space heater. Be prepared to meet friends outside in colder temperatures or insist upon masks, even in your home. We’ve still got a long way to go before we can declare victory over the novel coronavirus, but at least we know more now than we did six months ago. And you don’t have to sanitize your apples anymore.

Covid Chronicles Episode 5

We end, begin, whatever another week in the State of the Union of Covid.  We are now deep into the halfway point of the Corona Era which will likely close out around this time next year if we are lucky. And it is luck at this point nothing else as even science has thrown the towel into the wind and found that it flies six feet, sixteen feet or just stays afloat like the Matrix awaiting to land upon its next victim.

We have another miracle cure or not with plasma. Just this last week over coffee with a friend we discussed the whatever happened to Plasma as it was a big issue in New York as the Gay Elite (aka Andy Cohen) who had recovered from Covid cannot donate blood as the law requires gay men to not have sex six months prior to any blood donation. This is a hangover of AIDS and once again proving that Covid is the new AIDS meets Herpes only we are all getting fucked. So Andy this weekend took to Twitter to complain about that despite the fact that the supposed cure was well not and that demon seed is the new drug of choice so spit or swallow folks, at this point what is left. We have run through Hydrochlorine, Bleach, Hand Sanitizer, Blue Light. Now add to the list, HEPA filters, Prayer, leeches and electroshock.

Yes folks the schools, gyms and any other indoor facility are adding HEPA filtration to the HVAC units with some belief it will suck Covid out of the air like a hooker in hell sucks demon seed cock. Well it swallows about 10% and as a woman I say good enough! The blue light cleanings of course are part of hygiene theater as we are fairly certain touching unless immediately after an infected person has sneezed, coughed, sang, talked and wiped their asses or mouths with their hands touch the same doorknob, package, catsup container or has fucked on the desk right before you got there then maybe you can catch it, if you touch, wipe your face, hands and then just act as if it was fine then fuck you are getting that shit. WASH YOUR HANDS folks and when out and about in crowded areas, even outdoors, wear a fucking mask. I carry paper ones know for the walks to toss the second I am inside and the cloth ones for buses, stores and other sites where I can keep distance and wash the second I get home. This weekend I went with the germs, whoops I mean people, to Governor’s Island and when I got home I stripped down so fast and washed all my clothes and took a shower and cleaned my nasal passages with a antibiotic to make sure I was sanitized. The reality of this is we have no reality so you do what you do.

The kids are back in school or not as immediately one college in North Carolina said, see you kids later now get the hell out. I suspect more to follow given what we are seeing in the colleges regarding the behaviors of our best and brightest. If anyone says to me, the future is our children, need to go work with children and realized we are fucked with our without dinner or Covid. I read this in the New York Times and my first thought: I know your parents, the entitled, the liberal and the conservative who are sure they have somehow raised a kid to be responsible and adult. Yeah, that rape problem on campuses the last few years seems quaint in comparison to this. Right here when I read this incident I wondered what this girl was looking for, a date or a case of Covid/Herpes:

On Monday night, he said, he helped a student get back to her room, reminding her that she was supposed to be quarantining. But when he saw her wandering twice more in the next hour as he was posting health signage, he just stood and stared, speechless.

“I hated it,” he said, “but after that first time, my thought was, ‘What are you doing? Why are you out?’ And then, ‘Is your mask on? Am I sufficiently distanced?’ The third time? I just rerouted. I told myself it would be better to just post those rules.”

This is the pandemic police state where we are to stop, scold and bust anyone not following rules or violating protocol. The irony is that few read any of the science let alone the news as in read it, process it and then follow up on it like the issue with plasma when it was first touted three months ago as a potential treatment only now to find out that well its okay. Yet here was Andy Cohen whose best friend is Anderson Cooper but go figure, tweeting hysterically about donating Plasma. Hey but what about the dude on Fire Island who knowingly had Covid and party downed. What happened there? Oh that narrative doesn’t suit. But we have had a wedding that turned into a super spreader event in fact killing one person not even in attendance. So again did she receive a package or a contaminated invitation? No one of the guests came home with a special gift not left behind.

