Random Thoughts – Randocity!

Prevention: Flu Season is here

Posted in Health by commorancy on October 24, 2009

hand-brush[Updated: 2020-03-13] This information is now more relevant than ever considering the COVID-19 virus, which is now officially considered a worldwide pandemic. There is, unfortunately, no preventative like a Flu shot for COVID-19. Don’t go get a flu shot thinking it might protect you from COVID-19. It won’t. In fact, the primary preventative is staying away from crowds of people, in addition to all of the rest of the preventative advice listed below. Further, to protect you and your family, staying home and eating at home is your safest alternative. Jump to the bottom of this article to see even more rigorous preventatives specific to COVID-19.

[Updated: 2018-01-30] Since this 2017-2018 flu season is shaping up to be one of the worst in recent years, I’ll update my advice.

Now that flu season is upon us, I always like to take steps to prevent myself from getting infected from other people or items they may have touched. While there is no magic bullet for this, here are some rules that I personally follow that may help you avoid getting the flu. Let’s explore.

Flu Shots

syringes on white background

In my original 2009 article, I didn’t mention flu shots… and it was for a reason. This is intended as an everyday prevention article, but the intent was to firmly stay away from discussing medical technologies. While medical professionals often profess that a flu shot is effective, take that advice for what it’s worth… advice. While you can get a flu shot at your local pharmacy, at your place of business or at your doctor’s office, you may find that this prevention mechanism isn’t always as effective as it could be. Due to recent events surrounding H3N2, I’ve changed my stance since 2009 and that’s why I am now leading this article with this section.

During the 2017-2018 flu season, the dominant strain of the flu appears to be H3N2. This strain is particularly virulent and has resulted in a number of deaths in children and adults from complications. You may be asking, “Why didn’t my flu shot protect me from H3N2? Wasn’t this strain in the shot?” Yes, this strain (or at least the most common mutation) was included within the 2017-2018 flu shot formulation. You continue, “But, I took the shot and I still got sick anyway”. There may be several reasons for this.

  1. The flu shot may not have contained the exact strain of H3N2 that you got.
  2. The flu shot is formulated using eggs as a carrier. However, the H3N2 strain does not thrive well within an egg carrier causing this strain to be, at best, less effective and, at worst, ineffective in the shot.
  3. In flu seasons other than the 2017-2018 season, it has been known that those in charge of the flu strain lottery have guessed the wrong strains to include in the shot. This has directly contributed to the flu season because the dominant strain was not included.

If you received a flu shot during the 2017-2018 flu season and still got the flu, it may have been a direct result of number 1 and, more likely, number 2 contributing to your illness. As rapidly as viruses can mutate, it’s possible you picked up a strain that wasn’t included in the shot formulation (i.e., number 3).

For very young children or the elderly, getting a flu shot early is still a good first defense. However, don’t rely strictly on the shot to prevent getting the flu as it may not always protect you as expected. You should also consult with a medical professional to ensure that taking the flu shot is the right choice for your health as some people may have reactions to the formulation. Only your doctor can give you medical advice about your health.

As a result of this season’s flu shot ineffectiveness against H3N2, you will need to still use other preventative measures such as …

Wash your hands often with soap and warm water

Washing your hands frequently will eliminate most viruses and bacteria from your hands and prevent you getting them near your nose or mouth. If you can wash your face, you should do so as well.

During winter months, do not eat from serve-yourself open buffets

buffetEating off of salad bars at buffet-style restaurants or other communal type restaurants only serves to get you sick. Instead, opt for ordering from the menu so the food is cooked in the kitchen and served to you directly. This doesn’t eliminate the risk of getting sick, but it drastically reduces your chances because the plates will be clean and the food will be prepared fresh and hot. A cook in the kitchen could be sick, but most better restaurants don’t allow sick cooks in the kitchen (it’s a liability, after all). The fewer people who touch your food, the less chance you have of picking up a virus.

For this same reason, don’t buy foods in grocery stores from open buffet fill-it-yourself containers. The reason for this rule is very clear. Most buffet style places leave spoons out all day in containers and simply switch out the food leaving dirty utensils. Thus, spoons may have been touched by hundreds of people. By touching the spoon on the buffet table, you may be infecting yourself immediately. The food itself may also harbor the flu or a cold virus simply from someone sneezing. For sanitary reasons, avoid buffet serve-yourself meals during the winter to keep yourself healthier. This advice covers both hot and cold food bars including olive bars.

