Monthly Archives: May 2020

Flying during the Covid-19 Pandemic, 5/18/20

By now some of you know that this past weekend I took a very short trip back to see family in California, traveling by plane both directions. I know many people are itching to hop back on a plane, travel and to get away from it all. So to help everyone make a more informed choice I’ll lay out what I did to mitigate much of the risk of flying and how my experience went navigating all the public spaces that come with traveling to a different state. If you want to ask (or scold if you must) me about my personal reasons for doing this you are more than welcome to send me a DM or email and I’ll respond individually with that information, but its personal and thus not suited for a public forum and not the point of this writeup.

Every departing flight from Denver between 6p-11p on a Friday afternoon….. wow!

My Mitigation Plan
For me this whole process was a test of my ability to creation infectious disease mitigation plans, a skill I learned and honed working in tuberculosis and HIV labs for many years. So I did not simply hop on a plane and wait to see what happened, I had a whole step by step plan of all the risks involved with travel, how I would protect myself and how I would act in certain situations. Below is my initial plan that I laid out BEFORE traveling, and it is VERY conservative.

Now on to the reality of the situation and what I observed and found. I’ll lump both my flights together as a way to give the sum of a couple different experiences for each step listed above.

The whole journey for me started in Boulder boarding the RTD AB bus which heads to the airport. Under normal circumstances these buses are packed and can be standing room only, but right now RTD is limiting the number of passengers on each bus to <20, has suspended fare collections and is requiring all drivers/passengers to wear face coverings. When I got on it was apparent it was going to be a quiet trip, just myself and one other person headed to the airport!

On my way to the airport on RTD, the bus is empty except for one other person and the driver.

The Airport

Needless to say the ride went smoothly, but I still kept my mask on the whole time. Arriving at the airport I unloaded my own bag and headed up the escalators to security. I was astonished to find 1 person (TOTAL) in line in front of me. I walked up to TSA precheck, handed the security office my ID, she didn’t even request I remove my mask (though they did in Oakland), then I passed on through. In Oakland they didn’t even have a precheck lane running, instead they specially escorted me through normal security (shoes on, liquids in the bag). After security I sanitized my hands and ID and headed to the gate. I only passed by a few people, almost all of whom were wearing masks of some variety (they are mandatory in the airport). As I approached the gate I was astonished to see the bar at Timberline Steaks (Denver) was open and seating patrons at the bar/restaurant? I filled my water bottle, washed my hands and headed over to the gate.
At the gate there were only about 20 people heading to Oakland, and 30 people on the return flight, for planes that have a capacity for 140 people. I found a spot at the gate spread out between others, which was easy, and sat down to eat my snacks and grab some water before the flight. This was the first time I removed my mask and it was only for a few minutes in a safely spaced out area. While waiting for my first flight an SWA worker came and sat right behind me, no attempts to space out, and while waiting for my second flight a woman came and stood right in front of me to await boarding. In both instances there was plenty of space to maintain at least 6ft of distancing, but neither person was aware enough to realize the situation.

TSA Checkpoint in Oakland, not a single passenger to be seen. TSA precheck was even closed in Oakland, though it was open (with 1 person) in Denver.
Waiting for the airport train at Denver International, people nicely spaced out, wearing masks.
Walking through Terminal C at Denver International, barely anybody around at 6pm on a Friday evening.
Southwest Airlines boarding process in Oakland, a mad rush to the podium as always (only 10 at a time), not much organization to the boarding process.

The Flight

Now on to the fun chaos of boarding. Southwest is famous for their open seat policy, normally boarding in groups of 30 at a time, all crammed together in small lines. Now they are calling up 10 numbers at a time to allow people to spread out. The problem is, when they call those 10 numbers it’s a free for all, no organization, so of course everyone immediately rushes to the counter and stands right next to each other trying to be the first on. I simply stood back, let them crowd ahead and walked on once my group had thinned out. Boarding the plane you have to walk by/near people, there’s just no fix for this situation (wearing my N95 still). I chose a window seat about halfway through the plane, spread out from other passengers, right now there is plenty of space on many flights. But, of course, on my first flight someone came and sat right in front of me (there was no need), so I moved over two seats to the aisle. As planes begin to fill up more and more the actual seating part is going to become impossible to not have several people within a 6ft radius of you, so that’s a part of travel risk one will just have to accept as being unavoidable.
On the plane almost everyone was wearing masks, including the crew. But not long after take off many people removed their masks for most of the flight (about ½ on my first plane, and 10-20% on my second). I even witnessed one woman call the flight attendant over to ask a question, then promptly pull down her mask to speak directly with her (really???). On the flight I spent most of my time working and reading as I watched the scenery go by. I did sanitize my hands and remove my mask for a brief few seconds to grab a drink of water, but that was the only time in the 2.5h flight my N95 came off. Overall a pretty uneventful flight once we were in the air, no food and beverage service, a few trash collection passes by the friendly flight attendants, but that was it.
Both flights landed early so we had to wait a few extra minutes for our gates. Even though very few flights are running (<30-40/day outbound at DIA and Oakland it looked like) each airport is only operating a fraction of it’s gates. When we finally got to the gate and the captain turned off the seat belt sign, the mad rush to the aisles to be the first off was on. Social distancing be damned, everyone did their normal thing and crammed into the aisle way right next to each other. So I simply stayed in my seat at the window, let most of the people deplaned, then grabbed my bag and headed out. I cleaned off my hands, took off my outer jacket and headed to the curb side. Again both airports were fairly empty for now, and getting through was a breeze.