Now the South in its quest to prove that idiocy comes with the territory, literally, continues to be Covid Central. Mississippi once again tops the list which is a change or not if you are looking to where that State stands with regards to anything. It tops the bottom ten for education, voting, income and poverty. Yes it is America’s own third world state. Visit and see for yourself. Drive through the rural parts and it is akin to things I saw in the West Indies. Two places I will never go again as it is simply too heartbreaking as the people are not the problem, the leadership, or lack thereof is. It is the deep South and the racism and classism rule in ways that explain it all. Status and quo go out of its way to meet.

Planning a last minute getaway, go ahead the quarantine rule by the CDC has been lifted. It is supposedly in place here in New Jersey and New York and of course the reality is that it is utterly unenforceable and that there is no contract tracking/tracing in place or if it is it is dysfunctional so again that falls to you to figure out what to do. If anyone believes an “enforcement patrol” is tracking you to your hotel and checking in or requiring the hotel to monitor you, get real.  That is laughable if not pathetic as many are now closing down permanently due to this so the last thing they are going to do is ycall the 311 number on a paying gues. This is more Covid theater and posturing by the Three Stooges of NY and NJ.

 What it means  and always has, is this falls to personal responsibility,  but that is not how we do things here clearly, see the College kids for proof. You can be afraid, very afraid, you can be aware and do your part or you can go fuck it and hit the road. Whatever. I again have a rule: I take care of myself and don’t presume anyone does so I do my best to avoid any situation that could put me at risk and then when I do something like go to Governor’s Island I quarantine for 72 hours to see if I have symptoms as again that is the reality of most viruses… this 14 day window I have never understood as again that would have required tracking, tracing the person’s footsteps to the point of contamination, pin pointing the source and the date this happened. This 14 day thing is just a cover to allow for the testing which “coincidentally” takes what – 14 days. I did the same after the Brooklyn Botanical Gardens and anywhere I go with another person as I have no clue what the deal is with them and I assume they are fine but I am careful. Its really why I hate doing anything with anyone at this point and will again go out of my way to not, see the Wedding for clues on that one.

And once again Europe relies on science to test theories and threw a concert to see what spreads. This I find interesting as in reality we are nowhere near here in America opening any closed theaters for Broadway, Symphony Halls or concert stages anytime soon. The Museums that are opening are doing a hell of job and even the Governor’s Island required timed tickets but the reality is we were crammed in lines and on boats where we could distance but I would never go on a weekend again until wintertime. Sorry but no. It is all about close contact, length of time of contact and one’s own immune system and protections from contraction. Those masks really aren’t cutting it but they do offer some console in the case of going to Museums etc. I am going next week and my goal is to keep moving. Anyone within three feet (as again that goal post has changed so much that it is pointless but I go with that) I move away from. I really should be thinner with all this moving but the booze is a calming agent and well without gyms and instructed exercise it is not the same. That is my second loss of time being able to go to Yoga, the gym, Barre Classes and dance. This is all really boring times ten and talking to others is not an exercise that I am finding useful in the least as most people believe what they choose to believe, not what they actually know which requires time, investigation and research. I was surprised this weekend by companion to the island had never heard of furloughing or what that was, job sharing or that New York is NOT a right to work state as is Tennessee. He seemed certain it was and I pointed to the numerous unions that sway power over the area and that if they are telling you you can be fired without just cause that is an employment agreement but it is not the law and likely would get tossed in court if challenged over a termination. Again few really know shit about much and I spend most of my day after a conversation hearing, “I have learned so much from you.” I miss that FROM KIDS. I NEVER heard that once in Nashville, another city on the skids thanks to Covid.

This economic fallback is about how states and cities budget and their revenue stream. The New York Times and the Wall Street Journal have been covering these issues as they note the migration out of the city and the state now with more companies having work at home orders in place through next year. The reality is that tax revenues that come from property taxes is one source that will be evident next year but the more immediate sources of sales taxes and income taxes are already showing their underbelly. Hence Nashville is finally admitting that they have a deep problem and its bookend, Seattle, will as well. Both cities run on the most regressive tax policies ever and this will destroy their funding for schools and defund the police regardless, without federal intervention and rescue. Yes folks red and blue states are fucked, as I like to say that is Covid, the Herpes and AIDS of the 80s and 90s, we are all getting screwed this time without actual penetration. So much for safe sex. Glove up, Mask up folks. And keep moving.