As a side note about buffets.. Buffets are extremely unsanitary. The required sneeze guards do nothing for children. The guards are designed with adult height in mind. A child can easily be face-high to the food, yet their face is under the guard. It’s easy for a child to cough, laugh, sneeze or play around or even with the food or utensils. Since children seem to be the prime carriers for cold and flu viruses, this makes buffets and other serve-yourself food tables very unsanitary. Instead, you should order from a menu at a table. You should always ask the server if they plan serving you your food from the buffet table. If they intend to serve from the buffet, ask to have the restaurant make it fresh in the kitchen instead of serving food to you from the buffet. Better still, visit restaurants that don’t offer a buffet bar of any kind.

“Carry Around” Style Restaurants

This buffet bar advice extends to all kinds of carry around small plate restaurants including Mongolian BBQ, Brazilian Steakhouse, Japanese conveyor belt, Japanese floating boat or Dim Sum restaurants. I’d even avoid company holiday parties which use servers to carry around appetizers on trays and buffet style plates (not that this food is usually very good anyway). Basically, my advice includes any restaurant where food is paraded in front of many people before you have the opportunity to grab it. To these I also say, “Stay away.”

Company Holiday Parties

In general, parties in the winter are a bad idea. When you attend, you’re mixing with many people that you may not know. That’s not necessarily a problem. Worse, though, is the food presentation. Many company parties choose to use carry around servers for appetizers. They also like to use chafing dishes to serve buffet style and sometimes fondue fountains for desserts.

You should contact your company’s event planner early each new year and request that for holiday parties that they choose sit-down restaurant-style waiter-served meals over an open serve-yourself buffet for all parties. You should mention that it is much more sanitary and healthy for everyone involved. The last thing the company holiday party planner wants is to be responsible for making half of the company sick, especially during a particularly harsh flu season. The way to perpetuate sickness is to serve buffet style food. Inevitably, someone will come to the party sick and spread it around.

Tanning beds and UV

While this next portion may seem unusual, it may actually prevent you from getting the flu or colds. If you use a tanning bed, you may decrease your chances of actually contracting a virus or bacterial infection during the winter months. UV is known to disinfect surfaces and kill bacteria and viruses. Using a tanning bed should kill viruses and bacteria on the surface of your skin, both hands and body. You don’t necessarily need to use a tanning bed for the maximum time. It may take as little as 1-3 minutes to successfully disinfect the surface of your skin (not necessarily enough time to tan you), although, likely enough time to kill viruses. Disinfecting the surface of your skin through UV should kill off any viruses you may have picked up through contact with other people.

However, once a virus has entered your nasal passages, you are already infected. UV light doesn’t penetrate deep enough to disinfect inside your body. So, don’t tan once you are sick as it won’t help stop it and may only serve to dehydrate you even more than the virus already has. Tanning can be dehydrating. Drink water after tanning.

How often you do this really depends on how often you are out in public with lots of people around you. The longer you are out in public around potentially sick people, then choose to tan at the end of the day to kill off anything you may have come in contact with. Tanning at the end of the day rather than the beginning makes the most sense so that you kill any viruses you may have picked up that day.

Shower regularly with soap

Having good hygiene by showering will also wash away any viruses that may have landed on your skin. Shower regularly to reduce viruses and bacteria on the surface of your skin. A reasonably hot shower or bath combined with soap is quite good at doing cleansing the skin of germs.

Cover open wounds

If you have any cuts or open wounds, cover them properly with bandages. Having an open wound is an invitation for viruses to enter. Keep your cuts clean and keep them covered. Additionally, using antibacterial ointments like Neosporin on wounds can reduce infection and may also kill off or prevent entry of viruses.

Don’t use public phones or public computers

If you must use public phones or computers, bring along some Windex wipes or other disinfecting towelettes to wipe down and disinfect the surface before using it. Basically,  avoid using these devices or clean surfaces where the item could come in contact with your face (like a phone). With public computers, you’re forced to touch the keyboard / mouse and you may then wipe your nose with your hands. Carrying disinfecting towelettes or sanitizer around during the winter months for quick disinfection is the smartest choice. If you can go to the restroom and wash your hands, this is the best choice over sanitizer or wipes.

