Planes, Trains, Automobiles…and Coronavirus

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By News Team on November 16, 2020

As of midnight Nov. 15, Virginia Gov. Ralph Northam has limited in-person gatherings to 25 persons maximum, expanded the Commonwealth's mask mandate, established on-site alcohol curfews and increased enforcement of public health guidelines. Follow the link to learn more. 

And remember, the best way to prevent illness is to prevent exposure. COVID-19 spreads through person-to-person contact. Carilion Clinic’s Infectious Diseases experts strongly recommend that everyone:

Stay home whenever possible.
Avoid crowds and enclosed spaces if you must go out.
Wash your hands, keep your distance and wear a mask—every time.

This applies to individuals of every age, with or without underlying medical conditions.
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The holiday season means travel, even in a pandemic year. In fact, facing a long, lonely winter under mandated social distancing restrictions, many people are planning to travel even though public health officials recommend against it.

Epidemiologists and infectious diseases experts agree that this year, staycations are a better idea than holiday gatherings that include those outside your coronavirus "bubble."
 
The Virginia Department of Health makes it clear: “Because travel increases your chances of getting infected and spreading COVID-19, staying home is the best way to protect yourself and others from getting sick.”
 
Even if restrictions change, it is important to understand that nothing about the virus has changed: 

  • It still has a long incubation period during which people often show no symptoms
  • It still spreads most easily through droplets as well as via contaminated surfaces
  • And it still can have devastating health impacts for older seniors and people with chronic health conditions

This means that even if you were to reach your destination without being exposed to COVID-19 along the way, you can still bring the virus with you—or bring it back home.
 
VDH recommends you consider the following when deciding whether or not to travel:

Finally, do not travel if you or anyone else in your household is sick, or if you have family members who cannot wear a mask for any reason.
 
If You Must Travel
Anthony Baffoe-Bonnie, M.D., medical director of Carilion Clinic's Infection Prevention and Control Department, spoke recently about how to travel as safely as possible—if you must travel at all.
 
Start with the basics:

  • Stay home as much as possible
  • Practice social distancing by staying at least six feet from others, avoiding crowds and mass gatherings and limiting close contact with anyone not in your household
  • Wash your hands frequently with soap and water, and with alcohol-based hand sanitizer when soap and water are not available
  • Wear a mask whenever you are in public places, such as a grocery store or gas station

Vehicle Travel
For guidance about traveling by car, and precautions to take before you hit the road and during your drive, see “Is It Safe To Visit Grandpa?”
 
According to Dr. Baffoe-Bonnie, vehicle travel with those in your household is the safest option.

“If you can avoid traveling with multiple passengers coming from different places, that is also good,” he said.

That includes using ride-sharing apps like Uber and Lyft. Dr. Baffoe-Bonnie makes the following recommendations:

  • Open the windows and let fresh air come through
  • Use hand sanitizer as you get in, and when you get out
  • Wear a mask and encourage the driver to wear a mask
  • Stick with natural air instead of recirculating air conditioning

“The key thing is trying not to be in a congregated setting,” said Dr. Baffoe-Bonnie.
 
Air Travel
According to VDH, air on planes is filtered and circulated in a way that “most viruses and other germs do not spread easily on flights.”

However, air travel requires spending time in close proximity to many strangers and frequently touched surfaces:

  • At check-in and baggage check
  • At the TSA checkpoint
  • When boarding and deplaning
  • In terminals
  • On shuttles

In addition, social distancing is difficult on crowded flights, and you may have to sit within six feet of others for long periods of time. This may increase your risk for exposure to the virus that causes COVID-19.
 
Dr. Baffoe-Bonnie's recommendation is clear: “Avoid air-travel if feasible at this time.”

If it is unavoidable, “try to maintain that six feet of social distance as much as possible, consistent with the use of a face mask as much as possible.”
 
He also emphasizes continuous hand hygiene: “It’s not unusual to touch parts of our faces and lips when we don’t even know we’re doing it,” he said.

Hotel and Airbnb Stays
Managing risk is important at your destination too. Hand washing, mask wearing and social distancing are vital when you stay in lodging that other people have recently used.

“Hand hygiene is probably the most important thing in these settings,” says Dr. Baffoe-Bonnie. “You can probably take the face mask off when you are alone or only with your family.”

See Hotels, Motels and Vacation Rentals for his recommendations and those from the U.S. Centers for Disease Control and Prevention. 

Coming Home: Do You Need To Self-Isolate?
Like many things related to COVID-19, self-isolation after travel depends on various factors:

  • The type of work you do
  • Whether you've traveled to a high-risk area
  • Whether you were in crowded places or with large groups of people
  • How consistently you and those around you wore masks, maintained social distancing and practiced good hand hygiene
  • Whether the people you encountered while traveling start to exhibit symptoms.

Visit Should You Self-Isolate After Traveling? for more detailed recommendations.

Best Practices
The bottom line is that, in spite of policy changes, the prevention guidelines for individuals and families remain the same. 

And to be as safe as possible, this year we encourage you to enjoy your staycation.
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This article has been updated to include new coronavirus restrictions put in place by Virginia Gov. Ralph Northam, effective midnight Nov. 15, 2020.

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See us safely at CarilionClinic.org/safe.
As always, and like never before, we're here to see you safely through all your health care needs. Visit CarilionClinic.org/safe to learn how. For up-to-date information about our response to COVID-19, visit CarilionClinic.org/coronavirus.