Dr Daniel Israel is a general practitioner working in Johannesburg. He is a member of GGPC (Gauteng General Practitioners Collaboration) which has created a platform for doctors to share resources during Covid-19. Look for #voicesthatcare on the GGPC Facebook page.
Enraged by the ‘Rage’ outbreak and ambivalent about upcoming simple travel plans, patients have increasingly contacted me this week, enquiring as to the safety of going on holiday this December. What a complicated – yet unsurprising – situation we have landed in, as we reach the “pot of gold” at the end of a long, lonely and complicated 2020.
The Second Wave
Internationally, COVID-19 is still on the rise and in most countries, even those with the best preventative measures in place, a significant second wave has occurred at a mean of 57 days after the first wave.
We all expected another rise in cases in South Africa. What is unique to South African is that this potential second wave coincides with our festive season. With a 2020 mantra of ‘stay home save lives’ in mind and now apparent proof that those who didn’t stay home and attended the matric Rage celebrations indeed contracted COVID-19, our community members are justifiably asking questions like ‘Doctor, am I crazy to be going to Umhlanga on holiday next week?’
What we now know about Covid-19
The April 2020 level 5 lockdown was partly informed by panic. Our understanding of COVID-19 has evolved significantly since then. I clearly remember the WhatsApp video clips I received of citizens in Wuhan seemingly dropping dead from COVID-19 after ‘breathing in its air’ in April. We have since learnt that :
- COVID-19 is spread primarily through respiratory droplets.
- Its main route of spread is direct contact, at less than 2m, and
- simple mask wearing reduces the risk of transmission significantly.
- Asymptomatic transmission is very real (as seen at the Rage festival). We have, therefore, learnt to take precautions.
- Another real shift in understanding has been the shift from sterilising surfaces to sterilising hands.
That said, we are much better equipped to go on holiday in December 2020 than we would have been 10 months ago.
We need a holiday more than any other year
There is no doubt in my mind that the safest way to live through this pandemic is to confine yourself to a room indefinitely. Don’t leave. Ensure you pass sterilised food only through a small crack in the door, and you will not contract COVID-19!
In reality, the challenge on mental and developmental health on a personal and family level as a direct result of COVID-19 isolation measures has never been greater. I am still, every day, seeing patients with significant depression, anxiety, loss of income and relationship breakups as a direct result of ‘preventing’ COVID-19. Holidays help recover relationships, shift perspectives and allow for rejuvenation.
Can you go on holiday safely this December?
In my mind, absolutely yes. Safe holidays require a return to boring basics though. This is my strategy (in order of importance):
- Ventilation at social interactions is vital. Unless you are exposing yourself to family you live with, all other social interactions should happen outdoors or at least in VERY well-ventilated spaces.
- Masks work. Pics with friends look great with masks too. Set the tone of: It’s cool for us to have fun and wear our masks too – just in case.
- Avoid Large Crowds. Full supermarkets with social distancing and sanitising are not ‘large crowds.’ Packed night-clubs, clubhouses or concerts are.
- Hosting guests over for a meal must be done with thought. Ensure that there is at least a 3m distance between you, if you are eating, and do so for as short a time as possible. Serve the food while wearing masks. Let the host do the serving as much as possible.
- Alcohol magically washes masks away and closes distances. Take extra precautions if you drink.
- If you feel unwell, contact a doctor and get tested. Do not go to work or socialise. Identifying a positive case early prevents major outbreaks. The Rage super-spreader event started with a couple of cases at most.
What is the safest way to travel to and from your holiday?
Car travel with adherence to festive season road safety is certainly the safest option.
It also allows for possible return home should you become infected. However, a study published in the JAMA Journal in October 2020 showed that with the new air travel regulations implemented, the incidence of COVID-19 cases were negligible.
Safe air travel tips
I recently flew. Scrutinising my trip, these are my tips for safe air travel:
- Wear a well fitted mask throughout the process. Door-to-door. A 3-layer cloth mask (or a medical mask if they are available).
- Don’t touch your eyes or your face on the flight.
- Use your hand luggage as a barrier to ensure other passengers do not come too near to you during embarking and disembarking.
- Stay in your seat at the departure gate or on the plane until there is ample space for you to move.
- Keep the air vent above your seat blowing on you throughout the flight. (The air is HEPA filtered).
- Try not to eat or drink on the flight. You can manage a short flight without refreshments.
Should you avoid the hotspots this holiday?
Should you be anxious if you are travelling to Plett, on the Garden Route, as opposed to the Magaliesburg?
The most challenging issue with ‘hotspots’ is the relative lack of resources for patients who may complicate in that region. For example, ICU’s in the Garden Route have been saturated lately. If you are a patient with significant co-morbidities and lack the means to be privately transported home early in an infection, I believe you may want to reconsider your choice.
It is prudent to avoid indoor restaurants and bars. However, it is important to remember that by adhering to basic principles and daily keeping in mind that COVID-19 is still with us, even in the hottest spots in South Africa, you can enjoy a well-earned holiday and pace yourself for a better and healthier 2021.
Related useful articles:
- Staying in hotels during the Covid-19 pandemic, by Dr Sheri Fanaroff. Read more
- Travel safe and travel wise in the era of Covid-19, by Dr Karin van der Merwe and Dr Venitha Seral. Read more.
- Is it safe to visit the gym during the pandemic, by Dr Sheri Fanaroff. Read more.
- Let’s go on a family outing in Gauteng, Jozikids. Read more
- 11 awesome kids parties venues in Gauteng, Jozikids. Read more.