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<div class="moz-forward-container">Here is advice on staying healthy
through the holidays despite COVID (and also RSV and the flu) from
epidemiologist Katelyn Jetelina. As usual, her summary is clearly
written and is practical.--Manny<br>
<div class="moz-forward-container"> <br>
<pre class="moz-signature" cols="72">"Fight for the things that you care about, but do it
in a way that will lead others to join you."
― Ruth Bader Ginsburg </pre>
<div class="moz-forward-container"><br>
<br>
-------- Forwarded Message --------
<table class="moz-email-headers-table" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Subject:
</th>
<td>Thinking through the holidays this year</td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Date:
</th>
<td>Thu, 3 Nov 2022 11:34:21 +0000</td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">From:
</th>
<td>Katelyn Jetelina from Your Local Epidemiologist <a
class="moz-txt-link-rfc2396E"
href="mailto:yourlocalepidemiologist@substack.com"
moz-do-not-send="true"><yourlocalepidemiologist@substack.com></a></td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">Reply-To:
</th>
<td>Katelyn Jetelina from Your Local Epidemiologist <a
class="moz-txt-link-rfc2396E"
href="mailto:reply+1cta03&a13t&&9d1b58b878591a2866f98891504799d2dd6c89ab17511712c8981b1c63824513@mg1.substack.com"
moz-do-not-send="true"><reply+1cta03&a13t&&9d1b58b878591a2866f98891504799d2dd6c89ab17511712c8981b1c63824513@mg1.substack.com></a></td>
</tr>
<tr>
<th valign="BASELINE" nowrap="nowrap" align="RIGHT">To:
</th>
<td><a class="moz-txt-link-abbreviated"
href="mailto:manny@ratafias.com"
moz-do-not-send="true">manny@ratafias.com</a></td>
</tr>
</tbody>
</table>
<br>
<br>
<title>Thinking through the holidays this year</title>
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!important;margin-bottom:0 !important;margin-right:0
!important;margin-left:0 !important;padding-top:0
!important;padding-bottom:0 !important;padding-right:0
!important;padding-left:0 !important;"
moz-do-not-send="true" width="1" height="1" border="0">
<div
style="display:none;font-size:1px;color:#333333;line-height:1px;max-height:0px;max-width:0px;opacity:0;overflow:hidden;"
class="preview">It’s been a while since I’ve shared my own
chronicles of navigating this pandemic. I dread doing so,
because I receive so much hate after. But it’s getting
harder and harder to ignore the questions as we navigate the
“choose your own adventure” phase of the pandemic. We are
all just trying to figure this out as we go. And,
unfortunately, the “normal” viruses are back, too.
</div>
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width="100%" cellspacing="0" cellpadding="0" border="0">
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<tr>
<td><br>
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</td>
<td><br>
</td>
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<div style="font-size: 16px; line-height: 26px;
margin: 0 auto; max-width: 550px; overflow-wrap:
break-word; width: 100%;">
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cellspacing="0" cellpadding="0" border="0">
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cellspacing="0" cellpadding="0" border="0">
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<td style="vertical-align: middle;"><span
class="tw-font-body tw-text-ssm
tw-text-substack-secondary"
style="color: #808080 !important;
font-family: SF Pro Text,
-apple-system, BlinkMacSystemFont,
Inter, Segoe UI, Roboto,
Helvetica, Arial, sans-serif,
Apple Color Emoji, Segoe UI Emoji,
Segoe UI Symbol !important;
font-size: 13px !important;"><a
href="https://open.substack.com/pub/yourlocalepidemiologist/p/thinking-through-the-holidays-this?utm_source=email&redirect=app-store"
class="tw-text-substack-secondary tw-underline"
style="-webkit-text-decoration-line:
underline !important; color:
#808080 !important;
text-decoration-line: underline
!important;"
moz-do-not-send="true">Open in
app</a> or <a
href="https://substack.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.cNgOEdjlG6sjH0T7YfunV_ZgnRz_RynBrFRHYsfImaw?"
