It's time to gather the family together for the talk. Not that talk — the talk about what to do for Thanksgiving this year as the pandemic rolls on.
It has been months since many of us have seen extended family — we're longing to check in on aging parents, to see old friends from back home, etc. But even though Thanksgiving often conjures up pictures of big happy reunions, how safe is it to make them a reality?
"Right now, in many areas of the country, COVID-19 rates are starting to surge again," says Dr. Tina Tan, pediatric infectious disease specialist at the Ann and Robert H. Lurie Children's Hospital of Chicago and professor of pediatrics at Northwestern University's Feinberg School of Medicine. Tan fears that the lure of holiday parties as well as more indoor activity because of the colder weather may result in more illnesses.
But if your heart is set on having a get-together, there are some things you can do to protect yourself, Tan says.
First, make sure you know who is attending and if you are traveling, how you'll get there. You need to know what coronavirus transmission rates are in the area you live and where you're going, Tan says. You can use NPR's coronavirus tracker to check this.
"Unfortunately, you're not really going to know that until fairly close to when you want to travel because these [transmission rates] are changing really rapidly," she says.
Family trip road trip
The safest way to travel is to drive, Tan says. The main risks in a road trip are the stops along the way, such as at restaurants, gas stations, or public restrooms.
"I would recommend you do anything you can to limit your exposure," says Dr. Ravina Kullar, an epidemiologist and spokesperson for the Infectious Diseases Society of America. "If you have to fill up the gas tank, put gloves on and use hand sanitizer" and wear a mask, she says.
That's what Clay Alling is planning to do — take a family road trip to the coast. Alling is a chef and general manager for a group of British pubs called Baker St. Pub & Grill, all located in Texas.
He often makes Thanksgiving dinners and delivers them to customers in the Houston area, where he lives.
"Not this past Thanksgiving, the one before that, I did 55 turkeys, I did 300 pounds of mashed potatoes, 100 pounds of green beans ... 42 dozen eggs, 12 dozen yeast rolls ... 12 cherry pies, 15 pecan pies, 28 pumpkin pies. It was crazy."
But he's not doing that this year. The pandemic has hit his business hard and has forced adaptations like expanding the food menu at many locations and implementing extensive safety protocols to reopen. He has been working harder than ever this year.
"I'm gonna take a break," he says. "We're going to get some kind of relaxation into everybody's lives."
This year, Alling will take his wife, their three children and his elderly father-in-law (who lives next door and whom the family has been caring for) to the beach for a Thanksgiving escape. They're going to rent a house, which is pretty safe, Tan says.
"You just have to make sure the cabin or whatever you're renting has been cleaned thoroughly so there's not the risk of someone having COVID that was just there ... and it's still on the surfaces or in the air."
But what about flying?
Thanksgiving is traditionally one of the busiest times of the year for air travel. The Transportation Security Administration screened a record-breaking 26 million passengers over the holiday in 2018.
The airlines are enforcing mask-wearing more consistently than they were at the beginning of the pandemic, Tan says, and they are seating people farther apart. Same with trains.
"The planes themselves are actually very safe. I mean, their air circulation system is better than the air circulation system in many homes," she says.
A recent report in the Journal of Travel Medicine suggests that strict mask-wearing policies on planes is particularly effective. Scientists studied all Emirates airline flights from Dubai to Hong Kong between June 16 and July 5 and found that although Emirates had 58 coronavirus-positive passengers flying on eight-hour trips, nobody else on those flights got sick.
"I think your biggest risk is at the airport," says Tan, where the situation is less predictable. There are more people and fewer controls.
Precautions before you gather
Even if there's no travel involved, gathering indoors with extended family and friends can be risky, especially if there's an older or high-risk person in your group.
The Centers for Disease Control and Prevention says people 65 years and older are at higher risk for getting a severe case of COVID-19. About 80% of deaths in the U.S. from COVID-19 have been of people in this age group.
You'll need to agree on some ground rules in the weeks leading up to your feast. To be really on the safe side, you would try to quarantine for two weeks before the day, or take as many precautions as practical.
Holly Provan, a cardiac rehab nurse at Huntington Hospital in Pasadena, Calif., plans to spend Thanksgiving weekend with her family and friends in a shared cabin in the woods in the tiny town of Lake Arrowhead, a few hours drive away. To do that as safely as possible, Provan says she will stop working for a week before the trip, keep everyone in the house socially distant from others, shop exclusively online and take a COVID-19 test.
"We're making some sacrifices for that week before just to make sure we're all extra careful and that they feel safe," she says.
Sharing a cabin with another family or extended family can be relatively low-risk, says Tan, if everyone attending has been following good hygiene practices — hand-washing, social distancing as much as possible and mask-wearing — in the days or weeks leading up to the event.
And when you're not eating, ideally you should be wearing a mask. "I know it's very awkward, but that's going to be the way you can keep your family and the other family safe," Tan says.
Tan suggests one other precaution before the event: Make sure everybody has a flu shot. "You don't want to bring something else into the mix."
