Archive | March 2020

Social Distancing Will Only Work If We See Our Family As a Single Individual Unit

Just sharing a post I received which will remind us again how Social Distancing is critical in this fight against the virus.  Please read through this Important Letter (below) from Jonathan Smith, an Epidemiologist at Yale University to all of us.

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Dear everyone. 

As an infectious disease epidemiologist, at this point feel morally obligated to provide some information on what we are seeing from a transmission dynamic perspective and how they apply to the social distancing measures.

Like any good scientist, I have noticed two things that are either not articulated or not present in the “literature” of social media.

Specifically, I want to make two aspects of these measures very clear and unambiguous.

First, we are in the very infancy of this epidemic’s trajectory. That means even with these measures we will see cases and deaths continue to rise globally, nationally, and in our own communities in the coming weeks.

Our hospitals will be overwhelmed, and people will die that didn’t have to.

This may lead some people to think that the social distancing measures are not working.

They are.

They may feel futile.

They aren’t.

You will feel discouraged.

You should.

This is normal in chaos. But, this is also normal epidemic trajectory.

Stay calm.

This enemy that we are facing is very good at what it does; we are not failing. We need everyone to hold the line as the epidemic inevitably gets worse.

This is not my opinion; this is the unforgiving math of epidemics for which I and my colleagues have dedicated our lives to understanding with great nuance, and this disease is no exception.

We know what will happen; I want to help the community brace for this impact.

Stay strong and with solidarity knowing with absolute certainty that what you are doing is saving lives, even as people begin getting sick and dying.

You may feel like giving in.

Don’t.

Second, although social distancing measures have been (at least temporarily) well-received, there is an obvious-but-overlooked phenomenon when considering groups (i.e. families) in transmission dynamics.

While social distancing decreases contact with members of society, it, of course, increases your contacts with group (i.e. family) members. This small and obvious fact has surprisingly profound implications on disease transmission dynamics.

Study after study demonstrates that even if there is only a little bit of connection between groups (i.e. social dinners, playdates/playgrounds, etc.), the epidemic trajectory isn’t much different than if there was no measure in place. The same underlying fundamentals of disease transmission apply, and the result is that the community is left with all of the social and economic disruption but very little public health benefit.

You should perceive your entire family to function as a single individual unit; if one person puts themselves at risk, everyone in the unit is at risk.

Seemingly small social chains get large and complex with alarming speed.

If your son visits his girlfriend, and you later sneak over for coffee with a neighbor, your neighbor is now connected to the infected office worker that your son’s girlfriend’s mother shook hands with.

This sounds silly, it’s not.

This is not a joke or a hypothetical.

We as epidemiologists see it borne out in the data time and time again and no one listens.

Conversely, any break in that chain breaks disease transmission along that chain.

In contrast to hand-washing and other personal measures, social distancing measures are not about individuals, they are about societies working in unison.

These measures also take a long time to see the results.

It is hard (even for me) to conceptualize how ‘one quick little get together’ can undermine the entire framework of a public health intervention, but it does.

I promise you it does.

I promise. I promise. I promise.

You can’t cheat it.  People are already itching to cheat on the social distancing precautions just a “little”- a playdate, a haircut, or picking up a needless item at the store, etc.

From a transmission dynamics standpoint, this very quickly recreates a highly connected social network that undermines all of the work the community has done so far.

Until we get a viable vaccine this unprecedented outbreak will not be overcome in a grand, sweeping gesture, rather only by the collection of individual choices our community makes in the coming months.

This virus is unforgiving to unwise choices.

My goal in writing this is to prevent communities from getting ‘sucker-punched’ by what the epidemiological community knows will happen in the coming weeks.

It will be easy to be drawn to the idea that what we are doing isn’t working and become paralyzed by fear, or to ‘cheat’ a little bit in the coming weeks.

By knowing what to expect, and knowing the importance of maintaining these measures, my hope is to encourage continued community spirit, strategizing, and action to persevere in this time of uncertainty.

Jonathan Smith

Epidemiologist,

Yale University

House Rules

With the virus affecting almost every part of the world, I would like to share some of the things we do around our home to maintain our well-being and health, which hopefully you can practice at home too.

  • Keep your fingernails short everyone!  Rarely do we clean out what’s under our nails even if we do a thorough hand wash so it’s best to have short nails, and eliminate the hassle of worrying if the nails are clean too. 
  • Change to your house clothes when you get home.  It’s a rule in our house that…. Clothes we’ve worn outside are not worn in the house, especially pants. 
  • Wash your hands immediately after arriving home, before handling any objects inside your house.  You set down your groceries (if you’ve been shopping), wash your hands, clear up your groceries, and wash your hands again.  
  • It’s obvious that the foods we bring home have been handled at least once and we don’t know how many have touched it, so what we can do is just minimize handling them. And make sure the people preparing and cooking the food washes their hands regularly while doing so. 
  • Drink a glass or even half a glass of warm lemon juice in the morning before eating breakfast or drinking anything else.  A practice I encourage my family to do as part of their daily routine.  In the last few years, there’s always a jug of lemon juice (nothing added just lemon and water) on our kitchen counter.  
  • Personally, I prefer to wash my hands more often even if it’s drying, as opposed to using a hand sanitizer as I feel the gel in them creates a stickier surface for germs/dust to cling to.  So WASH YOUR HANDS Often! 

With this virus circulating around our community, let us all do our part by not taking unnecessary trips outside our home, avoiding crowds and limiting our face to face contact with others outside our family. Stay home when you’re sick.  If you’re feeling lonesome… Chat on the phone, Facebook, Skype or Viber, technology has made it easier to connect with families and friends now.  No reason we can’t do our part for the greater good. 

Stay safe and stay healthy everyone….