Wipe down surfaces in your office

Because offices are where we spend most of our day, always wipe down your phone, desk and keyboard. You never know when someone may sit down at your desk and temporarily use your space without your knowledge. Always wipe and disinfect your space each day during the winter time. In fact, you should ask your office supply person to supply your company with disinfecting wipes. This initiative shows the company cares about a healthy workplace.

Public transportation

While I know that public transit is very ‘green’ and, in some cases, cost effective, it can also be a place where you can get sick. By sitting in seats where sick people may have been, you risk contracting the flu or cold viruses just by being there. You may not be able to avoid the use of public transportation, but you can reduce your chances by standing up rather than sitting down. If you stand on public transportation during the winter, you are not touching the seats where someone sick may have been sitting. Holding the hand rail only, you can easily clean your hands with instant hand sanitizer once you exit. Carry a small sized hand sanitizer with you in winter months. If you must sit, then avoid touching your face and use a hand sanitizer after you exit the transit.

If you notice someone coughing around you, move away from them (preferably to another car on a train) or further back if you are in a bus. You can also get off at the next stop and wait for the next bus or train, if they are frequent enough.

For airplane transit, there’s not really much you can do here. If there’s someone who is sick on a plane, you’re very likely to catch it. So, the best bet is to limit travel to only necessary movement during winter months.

Avoid eating out often / order take-out if possible

Eating at any restaurant exposes you to viruses. To avoid this risk, don’t eat out. Instead, buy foods and cook for yourself. Eating at home, there is no risk of becoming infected with a virus (except what you or your family bring home). Because your home is basically a controlled environment, you can prevent getting sick by staying home more often in the winter. If you really do want to eat out, take the food from the restaurant as takeout. Order over the phone from home or your cell and then pick the food up after it’s ready. This means you get exposed to almost nothing other than door handles and money handling. So, use some hand sanitizer or wash your hands when you get home.

Children and School

Unfortunately, if you have school age children, there is little you can do about this risk. Your children will be exposed every day at school. Because schools care about having children’s butts in seats (this is how they get their funding) more than caring about whether a child is sick, school ends up as one big petri dish. With school age children, all you can do is send them off and hope for the best. When your child brings something home (and they will), you’re likely to get it yourself. Until schools are required to care about each child’s health over attendance, this will remain a problem every year. When your child does get sick, keep them at home.

Stay at Home

If you don’t have school age children, staying at home during the height of the flu season can drastically reduce your chances of catching a virus. Going to the movies, eating out, visiting crowded shopping malls, zoos, museums or any other mingling with large gatherings of people all greatly increase your chances of getting sick during flu season. When possible, stay in.

Grocery Shopping

During December, January and February, I only go out for limited reasons such as grocery shopping. I also try to visit stores during off-hours or hours when fewer people will be shopping. These times are typically an hour before closing or the first hour after opening. If it’s a 24 hour market or open until midnight, anytime after 9PM is a great time to shop. In fact, the later at night, the fewer people you will see. You should also wipe down the push cart handle with disinfectant if you have it or use sanitizer after you’re done. Better, shop with your reusable shopping bag. It’s your bag and only you and the cashiers get to touch it. Wash your shopping bags frequently to get rid of germs.

Shopping with Home Delivery

Since companies like Amazon, GrubMarket, GrubHub, DoorDash, Postmates, Safeway and Instacart are now making it easier and cheaper than ever to shop for home delivery, here’s another way you can prevent going out. Order what you need from one of these apps and have it delivered right to your door. Use of these delivery services prevents the need to even enter a store. Inevitably, you will need to go out to fill your car’s tank or get certain items, but you can limit your people interaction on these trips and, thus, reduce your chances of getting sick.

The above are many of my rules that I regularly follow. However, sometimes it isn’t always convenient to follow all of them. In those cases, washing hands frequently with warm water is the bare minimum to help reduce the chances of getting sick during the winter flu season months.

