Tag Archives: indoors

UCSF’s Dr. Bob Wachter not ready to ditch his mask or dine indoors

As the pandemic wears on and many people become complacent, Dr. Bob Wachter, UCSF chair of medicine, says he still plans to abstain from indoor dining, and don a mask in crowded rooms.

In a lengthy tweet thread Saturday, Wachter said he’ll return to restaurants only when daily case rates fall below 5 for every 100,000 people in the region. That’s a significant drop from the national rate of 28 cases for every 100,000 people, and even from the more moderate daily case rate in San Francisco, of 19 per 100,000.

“Clearly, many will find my threshold too conservative, others too risky,” tweeted the doctor, who has cultivated a huge social media following since the onset of COVID-19, offering prodigious, data-driven threads about the disease. His posts mix public education with personal stories and opinions: Recently, Wachter compared unmasking to reckless driving.

San Francisco dropped its mask mandates months ago, but the doctor’s string of tweets Saturday said he considered many factors before setting the yardstick for his own unmasking. Chief among them: immune status, which is better for people who are boosted and particularly those boosted recently, or those who have also had COVID. He also took the virus’ contagiousness into account — and said BA.5, which surged this summer, is “the most infectious variant yet.”

Wachter estimates a 5% to 10% chance of getting COVID from moderate exposure to an infected person, say, sitting nearby on an airplane.

Drawing on UCSF’s asymptomatic test positivity rate of 2.9% — or one person testing positive in every 35 people who have no symptoms — Wachter concluded that, in a group of 10 people, at least one will have COVID, 25% of the time.

“That’s too high for me to feel comfy ditching the mask,” Wachter said.

But he ended on a hopeful note. Future variants of COVID are unlikely to be more infectious than BA.5, and “bivalent” COVID vaccine boosters will arrive this fall.

Rachel Swan is a San Francisco Chronicle staff writer. Email: rswan@sfchronicle.com Twitter: @rachelswan

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Las Vegas area health agency urges mask-wearing indoors

LAS VEGAS >> With COVID-19 cases rising again, the public health agency for metro Las Vegas is advising a return to wearing masks in public, indoor settings.

The Southern Nevada Health District said in a news release Friday that Clark County is at a “high community level” of the virus.

The Centers for Disease Control and Prevention gave Clark County the designation based on recent rates of hospital admissions and bed occupancies for COVID-19.

Dr. Fermin Leguen, chief medical officer for the district, strongly urged residents to consider using masks as a preventative measure with another surge happening. They should also make sure they are up to date on COVID-19 vaccines.

To help slow the virus’ spread, the health district this week also launched two vending machines carrying self-test kits. One machine is at the Regional Transportation Commission’s Bonneville Transit Center. The other is in the lobby of the emergency department at Mesa View Regional Hospital.

A third vending machine is planned.



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Masks urged indoors in Lehigh and Northampton counties with ‘high’ COVID level

Lehigh and Northampton counties are experiencing “high” community levels of COVID-19, the U.S. Centers for Disease Control and Prevention says, based on calculations released Thursday.

That means the CDC recommends:

  • Wear a mask indoors in public.
  • Stay up to date with COVID-19 vaccines.
  • Get tested if you have symptoms.
  • Additional precautions may be needed for people at high risk for severe illness.

The Lehigh Valley counties are among eight of 67 Pennsylvania counties seeing the highest level of community coronavirus activity, according to the CDC.

In Lehigh County, the CDC reports a case rate of 206.6 per 100,000 people, while in Northampton County the rate was calculated as 247.31 cases per 100,000 people.

In New Jersey, Warren and Hunterdon counties are considered in the medium-risk category, while nine of 21 counties are ranked “high,” according to the CDC.

Miller-Keystone Blood Center on Friday announced that effective Monday, May 16, masks will be required to be worn indoors for all donors and staff at its donor centers and blood drives.

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Kurt Bresswein may be reached at kbresswein@lehighvalleylive.com.

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Bay Area health officers recommend masking indoors; region has highest infection rate in California

Twelve Bay Area health officers on Friday recommended that people wear masks indoors amidst a new swell of COVID cases and hospitalizations.

