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WEARING IS CARING: STAYING SAFE DURING AN UNPRECEDENTED HOLIDAY SEASON

11/25/2020

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BY: ELAINE LEE (CC'23)

Almost a year into the COVID-19 pandemic, the situation in the United States is turning grim. Dropping temperatures are pushing gatherings indoors where lower ventilation increases infection risks. With the upcoming holidays, millions of people are traveling home despite the warnings of CDC guidelines. Together, these events could spell trouble for the country. Coronavirus infections are already rising in every part of the country. To make matters worse, misinformation about COVID-19 thrives on the internet, further hampering the U.S’s pandemic response.


In response to conflicting information about wearing masks and social distancing, we, a team of Columbia professors, postdocs, postgrads, and undergrads, started Wearing is Caring in March 2020. Since July, we’ve been publishing science-based mask guidelines. In a time like this, it is more important than ever for members of the general public to stay safe. Here are some of our most important findings:

Why should I wear a mask?
Throughout the pandemic, different studies have reported different numbers on the rate of asymptomatic infection. However, whatever the true asymptomatic rate may be, all of the studies can agree on one thing: anyone can get infected with the coronavirus, infect friends and family, and show no symptoms. As a result, even those who don’t feel sick need to take precautions like wearing masks and social distancing.

How do I wear a mask?
To wear a mask properly and maximize its level of protection, there are many aspects to consider, from material to design.

One of the aspects we want to emphasize is mask fit. While wearing a mask is important to stop the spread of the coronavirus, wearing a mask that fits is also crucial. While it is true that an N95 mask has a higher filtration ability than a cloth mask, badly fitting N95s provide far less protection than a surgical mask or cloth mask with a good fit. Ultimately, fit makes all the difference between a piece of cloth and a properly working mask. 

For more information on how to properly wear a mask, visit our website.


What about face shields?
Face shields have emerged as a potential alternative to masks. However, even though they add eye protection not provided by masks, they’re not a perfect replacement. Like the plexiglass glass barrier at Chipotle, face shields are good sneeze guards. They catch the large droplets that you’re exposed to when someone coughs in your face. However, they don’t block smaller aerosols from moving in through the gaps. To maximize protection, face shields can be worn with masks. They cannot, however, be worn instead of masks.

For many Americans, the holidays will be marked by empty chairs and spotty Zoom calls instead of turkey dinners with loved ones. We are devastated that people are being forced to forgo the comfort of friends and family, especially during trying times like these. However, until a vaccine is available next year, we have to continue taking these precautions.

From the bottom of our hearts, we thank you for all the sacrifices you have made––and will continue to make-––to protect your community, and wish you a safe and happy thanksgiving.

To learn more about WearingisCaring, visit their website at 
WearingPPEisCaring.org!


References:
https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/considerations-for-events-gatherings.html
https://www.npr.org/sections/coronavirus-live-updates/2020/11/23/938096720/millions-of-americans-traveling-for-thanksgiving-ignoring-cdc-advice
https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html
https://www.cnn.com/2020/09/01/business/coronavirus-myths-social-media-doctors-trnd/index.html
https://www.cebm.net/covid-19/covid-19-what-proportion-are-asymptomatic/
https://www.cbsnews.com/news/covid-vaccine-astrazeneca-ceo-says-december-january/


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THE EFFECT OF THE COVID-19 PANDEMIC ON NON-PROFIT HUMANITARIAN WORK

11/25/2020

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By: Mayeesa Rahman (BC'23)
Since its first reported case in November 2019, the novel coronavirus (COVID-19) has undoubtedly changed the lives of millions across the globe. According to the Centers for Disease Control and Prevention (CDC), more than 1.3 million people worldwide have died as a result of the virus, while others have faced hospitalization, job loss, and food and resource deficits. Another less-publicized consequence of the pandemic is its effect on international humanitarian organizations. International humanitarian relief agencies and non-governmental organizations, such as Doctors Without Borders or CARE, work independently of the government to serve social or political goals such as humanitarian or environmental causes worldwide. One particular aspect of NGOs that has been detrimentally impacted by COVID-19 is their ability to provide relief to refugees. 
 The Office of the United Nations High Commissioner for Refugees reports that the number of forcibly displaced people around the globe, 68.5 million, is the highest level of human displacement ever recorded. This figure includes 25.4 million refugees, an unprecedented number that indicates that the global refugee crisis persists alongside the pandemic. Many refugees are not granted access to government support for unemployed citizens. Consequently, they are forced to rely on humanitarian organizations for cash assistance and employment. Efforts to contain the pandemic have strained the budgets of humanitarian organizations worldwide, significantly affecting their ability  to aid refugees. A recent survey in Jordan by the World Health Organization (WHO), for instance, showed that 35% of Syrian refugees lack a sufficient source of income and do not have a job to return to when pandemic restrictions are ultimately lifted. 
Furthermore, refugees also face a disproportionate risk of exposure to the virus due to the conditions in which they live. Many live in densely populated refugee camps, where social distancing is difficult to maintain and sanitation conditions are severely lacking. A large proportion of refugees, such as the Rohingya Muslims who currently reside in Bangladesh -  a third-world nation with one of the highest tuberculosis (TB) incidences in the entire world - have previously contracted TB, which increases their chances of contracting COVID-19 and makes them less likely to recover. Medical resources in refugee camps are also very limited, to the extent that the WHO reports that a coronavirus outbreak would totally overwhelm hospitals in just 58 days. Refugees are also often stigmatized by the general public in the countries to which they have been displaced, compounding their fear of admitting that they have COVID-19 symptoms and seeking treatment. 
Humanitarian organizations should take initiative to implement outbreak response teams within refugee camps, ensure that there are sufficient medical resources in these camps, and provide economic relief to refugees. Their ability to do so has been significantly hindered/constrained by the financial impacts of the pandemic; however, many organizations such as the WHO and UN-associated humanitarian relief agencies have adopted the $2.01 billion 2019 Humanitarian COVID-19 response plan. This program seeks to fight COVID-19 in the world’s most vulnerable nations while maintaining funding for the treatment of other diseases that continue to persist in third world nations such as malaria, cholera, and tuberculosis. Through this plan, many countries in need of humanitarian aid from international organizations have managed to control their rates of COVID-19 infections and their incidence of other diseases, according to the CDC. This is a hopeful statistic in the face of the global pandemic, but more can and should be done to aid the millions of refugees who continue to suffer due to COVID-19 and are almost entirely dependent on humanitarian organizations for aid. 

References: 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146746/

https://apps.who.int/gb/ebwha/pdf_files/WHA72/A72_25-en.pdf?ua=1
https://www.who.int/bulletin/volumes/98/8/20-271080/en/
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/donate





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    ABOUT OUR BLOG: 

    Thank you for checking out our blog! Here, we feature entries written by Columbia GlobeMed members or by other on-campus organizations. Our articles center on pressing global health issues, non-profit work, and new advances in the medical community. 

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