Wash Clothing Frequently

If you’ve been out and about for a long period rubbing shoulder to shoulder with people in a subway, you should wash your clothes when you get home. Washing your clothes in a washer will ensure that your clothing is virus free. Though viruses don’t necessarily last a long amount of time on fabric, estimates may go up to 72 hours. Washing clothing washes away any viruses.

In the winter, we also wear a whole lot more outerwear than is normal in other months. Some of these include scarves and gloves. Buy and use washable outerwear. These materials allow you to throw your gloves and scarves into the washer and dryer to disinfect anything that you might have come in contact with while out and about. Gloves are particularly problematic. If you live in a city with a subway or use other public transportation, your gloves can easily pick up germs that could lead to the Flu.

Wash your outerwear frequently during the winter months. I also recommend avoiding wearing wool or other non-washable outerwear which requires dry cleaning. Because it’s difficult to launder these items, you’ll wear them for much longer than you normally wear clothing that can be washed in a washer, risking viruses. Wearing gloves for too long could be the thing that makes you sick. Instead, choose winter clothing that keeps you warm and is easy to launder… and also wash clothing frequently throughout the flu season.

Updated for COVID-19 — New Preventatives Below

With the release of COVID-19 into the wild and with this virus now being declared an official pandemic, there are even more steps you may want to consider to protect you and your family from contracting COVID-19.

Public Gatherings

Any places where crowds gather in large quantities is best avoided. This means don’t go see movies at a theater. Don’t head to large crowded restaurants. Don’t visit arcades. Don’t go to bars. Don’t ride on overcrowded subway cars. Don’t head over to that huge party. In short, don’t hang out in large crowds.

Choose alternative times to go to work if possible (go in earlier or later in the day). If you can work night shift, choose that shift where you’ll encounter the least amount of people possible.

Traveling

Stay off of planes, buses and crowded trains. Any place where large numbers of folks can congregate, stay away. If you must travel, travel by train in a closed compartment. Stay in the compartment and have your meals served to you in your compartment. Don’t walk around the train unless absolutely necessary. Don’t leave your train compartment unless required.

Planes are particularly problematic because the air is recycled throughout the plane. One person on the plane who is sick invariably will make everyone else sick. Because COVID-19 seems particularly contagious, it’s likely you will become infected when traveling by plane. Avoid unnecessary plane travel. Postpone any travel plans until COVID-19 is under at least some semblance of control.

Schools

If you’re in college, high school or any other type of school, opt for taking courses online from home rather than stepping foot on campus or sitting in crowded classrooms. Don’t eat at the cafeteria. Instead, bring your own packed lunch or visit a drive-thru and then sit in your car or find a secluded spot to eat by yourself.

Church

While I know people can be very devout to their church, it also unfortunately gathers a large number of people together. It’s very easy to get sick by visiting a church. I’ll leave you to decide how best to satisfy your faith requirements. If you can satisfy your faith at home, then stay home and spend an hour doing so instead of visiting your church. If you feel the urge to tithe, ask your church clergy if they have a way to donate electronically.

Eating Out and Entertainment

Avoid. There’s nothing requiring you to eat out. In fact, it’s probably healthier to make meals at home. Take this time to reflect on poor eating choices at restaurants and choose to make meals at home instead. This avoids visiting crowded restaurants and you may surprise yourself at what kinds of meals you can whip up.

Likewise, avoid activities like bowling, amusement parks, movie theaters and, unfortunately, gyms.

If you really must eat out, choose places that have a drive-thru. This avoids leaving your car and, unless someone working at the restaurant is infected, you’re not going to meet or speak to anyone else. I know that this excludes the more expensive sit-down style restaurants, but avoiding being around crowds is the best way to avoid getting infected.

Fitness

I spoke about this just above, but let me expand a little. While I know that many people like to visit gyms regularly, doing so could leave you infected with COVID-19. If you need your fitness fix, try other more solitary activities like walking or running around your neighborhood. Avoiding crowded gyms is a good way to beat getting COVID-19. If you’re a member of 24 Hour Fitness, many of these gyms are open 24 hours. This means you can head over at midnight or 1am and work out then. I know it’s late, but this is the time when you will see the fewest people possible. Though, when this information gets out, you might find that late is the new peak time.

