How to safely celebrate Thanksgiving amid COVID-19

Thu, 11/26/2020 - 8:45am

    As people in the United States begin to plan for holiday celebrations, the U.S. CDC offers the following considerations to help protect individuals, their families, friends, and communities from COVID-19.

    These considerations are meant to supplement — not replace — any state, local, territorial, or tribal health and safety laws, rules, and regulations with which holiday gatherings must comply, says the U.S. CDC in its advisory. 

    When planning to host a holiday celebration, you should assess current COVID-19 levels in your community to determine whether to postpone, cancel, or limit the number of attendees, the U.S. CDC says. 

    Virus spread risk at holiday celebrations

    Celebrating virtually or with members of your own household pose low risk for spread. In-person gatherings pose varying levels of risk. Event organizers and attendees should consider the risk of virus spread based on event size and use of mitigation strategies, as outlined in the Considerations for Events and Gatherings. There are several factors that contribute to the risk of getting infected or infecting others with the virus that causes COVID-19 at a holiday celebration. In combination, these factors will create various amounts of risk, so it is important to consider them individually and together:

    Community levels of COVID-19 – Higher levels of COVID-19 cases and community spread in the gathering location, as well as where attendees are coming from, increase the risk of infection and spread among attendees. Family and friends should consider the number and rate of COVID-19 cases in their community and in the community where they plan to celebrate when considering whether to host or attend a holiday celebration. Information on the number of cases in an area can be found on the area’s health department website.

    The location of the gathering – Indoor gatherings generally pose more risk than outdoor gatherings. Indoor gatherings with poor ventilation pose more risk than those with good ventilation, such as those with open windows or doors.

    The duration of the gathering – Gatherings that last longer pose more risk than shorter gatherings.

    The number of people at the gathering – Gatherings with more people pose more risk than gatherings with fewer people. CDC does not have a limit or recommend a specific number of attendees for gatherings. The size of a holiday gathering should be determined based on the ability to reduce or limit contact between attendees, the risk of spread between attendees, and state, local, territorial, or tribal health and safety laws, rules, and regulations.

    The locations attendees are traveling from – Gatherings with attendees who are traveling from different places pose a higher risk than gatherings with attendees who live in the same area. Higher levels of COVID-19 cases and community spread in the gathering location, or where attendees are coming from, increase the risk of infection and spread among attendees.

    The behaviors of attendees prior to the gathering – Gatherings with attendees who are not adhering to social distancing (staying at least 6 feet apart), mask wearing, hand washing, and other prevention behaviors pose more risk than gatherings with attendees who are engaging in these preventative behaviors.

    The behaviors of attendees during the gathering – Gatherings with more preventive measures, such as mask wearing, social distancing, and hand washing, in place pose less risk than gatherings where fewer or no preventive measures are being implemented.

    People who should not attend in-person holiday celebrations
     

    People with or exposed to COVID-19: 

    Do not host or participate in any in-person festivities, if you or anyone in your household has been diagnosed with COVID-19 and has not met the criteria for when it is safe to be around others; has symptoms of COVID-19; is waiting for COVID-19 viral test results; may have been exposed to someone with COVID-19 in the last 14 days; is at increased risk of severe illness from COVID-19

    People at increased risk for severe illness: If you are at increased risk of severe illness from COVID-19, or live or work with someone at increased risk of severe illness, you should avoid in-person gatherings with people who do not live in your household; avoid larger gatherings and consider attending activities that pose lower risk (as described throughout this page) if you decide to attend an in-person gathering with people who do not live in your household.

     

    General considerations for fall and winter holidays

    Fall and winter celebrations, such as Rosh Hashanah, Yom Kippur, Halloween, Día de los Muertos, Navratri, Diwali, Thanksgiving, Día de la Virgen de Guadalupe, Hanukah, Kwanzaa, Christmas, and New Year’s, typically include large gatherings of families and friends, crowded parties, and travel that may put people at increased risk for COVID-19.

    Before you celebrate

    Hosting a holiday gathering

    If you will be hosting a celebration, follow CDC tips for hosting gatherings. Below are some additional considerations for hosting a holiday celebration:

    Host outdoor activities rather than indoor activities as much as possible. If hosting an outdoor event is not possible, and you choose to host an indoor event, avoid crowded, poorly ventilated, or fully enclosed indoor spaces.

    Increase ventilation by opening windows and doors to the extent that is safe and feasible based on the weather.

