Orlando Sentinel

CDC posts tips for minimizing risk

Encourages BYOB, outdoor gatherings, avoiding elevators

- By Mike Stobbe

NEW YORK — Take the stairs, not the elevator, down from your hotel room. Encourage people to bring their own food and drinks to your cookout. Use hand sanitizer after banking at an ATM. Call ahead to restaurant­s and nail salons to make sure staff are wearing face coverings. And no high-fives — or even elbow bumps — at the gym.

These are some of the tips in long-awaited guidance from U.S. health officials about how to reduce risk of coronaviru­s infection for Americans attempting some semblance of normal life.

The Centers for Disease Control and Prevention posted the guidelines Friday, along with a second set for organizing and attending large gatherings such as concerts, sporting events, protests and political rallies.

But the guidelines are “not intended to endorse any particular type of event,” the CDC’s Dr. Jay Butler said in a Friday call with reporters.

The staging and attendance of such events should be in accordance with what local health officials are advising, based on how much the coronaviru­s is spreading in a particular community, he added.

The guidelines are long overdue, some health experts say.

Julia Marcus, a Harvard Medical School infectious disease researcher, has likened stay-at-home suggestion­s to “abstinence-only” messaging and has pressed for advice to help people minimize risk.

“I think it’s a huge step in the right direction,” Marcus said. “These guidelines are really directed toward ordinary Americans trying to make decisions about risk every day.”

But there are notable omissions. There’s nothing about precaution­s to take before going to church, no guidance about dating and sex and no explicit advice on a topic doctors say they get asked all the time: Is it OK to take the kids to visit grandparen­ts?

“Visiting grandma is something I must address three times a week,” said Dr. William Schaffner, a Vanderbilt

University infectious disease expert.

“My empathy goes out to the CDC. It’s very, very difficult to have a precise answer for every circumstan­ce,” he added.

Stay-at-home orders, school shutdowns and business closings were followed by a national flattening in the rate of new cases. In recent weeks, many states have started reopening as they face pressure to get the pandemic-damaged economy going again. And cases are rising in nearly half the states, according to an Associated Press analysis.

The number of confirmed COVID-19 cases in the United States has surpassed 2 million, with more than 114,000 deaths, according to a tally by Johns Hopkins University.

The CDC has put out many guidelines, including some for churches, camps, schools and transit agencies. But until now, the organizati­on hasn’t offered specific advice to people trying to decide whether to take vacations, get their nails done, host barbecues, visit a bank or library, go out to eat or exercise at a gym.

Other organizati­ons have been trying to fill the void, and some have addressed questions the CDC didn’t.

New York City’s health department this week released guidelines for sex during the coronaviru­s outbreak. The department advised people to have sex only with those who are close to them, and not with multiple partners. It also suggested washing hands before sex, wearing a mask during it, and to “be creative with sexual positions and physical barriers, like walls, that allow sexual contact while preventing close face to face contact.”

The CDC’s director, Dr. Robert Redfield, called the new guidelines “common sense suggestion­s,” not mandates. State or local government­s may want to reimpose stricter measures if new outbreaks occur, but that’s a call for them to make, CDC officials said.

The guidelines repeat earlier advice about wearing face coverings, especially if it’s difficult to keep at least 6 feet away from other people.

They also offer a list of questions people should consider before going out, and some things to think about in particular situations. For example, it suggests that house parties be held outside, guests be greeted with a wave instead of a hug and that everyone bring their own food and drinks.

Meanwhile, the White House — which has been a late adopter of many of the safety proposals recommende­d by the CDC it oversees — is eager to project a sense of normalcy, no matter the state of the virus.

President Donald Trump has taken to talking about the pandemic in the past tense — an “invisible enemy” conquered — rather than one still ravaging the nation.

Trump also said this week that he’ll resume his campaign rallies beginning June 19 in Tulsa, Oklahoma.

Still, the reality could not be completely ignored.

“By clicking register below, you are acknowledg­ing that an inherent risk of exposure to COVID-19 exists in any public place where people are present,” Trump’s campaign advised those signing up for the rally. “By attending the Rally, you and any guests voluntaril­y assume all risks related to exposure to COVID-19 and agree not to hold Donald J. Trump for President, Inc.” liable for illness or injury.

 ?? DAVID ZALUBOWSKI/AP ?? Visitors observe social distancing rules while observing elephants as the Denver Zoo reopened on Friday.
DAVID ZALUBOWSKI/AP Visitors observe social distancing rules while observing elephants as the Denver Zoo reopened on Friday.

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