Tag Archives: long-Covid

Still Wearing a Mask?

“How come you’re still wearing a mask?”  The question came out of nowhere from the man sitting at the other end of the shopping-mall bench.  I was waiting for my wife to exit one of the shops, and I assumed he was waiting on someone, too.

“Why do you care?” I replied, touching my mask self-consciously.

He shrugged.  “Don’t really care, I guess.  None of my business, really, but I’m just curious.  You’re ‘bout the only one in the whole mall who’s wearing one.  They say Covid’s over, right?”

I followed his gaze, noticed a few maskers among the passers-by, but not many.  “You really want to know?” I asked.  “Or are you just trying to hector me?”

“My name’s not Hector,” he said with a tiny grin, and we both laughed.  “Hey, I wouldn’t ask if I didn’t want an answer.”

“Okay,” I said, encouraged to engage.  “You ever been hit by a train?”

“A train?  Not that I recall, and I think I would.  Why?”  The grin lingered.

“Do you ever walk along rail-lines or across trestles?” I asked.

“Of course not.  Train-time is anytime, right?  That’s what the signs say.”

“Would your odds of being hit by a train be higher or lower if you did choose to walk the tracks, ignoring the signs?” I asked.

He looked around for a moment, puffing his cheeks.  “Higher, I guess.  What’s that got to do with wearing a mask?”

“I think my odds of catching Covid are higher if I don’t wear a mask,” I said.  “I’ve never been hit by a train, either, and like you, I don’t tempt fate by walking along the tracks.  Nor have I had Covid, so I’m just looking to lower the odds of catching it.”

“You can still catch it, even wearing a mask,” he said.

“You can,” I agreed.  “Even though, as you mentioned a minute ago, they claim it’s over.”

He looked at me, didn’t reply.

“I’m not sure who they are, but despite what you might’ve heard, Covid is not over,” I continued.  “According to what I read, it will never be over, just like smallpox, cholera, diphtheria or polio aren’t over.  Those viruses will always be with us, and it’s up to us to protect ourselves.  Vaccinations and masking are two of the best ways of doing that.”

“You vaxed?” the man asked.

“Four times,” I said.  “And I’ll get another shot when my doctor recommends it.”

“Me and my wife are double-vaxed,” the man said.  “They told us that’s all we needed.”  He smiled as he said it.

“I know vaxes and masks don’t guarantee I won’t get it,” I said.  “But I think they affect the odds in my favour.”

“Some people think the government’s got no right to make everybody wear masks,” the man said.  “They say it’s a free country and they got free choice.”

After pondering that for a bit, I said, “I could agree with them, I suppose.  You’ve made your choice, I’ve made mine, and both of us have the right to do that. But we will face the consequences of our choices.  Still, nobody has the right to infringe on the rights of others, either.”

“Meaning what?”

“You ever get on an empty elevator and smell cigarette smoke?” I asked.

“Not lately,” he replied.  “Can’t smoke indoors now, remember?”

“But what if some jackass doesn’t follow that rule?  What if they do smoke in an elevator, and then you get on after they’ve left?  You enjoy the smell of second-hand smoke?”

“I gave up smoking years ago,” the man said.

“Okay, good!  Now suppose that guy, instead of being a smoker, has Covid,” I continued.  “He’s on the elevator you’re going to get on, maybe on his phone, so the droplets and aerosols from his talking and breathing are being released into the air.”

“Yeah, so?”

“So those aerosols hang around when he gets off,” I said.  “Like second-hand cigarette smoke, except you can’t see or smell them.  And science has told us the Covid virus is attached to those aerosols, which is how the disease spreads.  You breathe them in, even if the sick guy has gone, and next thing you know…”

“If that’s how Covid spreads, why are they always telling us to wash our hands?” the man asked.

“Exactly!” I exclaimed.  “Why do they tell us that?  Hand-washing is good for overall hygiene, no question.  But that’s not how Covid spreads.”

“How do you know?”