Here We Go

I am not sure what to say when I read that people have been in Quarantine and never leaving the house, having any type of contact and all food, medicine and product delivered and yet suddenly contracting the disease as if it flew over the fence or was just hovering outside the door waiting like a Vampire to be let in.  Here is an example of why I don’t read Facebook unless to go – WTF?

Here’s a Covid conundrum: my friend’s father died from the virus. In his 70s but no health issues, in shape, no underlying conditions, eat right and exercise vibrant man. His wife got the virus too but very mild symptoms and is still with us. Both had been on 100% lockdown/quarantine in Greenwood Lake, NY and did not venture beyond their house/yard. They did not go grocery shopping (delivery and porch drop-off from their son). They sanitized everything and minded their own beeswax. Yet he got sick and died. She is totally fine.

There is a missing element in that story such as truth and of course the second hand reporting, and while I am supposed to express the “sorry for your loss” stuff I cannot I don’t know the woman, her family and I save my grief for more personal losses and express empathy and sympathy for those I know as it keeps me emotionally grounded. You don’t like it? Tough again I don’t know you. 

So let’s keep with science and fact.

The Science Behind A 14-Day Quarantine After Possible COVID-19 Exposure

April 1, 2020
Laurel Wamsley at NPR headquarters in Washington, D.C.,

To stop the spread of the coronavirus, health officials have a favorite refrain: After being in a city or region where there have been a lot of COVID-19 cases, spend 14 days in quarantine even if you feel perfectly fine — don’t leave your house. Coming from New York? 14-day quarantine. Arriving in Hawaii? 14-day quarantine. Been in Italy or China or Iran recently? 14-day quarantine.

“That’s a long-standing public health practice, and it’s called ‘traveler’s quarantine,’ ” explains Lindsay Wiley, a professor at American University’s Washington College of Law. “Fourteen days is not a made-up number here — it’s based on what we know so far about COVID-19, and it’s possible that over time we’ll see that number change as we learn more [about the virus].”

The 14-day rule is widespread because public health agencies around the world work together on these guidelines. In the U.S., the Centers for Disease Control and Prevention sets the quarantine period, and its counterpart organizations do so abroad, all in concert with the World Health Organization.

If you’re one of the many people who are being asked to quarantine for a fortnight, you might be asking: Why 14 days, exactly?

The answer has to do with how viruses invade cells and replicate.

Once a virus infects someone — a host — it takes some time for the virus to make enough copies of itself that the host begins to shed the virus, through coughs or sneezes, for instance. (That’s the way the host helps the virus spread to other people — who are then new hosts.) This is the virus’ incubation period. For us hosts, it’s generally the time between when we’re first infected and when we start shedding the virus, which may be a little before we start experiencing symptoms.

“The incubation period varies from virus to virus and sometimes from host to host,” says Rachel Graham, a virologist at the University of North Carolina’s Gillings School of Global Public Health.

For the virus that causes COVID-19 — its official name is SARS-CoV-2 — researchers have found that the typical incubation period is about five days. About 97% of the people who get infected and develop symptoms will do so within 11 to 12 days, and about 99% will within 14 days.

Canadian border agents are handing people entering Canada a sheet from the Public Health Agency of Canada that instructs them to self-quarantine for 14 days and monitor themselves for any symptoms that might signal COVID-19.

So that 14-day quarantine is being considered the outside “safety” margin, Graham says, to be certain you haven’t developed an infection that you could spread to others.

With two similar viruses, SARS and MERS, the incubation periods are a little shorter, with most people developing symptoms within 10 days. Those viruses also had a higher proportion of people experiencing more severe symptoms, which made it easier to define the end of the “safety” window.

There’s a big open question with the coronavirus that makes these quarantine recommendations trickier than usual: It’s not yet clear how common it is for people who are infected but not showing symptoms — at least not yet — to shed the virus. That answer has been particularly tough to nail down in the U.S. because testing for COVID-19 is not yet widespread.

