Greenwich Time

Poll worker looks for clarity on risks

- Keith Roach, M.D. Readers may email questions to: ToYourGood­Health@med .cornell.edu or mail questions to 628 Virginia Dr., Orlando, FL 32803.

Dear Dr. Roach: I have worked at the election polls in a school gym for years and know that presidenti­al elections bring out close to 2,000 voters in my precinct. Most of my fellow workers are 70 and older. I am the youngest at 60. Is it safe for us to work over 15 hours while exposed to so many people even if we get masks and gloves?

Is it safe for 30-yearolds to work? My son says he could take my place if I don’t work, but he is currently living at home. Wouldn’t he need to quarantine for two weeks after working? There is so much confusing informatio­n about exposure, so guidance would be appreciate­d.

M.D.

Answer: The risk of getting COVID-19 depends on three major factors: the concentrat­ion of virus; how close you are to a source; and the amount of time you spend there. In nearly all areas of the country, you are likely to be exposed if you see 2,000 people, and in some areas of the country, you could be expected to be exposed many times. Polling places have always been indoors, making the concentrat­ion of virus potentiall­y high, and 15+ hours is certainly a long time of potential exposure.

Poll workers can dramatical­ly reduce their risk by using personal protective equipment. Everyone can get some protection by having ALL voters REQUIRED to wear masks and by ensuring as much distance as possible during the voting interactio­ns between voters and poll workers.

I would obtain PPE now if you plan to work. Multilayer cloth masks provide protection.

A 30-year-old and a 60-year-old have about the same risk of acquiring COVID-19, but a 30-yearold has much lower chance of having a severe complicati­on.

The question of quarantine is one of local guidelines, and my advice to you or your son would depend entirely on the local prevalence in your area.

While health care workers go into the field understand­ing that there may be some risk to themselves, poll workers (like retail workers and many others) should not have to. Hence, I support vigorous efforts to minimize the need for inperson voting.

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