class="tw-text-substack-secondary tw-underline"
style="-webkit-text-decoration-line:
underline !important; color:
#808080 !important;
text-decoration-line: underline
!important;"
moz-do-not-send="true">online</a></span></td>
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</tr>
</tbody>
</table>
<table role="presentation" class="header
graphic-header" style="border-spacing: 0; padding:
16px 0 32px;" width="auto">
<tbody>
<tr>
<td style="padding: 0; text-align: center;"
align="center"><a
href="https://substack.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.cNgOEdjlG6sjH0T7YfunV_ZgnRz_RynBrFRHYsfImaw?"
moz-do-not-send="true"><img
role="presentation"
src="https://substackcdn.com/image/fetch/w_1100,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fbucketeer-e05bbc84-baa3-437e-9518-adb32be77984.s3.amazonaws.com%2Fpublic%2Fimages%2F523ac601-a63a-4d07-906e-bc4e7bfbb83a_2200x440.png"
class="header-image" style="border: none
!important; display: block; height:
auto; margin: 0 auto; max-width: 550px;
vertical-align: middle; width: 100%;"
moz-do-not-send="true" width="550"
height="110"></a></td>
</tr>
</tbody>
</table>
<div class="typography" style="font-size: 16px;
line-height: 26px;">
<div class="preamble" style="font-size: 16px;
line-height: 26px; margin-top: 16px;">
<div dir="auto" class="body markup"
style="font-size: 16px; line-height: 26px;
margin-bottom: 16px; text-align: initial;
width: 100%; word-break: break-word;">
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;
margin-bottom: 0; margin-top: 0;"><em><span>Si
quiere leer la versión en español,
pulse </span><a
href="https://substack.com/redirect/564572cf-1e88-4b5f-9ca3-777c3757de99?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">aquí</a><span>.</span></em></p>
</div>
<hr style="background: #e0e0e0; border: none;
height: 1px; margin: 16px 0 0; padding: 0;"></div>
</div>
<div dir="auto" class="post typography"
style="font-size: 16px; line-height: 26px;
padding: 16px 0 0 0;">
<div class="post-header" style="font-size: 16px;
line-height: 26px;">
<h1 class="post-title published"
style="-moz-osx-font-smoothing: antialiased;
-webkit-font-smoothing: antialiased; color:
#404040; font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 32px; font-weight: bold;
line-height: 36px; margin: 0;"><a
href="https://substack.com/app-link/post?publication_id=281219&post_id=81987555&utm_source=post-email-title&isFreemail=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjgxOTg3NTU1LCJpYXQiOjE2Njc0NzUyODYsImV4cCI6MTY3MDA2NzI4NiwiaXNzIjoicHViLTI4MTIxOSIsInN1YiI6InBvc3QtcmVhY3Rpb24ifQ.q5Y-chu0RiA_IBHr8uJK3bo_6n3HUzg2nBGhhZwoSz0"
style="color: #404040; text-decoration:
none;" moz-do-not-send="true">Thinking
through the holidays this year</a></h1>
<table role="presentation" class="post-meta"
style="align-items: center; height: 20px;
margin: 1em 0;" width="100%" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td>
<table role="presentation" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
middle;">
<div
class="frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__size-12--2onFT
frontend-pencraft-Text-module__line-height-20--1soeQ
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frontend-pencraft-Text-module__color-primary--2I-sF
frontend-pencraft-Text-module__meta--3RRSj"
style="color: #404040;
font-family: 'SF
Compact Text', 'SF Pro
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BlinkMacSystemFont,
'Inter', 'Segoe UI',
Roboto, Helvetica,
Arial, sans-serif,
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'Segoe UI Emoji',
'Segoe UI Symbol';
font-size: 12px;
font-weight: 500;
letter-spacing: 0.2px;
line-height: 20px;
margin: 0;
text-decoration:
unset; text-transform:
uppercase;"><a
href="https://substack.com/redirect/99f1f1f3-67cb-4d6b-beb5-68ed2c91636e?r=a13t"
style="color:
#404040;
font-family: 'SF
Compact Text', 'SF
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'Inter', 'Segoe UI',
Roboto, Helvetica,
Arial, sans-serif,