    Host activities with only people from your local area as much as possible.

    Limit numbers of attendees as much as possible.

    Provide updated information to your guests about any COVID-19 safety guidelines and steps in place to prevent the spread of the virus.

    Provide or encourage attendees to bring supplies to help you and others stay healthy. For example, extra masks (do not share or swap with others), hand sanitizer that contains at least 60% alcohol, and tissues.

    If you are planning in-person holiday gatherings with people outside of your household, consider asking all guests to strictly avoid contact with people outside of their households for 14 days before the gathering.

    Attending a holiday gathering

    If you will be attending a celebration that someone else is hosting, follow CDC Considerations for attending an event or gathering.

    Below are some additional considerations for attending an in-person holiday gathering:

    Outdoor activities are safer than indoor activities. If participating in an outdoor event is not possible, and you choose to attend an indoor event, avoid crowded, poorly ventilated, and fully enclosed indoor spaces. Increase ventilation by opening windows and doors to the extent that is safe and feasible based on the weather.

    Check with the event host, organizer, or event venue for updated information about any COVID-19 safety guidelines and if they have steps in place to prevent the spread of the virus.

    Bring supplies to help you and others stay healthy. For example, bring extra masks (do not share or swap with others), hand sanitizer that contains at least 60% alcohol, and tissues.

    If you are planning to attend in-person holiday gatherings with people outside of your household, consider strictly avoiding contact with people outside of your household for 14 days before the gathering.

    Holiday travel

    Traveling increases the chance of getting and spreading COVID-19. Staying home is the best way to protect yourself and others. Use information from the following webpages to decide whether to go on holiday travel:

    Travel During the COVID-19 Pandemic

    Know Your Travel Risk

    Know When to Delay Your Travel to Avoid Spreading COVID-19

    If you decide to travel, follow these safety measures during your trip to protect yourself and others from COVID-19:

    Wear a mask to keep your nose and mouth covered when in public places.

    Avoid close contact by staying at least 6 feet apart (about 2 arms’ length) from anyone who is not from your household.

    Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer (with at least 60% alcohol).

    Avoid contact with anyone who is sick.

    Avoid touching your eyes, nose, and mouth.

    Get your flu vaccine: Gatherings can contribute to the spread of other infectious diseases. Getting a flu vaccine is an essential part of protecting your health and your family’s health this season. September and October are good times to get vaccinated. However, flu vaccines are still useful any time during the flu season and can often be accessed into January or later.
     

    During the celebration

    Follow these tips to reduce your risk of being exposed to, getting, or spreading COVID-19 during the celebration:

    Social distance and limit close contact

    Maintain a distance of at least 6 feet or more from people you don’t live with. Be particularly mindful in areas where it may harder to keep this distance, such as restrooms and eating areas.

    Avoid using restroom facilities at high traffic times, such as at the end of a public event.

    Avoid busy eating areas, such as restaurants during high volume mealtimes, if you plan to eat out at a restaurant.

    Minimize gestures that promote close contact. For example, do not shake hands, elbow bump, or give hugs. Instead wave and verbally greet others.

    Wear masks

    Wear a mask at all times when around people who don’t live in your household to reduce the risk of spreading the virus.

    Avoid singing, chanting, or shouting, especially when not wearing a mask and within 6 feet of others.

    Do not use costume masks in place of cloth masks
     

    Do not use a costume mask (such as for Halloween) as a substitute for a cloth mask unless it is made of two or more layers of breathable fabric that covers your mouth and nose and doesn’t leave gaps around your face.

    Do not wear a costume mask over a cloth mask because it can be dangerous if the costume mask makes it hard to breathe. Instead, consider using a Halloween-themed cloth mask.

    Limit contact with commonly touched surfaces or shared items

    Clean and disinfect commonly touched surfaces and any shared items between use when feasible. Use EPA-approved disinfectants.

    Use touchless garbage cans if available. Use gloves when removing garbage bags or handling and disposing of trash. Wash hands after removing gloves.

    Wash hands

    Wash your hands often with soap and water for at least 20 seconds, especially after you have been in a public place, or after blowing your nose, coughing, or sneezing. If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.

    Keep safe around food and drinks

    Currently, there is no evidence to suggest that handling food or eating is associated with directly spreading COVID-19. It is possible that a person can get COVID-19 by touching a surface or object, including food, food packaging, or utensils that have the virus on it and then touching their own mouth, nose, or possibly their eyes. However, this is not thought to be the main way that the virus is spread. Remember, it is always important to follow good hygiene to reduce the risk of illness from common foodborne germs.