As for COVID-19 tests, Tan says they are not a guarantee.
"Basically what we know about these tests is it only tells you at that particular point in time what your status is," she says. The tests often fail to show when someone is carrying COVID if their exposure has been very recent. They are more accurate five to seven days from exposure, and often, you just don't know when you were exposed, she says. Plus, many people are asymptomatic.
Safer at home sweet home
The safest thing to do is stay home with the people in your own household. That's what Leigh Anne Pineda plans to do. Pineda lives in a garden apartment building with her husband and two children in Burbank, Calif. She works in a credit union, and her youngest child is asthmatic, which puts him at a higher risk for complications from COVID-19.
Although her family is nearby and has been helping with the kids from time to time, Pineda has decided to make this Thanksgiving the one holiday where it's just the four of them.
"I think it's really easy to get engulfed in all the bustle of the holiday and not really enjoy it because there's so many people and there's so much going on and you've got to say 'hi' to these people and clean up all the mess," Pineda says. This year, they're going to ignore the laundry and the dishes and just enjoy one another's company.
And they might even cook something completely untraditional. Her husband is a chef of Filipino descent and might just put some pancit and pork belly on the table. "I'm not going to lie. I'm not the biggest fan of turkey," she says.
And, she's actually looking forward to avoiding the sometimes-exhausting extended family gathering. "Now I have an excuse to stay home!" she says.
LULU GARCIA-NAVARRO, HOST:
Many American families are starting to talk about what to do for Thanksgiving during a pandemic, and they have questions. Is it safe to travel, safe to gather around the dinner table together? April Fulton has these answers.
APRIL FULTON, BYLINE: If visions of all your relatives crowding around grandma's table for a turkey feast have you drooling, you're not alone. But gathering with large groups of people you don't live with can be risky.
TINA TAN: Right now, in many areas of the country, COVID rates are starting to surge again.
FULTON: That's Dr Tina Tan. She's an infectious disease specialist at the Ann and Robert H. Lurie Children's Hospital of Chicago. She's worried that the coming holiday will tempt people to travel and, with the colder weather, gather indoors. That means COVID-19 infections are likely to go up. But Tan says there are things you can do to protect yourself.
TAN: Obviously, outside is going to be safer than inside. I think other things that come into play are how many people are going to be getting together, what the mode of transportation will be.
FULTON: Driving is safer than flying, and that's what Holly Provan plans to do. Provan works at Huntington Hospital in Pasadena. She and her family will drive to a cabin in the woods to meet up with close friends.
HOLLY PROVAN: No, Pace. Let's stay outside.
FULTON: She and her daughters have spent a lot of time in the backyard since schools closed in March. Provan is ready for a vacation. She's a nurse and a planner. To keep everyone safe, she's going to stop working for a week before the trip, keep her family socially distant from others and take a COVID test.
PROVAN: We're making some sacrifices for that week before just to make sure that we're all extra careful and that they feel safe.
FULTON: Sharing a rental with another family can be low-risk, Tan says, as long as everyone follows safety protocols - social distancing, frequent hand-washing and, when you're not eating, wear a mask.
TAN: I know it's very awkward, but that's going to be the way that you can keep your family and the other family safe.
FULTON: As for taking COVID tests before you go, Tan says they're not a guarantee of safety.
TAN: Basically, what we know about these tests is it only tells you at that particular point in time what your status is.
FULTON: The tests often fail to show when someone is carrying COVID if their exposure has been very recent, like less than five to seven days before. So if you test, you still have to quarantine before you head out for your Thanksgiving feast.
CLAY ALLING: Not this past Thanksgiving - the one before that, I did 55 turkeys.
FULTON: Clay Alling is a chef and general manager for a group of British pubs in Texas. He usually delivers Thanksgiving meals to customers near his home outside of Houston.
ALLING: Three hundred pounds of mashed potatoes, hundred pounds of green beans. I had 12 cherry pies, 15 pecan pies, 28 pumpkin. It was crazy.
FULTON: The pandemic hit his business hard. So this year, Alling says...
ALLING: I'm going to take a break.
FULTON: He and his wife, their three children and his elderly father-in-law, whom they care for, are heading to the beach for a Thanksgiving escape.
ALLING: Don't know what we're going to do but just get out of town and try and get some sort of relaxation into everybody's lives.
FULTON: Staying with your immediate family is pretty safe, Tan says. But if you're with an elderly person, you'll want to take extra precautions. It is flu season.
TAN: They need to be vaccinated against influenza. You don't want to bring something else into the mix.
FULTON: The Allings plan to drive. But what about flying? Thanksgiving is usually one of the busiest times of the year for air travel. Tan says planes are pretty safe. They have better air filters than many homes, and airlines are now enforcing mask-wearing. It's actually more risky to be at the airport, especially if it's crowded. If it all seems like too much work, remember, staying home is your safest bet, and it can have its perks. Maybe this year you won't have to fight for the last slice of pumpkin pie.
For NPR News, I'm April Fulton.
(SOUNDBITE OF MUSIC) Transcript provided by NPR, Copyright NPR.