On board headed to Oakland, most people spread out. After all, there’s only 20 of us. Masks still on.
Headed back to Denver, a few more people, but still everyone has their own row and plenty of space. Imagine this plane 2/3 full, with only middle seats empty. People in front and behind you, people across the aisle from you, etc.
People can’t help their natural tendencies. As soon as we land, it’s a rush to the aisle, everyone lines up nice and close to each other to rush off the plane.

Final Thoughts

Right now the overall take home from my experience is that airports are fairly empty and the airlines are still trying to figure out how to manage travel during the Covid-19 pandemic (which will continue on for many more months ahead). While I was able to protect myself fairly well throughout the entire travel process, it was evident to me that one can not rely on the airline’s good intentions or the unaware strangers around you to protect you. And while right now it’s easy to find some space, once passengers start returning to air travel (and they will) you will be forced into closer quarters/contact with people no matter how hard you try to avoid it.
Lines for buses, security, trains, escalators, seating areas at gates and on planes will all become busier to the point where you’ll have to be within 6ft of people, some will wear masks, some won’t (unless it becomes a Nationally enforceable law, unlikely). So if you choose to travel by plane in the next few months be prepared to accept the risk you are taking and knowing that you will be exposing yourself to people outside your realm of control and to people who might not all be acting very conservatively (or even think the virus is real). Hopefully during this lull in travel the airports and airlines can better test and implement their policies (I’ve written to Southwest), but that remains to be seen. And for those wondering, I’m now on a 14 day quaratine/watch for any symptoms (5/21, Day 3, ending 6/1).

The COVID-19 Workplace

This past weekend much of the State of Colorado moved from “Stay-at-Home” to “Safer-at-Home” restrictions. This is the first step to us opening up more businesses and moving slowly back towards a state of ‘new’ normal. As part of this a lot of people across the country are preparing to go back to work (or into an office/store) in some capacity in the coming weeks. Some people think this is all BS and a hoax, you can stop reading now, for those who are worried or uncertain exactly what this return to a ‘normal workplace’ might look like, I’ll try to outline a few best practices that my work has been using and also highlight what the State of Colorado has outlined for businesses that are reopening.

Governor Polis’s outlines what Safer-at-Home means for Colorado. Note that individual Counties may enact additional legislation beyond these basic measures. Here in Boulder County masks are required in public settings where you can not maintain 6ft of separation.

To start with for those that don’t know my background, I work in a vaccine and drug development laboratory. So my workplace will definitely look different than many of yours, but there are still many applicable practices that we’ve implemented that all types of work environments can utilize. Much of my experience in mitigating infectious hazards comes from years of working in Biosafety Level 3 facilities (with airborne, highly infectious, incurable pathogens). The stringent types of biosafety measures we implement in the lab aren’t applicable to daily life, except if you’re working in a healthcare setting in close contact with highly infectious patients (ping me separately if this is of interest to you). I’ll divide the topics up into three categories; general work place practices that should be implemented at the management level, engineering controls (equipment) and lastly how many of the common workplace practices can and should change to help you protect yourself during this uncertain time.

General Workplace Policy

While some people can work remotely from home (best practice), many of us require specialized equipment/facilities, customer interactions or other tools that are simply not available at home. If your work place is welcoming employees back into the office/store, the State of Colorado has set out several guidelines for how work place policy should be setup to protect the employees. First, spread out the hours people work; work from home, work shifts, segregate tasks people are working on to different areas, etc. Second, the employer should be providing ample cleaning supplies, hand sanitizer and soap. In our office we also have an employee tasked with daily cleaning of the common areas and commonly touched surfaces (door knobs, time clock, fridge, conference table, etc). In addition to this I clean my personal desk each morning, it only takes a few minutes, but alleviates any concern about contamination of my immediate workspace. Third, the wearing of masks should be made mandatory for all employees (and customers) when you’re interacting with anybody else (even in passing or in the bathrooms) or moving around the office. The reason this needs to be made a company wide policy is, otherwise it’s too easy for a portion of the population to not adhere, making the effectiveness of cloth/surgical masks far less on a company wide scale, everybody needs to protect everybody else. Additionally, signage reminding everybody about the policies on staying home if you’re sick, hand washing, cleaning of common areas and wearing of masks are helpful. Many of these measures are requirements of the State of Colorado for reopening a business, check with your individual state about their requirements.