    Make sure everyone washes their hands with soap and water for 20 seconds before and after preparing, serving, and eating food. Use hand sanitizer with at least 60% alcohol if soap and water are not available.

    Instead of potluck-style gatherings, encourage guests to bring food and drinks for themselves and for members of their own household only.

    Limit people going in and out of the areas where food is being prepared or handled, such as in the kitchen or around the grill, if possible.

    Wear a mask while preparing or serving food to others who don’t live in your household.

    If serving any food, consider having one person serve all the food so that multiple people are not handling the serving utensils.

    Use single-use options or identify one person to serve sharable items, like salad dressings, food containers, plates and utensils, and condiments.

    Avoid any self-serve food or drink options, such as buffets or buffet-style potlucks, salad bars, and condiment or drink stations. Use grab-and-go meal options, if available.

    If you choose to use any items that are reusable (e.g., seating covers, tablecloths, linen napkins), wash and disinfect them after the event.

    Look for healthy food and beverage options, such as fruits and vegetables, lean proteins, whole grains, and low or no-calorie beverages, at holiday gatherings to help maintain good health.

     

    After the celebration

    If you participated in higher risk activities or think that you may have been exposed during your celebration, take extra precautions (in addition the ones listed above) for 14 days after the event to protect others:

    Stay home as much as possible.

    Avoid being around people at increased risk for severe illness from COVID-19.

    Consider getting tested for COVID-19.

    If you develop symptoms consistent with COVID-19, such as fever, cough, or shortness of breath, or if you test positive for COVID-19, immediately contact the host and others that attended the event or celebration that you attended. They may need to inform other attendees about their possible exposure to the virus. Contact your health care provider and follow the CDC-recommended steps for what to do if you become sick, and follow the public health recommendations for community-related exposure.

    If you are waiting for your COVID-19 test results, stay home until you have a result, and follow CDC’s guidance to help stop the spread of COVID-19.

    If you have been diagnosed with COVID-19, a public health worker may contact you to check on your health and ask you who you have been in contact with and where you’ve spent time in order to identify and provide support to people (contacts) who may have been infected. Your information will be confidential. Learn more about what to expect with contact tracing.

    If you are notified that you were a close contact of someone who tested positive for COVID-19

    Stay home for 14 days from the last time you had contact with that person.

    Monitor for symptoms of coronavirus.

    Get information about COVID-19 testing if you feel sick.

    Celebrate Upcoming Holidays

    Rosh Hashanah, Yom Kippur, Halloween, Día de Los Muertos, Navratri, Diwali, and Thanksgiving will likely need to be different this fall to prevent the spread of the virus that causes COVID-19. Avoid activities that are higher risk for spread. Consider fun alternatives that pose lower risk of spreading the virus that causes COVID-19.

    Thanksgiving

    Thanksgiving is a time when many families travel long distances to celebrate together. Travel increases the chance of getting and spreading the virus that causes COVID-19. Staying home is the best way to protect yourself and others. If you must travel, be informed of the risks involved.

    Tips

    Safely prepare traditional dishes and deliver them to family and neighbors in a way that does not involve contact with others (for example, leave them on the porch).

    Participate in a gratitude activity, like writing down things you are grateful for and sharing with your friends and family.

    Having a small dinner with only people who live in your household

    Having a virtual dinner and sharing recipes with friends and family

    Shopping online rather than in person on the day after Thanksgiving or the next Monday

    Watching sports events, parades, and movies from home

    Moderate risk activities
     

    Having a small outdoor dinner with family and friends who live in your community

    Lower your risk by following CDC’s recommendations on hosting gatherings or cook-outs.

    Visiting pumpkin patches or orchards where people use hand sanitizer before touching pumpkins or picking apples, wearing masks is encouraged or enforced, and people are able to maintain social distancing

    Attending a small outdoor sports events with safety precautions in place

    Higher risk activities
     

    Avoid these higher risk activities to help prevent the spread of the virus that causes COVID-19:

    Going shopping in crowded stores just before, on, or after Thanksgiving

    Participating or being a spectator at a crowded race

    Attending crowded parades

    Using alcohol or drugs, which can cloud judgement and increase risky behaviors

    Attending large indoor gatherings with people from outside of your household

    Past Fall Holiday Celebrations

    Halloween

    Many traditional Halloween activities can be high-risk for spreading viruses. There are several safer, alternative ways to participate in Halloween. If you may have COVID-19 or you may have been exposed to someone with COVID-19, you should not participate in in-person Halloween festivities and should not give out candy to trick-or-treaters.