The Bay Area now has California’s highest COVID infection rates fueled by omicron subvariants, according to a joint news release. 

Although not required, masking is strongly recommended by the California Department of Public Health for most public indoor settings.

San Francisco is reporting more than 60 people are hospitalized with COVID-19, the biggest uptick in the Bay Area. Dr. Monica Gandhi, an infectious disease doctor and professor of medicine at UCSF, said it’s a manageable caseload for hospitals.

“At this point there’s so much immunity that we’re seeing cases, but they’re mostly mild, and essentially our hospitalizations are still staying low,” Gandhi said.

The Bay Area health officials said that wearing higher-quality masks, such as N95, KN95 or snug-fitting surgical masks, indoors is a wise choice that will help people protect their health. 

“If you’ve chosen not to wear a mask in indoor public places recently, now is a good time to start again,” said Santa Clara County Deputy Health Officer Dr. George Han said in a statement. “Highly contagious subvariants are spreading here. If you add layers of protection like a high-quality mask, it reduces risk to you and the chance you’ll infect others.”

By recommending, rather than requiring masks, health officials are leaving up to each person to determine their own risk. Some already are, when it comes to dining out.

At Piperade, a French Basque restaurant on Battery Street in San Francisco, Gerald Hirigoyen, the owner, said more people are opting to dine outdoors in recent weeks, and thinks the uptick in COVID-19 cases may be impacting their choice. 

Fortunately, his fully-vaccinated staff has remained healthy throughout this recent surge in cases. Masks are optional, depending on employee preference.

“So far it [COVID-19 cases surging] doesn’t translate to the business yet,” Hirigoyen said. “It’s a day by day, we’re going to have to see what’s happening.”   

Health officials also said that people should get vaccinated. In San Francisco, for example, 84% of eligible residents are vaccinated. 

The advisory was sent out by the counties of Alameda, Contra Costa, Marin, Monterey, Napa, San Benito, San Francisco, San Mateo, Santa Clara, Santa Cruz, and Sonoma as well as the city of Berkeley.

The grim milestone of 1 million deaths from COVID in the United States underscores the need for continued vigilance against the virus.

The joint statement from health officers also encouraged the public to ask their doctors about antiviral medications, like Paxlovid, for people with a higher risk for severe illness. It’s an option for some that can help shorten their course of symptoms if they test positive.

MORE: Dr. Sara Cody’s message: Keep your mask handy, wear indoors in crowded spaces as virus once again surges

Rudi Miller, who graduated from Berkeley Law School on Friday, was grateful that a recent surge in COVID-19 infections among her classmates last month had largely dissipated in time for graduation. 

“I think the school officials handled it really well, and the numbers dropped significantly by the time graduation rolled around,” Miller said.

She’s planning to move to San Francisco shortly, and also plans to wear a mask most of the time.

“I feel comfortable continuing to mask,” Miller said, “because I think it’s the best way to combat COVID.”

KTVU’s Emma Goss contributed to this report.

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State Department of Health recommends Long Islanders wear masks indoors as COVID-19 transmission rate climbs

The New York state Department of Health is now recommending Long Islanders wear masks indoors again.

The news come as both Nassau and Suffolk counties were classified as high-risk communities for COVID transmission.

The Centers for Diseases Control and Prevention elevated Long Island to its highest risk level as COVID-19 cases have steadily risen in both Nassau and Suffolk counties due to the Omicron variant.

Health officials add that the COVID spike on Long Island has been fueled by the end of mask mandates in crowded indoor buildings and other factors.

“Our primary vaccination rates on Long Island aren’t great. We’ve not done particularly well with boosters,” says Dr. David Battinelli, of Northwell Health. “Long Island is a very densely populated place. So you take a highly dense population with a highly infectious disease and you’re going to have spread.”

Health experts say the numbers are likely even higher because people are doing at-home testing.

On Wednesday, the COVID-19 positivity rate on Long Island was 10.5%. One month ago, it was 5.2% and two months ago it was 1.6%. The numbers have been steadily increasing.

The CDC mask recommendation is not mandatory, but encouraged. Its recommendation is also for all Long Islanders, regardless of vaccination status.

