How to survive social distancing according to science
Social distancing won't be easy, but science shows us how to make it more manageable.
- Social distancing asks us to repress our evolutionary desire for human contact and interaction.
- Experts worry long periods of the practice will have unforeseen consequences on our mental health.
- We look at seven ways to help us mitigate social distancing's harmful effects.
In response to the COVID-19, government and public health officials have asked us to steer clear of each other. Called "social distancing," the idea is to limit the transmission of the disease by lessening the contact we have with people.
To meet this goal, the Centers for Disease Control and Prevention (CDC) has recommended postponing or canceling all mass gatherings; more than 30 states have shuttered school doors; and many cities have closed bars and restaurants.
Experts agree social distancing will help us slow COVID-19's spread, but as reported by Science, others worry it may have unforeseen consequences.
Over an extended period, loneliness and social isolation can increase stress and depression. They can exacerbate physical health problems such as heart diseases. And like coronavirus, they target the older cohorts of our population to injurious effect.
"The coronavirus spreading around the world is calling on us to suppress our profoundly human and evolutionarily hard-wired impulses for connection: seeing our friends, getting together in groups, or touching each other," Nicholas Christakis, a social scientist and physician at Yale University, told Science. "Pandemics are an especially demanding test…because we are not just trying to protect people we know, but also people we do not know or even, possibly, care about."
Social distancing will be our way of life for several weeks, maybe months. Here are seven ways to help us survive this new paradigm.
Understand social distancing
Despite the name, social distancing is really a form of social solidarity.
Most people who catch the disease will have mild to moderate symptoms—including fever, dry cough, fatigue, and sputum production—and they soon recover. Only an estimated 6 percent of people become critically ill and fewer still die. Even so, that leaves millions of people at risk of developing a debilitating case.
To protect these people, we practice social distancing to curb the disease's multiplying factor. As Lou Bloomfield, a physicist at the University of Virginia, explains:
At present, each person with COVID-19 transmits coronavirus to an average of about two to three people. With such a large multiplying factor, we have rapid exponential growth. Because it takes about five days for COVID-19 to develop, the cases are doubling every two or three days. If there are 100 cases today, there will be 200 cases in a couple of days, and a thousand cases in a little over a week. In a month, it will be almost a million cases. Not good.
Those near million cases would then swarm the public health system, severely draining resources and personnel.
To give a sense of how detrimental that could be, the United States only has 2.9 hospital beds per 1,000 citizens—a figure that represents every bed, not just the free ones. Other resources at risk of overuse include ventilators and respirators.
Through social distancing, we can flatten the curve. That doesn't mean that fewer people will get sick; however, the timeline of people contracting the disease elongates. In turn, the health system has more time to treat critical cases before new ones arrive.
"It is better to operate under the pretense that there is transmission in your community already," Syra Madad, a pathogens specialist, told Vox. "There's going to be disruption to daily life, but we want people to feel empowered by this. The decisions you make will ultimately affect the trajectory of this disease."
Keeping a sense of social solidarity in mind, alongside what philosopher Peter Singer calls the expanding circle of moral concern, may help us weather social distancing better than if we feel punished thanks to some abstract graph's extra spiky curve.
The 2009 swine flu pandemic lead to mass hysteria, according to a study conducted at the University of Michigan. The study found that people perceived H1N1 to be even deadlier than the Ebola outbreak in Africa. The truth was the opposite.
The results suggested that as the perception of risk increased—regardless of the change in actual risk—so did feelings of fear and anxiety. And this fear could lead to dangerous social or personal behavior.
"This is dangerous when the virus doesn't exist like with most mass hysteria cases, but it's even more dangerous when we're talking about a real virus that does exist," Jamiee Bell writes for Big Think. "The fear and paranoia around catching the virus lead to panic-purchasing and the spread of misinformation, which furthers the anxiety and fear in the general public."
