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    • Is it safe to travel right now? Experts weigh in on how to mitigate COVID risks on vacation

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    At the start of 2022, with pandemic fatigue spreading and the majority of Canadians having received at least two vaccine doses, many were hoping this summer might finally be a return to normal.

    The majority of public health restrictions was lifted across Canada in the spring and early summer, including measures such as requirements to mask in public indoor spaces and to be vaccinated to fly within the country.

    However, in June and July, new Omicron subvariants spurred a new wave of COVID-19 cases. So is it actually safe to be travelling right now?

    Experts say there鈥檚 no use in postponing trips indefinitely in the hopes of COVID-19 being eradicated. 

    "COVID is not disappearing anytime soon,鈥 Dr. Angela Cheung, a senior scientist at the University Health Network in Toronto, told CTVNews.ca in a phone interview.

    However, she stressed that learning to live with COVID-19 doesn鈥檛 mean abandoning mitigation efforts and allowing it to spread rampantly 鈥 it means making COVID safety a regular part of your schedule, including when you are planning for a trip.

    FACE MASKS

    The number one thing that travellers can do to cut down their risks quickly and simply is to mask in indoor spaces while travelling and anywhere else they feel the need to, experts say.

    Cheung compared it to bringing an umbrella along in case of rain.

    鈥淒o you need a mandate to tell you that you should carry an umbrella?鈥 Cheung said.

    鈥淚f you're willing to get wet, it鈥檚 OK not to carry an umbrella. If you're willing to get sick with COVID, sure, don't mask.鈥

    Dr. Kieran Quinn, a clinician-scientist with Toronto鈥檚 Sinai Health System and assistant professor with the University of Toronto, told CTVNews.ca in a phone interview that 鈥渁 mask is better than no mask, but there are certain types of masks, like N95s and KN95s that offer better protection.鈥 He recommended securing some of those before a trip if it鈥檚 feasible.

    鈥淧eople should be wearing masks in indoor spaces where there's lots of other people around or in places where there might be high risk people who are immunocompromised or older,鈥 he said. 鈥淲e continue to strongly recommend that people wear masks. And I hope that people will continue to do so, because that has been shown to protect themselves and others from from infection.鈥

    Cheung echoed that she would personally wear an N95 on a plane, but said her main advice is to 鈥渨ear a mask that you would wear鈥 and that you are comfortable in.

    If you want to wear a higher-quality mask in order to be safer in enclosed spaces such as a plane, and you don鈥檛 usually wear N95s in your everyday life, Cheung recommended practicing wearing one for at least the duration that you would be on the plane, in order to see if it is too uncomfortable and you鈥檙e touching it all the time, or if you can handle it.

    BE UP TO DATE ON VACCINES

    Vaccines cut the risk of severe illness and provide some protection against transmission, even against these more transmissible variants, and anyone looking to travel should be vaccinated, experts say.

    Infectious disease expert Dr. Brian Conway told CTVNews.ca in a phone interview last week that anyone eligible for a fourth shot should attempt to get one before embarking on a big trip.

    鈥淚f you haven't had three shots, don't travel,鈥 he said.

    In Quinn鈥檚 opinion, a fourth dose might not be necessary right away, but 鈥渃ertainly the three doses have proven to be very effective at reducing transmission and severe illness. And our rates of third doses in Ontario and in Canada, we still have room for improvement.鈥

    PRIORITIZE SAFER EVENTS AND LOCATIONS

    At this stage in the pandemic, conflicting advice from governments and experts means many Canadians are sorting out what safe means to them.

    鈥淪afe is a personal choice, right? And it comes down to people's comfort with risk and everybody has different thresholds for risk, similarly to investing or crossing the street,鈥 Quinn said, adding that the threat of long COVID should be something that people are taking into consideration when assessing risk. 

    In this light, the experts offer these thoughts to consider if you鈥檙e looking to minimize your risk while travelling.

    Before confirming a trip:

    Staying closer to home rather than jetting around the world could be a safer concept, experts say. A road trip, in which you know who will be in close contact with you in the vehicle, may be safer than other modes of travel.

    鈥淐ertainly, I would feel more comfortable in the confines of my car with my family than I would in a public airport with a whole host of other people, particularly if those people are un-masked,鈥 Quinn said.