“I know because I choose who to listen to, who to read,” I said.  “Epidemiologists and immunologists are more reliable, as a rule, than politicians or others with vested interests.  I could follow all the advice from the best experts and still get Covid, I know that.  But again, it’s all about rigging the odds in my favour.”

“So you don’t think Covid is over?”

“No one thinks it’s over,” I said.  “Even they—the people who keep telling us we don’t need to mask up—even they don’t think it’s over.  Instead, they tell us it’s time to get on with our lives, learn to live with it, make our own risk-assessments.  The problem is, they no longer provide us with the information we need to assess our risks effectively.  No testing and no reporting, even though they know the Covid variants are here to stay, in one mutation or another.”

“Yeah, I’ve heard about variants,” he said.  “What one are we on now?”

“Based on what I’ve read,” I said, “the dominant variants here now are Omicron BA.4 and BA.5, which are highly transmissible and perhaps as severe as the original BA.2 variant.  Rather than attacking the upper-respiratory tract, they go deeper into the lungs like that variant did, and they’re more likely to evade immunity.”

The man watched the people marching past us for a few moments.

“I agree we do have to learn to live with this disease,” I said, “because it’s not ever going away.  And until we achieve some sort of immunity, if we ever do, wearing a mask is one excellent way I have to protect myself and others around me.  Staying up to date with vaxes is another, and testing is a third.  And when I do any of those things, it doesn’t impinge on your rights at all.  But people who don’t do any of those things, if they become ill, can infect others around them—which is an infringement on the rights of those affected.”

“I can see that, I guess,” the man said.

“And contrary to what people might tell you,” I said, “you can get re-infected—more than once—and the effects of long-Covid are only now beginning to be realized.  The consequences of ignoring simple precautions like masking can be awfully severe.”

“So how long are you going to keep wearing the mask?”

I shrugged.  “How long are you going to refuse?”

He shrugged, too, the tiny grin returning.  “Until the facts convince me it’s best to wear one, I guess.”

“Same here,” I said, rising to join my wife who I’d spied coming out of a store, bags in hand.  “I’ll wear it until the facts tell me it’s not needed anymore.”

The man waved farewell.  “Thanks for the TED talk,” he grinned cheerfully. 

“My name’s not Ted,” I said, and we both laughed again.

As I walked away, I heard him start to cough.

Lock ‘Em Up? Or Open ‘Em Up?

Some readers of this blog, knowing I was a Director of Education in two Ontario school districts prior to retirement, have asked if I would offer an opinion on whether schools should be locked down during this Covid pandemic, or opened up.  Is the mental health of children being jeopardized by their continued absence from school?  Or is that danger outweighed by the chance they will contract a Covid variant and spread it to others in their families and neighbourhoods?

They ask what I would do if I were still Director of Education.

It’s complicated, I tell them.  On the one hand, there is no doubt that the benefits of in-person learning far outweigh those of online instruction carried out remotely, although online learning does have a place.  And that speaks to opening up schools.

But the risks inherent in bringing children into congregant settings that number more than the limits imposed by the government for other venues—for example, a maximum of five or ten for indoor gatherings—are serious enough to give us pause.

As the once-upon-a-time CEO of those two school districts (unnamed here because I no longer speak for them), reporting to an elected board of Trustees, my overarching duty was to ensure the health and welfare of all students, staff, and members of the public who entered our buildings.  There were countless other responsibilities, of course, prescribed by the Education Act and its concomitant Regulations, and by those local school boards, but none so important as the safety of children.

So what would I do if I were still Director?  I would advocate strongly for the opening of schools and the return of children to in-person learning, but only—and this is the key point—when those schools are safe for their return.

What would make them safe?  To answer that, I would rely upon the advice and recommendations of experts in the field of epidemiology, virology, child psychology, and public health.  But because such people are not always in perfect agreement, I would have to exercise my own professional judgment to synthesize their thoughts and formulate a course of action.

Here’s what I know—or at least what I would rely upon.  In order to be safe for learning, I would ensure classrooms had adequate ventilation, perhaps HEPA filters in each one if necessary.  Alas, most of the schools in the two districts where I worked did not measure up, so that would present a major problem right away.

