*Updated 9/2/2023
Masks
Masks (respirators) are extremely effective against airborne viruses such as COVID-19. If you choose one “tool” to carry, among the physical ones listed below, make it a respirator.
- Studies and Considerations:
- Efficacy of face masks, neck gaiters and face shields for reducing the expulsion of simulated cough-generated aerosols (Study, 2021)
- Why upgrade from cloth/surgical masks to respirators? (helpful article)
- Largest Study on COVID-19 and Face Masks (article, 2021)
- Yes, even outside
- SARS-CoV-2 outbreak affecting 131 people at outdoor night market (Study, July 2023)
- Types of recommended masks/links to buy:
- Fit Test the Planet - Ongoing fit-tests to find the BEST respirators (Twitter)
- Ear loops or head straps, some colors available, +kids masks
- Inexpensive (cheaper in bulk, sales, coupon codes)
- As low as $1.07/PER MASK!
- Comfortable, fits smaller faces better than most KN95s
- Great fit even for smaller faces, OK seal
- Only comes in white, head straps, 3-panel design makes it easy to wear for a long time/talk without it budging
- Pricing: around $2.30/mask depending (Home Depot 10pk)
- “Regular size” is a better fit for larger faces than the Aura
- Both have more surface area to breath through, which can be more comfortable / “breathable” for some
- Adheres to the face instead of using straps
- MRI safe/no metal
- $3.99/mask (ReadiMask.com 10pk)
- Free or cheap resources for obtaining masks:
- Search for your local MASK BLOC or other advocacy groups providing free masks, tests, and other tools in their community!
Nasal Sprays
Nasal Sprays as a whole have not been widely studied for use in prevention of COVID-19 (yet). There have also been no comparative studies that can point to which type is most effective. Some studies that have been conducted and listed here have some issues – who they are funded by, methods carried out, etc. Be sure to check out the studies that are listed and use your best judgment to determine if this is worth adding to your toolbox.
CURRENTLY AVAILABLE NASAL SPRAYS
- Iota-Carrageenan Nasal Spray
- Considerations:
- Brands/Links to buy:
- Hypromellose spray
- Definition: Hypromellose Spray changes the pH of the nasal cavity with an acidic gel layer that is shown to reduce risk of viral infection
- Considerations:
- Produced in Israel, so may violate BDS
- Nitric Oxide spray
- Definition: Destroys viruses and impedes viral replication in the nose. It has also been shown to block the ACE-2 receptor essential for the covid virus to infect cells.
- Considerations:
- Brands/Links to buy:
- Enovid (Produced in Israel, so may violate BDS)
- Only nasal spray to have completed Phase 3 Clinical Study
- Not approved for sale in the US
- Not approved for sale in the US
- Additional Studies and Information
- Xylitol Nasal Spray
- Definition: A natural virucidal agent that alters the optimal acidic environment required for cell invasion, preventing viral entry into the nasal epithelium
- Considerations:
- Extremely poisonous for pets; be careful where it is stored/don’t allow animals to lick your face after you spray!
- Question: Can Covixyl be added here, as it also contains Xylitol?
- Also contains Iodine (active ingredient)
- Ethyl Lauroyl Arginate HCl
- Definition: an amino acid-based surfactant with broad-spectrum antimicrobial activity, high biodegradability and low toxicity
- Considerations:
- Some say it burns your nostrils/sinus cavity (Reddit, Twitter anecdotes)
- Studies and Additional Information:
FUTURE NASAL SPRAYS IN PRODUCTION/UNDERGOING TRIALS
- Trimeric Sherpabody 92 (TriSb92)
- Definition: an engineered homotrimeric Sherpabody produced from E. coli.
- Considerations:
- Brands/Links to buy:
NASAL RINSE
How to do a Nasal irrigation with a saline solution safely
“May Help, Won’t Hurt”
MOUTH WASH
- Cetylpyridinium chloride (CPC)
- Definition: a quaternary ammonium compound, which is present in mouthwash, is effective against bacteria, fungi, and enveloped viruses (1)
- Considerations:
- Brands/Links to buy:
- Unknown % CPC)
- Not vegan
- Gentler for sensitive mouths
- 0.05% CPC
- Vegan/not tested on animals
- .1% CPC
- Not vegan
- Very intense mouthfeel; may affect mouth’s biome if used too often
EYE PROTECTION
- Eyedrops containing Benzalkonium Chloride (BAK) 0.01%
- Definition: a quaternary ammonium compound commonly used as a preservative in ophthalmic topical solutions. The activity of BAK against SARS-CoV-2 is not well understood.