Josephine Martino, 92 of Smithtown, is one resident who is not happy with the recommendation.

“I’m living my life,” Martino says. “I do what I want, and nobody can tell me what to do.”

Other Long Islanders say they have never stopped wearing their masks.

The CDC says people with medical conditions that put them at higher risk for COVID-19 should take further precautions, which includes avoiding crowded indoor spaces.

The CDC looks at different things to determine risk levels including the number of COVID-19 cases, hospitalizations and staff levels at hospitals.

The state Health Department’s guidance includes staying home if you’re not feeling well, getting tested following possible exposure and getting vaccinated or boosted.

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People in ‘high-risk’ New York counties should wear masks indoors in public settings, Health Department says

NASSAU COUNTY, Long Island (WABC) — The New York State Health Department is recommending that people in high-risk counties wear masks in all indoor public settings, regardless of their vaccination status.

According to the CDC, Nassau, Suffolk, Westchester, Putnam, Orange, Dutchess, Sullivan, and Ulster counties are now considered high risk.

Most of New York City is listed at medium risk; the Bronx is considered low risk.

In addition to high-risk counties, health officials say everyone with compromised immune systems should stay masked while inside in public settings.

“These public health measures, as well as ensuring proper air ventilation when gathering, will help reduce COVID-19 transmission in communities and lower the risk of serious illness and hospitalization for individuals. We will continue to work with local partners and make every tool at our disposal widely available to New Yorkers, as we move forward through the pandemic,” said State Health Commissioner Dr. Mary T. Bassett in a statement.

Nassau County Executive Bruce Blakeman says the county will not change any polices.

“We encourage everybody to go about their life normally,” he said.

Blakeman says his decision is based on hospitalizations and ICU admissions — unline the state, which counts cases and deaths as well.

“If those numbers spiked to a level that was dangerous, then, of course, we would look for guidance from our health comissioner and we would follow appropriate protocols. But right now, we’re not anywhere near a crisis situation,” Blakeman added.

Some residents of Nassau County say they have moved on, despite the risks.

“I’m on the railroad every day, we wear masks — we’re cautious. But at the same time, I think we’ve had enough at this point and need to move on,” said Blaine Capobianco.

Others don’t understand the reluctance.

“You know, if it worked before, let’s do what worked before,” said an unamed Nassau County resident.

While New York State has a mask recommendation, Blakeman says he would not rule out a mask order in Nassau County, but insists his own data does not come close to supporting that.

Some residents told us they’ve moved on, despite the risks.

ALSO READ | Bronx DA urges credit card companies to cut ties with ghost gun sellers

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Masks recommended indoors in 9 N.J. counties with ‘high’ COVID risk, CDC says

Masks are now recommended for indoor public places and on public transportation in nine New Jersey counties for the first time since federal COVID-19 risk guidelines were updated in February.

The U.S. Centers for Disease Control and Prevention elevated the nine counties in the state to “high” transmission risk for COVID-19 as cases continue to steadily increase. New Jersey reported 5,309 confirmed positive tests on Friday, the first time more than 5,000 cases have been reported since late January during the winter omicron wave.

The counties ranked as “high” risk include Atlantic, Burlington, Camden, Cape May, Gloucester, Monmouth, Morris, Ocean and Sussex, according to the CDC’s metrics.

Eleven counties are in the medium risk category: Bergen, Essex, Hudson, Hunterdon, Mercer, Middlesex, Passaic, Salem, Somerset, Union, and Warren. Warren County is in the low risk category. Masks are not recommended in the medium and low regions.

Gov. Phil Murphy ended remaining statewide mask mandates for schools and public transit in March as the omicron wave eased. He said as recently as last month that he doesn’t envision a return to statewide mask rules or other restrictions.

Murphy’s office did not immediately respond Friday afternoon to a request for comment on nine counties being elevated to high transmission risk.

The CDC’s revised metrics introduced in February take into account case rate by population over the last seven days along with hospital admissions and hospital capacity.

New Jersey’s 71 hospitals had 727 patients with confirmed or suspected coronavirus as of Thursday night, down 16 patients from the previous night. Still, the numbers of hospitalized coronavirus remain far lower than when they peaked at 6,089 on Jan. 10 during the omicron wave.