I would insist that anyone present in our buildings be fully vaccinated, in accordance with the guidelines respecting age and intervals between doses.  No vax, no entry (subject to bona fide medical exemption).  And everyone would wear an approved mask, and keep a recommended distance from each other—made possible by a restructuring of the physical classroom spaces.  Learning cohorts would be half the number they are now.

Testing and screening at prescribed intervals would be required, along with contact-tracing whenever someone came down with Covid.  Exclusion from school would be mandatory for anyone who became ill, subject to the public health guidelines around isolation and quarantine.  That is no different than procedures in place presently for children who come down with mumps or measles, for example—diseases whose frequency is greatly reduced now, of course, by mandatory vaccinations.  In fact, any child who has not received the vaccinations required by provincial law is already excluded from attending school.  My plan would add the Covid vaccination to that list.

Naturally, there would be costs associated with implementing these measures, both societal and financial.  How would local boards enforce such attendance restrictions against people who defy them, who declare (perhaps with some justification) that, as taxpayers, they have the right to have their children in school regardless of vaccination status?  How would those boards pay for the structural improvements needed in classrooms and schools?  How would they pay for the increased number of teachers and education workers required?

During the early years of my employ as Director, local school boards had taxing authority.  Each year, the property tax bills issued to ratepayers by local municipalities included an education component, through which boards could supplement the grant money they received from the provincial Ministry of Education in order to look after local initiatives.  So ideally, my plan would be financed by a local levy aimed at bringing about the necessary improvements to ensure the welfare of all who enter our buildings.

For better or worse, twenty-five years ago, the Harris Conservative government took away that taxing authority, leaving local boards reliant on annual per-pupil grants from the Ministry, the amounts of which were (and are) largely determined by formulas and algorithms overseen by Ministry staff in Toronto. The education priorities and needs that had heretofore been determined by the residents of local communities across the province were thus greatly diminished, not in importance, but in realization.

Because they no longer pay the piper, as it were, local boards can no longer call the tune.

My plan to open schools up, therefore, would be severely constricted today by a lack of money to bring about the required improvements in safety necessary for a secure return to school.  Nevertheless, it is what I would be advocating to any who would listen.  The billions of dollars being allocated to the building of a new 400-series highway (which, I assume, is based on somebody’s economic advice) would surely go some distance to making our schools safe for the return of students if re-allocated for that purpose. 

So I ask myself, what is the priority?  More highways or safe schools?  To a school district Director, the answer is evident.

As you might expect, the authority of a Director of Education is limited—both back when I occupied the position and certainly now—so if I were still on the job, I would be constrained from implementing my plan despite its common-sense foundation, prevented from pushing ahead on my own, even with the blessing of the local board employing me.

Nevertheless, this is what I would do if so empowered—not what I could do under present conditions.

Of course there are many negative implications for children, parents, employers, and the broader community to keeping schools closed—interrupted learning, social isolation, gaps in child-care, diminished cadre of workers, need for and costs of paid sick-leave, unintended strains on the public health system—which many of us are aware of.  And that’s why the whole question is complicated.

But I also know this.  It is impossible to alleviate the mental health problems of children and adults if they have died.  And it’s going to prove immensely stressful and costly to deal with the effects of long-Covid, the extent of which is only just beginning to be understood—fatigue, shortness of breath, brain fog, chronic sleep disorders, fevers, anxiety and depression, earlier-onset dementia, to name some.  We need to err on the side of caution with respect to the health of our populace.

When faced with difficult decisions as Director of Education (such as whether or not to permanently close a school, or to dismiss an unsatisfactory employee), I always tried to err, where possible, on the side of the children in our care.  What was the solution that would have the optimal impact on their long-term welfare?

And that’s how I would decide the schools issue now, insofar as I would have the authority to do so.  Would I lock ‘em up, or open ‘em up?

I strongly advocate for the opening of schools and the return of children to in-person learning, but only—and this is the key point—when those schools are safe for their return.