Mandatory cleaning supplies near our front entry. All offices should have these available for employee use.
Masks, gloves and all the protective equipment. Despite what Trump recommends, injecting bleach and UV irradiating yourself are not a good idea. But these are good tools for cleaning equipment and surfaces (just not your body).

Engineering Controls

Engineering controls is a term used for physical barriers or equipment that is used to reduce the hazards of a workplace. In regards to COVID-19 in the workplace it’s referring to barriers and office setup that can help reduce interactions with coworkers and thus reduce the risk of someone getting sick. One method of limiting the workplace risk is to spread out employees desks/work spaces. Providing all employees with at least 6ft of space as to reduce the likelihood of infectious transmission. Another way is to setup barriers between employees desks/work spaces. This can be done by putting up plexiglass walls (or other materials) to block the direct line of transmission from one person to the next. So the open workspace system that so many tech companies love, is probably going to need to go away for the immediate future. Cubicles (or closed offices) actually provide a fairly safe way for each employee to have their own protected space, where infection risk is low, and you don’t have to wear a mask all the time. Work with your employer to establish these ‘safe zones’, because not only will it reduce the transmission risk, but it makes the employee far less anxious because they have their own personal space (at least in our office it works that way). For those of you working retail, store fronts or other customer based jobs, many of these rules won’t directly apply. My recommendation would be to establish a safe zone for yourself (back room, office, car, outside). Take breaks to get out of the mask for a few minutes (pretend like you’re a smoker) or just to step into the back room/warehouse for a few minutes to relax and breath. Plan and prepare for the long haul.

The dreaded cube farm, a great way for every employee to have their own protected safe space and to minimize COVID-19 transmission risk.

Common Workplace Practices

While the previous two sections mostly addressed changes that can/should be broadly implemented in the workplace, this section is going to address how the actions of individuals/groups should change. I have a feeling for many people this is going to be the hardest section to incorporate into our daily lives, but these changes are equally as important as those above. The first one is simply an extension of the general social distancing policy that pervades our lives, but applied to the workplace. No group lunches, standing around the coffee/espresso machine, office parties, etc (yes, sad face, I know). It doesn’t mean you can’t chat with coworkers or socialize, but it does mean it has to be done at a safe distance apart and while wearing your masks. If/when you need to use common office equipment (printers, coffee makers, fridge, cash register, etc) either make sure the equipment is well cleaned off or sanitizer/wash your hands afterwards as a precaution. This mitigation measure may be slightly less important for some workplaces, and more important for others (depending on how many people you’re sharing space with). On the far end of the spectrum are people whose jobs require direct contact with others (massage therapist, physical therapist, hair stylist, acupuncturist). For these professions it’s even more important to sanitize all surfaces after each client, wear masks (tough for hair salons), make sure both client and provider clean their hands before interacting, and of course pre-screen your clients to make sure they are not sick or symptomatic.

The last one is probably fairly obvious for many people, but meetings are going to look quite a bit different (if they happen at all). The easiest way to mitigate the risk is to do virtual meetings (Zoom, Skype, Teams, etc) whenever possible. Of course sometimes it’s much faster and more efficient to meet in person, which can definitely be done very safely. The smaller the better to start with, but as meetings grow, ensure there is at least one seat between everybody in the room, and everybody continues to wear their masks when in the same room.

Workplace meetings in the COVID-19 era. Join virtually, space out, masks for all those who attend in person.

Final Thoughts

My office/lab implemented most of these procedures the first week of Colorado’s Stay at Home order and shutdown. We have our own cubicles/workspaces that are our own private areas when we’re not working in the common lab spaces. We wear gloves (because it’s a lab) and masks whenever working in close proximity to others, common surfaces are regularly cleaned, our employees with COVID-19 risk factors spend much of their time working from home, or working off shifts, our meetings are done half virtual half in person (with masks). Using all these measures we’ve had no issues with viral transmission and also minimal issues slowing down our workflow. If you or your employer are hesitant to implement many of these actions, just look at the extreme cases of the meat packing plants all over the country. They stayed open but didn’t implement any infection risk mitigation (employees working in close quarters), and ended up suffering large outbreaks forcing their businesses to shutdown. So it’s really in everybody’s best interest to protect themselves and those around them, to stay healthy and keep the business running without the major setbacks that an outbreak would cause.

While company wide policy is up to the employer, you are your own strongest advocate. So it’s important to assess your work place (and how it operates) and how best to mitigate risks. If an employer isn’t providing you at least the minimum levels of protection outlined above, then speak with your local public health department, as they will come in and further assess what more can and should be done. Going back to work in and of itself isn’t a problem, it’s doing so in a responsible and controlled manner that allows your workplace to implement and test out these new policies. For all businesses there will be a trial period of adjustment to the new way of functioning, just be flexible and understand most of these changes really don’t dramatically affect our lives (and definitely don’t impinge our our civil liberties), we’re all going to get through this.

State of Colorado general Guidelines
State of Colorado Guidelines for Protecting Workers and Customers
Definition of Lab Biosafety Levels
CDC Guidelines for Businesses (far less specific than individual states)