The state’s seven-day average for confirmed positive tests increased to 3,453 on Friday, up 39% from a week ago, and up 136% from a month ago. Cases have been steadily rising for the past month, despite concerns that wide availability of at-home rapid tests are going uncounted because they are not reported to health officials.

New Jersey has seen the BA.2 strain of COVID-19 spread for weeks, however, at lower rates than the sweeping omicron surge in late 2021 through January. The latest strain of the virus apparently spreads more easily but does not lead to more serious illnesses.

NJ Advance Media staff writers Brent Johnson and Deion Johnson contributed to this report.

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Noah Cohen may be reached at ncohen@njadvancemedia.com.

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Zoos are moving their birds indoors to protect them against a deadly strain of the avian flu

Cases of Highly Pathogenic Avian Influenza (HPAI) have been rising in backyard flocks and wild birds across dozens of states in recent months, prompting zoo officials to temporarily shut down bird exhibits.

“This strain of the disease is highly contagious and lethal to birds,” the Maryland Zoo in Baltimore said in a statement on its website. “As a precautionary measure, we have closed our aviaries and moved several of our bird species to behind-the-scenes facilities with limited human contact until the threat of avian influenza has subsided.”

Birds in zoos could get infected by wild birds, humans or a new bird introduced to the facility.

The disease caused by the flu has been detected in commercial and backyard flocks across 24 states and in wild birds across 31 states, according to the department.
The Type A viruses naturally spread among wild aquatic birds worldwide and can infect domestic poultry along with bird and animal species, according to the US Centers for Disease Control and Prevention. They don’t usually affect humans, it said.

The spread has led zoos in Pennsylvania, Colorado, Michigan, Wisconsin, Texas and Ohio in addition to Maryland to take preventative steps, including closing outdoor bird exhibits and moving the birds indoors for their safety.

The Association of Zoos and Aquariums (AZA) established the Zoo and Aquarium All Hazards Partnership program, which collaborates with zoos to create a plan before outbreaks occur.

Preventative measures include putting up tarps or netting around the exhibits, closing walk-through aviaries to the public and implementing strong quarantine protocols, according to Rob Vernon, AZA’s senior vice president for communications and strategy.

“Facilities are going to be in full response mode to protect their birds for at least the next couple of months until transmission decreases,” Vernon told CNN in a statement.

Zoos take precautionary measures

In an effort to prevent infections, zoos have taken various steps to keep their birds safe.

The Pittsburgh Zoo & PPG Aquarium has barred the public from accessing birds including ostriches, chickens and owls. Visitors may see flamingos and penguins through the glass of their indoor habitats.

In Colorado, the Denver Zoo moved its birds indoors for at least 28 days, it said in a statement.

Dr. Ann Duncan, who heads animal health at Detroit Zoological Society, said moving birds indoors is a crucial preventive measure.

“By bringing these animals indoors, we can more closely monitor them and prevent contact with wild birds who may be carriers of HPAI,” Duncan said in a February news release from the Detroit Zoo.

The Maryland Zoo is adhering to a multi-tiered response plan reviewed by the USDA as well as other state departments, it said in a statement.

The zoo, which has the largest colony of African penguins in North America, has not detected cases — but the case count is close enough to move its birds indoors, according to its senior communications director, Mike Evitts.

“We are hatching penguin chicks as part of a plan to increase their numbers with the Association of Zoos and Aquariums breeding program as part of a global conservation effort,” he said.

Prompted by an abundance of caution, the Milwaukee County Zoo’s Aviary and Humboldt Penguin exhibit has temporarily closed, according to its website.
The Dallas Zoo also moved its birds away from public-facing enclosures “until the threat has passed,” saying animal health experts will continue to monitor and follow protocols as needed, the zoo said in a statement.

Ohio’s Columbus Zoo also shuttered some bird habitats as they undergo monitoring and evaluation, according to its director of communication, Jen Fields.

CNN’s Gregory Wallace contributed to this report.