If you enter a store or gym and see more than 8 people, turn around and leave. Use your best judgement also. If it’s a tiny place, but it has a lot of people, leave.

Shopping Late

The best way to avoid becoming infected is by shopping late in the wee hours of the morning. For example, Safeway is open 24 hours a day. By shopping after midnight, you can avoid seeing almost anyone in the store. The only place where you might encounter close contact is at the register. The hours between midnight and 3am are your best choices to avoid contact with people. Not that many places are open 24 hours, but take advantage of those that are.

Hand Sanitizer & Gloves

Wearing disposable gloves or carrying around hand sanitizer can help keep you from getting infected. If you have any open sores on your hands, opt for wearing disposable gloves or finger cots instead. Any open sore is a possible infection point. Make sure these sores remain properly covered when out and about, preferably by the waterproof variety of bandages.

When possible, wash your hands and face as frequently and as thoroughly as possible. When washing your face, wash your hands first thoroughly, then wash your face. After washing your hands in public, avoid touching anything when leaving the restroom. If necessary, use a towel to pull the handle on the door and throw the towel away immediately on the way out. Don’t hold it in your hands. If necessary, throw it on the floor. If the door is push to leave, kick it open with your foot.

Gas Stations

Everyone needs to fill up their car. By touching the gas pump handle, you could pick up COVID-19. Wear disposable gloves when pumping gas. Throw the glove(s) out immediately after replacing the pump handle to its holder. Don’t touch your car at all while wearing the gloves. Don’t fiddle with phone or headphones after having touched the gas pump handle and while wearing gloves. If you must fiddle with your phone, do it before you touch the handle and only after disposing of the gloves.

Touch Screens and Credit Cards

To complete many transactions at stores, you must enter your pin code, sign your name or touch an electronic pen at the point of sale. Wear gloves or, alternatively, utilize hand sanitizer immediately following the use of a touch screen. If you have a disinfectant wipe, you can wipe down the touch surface (if the cashier allows) before touching the screen or buttons. Better, bring a touch sensitive pen with you and use it to touch the screen and the buttons. Disinfect your credit card after you’ve inserted it into the slot and removed it.

If a store offers a wallet system that simply requires scanning your wallet on your phone, use this instead. The more hands-off you can make the purchasing, the less chances you’ll have of becoming infected.

If a store offers in-store pickup, order in advance on your phone, then pick up the items when the order is ready. This avoids contact with almost every surface. If you can utilize items for delivery, opt for this instead.

Washing All Purchases

If you’re bought anything new from a store, wash it immediately. If it’s clothing, immediately put it into the washing machine and wash it in hot water. If possible, dry it in a hot dryer. If you’ve bought something that’s dry clean only, take it to the dry cleaners. Better, buy and wear only wash and wear items during this COVID-19 pandemic.

For food items, buy items that have plastic containers or wrapping. When you get the items home, wash the entire outer packaging under hot water using soap and water. If you’re buying produce, you’ll want to buy produce that can be cooked before eating. Avoid eating produce that must be consumed raw, such as lettuce… unless the produce is individually wrapped in plastic and the outer plastic can be thoroughly washed.

After touching any purchased items, be sure to wash your hands thoroughly before eating, drinking or scratching.

Avoid Touching your Face

When you are out and about in public, avoid touching any part of your face. If you have an itch, leave it. Don’t scratch. Wait until you have washed your hands and face before touching any part your face. I know this one is tough, but keeping your hands away from your face is key to not bringing any germs into contact with your nose, eyes or mouth.

Coughing and Sneezing

If you hear anyone sneezing or coughing near you, move away or, better, leave. For example, if you need to visit your local Driver’s License office, this inevitably has at least one or two sick people. Avoid these public servant places like, ahem, the plague. If you can do your transactions online or by mail, do that instead. For example, California now offers a machine at various grocery stores to renew your car’s tags. Take advantage of these systems and avoid sitting in crowded close-contact surroundings.

Bars

Most bars are only required to rinse glasses through a weak bleach water solution between uses. As a result of this washing activity, it’s possible you could pick up COVID-19 from a glass washed at a bar. I’d suggest avoiding bars unless you absolutely know that the bar washes their glasses in a dishwasher after every use. Ask the bartender if you are unsure of their glass washing practices.