An illustration created at the U.S. Centers for Disease Control and Prevention conveys a likeness of the coronavirus that’s behind the current pandemic.

“It’s still a big black box as to how much asymptomatic spread is contributing to the increased number of cases that we’re seeing,” Graham says.

And even if you don’t develop any coronavirus symptoms during the two-week quarantine period, you’re not totally off the hook when it ends, says Saskia Popescu, an infection prevention epidemiologist at the health care system HonorHealth in Phoenix.

It’ll be just as important to continue washing your hands frequently, cover your mouth when you cough, avoid touching your face and wipe down doorknobs and other surfaces frequently touched by many people — to help keep yourself and others healthy.

“If you’re using hand hygiene, [if] you’re still practicing social distancing and all those other infection control measures that are being encouraged right now, you’re going to help break that chain of infection,” she says. “Once you’re past that 14 days, you still want to engage in those practices — it’s not a free-for-all.”

Fourteen days can feel like a long time to be stuck at home feeling fine. But if someone under quarantine starts to develop symptoms — such as coughing or fever — that quarantine period will be longer. If that happens, Graham says, you should check with your health care provider or your local health department about when it is safe to emerge from home.

“They’re probably going to tell you that you’re going to have to start that 14-day count all over again, because right now there’s not an efficient way to tell the difference between the coronavirus and another viral infection that causes similar symptoms without a test,” she says.

“Keep monitoring your symptoms — if they worsen, then you have to take additional steps,” such as seeking medical attention if you develop shortness of breath. Assuming your symptoms are mild enough that you can recover at home, you’ll continue to be in isolation for the duration of your illness and a few days after you feel well. Your doctor will guide you about when and how to seek a confirmatory test.

It’s helpful to understand the rationale behind these quarantine recommendations, says Wiley, because they’re likely to be part of the new American reality for many months to come, as virus hot spots move around the country.

“As we start to get a sense for where community transmission levels are high and where they’re low — in the areas where it’s low, there’s going to be a desire to return to some degree of normalcy,” Wiley says. Those areas will be protective of their low levels of virus and will want to keep newcomers quarantined until it’s safe for them to roam.

Got It, Yet?

The end is not neigh it is nowhere near it and the reality is that many people who seem confused about contagion and viruses and how they spread bought the messaging that self quarantining was the answer to stopping Covid and then in a few months we would be free and clear. And no as that was simply done to curtail it and slow it, stop it no.

Add to this the confusing rambling incoherence and endless conflicting messaging from the get go this did not help in allowing people to understand what Covid is and what they can do to be proactive to not catch, spread or in fact understand if they even had the disease as they were not able to get quickly tested for Covid or any presence of an antibody to tell them they had and were now able to move about freely, not fully immune but likely so with some protective protocol in place to ensure they are safe to be with others.

No, the media, the local Governments, the federal Government and of course social media went off the rails and decided to do a daily lottery announcement where every number announced was a losing one.  And everyday people never heard anything but negativity and with that it spread faster than Covid could have ever wished.  The shut down of the economy further was another issue and that too was exacerbated by a system so antiquated that many found themselves wishing they had Covid as death seemed a better option.

Then we had again likely interference from foreign agents to further inflame and agitate as evident by social media posts and  quick review of commentary pages on boards, message sites and newspaper articles. In the best of times they resemble white noise to sewer waste and given the level of average intellect this is of its own a super spreader.

Lastly the reality is that most of the virus is in fact contained that the irony it is within two sources – health care workers and those deemed essential. The lack of protocol in handling cases, the testing issues, the lack of PPE and of course the actual set up in a hospital to handle these type of highly contagious virus has contributed to much of it being spread further and even become more deadlier as the strain attaches itself to the host and in turn its DNA alters itself to manifest itself in a whole other type of disease or diseases in which to treat.  So you see many simply having lung failure as they collapse from the pressure as Covid seems to literally choke the life out of you, others have blood clotting, heart attacks, their own bodies immune systems go into overdrive and lead to heart attacks, and other numerous if not endless other symptoms and ailments that in some cases fatal others utterly treatable but still long lasting if not permanent damage to the physical body. Covid is a bitch on wheels but again do you hear that in the daily lottery numbers how many actually have the worst case scenario versus those who do not and the average stay in the hospital, the length of time in hospital and of course time from date of the positive test to the day they test negative? Nope you don’t.