'Apple Color Emoji',
'Segoe UI Emoji',
'Segoe UI Symbol';
font-size: 12px;
font-weight: 500;
letter-spacing:
0.2px; line-height:
20px; margin: 0;
text-decoration:
none;
text-transform:
uppercase;"
class="frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__size-12--2onFT
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frontend-pencraft-Text-module__weight-medium--aTbx5
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frontend-pencraft-Text-module__color-primary--2I-sF
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moz-do-not-send="true">Katelyn Jetelina</a></div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>
<table role="presentation"
width="auto" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="vertical-align:
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<div
class="frontend-pencraft-Text-module__reset--20JLV
frontend-pencraft-Text-module__size-12--2onFT
frontend-pencraft-Text-module__line-height-20--1soeQ
frontend-pencraft-Text-module__weight-medium--aTbx5
frontend-pencraft-Text-module__font-meta--2i-cR
frontend-pencraft-Text-module__color-secondary--XjVGl
frontend-pencraft-Text-module__meta--3RRSj"
style="color: #808080;
font-family: 'SF
Compact Text', 'SF Pro
Text', -apple-system,
BlinkMacSystemFont,
'Inter', 'Segoe UI',
Roboto, Helvetica,
Arial, sans-serif,
'Apple Color Emoji',
'Segoe UI Emoji',
'Segoe UI Symbol';
font-size: 12px;
font-weight: 500;
letter-spacing: 0.2px;
line-height: 20px;
margin: 0;
text-decoration:
unset; text-transform:
uppercase;"><time
datetime="2022-11-03T11:34:25.914Z">Nov
3</time></div>
</td>
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</table>
</td>
</tr>
</tbody>
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<table role="presentation" width="auto"
cellspacing="0" cellpadding="0"
border="0">
<tbody>
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<td style="vertical-align:
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moz-do-not-send="true"><img
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class="frontend-email-system-basics-module__avatar--1sRIo"
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<table
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<table
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<table
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<td align="center"><a
href="https://substack.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.Wx4_FwVY64cNGrWCE1HCzQ_Gn60BlkmsotN1Zr4xy5g?"
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<td align="center"><a
href="https://open.substack.com/pub/yourlocalepidemiologist/p/thinking-through-the-holidays-this?utm_source=email-ufi&play_audio=true&token=eyJ1c2VyX2lkIjo0Njc5OTMsInBvc3RfaWQiOjgxOTg3NTU1LCJpYXQiOjE2Njc0NzUyODYsImV4cCI6MTY3MDA2NzI4NiwiaXNzIjoicHViLTI4MTIxOSIsInN1YiI6InBvc3QtcmVhY3Rpb24ifQ.q5Y-chu0RiA_IBHr8uJK3bo_6n3HUzg2nBGhhZwoSz0"
class="email-button-outline" style="border: 1px solid #e0e0e0;
border-radius:
100000px;
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#808080;
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inline-block;
font-family:
'SF Pro Text',
-apple-system,
ui-sans-serif,
BlinkMacSystemFont, 'Segoe UI', Roboto, Helvetica, Arial, sans-serif,
'Apple Color
Emoji', 'Segoe
UI Emoji',
'Segoe UI
Symbol';
font-size:
12px;
font-weight:
500;
line-height:
12px; padding:
9px 14px;
text-decoration:
none;
text-transform:
uppercase;"
moz-do-not-send="true"><span
class="email-button-text" style="vertical-align: middle;">▷ Listen</span></a></td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr height="16">
<td style="font-size: 0px; line-height:
0;" height="16"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div dir="auto" class="post typography"
style="font-size: 16px; line-height: 26px;
padding: 16px 0 0 0;">
<div dir="auto" class="body markup"
style="font-size: 16px; line-height: 26px;
margin-bottom: 16px; text-align: initial; width:
100%; word-break: break-word;">
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;