    Lower risk activities
     

    These lower risk activities can be safe alternatives:

    Carving or decorating pumpkins with members of your household and displaying them

    Carving or decorating pumpkins outside, at a safe distance, with neighbors or friends

    Decorating your house, apartment, or living space

    Doing a Halloween scavenger hunt where children are given lists of Halloween-themed things to look for while they walk outdoors from house to house admiring Halloween decorations at a distance

    Having a virtual Halloween costume contest

    Having a Halloween movie night with people you live with

    Having a scavenger hunt-style trick-or-treat search with your household members in or around your home rather than going house to house

    Moderate risk activities
     

    Participating in one-way trick-or-treating where individually wrapped goodie bags are lined up for families to grab and go while continuing to social distance (such as at the end of a driveway or at the edge of a yard)

    If you are preparing goodie bags, wash your hands with soap and water for at least 20 second before and after preparing the bags.

    Having a small group, outdoor, open-air costume parade where people are distanced more than 6 feet apart

    Attending a costume party held outdoors where protective masks are used and people can remain more than 6 feet apart

    A costume mask (such as for Halloween) is not a substitute for a cloth mask. A costume mask should not be used unless it is made of two or more layers of breathable fabric that covers the mouth and nose and doesn’t leave gaps around the face.

    Do not wear a costume mask over a protective cloth mask because it can be dangerous if the costume mask makes it hard to breathe. Instead, consider using a Halloween-themed cloth mask.

    Going to an open-air, one-way, walk-through haunted forest where appropriate mask use is enforced, and people can remain more than 6 feet apart

    If screaming will likely occur, greater distancing is advised. The greater the distance, the lower the risk of spreading a respiratory virus.

    Visiting pumpkin patches or orchards where people use hand sanitizer before touching pumpkins or picking apples, wearing masks is encouraged or enforced, and people are able to maintain social distancing

    Having an outdoor Halloween movie night with local family friends with people spaced at least 6 feet apart

    If screaming will likely occur, greater distancing is advised. The greater the distance, the lower the risk of spreading a respiratory virus.

    Lower your risk by following CDC’s recommendations on hosting gatherings or cook-outs.

    Higher risk activities
     

    Avoid these higher risk activities to help prevent the spread of the virus that causes COVID-19:

    Participating in traditional trick-or-treating where treats are handed to children who go door to door

    Having trunk-or-treat where treats are handed out from trunks of cars lined up in large parking lots

    Attending crowded costume parties held indoors

    Going to an indoor haunted house where people may be crowded together and screaming

    Going on hayrides or tractor rides with people who are not in your household

    Using alcohol or drugs, which can cloud judgement and increase risky behaviors

    Traveling to a rural fall festival that is not in your community if you live in an area with community spread of COVID-19

     

    Día de los Muertos

    Many traditional activities can put you at higher risk for exposure to COVID-19. There are several safer, alternative ways to celebrate Día de los Muertos. If you may have COVID-19 or you may have been exposed to someone with COVID-19, you should not participate in in-person Día de los Muertos festivities.

    Lower risk activities
     

    These lower risk activities can be safe alternatives:

    Preparing traditional family recipes for family and neighbors, especially those at higher risk of severe illness from COVID-19, and delivering them in a way that doesn’t involve contact with others

    Playing music in your home that your deceased loved ones enjoyed

    Making and decorating masks or making an altar for the deceased

    Setting out pillows and blankets in your home for the deceased

    Joining a virtual get-together celebration

    Moderate risk activities

    Having a small group outdoor, open-air parade where people are distanced more than 6 feet apart

    Visiting and decorating graves of loved ones with household members only and keeping more than 6 feet away from others who may be in the area

    Hosting or attending a small dinner with local family and friends outdoors where people are distanced more than 6 feet part

    Lower your risk by following CDC’s recommendations on hosting gatherings or cook-outs.

    Higher risk activities 

    Avoid these higher risk activities to help prevent the spread of the virus that causes COVID-19:

    Attending large indoor celebrations with singing or chanting

    Participating in crowded indoor gatherings or events

    Having a large dinner party with people from different households coming from different geographic locations

    Using alcohol or drugs, which can cloud judgement and increase risky behaviors