Then we have the endless bullshit about testing, the crazy dopey Grandpa and his Igor that either come out with utter bizarro messages and his Igor to say, “No the Master is wrong we will die.”  So it doesn’t help that no rational single message and plan is shared on a regular basis.

I quit listening to the media and instead read carefully every article that has information about the disease and the double check the science journal about the current most recent hysterical screed about  Covid.  Yesterday buried in an article about a CDC report declaring the death total will be triple  in months my first thought that this has Igor’s fingerprints (that is if he wasn’t wearing gloves but careful in contactless delivery) all over it as he is doing his best to reign in Trump.  So by scaring the shit out of everyone he knows that eventually the insiders will corral the CDG and he will retract his most recent crazy. And yep it works.

But lastly the reality is that the reason Covid is still here is because of not only health workers but the essential workers who are running the show here.  We have no way of knowing how many are ill at any time be that municipal workers which I have heard on the down low is quite high among the Police which explains their escalating violence and why many seem to not follow the protocols and are just wandering around without masks beating the shit out of people as well that is some kind of contact and I sure as hell wouldn’t do it unless I wanted to catch it or in turn had it already or well knew I did and thought fuck this I want to be a super spreader.

And right now we have a shitload of people who have Covid and it is called Thinkihadititis.  And these idiots are now running around without any confirmation or ability to find out it is true and they could be very much asymptomatic carriers as we don’t know anything about the bodies ability to hold onto the virus and in turn how long it remains to shed.  We assume 14 days but then again without clear bold testing fuck all on that. And again that means you have three days you are fine, day three the cough or some other symptom arrives, it is Covid? Until you are tested fuck if you know. Then you have up until a week waiting for results.  So now it Day 10 and you feel better. Are you? Then the test comes back, no you do not have Covid, but did you also get tested for the flu?  And even if you did test NEG are you? As do we know if they are false positives and then you go out and well two out of every four you meet and greet you may expose as you did not go back to get a “second opinion” as I like to call it to ensure that you are fine.  There are numerous labs and they can all have cross contamination issues, poor testing agents or administers of said test that affect results.   And that is your week two right there in Quarantine.  Who the fuck is doing that?  And again you get sick try to get tested and numerous calling, failing to get it and by day four (the average for the record of Covid) you feel better so you don’t follow up just to see if in fact you are better and the virus is there just like Herpes waiting to shed itself to the next victim.  So out you go and for the next 10 days you are super spreader just like the whore Herpes love.  Again understand Herpes and that virus you get the drift.

This brings me to the issue with children who had all kinds of shit this fall from minor stomach flu like problems to major Asthma attacks and mysterious other ailments they are now finding.  It also mayshow they may be carriers, and in turn that window from exposure to actual symptoms may be longer than the believed 72 hours which it seems to take with regards to normal viruses.  And Covid is not normal in any stretch of the imagination but and this is big but.. it is a blood borne virus and that much is true.  It is not airborne like Measles or Whooping Cough.  But its pass rate is just in that same classification as it is more than one to one as in the case of the flu (Again for the mathematically challenged it means in a family of four three of you are tagged “it.”)  And again in that 72 hours that is a long three days in which contact and spread can be serious hence the lockdown now entering month three.

And those are again the contactless workers, the delivery agents, the grocery shoppers, the retail clerks, the phone call center agents, the transit workers, the people who are largely invisible from the Amazon primers, the pickers at Sephora or some retailer just trying to survive the second wave as in bankruptcy,  to the meat packers.   Or the Farmers, their distributors and the rest that have led to much food destruction and waste as the supply chain is fucked up.   Add to that the larger scale truckers, the many municipal workers who are not just “Front liners” but the road repair, street cleaners, meter maids and assorted others who cannot work remotely. And that is a large cohort scared shitless and yet are happy to have aa job.  Read their hysterical paranoid screeds on social media telling people to stay home to not buy makeup and candy and nothing not essential.  Ask my Doormen about the endless packages that include Gap sweats and their frustration at trying to deliver and organize the chaos that makes Christmas seem like a low key day.  There is your spread. And that means the Covid ain’t leaving us anytime soon.

