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Vacation planning with a COVID-19 safety mindset

Summer is coming. Roughly one-half of the United States population is vaccinated against COVID-19. Many are itching to venture out from their 14-month global pandemic hibernation to travel and visit friends and family again.

According to UMass Medical School鈥檚 infection control officer, Sharone Green, MD, a safe vacation starts with preparation, research and awareness of one鈥檚 own risk and risks to others.

鈥淚 think it really depends on what you鈥檙e doing. The important thing to realize with COVID is, you can鈥檛 characterize your risk by a single thing that you do,鈥 said Dr. Green, associate professor of medicine and a specialist in infectious diseases. 鈥淭hat鈥檚 what makes it complicated to have a uniform set of guidelines.鈥

A big factor, of course, is whether one is fully vaccinated, meaning at least two weeks has passed since their final dose. The U.S. Centers for Disease Control and Prevention issued new guidance May 13 stating that vaccinated individuals do not need to wear masks indoors or outdoors, with a few exceptions, nor do they need to adhere to distancing guidelines from a personal safety standpoint. However, people must follow federal, state and local guidelines about masking and distancing as well as business and workplace guidance. For now, there are no immediate changes to masking and distancing guidelines in Massachusetts, but this may come in the near future.

鈥淏eing vaccinated obviously opens up many more avenues to you because you are extremely unlikely to get infected,鈥 Green said. 鈥淚f you鈥檙e a single couple traveling around, you can feel confident that if you wear your mask in public and avoid large, very dense crowds, you should be fine.鈥

But people who have underlying health conditions, which might render the vaccine less effective, or those who are unvaccinated, should exercise more caution. In that case, driving to a cabin with outdoor activities such as hiking or kayaking and avoiding close contact with people outside of one鈥檚 household might be a lower-risk choice than sightseeing in a big city or visiting an amusement park.

Similarly, traveling with children still requires extra precautions because vaccines haven鈥檛 been authorized yet for children under age 12.

鈥淧eople think it鈥檚 not a big deal if children get sick with COVID-19. But it is a big deal when they come back, if they鈥檙e going to be going straight into summer camp or a visit to grandma鈥檚 house, or some other situation where they may transmit the virus,鈥 said Green.

Green said it makes sense to pack disinfecting wipes to clean surfaces frequently touched during travel by children, such as airplane armrests and tray tables, as well as to keep their hands clean.

Green recommended that people, whether vaccinated or not, wear a mask when in a public space, such as a hotel lobby, public transportation, or  mall, even if the locale doesn鈥檛 have a mask mandate.

And do your homework about your vacation destination before hitting the road, Green advised. What is the current infection risk in the local community? What guidelines and regulations are in place, both for the destination and for one鈥檚 home community?

 and the  are good resources, according to Green.

鈥淵ou have to recognize that while you鈥檙e traveling, things can flip on a dime,鈥 Green said. Major disruptions have occurred in international travel, such as the recent U.S. travel ban for individuals who have been in India in the previous 14 days, with exceptions for U.S. citizens and certain others. But domestically, states have also frequently updated their own travel restrictions.

Some destinations require COVID-19 testing upon arrival, so travelers should be prepared to factor in timing鈥攗sually within 72 hours of boarding a plane or arrival鈥攁nd whether the type of test and test provider are accepted by local authorities.

Green encouraged travelers to be careful about choosing a type of transportation, too. Driving to a vacation place is safer than flying or taking a bus or train.

鈥淎irplanes themselves are not super high risk because they have very good airflow,鈥 she said. 鈥淏ut when you鈥檙e at the airport, you鈥檙e mixing people from all over the place. That is the reason that CDC Director Rochelle Walensky has advised against air travel, because of the concern that we鈥檙e going to be moving variants all over the place and spreading infection of potentially more transmissible viruses that may cause more severe disease.鈥

Eating out is the highest risk activity for people who are traveling, Green continued. 鈥淭he risk of getting COVID in a restaurant is more than twice the risk somewhere else,鈥 she said. 鈥淭hat is related in part to ventilation and in part to masks being off while people eat.鈥

Dining outdoors with people you know are vaccinated or getting takeout are safer options.

鈥淚 think that people have to recognize that when they travel, they鈥檙e among a lot of people who may come with different ideas about what is safe and what is not safe,鈥 said Green. 鈥淪o as long as people keep that in their mindset, and they take precautions depending on the setting they put themselves in, that is the goal for safer travel.鈥