(Don’t get) COVID for the holidays

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.

A photograph of a sidewalk display in NYC. Approximately 20 mannequin heads wear a variety of colors of KN95 masks, amidst ball caps and other items for sale. Handwritten signs adorn the table saying things like "On sale KN 95. 1 for $3, 2 for $5."
Photo by Sam Stone. Manhattan, New York, on 6th Avenue somewhere between 20th and 17th Street, 2020. https://hdl.loc.gov/loc.pnp/ppbd.01588

the politics of COVID information

The pandemic isn’t over. Why is it so hard to find accurate information about it?

This week, Nassau County, New York, passed a mask ban. Those wearing face masks will now face the possibility of up to a year in jail or a $1,000 fine. Angry at the power of anti-genocide protests, lawmakers banned one of the most basic forms of disease protection just as the world is experiencing a record surge in COVID cases. While officials insist that the law will not be used against those masking for medical reasons, disabled activists protesting the move say they were intentionally coughed on during the city council meeting where the bill was passed.

In a world of airborne contagious diseases, everyone has a medical reason for masking. So why doesn’t our public health policy recognize that?

In 2020, at the height of the first wave of the COVID-19 pandemic, then-President Donald Trump was excoriated for saying that “when you test, you create more cases.” This statement was met with outcry by journalists and public health professionals and pundits from all major outlets.


Read my most recent article here. In it you will also find a list of places you can stay more informed about COVID, critical during this record-breaking surge.

The response to this article has been tremendous. I was especially honored to be a guest on one of my favorite podcasts, Death Panel, to talk about the piece. If you’re not a paid subscriber, you can check out a preview of the first 20 minutes of the episode here.

Finally, I want to officially announce my name change to October! This has been a long process for me since letting go of the past is not always easy, but I am excited to have a name that better reflects who I am in this part of my life. If you have known me a long time, please feel free to continue calling me Meg, but I will gradually be removing Meg and Meghan from my byline and business information, and may change my email address eventually too.

Sars-CoV-2 Remains a Social Justice Issue (+ some good recent resources)

For a lot of people, the world is now post-pandemic. The more than 2,400 people who died in the US from covid last week apparently did not get that memo. Data worldwide is much harder to measure but a low estimate of total deaths so far is 6.8 million people. Those are the numbers when we speak of death. But Sars-CoV-2, it has become abundantly clear, is also a mass disabling event.

I try really hard not to be a bitter person. In my interactions with other people and in my writing, I do my utmost to move from a place of love and solidarity. But there is also always rage, too. I am deeply angry at the situation we are in, that has been unfolding for the last three years, particularly within the US: the “let it rip” approach from institutions and elites. There is no attempt to keep the greatest number of people healthy and alive. Instead, it seems, we are being subjected to an attempt to desensitize the greatest number of people to the conditions of others. We are being actively socialized away—more viciously than before–from caring about our mutual and collective well-being.

And, if I am honest, on most days, I struggle seriously with the extent to which this socialization has been effective on many people I know.

Let me be clear: the Biden administration policies, the CDC policies, are not “guided by the science.” Many, many of the decisions that have been made in the last two years since Biden took office were not as a result of any changed or new scientific finding and this is clear from the statements made. An example: the reasoning for limiting and changing quarantine and isolation policies did not occur because of a new finding or understanding of the disease; it was driven by market-based reasoning not to keep people home when they were actively sick and making others sick because too many industries were short-staffed (another way to approach this problem could have been rethinking our systems so that we can function without literally pressing people into service, but you know, to each their own I guess!). In turn, the changing of these policies and the messaging around them has made it nearly impossible for anyone to do the right thing, because employers and schools everywhere are always “following CDC guidelines.”

It is a fact that it is better for everyone when there is less virus in the air. This is especially true when the virus is one that can kill and permanently disable. Covid, and doing what we can to prevent its spread, is an issue of disability justice, of racial justice, and of solidarity with the working class.

I have more to say about all of this than I think I could possibly write or that anyone might sit down and read. The main thing I want to say is that even though we are all being actively failed and sacrificed by these institutions, that does not mean it is time to give up and go along. There are always ways to do more or less harm, and there are always ways to win things back once they have been lost. It is worth trying to keep the truth straight even when we are being gaslit, because things get worse when you give totally in to the gaslighting. I know that it is hard. I know that it is exhausting, and I know that the world is not making this easy. But: don’t give up. Everything you do to fight this death-making machine matters.

Below I am sharing some resources on how to work with people to create covid protocols, what kinds of covid protocols you might want or need, processing your feelings or the larger impact to our interactions, and just learning more about covid. I want to add that if you are organizing an event of any kind, it is extremely helpful to state upfront what mitigations you do or do not expect. I realized recently that despite vaccination and booster shots, I go to fewer things than I did in 2020 because now it is so much rarer for people to be clear on the flyer/social media post about whether or not they are requiring masks, have a good ventilation system, or are even thinking about covid.

A pink and blue stencil-type graphic that says, in block letters, "Test! Test! Test! Ppe! Keep the Workers Virus Free." There are drawings of a mask, a glove, test tubes, a vest, a stethoscope, a cart, a broom, and a covid virus with a line through it.
Poster by Propagate Collective, and found at Justseeds.