margin-top: 0;">It’s been a while since I’ve
shared my own chronicles of navigating this
pandemic. I dread doing so, because I receive
so much hate after. But it’s getting harder
and harder to ignore the questions as we
navigate the “choose your own adventure” phase
of the pandemic. We are all just trying to
figure this out as we go. And, unfortunately,
the “normal” viruses are back, too. </p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">This
is what my little family is doing this holiday
season to stay healthy and enjoy time with our
loved ones. I hope it’s useful.</p>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="1080" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/f4579d03-fa71-4c32-baab-eedb8307f349?r=a13t"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
auto; margin: 0; padding: 0;
position: relative;
text-decoration: none; width:
auto;" moz-do-not-send="true"><img
data-attrs="{"src":"https://images.unsplash.com/photo-1576867757603-05b134ebc379?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=MnwzMDAzMzh8MHwxfHNlYXJjaHwzfHx0aGFua3NnaXZpbmd8ZW58MHx8fHwxNjY3MzE2OTYy&ixlib=rb-4.0.3&q=80&w=1080","fullscreen":null,"imageSize":null,"height":720,"width":1080,"resizeWidth":null,"bytes":null,"alt":null,"title":null,"type":"image/jpg","href":null,"belowTheFold":false,"internalRedirect":null}"
alt="" class="wide-image"
src="https://images.unsplash.com/photo-1576867757603-05b134ebc379?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=MnwzMDAzMzh8MHwxfHNlYXJjaHwzfHx0aGFua3NnaXZpbmd8ZW58MHx8fHwxNjY3MzE2OTYy&ixlib=rb-4.0.3&q=80&w=1080"
style="-ms-interpolation-mode:
bicubic; border: none
!important; display: block;
height: auto; margin: 0 auto;
margin-bottom: 0; max-width:
100% !important; vertical-align:
middle; width: auto !important;"
moz-do-not-send="true"
width="550"
height="366.6666666666667"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
<figcaption class="image-caption"
style="color: #808080; font-size: 14px;
font-weight: 400; letter-spacing: -0.15px;
line-height: 20px; margin-top: 8px;
padding-left: 15%; padding-right: 15%;
text-align: center; width: 70%;"><span>Photo
by </span><a
href="https://substack.com/redirect/82c9bd79-6f3c-40c0-a9be-54bdc00c513c?r=a13t"
rel="" style="text-decoration:
underline;" moz-do-not-send="true">Spencer
Davis</a><span> on </span><a
href="https://substack.com/redirect/52e4ba70-177b-4812-85fd-caf26d07a125?r=a13t"
rel="" style="text-decoration:
underline;" moz-do-not-send="true">Unsplash</a></figcaption></figure>
</div>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing: antialiased;
-webkit-font-smoothing: antialiased; color:
#404040; font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 1.125em; font-weight:
bold; line-height: 1.16em; margin: 1em 0
0.625em 0; position: relative;">Goal 1:
Protect the vulnerable</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>There
are still</span><a
href="https://substack.com/redirect/c455a9d3-10c1-4046-a5a6-f01e96eb923e?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true"> ~2,600 Americans
dying </a><span>each week from COVID-19.
The vast majority are </span><a
href="https://substack.com/redirect/23837bc1-1713-4f4b-b1b5-4c6e77673a80?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">older and vaccinated</a><span>
(but not up to date). As an epidemiologist,
I refuse to accept this as the “new normal.”
So my professional bias influences my
priorities: Ensure the vulnerable around us
(like grandparents) do not end up in the
hospital with COVID-19 (or flu or RSV). This
means we are going to do everything in our
power to </span><strong>break transmission
chains</strong><span> before gathering for
the holidays. This includes…</span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">At
least three weeks before event:</p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><span>Ensure everyone
is up-to-date on their flu shot and fall
booster (especially the older adults).
