COVID CARE: A Way Forward to Opening Up Social Circles

CARE

Container: Who is in your current social circle?

Agreements: What agreements that you have with the people in your current container?

Risk tolerance: What is your tolerance for risk for yourself and what are you putting onto others?

0: Very Strict — Have been in very strict isolation alone or with others in a container, which may include the following:

  • Stays exclusively within the container/household.
  • 6 feet apart with others within the household/container.
  • Strict etiquette including hand washing, masks and social distancing are used 100% of the time within the container.
  • Groceries delivered and wiped down.
  • No one outside is allowed in.
  • Infection control protocols outside of the bedroom. Bleach or sanitizing all surfaces touched by more than one person, no shared bathroom spaces.

1: Strict — Have been in strict isolation alone or with others in a container, which may include the following:

  • Does not optionally leave the house/container except to get groceries and go to work.
  • No social distancing with members of one’s container.
  • Strict etiquette including hand washing, masks and social distancing are used 100% of the time when outside of the container.
  • Groceries delivered and/or wiped down before being allowed into the container.
  • No visitors are brought inside the container.
  • Person to person connection is done virtually or across a wide berth >6 ft + masks.
  • Exercise alone or with others, distance strictly maintained.

2: Fairly Strict — Have been in fairly strict isolation alone or with others in a container, which may include the following:

  • Leaves the house to go to work, where etiquette to reduce transmission is not strictly available.
  • Fairly strict etiquette including hand washing, masks, and social distancing are used 80–100% of the time when outside of the container.
  • Minimizes grocery and other shopping (once a week or less).
  • Exercise with others where distance may not always be strictly maintained for brief moments.
  • May socialize with others outside of the container, at 6 ft apart or less than 6 ft with masks.
  • No sexual activity with anyone outside of the container. (Sexual activity is any behavior where sexual touch is exchanged.)
  • No one in the container has prolonged (more than 10 minutes) exposure with those outside the container.

3: Somewhat Open — Have chosen to be somewhat open with their container alone or with others, which may include the following:

  • Leaves the container to exercise, go to the store, work and other activities several times a week.
  • Etiquette including hand washing, masks and social distancing are used about 80% of the time when outside of the container.
  • Sometimes socializes with others who are not in one’s container
  • Maintains social distance
  • Less than 10 people
  • No more than twice a week.
  • Sometimes socializes with others at less than a 6 foot distance if they have been following fairly strict or somewhat open protocols as well.
  • May engage in sexual activity with others only if they have also have similar risk tolerance, with consent. Sexual activity is limited to no exchange of bodily fluids including open mouth kissing and oral sex.

4: Moderately Open — Have chosen to be moderately open with their container alone or with others, which may include the following:

  • Leaves the container to exercise, go to the store, work, and other activities multiple times a week.
  • Etiquette including hand washing, masks and social distancing are used around 40–60% of the time when outside of the container.
  • Regularly socializes others who are not in one’s container
  • May not maintain social distance
  • More than 10 people
  • No regard to how often one socializes.
  • May engage in sexual activity with others only if they have also have similar risk tolerance, with consent. Sexual activity can include exchange of bodily fluids including open mouth kissing and oral sex.

5: Very Open

  • Leave the container to exercise, go to the store, work and other activities multiple times a week with no precautions that have been shown to reduce viral transmission.
  • Etiquette including hand washing, masks and social distancing are used about 0–40% of the time when outside of the container.
  • Regularly socializes with others who are not in one’s container
  • Does not maintain social distance
  • More than 10 people
  • No regard to how often one socializes.
  • Engages in sexual activity with others only if they have also have similar risk tolerance, with consent. Sexual activity can include exchange of bodily fluids including open mouth kissing and oral sex.

Etiquette: What code of socially responsible behaviors do you agree to?

Conclusion

Other Notes and Sources:

Testing:

  • Viral test — to check if you have a current Covid infection. There is up to a 30% false negative rate in some of the tests.
  • Antibody test — to check if you have antibodies to the virus. This tells us that you have some immunity to the virus. We don’t yet know that just because someone has developed antibodies, that they are fully protected from reinfection, or how long any immunity lasts.

Comorbidities

Masks

Social distancing

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Physician, Sexual Health Advocate, Sex Educator

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Evelin Dacker MD

Evelin Dacker MD

Physician, Sexual Health Advocate, Sex Educator

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