Already with COVID-19, people have squirreled away doomsday preppers' supplies of toilet paper, paper towels, and hand sanitizer. Worse, snake oil salesmen have begun peddling fake cures that prey on people's fears.
To combat panic, we need to prioritize reason and realism. A good way to manage that is to filter our information ecosystems.
Prioritize expert-driven, reputable sources of information. The best sites for such information include the CDC's coronavirus page, your local health department's website, and the Johns Hopkins Center for Health Security. These should be your primary sources for information on what's happening and what steps to take.
Reputable news outlets like the New York Times and Wall Street Journal are good sources, but limit your exposure. The availability heuristic shows us that we make snap judgments based on how easily information comes to mind.
An oversaturation of news gives us the faulty sense that rare events occur with more frequency than they do. Primary news-driven examples include terrorist attacks, plane crashes, and, of course, pandemics.
Our sense of the world must be balanced by facts and statistics that, while less eye-catching than a front page headline, are in line with reality.
Retrofit your habit loop
With offices closed and schools shuttered, our daily routines are out of whack. This state can leave creatures of habit aimless, anxious, and stir crazy. Thankfully, you can hijack your pre-establish habit loop and retrofit it for social distancing.
Journalist Charles Duhigg has spent much time researching the science of habits. As he explains, the habit loop comes in three parts:
There's first a cue, which is a trigger for behavior. Then the behavior itself, which we usually refer to as a routine, or scientists refer to it as a routine. And then there's the reward. And the reward is actually why the habit happens in the first place, it's how your brain sort of decides, "Should I remember this pattern for the future or not?"
If you now work remotely, stick to your old cues of waking, showering, and putting on pants. Contrary to popular belief, most people who exclusively work at home manage those feats daily. After work, be sure to reward yourself with something that connects your new routine to a sweet dopamine hit.
As a bonus, you can now substitute your morning commute with something more relaxing. A cup of coffee and a good book, perhaps?
Or if you are homeschooling children, develop a schedule that incorporates routine and reward. Follow an hour of reading and workbook immediately with snack time or educational TV. Don't forget to reward lots of indoor work with outdoor excursions on sunny days.
Get outdoors and exercise
Yes, you can still take the little ones outdoors. Remember: the coronavirus spreads person-to-person through respiratory droplets. The high-contact surfaces that those droplets collect on—think tabletops, door handles, elevator buttons, etc.—are noticeably absent on interurban trails.
The outdoors provides a bevy of benefits to offset social distancing's mental cramps. Frequent contact with nature makes people happier, improves their concentration, and helps them heal. It supplies a wholesome regimen of Vitamin D, too. Doctors recommend 120 minutes of nature every week, and you can shoot for this goal in the weeks to come.
The outdoors also provides a people-free gym for those worried about losing their gains. And experts agree: Avoid the gym.
However, as Dr. Neha Chaudhary told the New York Times, you'll want to avoid high-traffic public places whether they are outdoors or not. Unfortunately, these include playgrounds and popular parks.
Make connections how you can
The CDC defines social distancing as avoiding congregate settings and maintaining a distance of approximately 6 feet from others. That's a broad guideline with a lot of wiggle room.
In an interview with the Atlantic, Carolyn Cannusicio, director of research at the Center for Public Health, translates that guidelines as follows: "I would recommend that people minimize social contact, and that means limiting all social engagements. That includes intimate gatherings among friends." However, she notes that there are exceptions:
I think the exception is if two households are in strict agreement that they are also going to reduce all outside contact and then those two households socialize together, to support one another. I can see social and mental-health advantages to that kind of approach.
Similarly, the King County Health Department points out that "social interaction is still vitally important to the mental health of young people." It recommends playdates of 10 or fewer children if children are healthy, physical contact is limited, and the play area isn't crowded.