If People Are Staying Home, Why Is Coronavirus Still Spreading?
People Magazine

Two months in to near-nationwide stay-at-home orders, Americans are ready to get back to their pre-pandemic lives. Those who are non-essential workers (and followed the rules) have been at home all day, every day, save for trips to the grocery store or for socially distant walks. And yet, the number of new cases of COVID-19 in the U.S. continues to go up each day, by about 2 to 4 percent.

While the number of new cases is decreasing in hard-hit areas like New York, Michigan and New Jersey, or small states like Hawaii, which is down to around just 1 new case a day, the numbers are spiking upwards in nearly half of the country, from Illinois to Texas to New Hampshire to Alabama.

There isn’t one single reason for the increases, but several, based on the way the U.S. shut down (or didn’t), the current push to reopen and the nature of the virus itself.

Essential Workers

While many Americans are able to stay home, essential workers are still heading in each day, to hospitals, nursing homes, supermarkets and factories — all places where they can come in contact with people with COVID-19.

Nursing homes, in particular, are dealing with large outbreaks of the virus. At least 10,000 deaths in the U.S. have been linked to nursing homes, where the older residents are highly susceptible to COVID-19, and workers are often surrounded by sick patients. One nursing home in New Jersey was so overwhelmed by the number of patient deaths that police found 17 bodies stacked in the facility’s morgue.

In the Midwest, several meat processing factories are dealing with large outbreaks among their workers that only began in the last few weeks. At a Tyson Foods meat factory in Perry, Iowa, 58 percent of the workers have tested positive for COVID-19, NBC News reported. Tyson, and several Smithfield meat factories, have had to temporarily close or slow down production as workers have gotten sick, leading to meat shortages nationwide.

Additionally, many of these essential workers are making minimum wage and can’t afford to stay home and quarantine, even if they get COVID-19.

“They are afraid of losing their jobs,” J. Luis Nunez Gallegos, an assistant medical director at a health center in Washington, D.C., told The Washington Post. “They are anxious their employers won’t respect the quarantine, or that two weeks seems too long, and they don’t always have the savings to get by.”

And as these essential workers continue to go to work, they also risk bringing COVID-19 home to their families and spreading the virus further.

The Push to Reopen

Now, with the economy struggling, many governors are starting to slowly lift stay-at-home orders in their states and allow non-essential businesses, such as hair salons, retail stores and gyms, to reopen. This is happening despite warnings from health experts like Dr. Anthony Fauci who warn that reopening too soon could cause another spike in cases, and polls showing that most Americans are against easing restrictions.

Video: Should you wear a face mask for an outdoor run during the pandemic? (Courtesy: Shape)

Several states that have begun to reopen are now seeing an increase in COVID-19 cases, The New York Times reported. Indiana, Kansas and Nebraska all eased restrictions on Monday despite spiking numbers, along with Iowa, Minnesota, Tennessee and Texas.

And while the White House was able to announce in mid-April that the projected number of deaths had decreased from 100,000 to 60,000 by the end of August, those estimates have now gone back up, and deaths are estimated to hit 100,000 by June. As of Wednesday morning, more than 71,000 people have died.

The Virus Persists

Another issue is the messaging — when social distancing was first emphasized in mid-March as a way to “flatten the curve” and limit the spread of COVID-19, it wasn’t a way to eliminate the virus completely, as people may have believed.

What social distancing actually does is slow down virus transmission to a level that is manageable for hospital workers and enables them to have enough hospital beds, masks and equipment to properly treat COVID-19 patients.

While the virus will eventually slow down in areas that are adhering to social distancing and other safety precautions, “there will be some places where it’s still circulating, so it never really leaves,” Dr. Robert Norton, a professor of public health at Auburn University and member of several

Unfortunately, the virus will likely continue to persist until a vaccine is ready, in about 12 to 18 months at the earliest.