- Research on the brands LUMIFY and BESIVANCE (in-vitro)
- Considerations:
- Not approved by FDA for prevention of COVID, has not undergone human clinical trials for this use (AFAIK)
- The research study linked above was done by Bausch, Lumify’s manufacturer
- Glasses
- You don’t necessarily need to buy specific brands or types to get some protection for your eyes
- Peripheral protection similar to safety glasses
- Prescription and non-prescription available
CLEAN(ER) AIR
- Air Quality Monitoring
- Additional Articles and Studies:
CO2 Monitoring of Ventilation - When and How to Use It
- Very portable, long battery life, manual calibration with 30 days of memory when paired with your spart phone
- Also tracks humidity, temperature & atmospheric pressure
- Very portable, low battery life, manual calibration is tougher to achieve compared to Aranet4, no connectivity to other devices
- Straightforward and affordable device for determining risk
- Air Purifiers
- Make your own Corsi-Rosenthal Box
- Make your own CHC Box Fan Air Purifier (Like CR Box, but only 1 filter needed)
- Clean Air Kits ($174-255; also sells individual parts)
- Smart Air ($179-$1,079; also sells separate filters/other items)
- ProjectN95 ($129-$324.99; can apply for free air filters for certain orgs)
Social Considerations
- Making friends with similar COVID-mitigations
- Covid Safe(r) Events and Gatherings
- Finding COVID-Safer businesses, healthcare, and more
- Communicating with loved ones about boundaries, risk mitigation, etc
- “The current pandemic is helping us practice having overt and ongoing conversations around boundaries with everyone in our lives! As we learn more, boundaries may change. The key is to regularly communicate them!”
Infection Control
- Make a plan for your potential future COVID infection
- COVID+ Workbook (made by this site’s creator)
- My COVID+ Plan by CleanAirClub
- Know your status
- Symptom tracking
- The symptoms of COVID-19 have changed drastically since the beginning of the pandemic. What may seem like a cold or stomach bug by Delta’s standards, may in fact be one of the newer COVID variants. Always record when a new symptom appears. You may also want to check your temperature and other vitals. This can come in handy later if it does end up being a symptom of COVID (see: Contact Tracing).
- Of course, not all symptoms automatically mean COVID. But if you’re feeling ill, consider skipping unnecessary social outings and taking sick time/days off if you’re able to.
- “No, you don't have the 'August flu.' It's probably COVID” - Business Insider Aug 2023
- Testing
- CDC site on the different kinds of tests
- PCR Tests (Polymerase Chain Reaction)
- Tests for the presence of the actual virus's genetic material or its fragments as it breaks down. PCR is the most reliable and accurate test for detecting active infection.
- Gold standard for detecting COVID, but harder to obtain now that the emergency order has been lifted.
- RAT (Rapid Antigen Test)
- Identifies proteins that are found on the outside of the virus by acting as an antibody
- Due to a high likelihood of false negatives, it’s recommended to test twice (one day apart). If you were exposed and have symptoms, opt for a PCR if possible or quarantine.
- In addition to testing after an exposure or symptoms begin, you may want to test as a precaution before events or on a regular basis (such as weekly or following higher-risk activities). This is not accessible to everyone, but if your workplace, health insurance, or other places in your community are still providing tests, they can be an additional tool to stop the spread!
- Testing immediately before an event or visit is best practice, but within 12 hours of the event is still effective. Yale School of Public Health 2022
- Accessing COVID-19 tests
- The CDC Increasing Community Access to Testing (ICATT) program supports no-cost COVID-19 testing for uninsured people that are symptomatic or exposed. Search for a testing site here.
- Community-based testing sites that may offer free testing
- Those with medicaid can still access 8 free RAT tests/month at their pharmacy (Different states may handle differently, Massachusetts bulletin here)
- The NIH will send 6 free RAT tests - test2treat.org
- Search for your local MASK BLOC or other advocacy groups providing free masks, tests, and other tools in their community!
- Quarantine and Isolation
- It is not inevitable that people who share a home will become infected, but even if they do, the amount of virus that one is exposed to can make a difference in the severity of their infection.
- This article from NPR in 2020 is OK, but consider adding ventilation/air purification to the regimen (see Cleaner Air for recommendations)
- A quick summary of Isolation/Quarantine/Contact Tracing:
- (aligns with People’s CDC advice, but a little less thorough)
Website author note: The Official CDC’s recommendations differ from these because they are balancing the needs of capital with their failed duties to public health. The timelines below were used for a statewide contact tracing program in 2020-2021 and I have not seen compelling evidence to support the reduction in isolation/quarantine periods.
- A contact who is exposed to someone with COVID should quarantine for 7-14 days to avoid spreading it unknowingly.
- No symptoms: Quarantine for at least 7 days.
- How to construct the timeline:
The Last day of exposure = Day 0. If there are NO symptoms, obtain a PCR test on day 5. If the test in negative, and there continues to be no symptoms, return to normal activities on day 7.
(Sunday exposure, Monday-Friday symptom tracking, Friday PCR test, Saturday break quarantine)
- If you can’t access a PCR test, take 2 rapid tests (day 5+6).
- Continue to mask and monitor symptoms following quarantine for 2 wks total; if symptoms occur return to quarantine and test.
- Symptoms: Quarantine for 2 full weeks unless positive test.
- On day 5 post-exposure, take a PCR or take a rapit test on days 5 and 6. (Sunday exposure, Friday or Fri/Sat test). If the contact tests positive, isolation timeline would begin on the first day of symptoms.
- Someone who tests positive for COVID should isolate for at least 10 full days, beginning at the symptom start date or positive test date (whichever comes first) regardless of whether they are symptomatic.
- Some may need or choose to isolate for longer than ten days, due to being immunocompromised or a persistence of symptoms. The positive person should check with their doctor and track their symptoms.
- The first day of symptoms or positive test = Day 0. If symptoms have greatly improved by day 10 (including no fever for 24 hours, without the use of fever-reducing medications), on day 11 isolation can be ended.
- To be extra cautious, the positive person can take a rapid test before breaking isolation. PCR following infection is not recommended, because one may test positive on a PCR for many weeks, even after they are no longer contagious.