Common Sense

Many of these above are simply common sense. The most important is regularly washing your hands with hot water and soap and also the use of hand sanitizer for those in-between times. If you have open sores, cuts or scrapes, make sure these are appropriately bandaged and covered… preferably with antibiotic ointment. While the ointment may not actually kill the COVID-19 virus, it does create an additional barrier between your open sore and entry of the virus, just like the bandage.

Asian Restaurants and Asian Markets

This last part may is probably the most controversial, but it’s definitely worth mentioning. Consider the primary demographic of any establishment you intend to visit. If you realize that the primary demographic for that establishment has high possibility of infection, you might want to think twice at visiting.

Contrary to some opinions on this topic, I will agree to these articles’ primary point. It’s not the restaurant food or grocery store items that is likely to get you infected with COVID-19. Instead, it will be that establishment’s customers. When you visit a Chinese grocery or Chinese restaurant, many of these establishment appeal to Chinese customers of all persuasions. What that means is when heading into one of these stores or restaurants, you do so at your own risk. It’s not the food or prepackaged items sold that will infect you, no. It’s that someone before you may have touched or sneezed on a package or, in fact, that person may be standing next to you in line when purchasing your food or paying your restaurant bill. The chances of encounter with the COVID-19 infection is much, much greater at places that attract the Chinese demographic.

These types of stores are open public spaces that are intended to appeal to everyone, but more particularly to those of Chinese descent. This statement isn’t meant to cast any aspersions. Instead, it’s a realistic assessment on the COVID-19 situation. Many recent Chinese immigrants feel much more at home when they eat at a Chinese restaurant or shop at a Chinese market. If they have recently traveled to and from China, then that whole establishment is at risk when they shop. That’s not to say that eating at McDonald’s or Denny’s is a better (or safer) choice. But, the risk is likely somewhat lower at restaurants that don’t widely appeal to a higher infection-rate demographic. Though, this pandemic is most certainly liquid and ever changing. As more and more people are infected, the demographic may swing from mainly Chinese to a wide array of demographics.

We already know that this virus spreads easily and rapidly, likely now more by surface contact than by exchange of bodily fluids. However, both are definitely possible. Visiting an establishment which is most likely to attract the highest infection demographic is always worth avoiding in the short term. Once the virus has begun to decline its spread, then it may be safe again to visit these types of establishments.

As I said above, if you must have Chinese food, find a place that either offers a drive-thru or use a home delivery service. That doesn’t mean the food or the containers can’t be infected, but the chances are reduced when only restaurant staff have ever handled or breathed on those containers.

Microwave Your Takeout — Toss Takeout Containers Rapidly

To reduce changes even further with purchased foods… If you’ve gotten takeout from a restaurant, no matter the type of food, it’s worth removing the food from its restaurant takeout container(s), then reheating the food in a microwave on your own dinnerware. Make sure to stir it well and that it gets hot enough.

While your food is re-heating in the microwave, dispose of all takeout containers in a separate trash bag or directly into a dumpster. Make sure you can’t accidentally touch the containers again after you’ve disposed of them. Finally, wash your hands thoroughly before touching or eating the now microwaved food. If the food can’t be easily microwaved (i.e., salads or cold food options), you might want to consider hot food choices instead.

If you really must have a salad, I’d suggest buying salad ingredients at a grocery store and making the salad yourself at home. Buying cold salads at any restaurant affords an excellent transportation opportunity for COVID-19. I’d also say the same thing about cold beverages and containers, such as Boba. Decant the beverage from its original takeout container into a properly sanitized glass, then discard the original packaging… making sure to wash and/or sanitize your hands before consuming the beverage. This beverage situation goes for Boba places to be sure, but also places like Starbucks.

Better, make and eat foods at home. Leave the the takeout for safer times.

Disclaimer: This article is not to be construed in any way as dispensing medical advice. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Always consult with a licensed medical professional to discuss your specific health needs.

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  1. […] Posted in Health, health and beauty by commorancy on October 25, 2009 I’ve recently discussed what I do to help prevent the cold and flu virus, that one is the longer of these two articles.  So, this one will be much shorter.  If you do get […]

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