A Cornelian Christmas: ought to we rejoice “no matter the fee” or hand over a long-awaited reunion? Every household has its personal little preparations with the epidemic. Some will get up alone or by videoconference. For the others, the scientific council revealed Monday a notice of seven pages. A “toolbox” for probably the most serene holidays potential. “It is as much as everybody to adapt it in line with their household configuration and their threat evaluation,” advises infectious illness specialist Robert Cohen.
The Excessive Council for Public Well being (HCSP) additionally issued round thirty suggestions in an opinion on December 14 – nonetheless not made public, deplores Didier Lepelletier, co-chair of the Covid-19 committee on the HCSP. The top of the hospital hygiene service at Nantes College Hospital makes a suggestion: “As we make our New 12 months’s Eve menu, let’s put together our sanitary menu!”
Who ought to hand over the reunion?
Those that don’t wish to take any dangers. “On this case, we see one another on Zoom or we postpone till subsequent yr”, slice epidemiologist Antoine Flahault, who heads the Institute of World Well being, in Geneva (Switzerland). The HCSP advises towards these in danger (due to their age or co-morbidities) and people who have signs or who’re awaiting a check from attending household conferences. “If we sneeze, if we cough, if we’ve respiratory indicators, we don’t come”, provides Antoine Flahault.
Ought to we self-confine?
Homes are places of contamination. “20% of households may have clusters”, in line with Didier Le Pelletier, who has scoured the scientific literature for the HCSP. To restrict this threat, keep per week to isolate your self. Ideally, all the family applies these restrictions. Really useful by the scientific council, self-containment permits time for signs and an an infection to seem – the virus having a median incubation of 5 days -, and helps stop an infection. “And that is useful for the epidemic dynamic”, provides Antoine Flahault. To every his personal slider to cut back interactions and journey: keep away from present marathons, telework… “Those that are pressured to go to work should improve vigilance on barrier gestures, and even be examined,” suggests Robert Cohen.
Ought to we do a preventive check?
The scientific council recommends it within the two days earlier than Christmas Eve for individuals who have had many contacts through the week. The asymptomatic contaminated will thus have the ability to establish themselves. In case of symptoms or contact with a proven case, consider yourself contagious for seven days, whatever the check consequence. “If an antigen check is optimistic, you must isolate your self and defend your family members, explains public well being professor William Dab. Whether it is unfavourable, the entice is to imagine that the chance is zero.” It’s not a “totem of immunity”, summarizes Olivier Véran. It’s due to this fact advisable to restrict its interactions till D-day. One also can schedule one, and even two antigenic exams shortly earlier than New Years Eve. However the result’s solely legitimate for 24 hours. And watch out for the crush!
Easy methods to apply the rule of six?
By limiting the variety of company, we scale back the chance of an asymptomatic particular person infecting others. In France, a most of six company is really useful, excluding kids. “Above 11 years previous, says pediatrician Robert Cohen, they need to be thought-about as adults when it comes to threat of transmission.” With out separating the generations, the rule is adjusted in line with the household composition, the dangers and wishes. “Don’t depart a grandfather remoted underneath the pretext that he’s the seventh,” pleads Professor Cohen. For the hygienist Didier Lepelletier, we will carry collectively as much as ten folks, limiting the variety of combined households and considering the ages: “If the grandparents absorb 4 kids from Paris, Nantes and Normandy, this no. is just not affordable. They may reasonably see one another half at Christmas and New Years. ” One other criterion, the scale of the home. William Dab presents a benchmark, “eight sq. meters per particular person”.
Easy methods to eat with the household?
Meals in an enclosed house play a central position in contamination, in a household, pleasant or much less skilled atmosphere. In the USA, the authorities suggest to remain within the open air, round “eat upright” or in tents. “We’ve lunch with a plaid or a down jacket, like snowboarding,” approves Professor Flahault, who suggests swapping the aperitif-sofa or the log ritual for a stroll. Inside, hats and fleeces are additionally a should. As a result of, along with barrier gestures (masks besides at mealtime, distance, freezing), the important thing phrase stays air flow. To guage if that is ample, we visualize the diffusion of aerosols by imagining the smoke of a cigarette. You may as well place an alert each hour to open the home windows or equip your self with small CO2 sensors.
Learn additionally – Covid-19: the situation is deteriorating in France, one week before Christmas
Within the kitchen, a masked particular person prepares the meal. Then, buffets are banned and the desk can be “aired”: the members of a family are grouped collectively and the ancestors are spaced aside by an empty chair. One particular person is answerable for the service and, if alcohol is consumed, the meal is lower brief. “Vigilance is declining, we communicate louder, we sputter”, justifies Didier Lepelletier. The American Heart for Illnesses Management (CDC) due to this fact recommends talking in a hushed voice.
Must you go see your aged relations in nursing properties?
Residents can spend the vacations with their family members both by leaving the institution or by receiving guests (controls are tightened). Within the occasion of an exit, the scientific council advises testing the aged on their return after which isolating them for seven days. However nothing can be worse than reproducing the deleterious loneliness of the primary confinement, argues Robert Cohen.
Ought to we disguise the kids?
The WHO recommends sporting a masks throughout household reunions. Indoors, it’s not helpful between members of the identical family. In case of mixtures, the academies of pediatrics in the USA or Korea advise it to kids from 2 or three years previous. Higher to contemplate that these are doubtlessly transmitters, judges the epidemiologist Antoine Flahault: “We do as we will, however the masks is reasonably a good suggestion.” Why not face the grandparents, believes Didier Lepelletier, even if children are a priori few carriers and contaminants, recollects the knowledgeable from the HCSP. On the time of the presents (positioned on the bottom), the elders can go away to see the youthful ones open them; an grownup then distributes the presents to the “grown-ups”.
Can we sleep with grandparents?
Because of the curfew or a keep in one other area, some households will stay with their family members. The thought is to restrict the length to at least one or two nights so that spotlight to barrier gestures is just not slackened. Specialists suggest strengthening air flow and decreasing shared moments indoors. The CDC additional means that guests wash their garments on arrival. “You may as well retailer your baggage in an remoted room”, suggests Didier Lepelletier.
How to withstand the catastrophe?
Psychiatrist Michel Lejoyeux, creator of four Time of rebirth (JC Lattès editions), identifies a number of levers. First, let’s get out of denial: this New 12 months’s Eve won’t be great. Allow us to present extra help for people who find themselves already remoted or sick. And for the reason that epidemic is impacting our short-term goals, let’s give significance to our long-term values, which, for his or her half, usually are not altering. “The non secular or emotional causes for which we rejoice Christmas may even be current subsequent yr,” he assures us. The arrival of the vaccine and the concept that we maintain the important thing to the third wave must be a supply of hope, provides Didier Lepelletier. Why not make these constraints a possibility to unleash creativity and humor, and even to check out altruism? In keeping with Professor Lejoyeux, “it is virtually nearly as good as a meal at thirty!”