The fall booster rate is currently </span><a
href="https://substack.com/redirect/435ca131-2442-456a-a5ed-31f8602f1496?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">7.3%</a><span> (</span><a
href="https://substack.com/redirect/435ca131-2442-456a-a5ed-31f8602f1496?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">20% </a><span>for
those aged 65+). </span></p>
</li>
</ul>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">One
week prior to the event:</p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>Wear an
N95 mask. </strong></em><span>In
public. Everywhere I go. This will help
ensure we don’t bring COVID-19 (or flu)
to Thanksgiving dinner. It will also
help make sure I don’t miss the event
because I’m sick. Don’t rely on </span><a
href="https://substack.com/redirect/50a59cd3-e230-4543-b2f5-c8b4a03420f3?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">case levels</a><span>
to influence masking decisions; at this
point, they don’t accurately reflect
transmission.</span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0 0 20px 0; margin-bottom:
0; padding-left: 4px;"><em><strong>Cadence
testing. </strong></em><span>Use
COVID19 at-home antigen tests two days
before seeing grandparents and the
morning of. Test everyone. Including my
toddlers who scream when I approach
their nose.</span></p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><span>For people
who have the virus and are </span><em>asymptomatic</em><span>,
the average antigen test will catch</span><a
href="https://substack.com/redirect/9d394dc1-aa3d-45c1-8119-575f1fc4d409?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true"> 44%</a><span>
to</span><a
href="https://substack.com/redirect/6d0408c7-9a46-4060-8db6-f2dc475cb90d?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true"> 70%</a><span>
of cases. This isn’t perfect, so we
don’t rely solely on this layer. </span><em>But
</em><span>it sometimes works. </span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>If I’m
positive a few days before the
event.</strong><span> </span></em><span>We
see strong evidence (</span><a
href="https://substack.com/redirect/0c447f4f-64d8-47c5-97a2-a97788699841?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">here</a><span>,
</span><a
href="https://substack.com/redirect/6be3cde6-f57a-4140-b548-df33823df3e9?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">here</a><span>)
that an Omicron infection lasts, on
average, 8-10 days. Some people will
be infectious for less, and some
will be infectious for more. You
won’t know unless you test. Antigen
tests are very good at telling us
when we’re not infectious anymore
(very few false positives). If I get
a negative after a positive, then I
would trust that I’m not contagious
anymore and go to the event. With
Paxlovid, we are seeing </span><a
href="https://substack.com/redirect/89cc297f-88da-402b-890a-208250259b16?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">rebounding</a><span>.
So for anyone who tests negative
after Paxlovid, I would continue to
test for another couple of days. If
you turn positive again, assume
you’re infectious until you turn
negative again.</span></p>
</li>
</ul>
</li>
</ul>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">Day of
the event:</p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>Ventilation
and filtration</strong></em><span> are
</span><a
href="https://substack.com/redirect/3902da57-5377-4037-9eb2-fe74b13333ed?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">powerful tools</a><span>.
This is especially important in the
middle of winter when people head
indoors. You can use a CO2 monitor if
you want to take safety at your family
event to the next level.</span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>If we have
symptoms</strong></em><strong>, stay
home. </strong><span>This is lonely
during the holidays, but the best thing
to do. When symptoms are present,
COVID-19 antigen tests are great at
detecting highly infectious people: the
average antigen test will catch </span><a
href="https://substack.com/redirect/940ce4bd-35ba-406e-a010-f5d9630862c2?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">78</a><a
href="https://substack.com/redirect/6d0408c7-9a46-4060-8db6-f2dc475cb90d?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">%</a><span> to </span><a
href="https://substack.com/redirect/6d0408c7-9a46-4060-8db6-f2dc475cb90d?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">97%</a><span> of
cases in the first week of symptoms.