    If travelling internationally, you could do some research beforehand into the vaccination rates of different countries, Conway suggested, adding that this is as much a protective measure for other countries as for the travellers, who shouldn鈥檛 risk bringing COVID-19 to a country that has been deprived of vaccine access.

    While on the trip:

    Trying to find more things to do outside vs. inside could help, experts say.

    鈥淥bviously, going on a nature hike where it's not very crowded, that is safer than going to a hockey game or a concert,鈥 Cheung said. 鈥淪o what you do on your vacation may determine your risk as well.鈥

    She added that with these new COVID variants, outdoors isn鈥檛 always guaranteed safe location.

    鈥淧eople can get it outdoors as well, especially in fairly close contact outdoors,鈥 she said.

    鈥淧ersonally, I would say I would opt for trips like hikes and outdoor activities and sort of minimizing indoor public spaces as much as possible for the protection and safety of my own family,鈥 Qunn said.

    While crowded indoor spaces are the big danger, outdoor events where people are shoulder to shoulder for many hours can still be dangerous, experts say.

    鈥淚f you're going to travel, avoid the areas you already know are at risk of transmitting COVID,鈥 Conway said. 鈥淐rowded indoor spaces for a long period of time. So as much as possible, it's the summer, if you're going to go to a foreign country, eat on the patio.

    鈥淚f I were to travel, I would not go see some indoor stadium event [鈥 with 30,000 of your closest friends, all yelling at each other. 鈥

    Whenever it鈥檚 possible to know a building or event鈥檚 ventilation levels, that information can help you decide whether a visit is a good idea or not.

    鈥淚n Asia, there are cinemas where they post how good the ventilation is,鈥 Cheung said. 鈥淲e really should be doing that for everywhere, in indoor places, malls and shops and restaurants and things like that.鈥

    鈥淚f you have good airflow and clearance and have HEPA filters and other things, then your risk is lower.鈥

    For instance, a crowded outdoor festival could actually be riskier than walking through a large, well-ventilated museum that isn鈥檛 very crowded.

    If you鈥檙e travelling with immunocompromised or elderly individuals, or travelling to visit someone high-risk, take that into account when assessing acceptable risk levels.

    HAVE BACK-UP PLANS

    If you contract COVID-19 on vacation, it could mean needing to extend the trip in one location to isolate, and that鈥檚 something to consider when planning a trip.

    Cheung added that if you don鈥檛 take the time to rest, not only would you be putting others at risk, but you could exacerbate your own illness, and needing to be hospitalized in another country could cost a lot of money if you don鈥檛 have insurance coverage.

    If the trip has the potential to expose you to more situations where you could get COVID-19, think about whether you have somewhere to stay and recover if the worst case scenario comes true.

    KNOW WHEN TO STAY HOME

    The bottom line is: don鈥檛 travel when you鈥檙e sick, experts say.

    鈥淎lthough you might have that vacation booked, and the last thing you want to do is cancel or delay it, if you have symptoms suggestive of COVID, then you need to stay home and not go out into the public, because that's putting others at risk,鈥 Quinn said.

    鈥淚f you have any symptoms of any kind, you should not travel,鈥 Conway said. 鈥淚 think that if you are sick, you stay home.鈥

    He added that rapid test results should not be used as a justification for travelling when sick, for instance, if a rapid test is negative but you have a new, persistent cough. Rapid tests are less sensitive than PCR tests, and are more likely to give you a false negative at the beginning of acute illness than a PCR would.

    Cheung added that you're not immune to reinfection if you have had COVID-19 before. 

    "I've patients who got it four times and each time it's a bit different," she said. And the threat of long COVID should not be ignored. 鈥淪ome of those lingering symptoms are very debilitating. People can't work, people can鈥檛 carry out their usual daily activities.

    After a difficult two years of pandemic isolation and restrictions, Cheung said it makes sense that people want to travel.

    鈥淚 can totally understand that people need a vacation,鈥 she said. 鈥淎nd so it is balancing the positive side of the vacation and travel versus the risks of that.鈥

    鈥淛ust because we're learning to live with COVID does not mean we should assume that all is well and, and continue to turn our back on any type of preventative measures and transmission, because while thankfully vaccination gives us great protection around reducing severity of illness and, and adverse outcomes, [鈥 we must not forget that long COVID is emerging,鈥 Quinn added.

    鈥淚t poses potential challenges to our health and economy, and the evidence around how, how common it is, what the effects of variants are and what people would suffer with it is completely uncertain right now.鈥 

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