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New Kind of Ultraviolet Light Safely Kills Airborne Pathogens Indoors, Scientists Say

A type of ultraviolet light called Far-UVC could dramatically change how we combat the transmission of airborne pathogens in indoor environments, scientists report in a new study.

 

Researchers say the technology represents a new ‘hands off’ way of curbing the spread of COVID-19, compared to existing control measures that involve significant changes in people’s behavior – such as abiding by lockdowns, physical distancing, mask-wearing, or getting vaccinated.

In contrast to the challenges of these effective but often unpopular measures, installing Far-UVC lighting in indoor environments could be about as easy as changing a light bulb, scientists say – and the effectiveness of the device’s antimicrobial radiation is no less impressive.

“Far-UVC rapidly reduces the amount of active microbes in the indoor air to almost zero, making indoor air essentially as safe as outdoor air,” says biophysicist David Brenner from Columbia University Medical Center.

While the germicidal properties of ultraviolet C light (UVC) have been known for decades, the radiation’s ability to cause sunburn, skin cancer, and harm people’s eyes have led to strict controls on its usage, with UVC mostly limited to sterilizing medical equipment.

However, in more recent times, research into shorter-wavelength Far-UVC emitters (aka Krypton Chloride or KrCl excimer lamps) suggests that this subset of the UVC spectrum doesn’t pose safety risks to mouse or human skin cells, while retaining the ability to kill airborne pathogens.

 

Nonetheless, existing research has been largely limited to testing Far-UVC in small-scale lab setups.

To see whether the technology was equally effective in a normal-sized room, scientists installed five Far-UVC lamps in a controlled bioaerosol chamber measuring roughly 4 x 3 meters (about 13 x 10 ft), and pumped a stream of aerosolized Staphylococcus aureus bacteria into the room.

“The facility is a sealed chamber the size of a single-occupancy hospital room where different types of building ventilation and devices can be implemented to test the potential effectiveness of approaches like Far-UVC in a full-scale situation,” says environmental microbiologist Louise Fletcher from the University of Leeds in the UK.

According to the team, the Far-UVC lamps reduced up to 98.4 percent of the pathogen load in a matter of minutes, and maintained an ambient level of 92 percent reduction at a level in line with International Commission on Non-Ionizing Radiation Protection (ICNIRP) guidelines.

The ventilation level of the test chamber was set to be like a normal room at equivalent air changes (eACH) per hour, but the Far-UVC radiation equated to 184 air changes, which the team says surpasses any other approach to disinfecting occupied indoor spaces.

 

“Our trials produced spectacular results, far exceeding what is possible with ventilation alone,” says physicist Kenneth Wood from the University of St Andrews in the UK.

Despite the clear promise of the technology, the researchers acknowledge there are difficulties to overcome the potential use of Far-UVC in the real world – specifically in ensuring that the installation of Far-UVC lamps in indoor environments meets the correct level of radiation exposure, being both effective but also within safe, set limits.

Provided that balance can be safely achieved, we might just be looking at a game-changing piece of health technology here, researchers say.

“Using this technology in locations where people gather together indoors could prevent the next potential pandemic,” Brenner says.

“Far-UVC light is simple to install, it’s inexpensive, it doesn’t need people to change their behavior, and evidence from multiple studies suggests it may be a safe way to prevent the transmission of any virus, including the COVID virus and its variants, as well as influenza and also any potential future pandemic viruses.”

The findings are reported in Scientific Reports.

 

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Ventilation, Vaccination Key to Suppressing Covid-19 as People Head Back Indoors

Forget temperature checks and deep-cleaning surfaces. The best way to protect people from Covid-19 as they return to offices and other indoor spaces is to bolster air quality and vaccination coverage, experts on the transmission of the virus say.

Their consensus reflects an evolving understanding of the spread of a virus that the World Health Organization declared the cause of a pandemic two years ago this Friday. Deep-cleaning surfaces and temperature checks—still a mainstay at many businesses—have been understood for many months to be of relatively little help stopping the virus from spreading. Rather, as businesses and communities across the U.S. begin what is shaping up to be the broadest return yet to pre-pandemic behaviors, transmission and infectious-disease experts said broad vaccine coverage and good air hygiene stand out as the most important mitigation efforts.

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