False negatives are more common at the
beginning of infection, especially with
Omicron. If you have symptoms and test
negative, it’s a good idea to re-test in
24-48 hours. But, because flu and RSV
levels are high right now, there’s a
good chance it could be something other
than COVID-19, too. Just stay home. </span></p>
</li>
</ul>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">After
the event:</p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;">If an older adult gets
infected, make sure they know about
Paxlovid and get it within 5 days of
symptoms, even just the sniffles. </p>
</li>
</ul>
<div class="captioned-image-container-static"
style="font-size: 16px; line-height: 26px;
margin: 32px auto;">
<figure style="margin: 0 auto; width: 100%;">
<table class="image-wrapper"
style="mso-padding-alt: 1em 0 1.6em;"
width="100%" cellspacing="0"
cellpadding="0" border="0">
<tbody>
<tr>
<td style="text-align: center;"><br>
</td>
<td class="content" style="text-align:
center;" width="1080" align="left"><a
class="image-link" target="_blank"
href="https://substack.com/redirect/08d5ccc6-5093-46f9-ac33-76ec7c3d0d97?r=a13t"
rel="" style="align-items: center;
border: none; display: block;
flex-direction: column; height:
auto; margin: 0; padding: 0;
position: relative;
text-decoration: none; width:
auto;" moz-do-not-send="true"><img
data-attrs="{"src":"https://images.unsplash.com/photo-1567067974934-75a3e4534c14?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=MnwzMDAzMzh8MHwxfHNlYXJjaHw2fHxncmFuZHBhcmVudHN8ZW58MHx8fHwxNjY3NDAxMjIw&ixlib=rb-4.0.3&q=80&w=1080","fullscreen":null,"imageSize":null,"height":720,"width":1080,"resizeWidth":null,"bytes":null,"alt":"man
wearing maroon, white, and blue
stripe long-sleeved shirt
lifting up baby wearing gray
onesie","title":null,"type":"image/jpg","href":null,"belowTheFold":true,"internalRedirect":null}"
alt="man wearing maroon, white,
and blue stripe long-sleeved
shirt lifting up baby wearing
gray onesie" title="man wearing
maroon, white, and blue stripe
long-sleeved shirt lifting up
baby wearing gray onesie"
class="wide-image"
src="https://images.unsplash.com/photo-1567067974934-75a3e4534c14?crop=entropy&cs=tinysrgb&fit=max&fm=jpg&ixid=MnwzMDAzMzh8MHwxfHNlYXJjaHw2fHxncmFuZHBhcmVudHN8ZW58MHx8fHwxNjY3NDAxMjIw&ixlib=rb-4.0.3&q=80&w=1080"
style="-ms-interpolation-mode:
bicubic; border: none
!important; display: block;
height: auto; margin: 0 auto;
margin-bottom: 0; max-width:
100% !important; vertical-align:
middle; width: auto !important;"
moz-do-not-send="true"
width="550"
height="366.6666666666667"></a></td>
<td style="text-align: center;"><br>
</td>
</tr>
</tbody>
</table>
<figcaption class="image-caption"
style="color: #808080; font-size: 14px;
font-weight: 400; letter-spacing: -0.15px;
line-height: 20px; margin-top: 8px;
padding-left: 15%; padding-right: 15%;
text-align: center; width: 70%;"><span>Photo
by </span><a
href="https://substack.com/redirect/bea965f2-028a-49e0-a0f9-329c06011936?r=a13t"
rel="" style="text-decoration:
underline;" moz-do-not-send="true">Johnny
Cohen</a><span> on </span><a
href="https://substack.com/redirect/52e4ba70-177b-4812-85fd-caf26d07a125?r=a13t"
rel="" style="text-decoration:
underline;" moz-do-not-send="true">Unsplash</a></figcaption></figure>
</div>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing: antialiased;
-webkit-font-smoothing: antialiased; color:
#404040; font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 1.125em; font-weight:
bold; line-height: 1.16em; margin: 1em 0
0.625em 0; position: relative;">Goal 2: Limit
disruptions</h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>We
are trying as much as possible to prevent
disruptions in our lives due to sickness. We
want to go on our trip. We want to go to
holiday parties. We want to help the </span><a
href="https://substack.com/redirect/8a8a5e2e-33ad-4e47-a9e0-45b048195dd9?r=a13t"
rel="" style="color: #0068ef;
text-decoration: none;"
moz-do-not-send="true">crowded and broken
healthcare systems</a><span> right now.</span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">This
means we are all up to date on vaccines. </p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">This
also means wearing masks. (Yes, still.) I wear
one probably 40% of the time when I go to
Target, but if there’s an event we’re really
looking forward to, I wear it religiously (I
usually dial up about four days before the
event). This also means wearing a mask while
traveling for work so I can come home, not get
sick, and spend time with my girls.</p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>Having
two little ones and avoiding sickness gets
harder and harder because they are in
childcare. This is just a reality that I
have to accept: they may bring something
home. I’m going to do all </span><em><strong>I</strong></em><span>
can to not bring it home. I know parents of
older kids struggle what to do because there
are competing realities: masks help reduce
the odds of disruption (including missed
school). But peer pressure is real, and they
probably don’t wear them when you’re not
around, anyways. </span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">We are
booking our holiday travel. With boosters,
there is very little SARS-CoV-2 could do in
the next couple months to cancel our trip. (A
severe mutations may be an exception.) I know
people travel with COVID-19 and sickness.
Staying home is the least I can do to help
someone else’s grandparents. We are prepared
to cancel flights if we get sick. Make this an
expectation with travel this winter. </p>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing: antialiased;
-webkit-font-smoothing: antialiased; color:
#404040; font-family: 'SF Compact Display',
-apple-system, BlinkMacSystemFont, 'Segoe UI',
Roboto, Helvetica, Arial, sans-serif, 'Apple
Color Emoji', 'Segoe UI Emoji', 'Segoe UI
Symbol'; font-size: 1.125em; font-weight:
bold; line-height: 1.16em; margin: 1em 0
0.625em 0; position: relative;">Other
considerations </h4>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">I’m a
healthy young adult who has been incredibly
lucky. I recognize not everyone has similar
situations. If you…</p>
<ul style="margin-top: 0; padding: 0;">
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>Are the
vulnerable person, like an older
grandparent:</strong></em><span> The
pandemic is not over for you. And I’m
sorry. I would consider wearing a mask
throughout winter. This will help with
COVID, the flu, and (we think) RSV. If
everyone who attends Thanksgiving dinner
embraces Goal #1 above, the risk to you
is very low.</span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>Have a
child under 6 months:</strong></em><span>
The pandemic is not over for you either.
And RSV and flu should be concerning,
too. The biggest advice I have for you
is not to let people kiss or hold your
baby. They’ll live. </span></p>
</li>
<li style="margin: 8px 0 0 32px;
mso-special-format: bullet;">
<p style="box-sizing: border-box; color:
#404040; font-size: 16px; line-height:
26px; margin: 0; margin-bottom: 0;
padding-left: 4px;"><em><strong>Have
limited means: </strong></em><span>One
tragic reality is that tools are being
stripped away from people who can’t
afford to pay for them. Free antigen
tests are gone. Free masks are gone.
Vaccines are still free, but many places
are asking for proof of insurance.
Cancelling flights can be super
expensive. I recognize taking all of the
steps above involves privilege. Instead,
choose one or two precautions. It will
help. </span></p>
</li>
</ul>
<h4 class="header-with-anchor-widget"
style="-moz-osx-font-smoothing: antialiased;
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<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;"><span>Yes,
we are still in a pandemic. Yes, the “normal
viruses” are back. We can enjoy the holidays
this year while staying healthy: get
vaccinated, mask (at </span><em>least</em><span>
leading up to the event), ventilate, test
and stay home when you’re sick. This seems
like a lot— especially when it looks like
the greater public isn’t doing anything— but
it really isn’t. It’s still worth navigating
this petri dish to ensure our loved ones are
protected. </span></p>
<p style="color: #404040; font-size: 16px;
line-height: 26px; margin: 0 0 20px 0;">Love,
YLE</p>
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<table style="border-top: 1px solid #D3D4DE;">
<tbody>
<tr>
<td style="width: 55px; padding-top: 13px;"><a
href="http://www.avg.com/email-signature?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=emailclient"
target="_blank" moz-do-not-send="true"><img
src="https://s-install.avcdn.net/ipm/preview/icons/icon-envelope-tick-green-avg-v1.png"
alt="" style="width: 46px; height: 29px;"
moz-do-not-send="true" width="46" height="29"></a></td>
<td style="width: 470px; padding-top: 12px; color:
#41424e; font-size: 13px; font-family: Arial,
Helvetica, sans-serif; line-height: 18px;">Virus-free.<a
href="http://www.avg.com/email-signature?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=emailclient"
target="_blank" style="color: #4453ea;"
moz-do-not-send="true">www.avg.com</a></td>
</tr>
</tbody>
</table>
<a href="#DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2" width="1"
height="1" moz-do-not-send="true"> </a></div>
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