Others take a more hard-line approach. As Lindsay Thompson, a pediatrician of the University of Florida, told NPR: "I'm personally taking a really strict line. I would say that playdates inherently have a risk—I don't know how big or small. But if we can put them off for a few weeks and replace it with family time, it would be better."
All experts agree that if you are sick, isolation is the best policy. If you must make in-person contact, be mindful of the risks, keep your distance, and follow CDC guidelines for washing your hands, not touching your face, and sneezing in a tissue you immediately throw away.
Many scientific studies have shown a strong correlation between altruistic activities and improved health, happiness, and well-being. A study in Nature Communications found that participants who spent money on others reported greater happiness than a control group who did not. Others have found that regular giving reduces depression while enhancing emotional regulation. Another found that patients reported ameliorated pain after volunteering.
"So much of public health is rightly focused on environmental toxins and the control of epidemics. However, a positive vision of public health must nurture benevolent affect and helping behavior," writes Stephen G. Post.
Social distancing may limit our opportunities for altruistic behavior, but we can get creative. We could, for example, help a high-risk relative or neighbor by offering to do their grocery shopping with our own. This keeps the high-risk individual away from crowded stores, while also lessening the number of people congregating through the aisles.
We could also form a pact with fellow parents to share homeschool responsibilities—provided, as Cannuscio recommends, everyone is healthy and parents maintain a strict agreement to reduce contact elsewhere.
And, of course, there are the traditional donations of time, money, and resources to nonprofits helping others during this difficult time.
Manage your stress
During a pandemic, stress can manifest in many ways, all harmful. Worry about ourselves and loved ones turns into ubiquitous anxiety. Changes in sleep patterns or increased alcohol use can make us tired and irritable. And underlying health conditions can worsen.
We'll need to sharpen our stress management techniques to keep our lives in balance. The CDC recommends setting aside time to unwind, exercise, and engage in activities you enjoy. Be cognizant of your eating habits, substitute alcohol for tea, and connect with others. And when you do have free time, don't spend it glued to breaking news or social media hubs (again, Don't Panic).
The CDC also recommends practicing deep breathing and meditation, which have been shown to have concentration and stress-reduction benefits. As psychologist Daniel Goleman explains:
The good news is that there's a dose-response relationship in meditation. Apparently from what we can tell the longer you do it the more benefits you get. For example, right from the beginning, there are intentional benefits, there are stress benefits, you're more resilient under stress, but we see this even more strikingly in people who have been longer-term meditators.
If your stress-reduction techniques typically involve leaving the house, you may be to escape virtually. Many museums are offering virtual tours to keep homebound minds sharp. The same goes for live performances. The Metropolitan Opera will stream free opera productions while its curtain is down.
Social distancing will prove a trial by fire. Neither humans nor our societies are built with the intention that we live as small, distant lightyears from each other constellations. In addition to the above, we have another strength to draw upon: optimism.
In one study, researchers looked at the "positive health" of the longest detained American POWs of the Vietnam War. The researchers concluded that optimism predicts "positive physical and psychological health" and provides "long-term protective benefits."
And that's a bonus tip for surviving social distancing in the weeks to come.
- The next pandemic is inevitable. Are we prepared? - Big Think ›
- Scientists calculate incubation period of coronavirus - Big Think ›
- Social Media Plays a Big Role in Long-Distance Relationships - Big ... ›
- Loneliness and anxiety is increasing during the pandemic - Big Think ›
Northwell Health CEO Michael Dowling has an important favor to ask of the American people.
- Michael Dowling is president and CEO of Northwell Health, the largest health care system in New York state. In this PSA, speaking as someone whose company has seen more COVID-19 patients than any other in the country, Dowling implores Americans to wear masks—not only for their own health, but for the health of those around them.
- The CDC reports that there have been close to 7.9 million cases of coronavirus reported in the United States since January. Around 216,000 people have died from the virus so far with hundreds more added to the tally every day. Several labs around the world are working on solutions, but there is currently no vaccine for COVID-19.
- The most basic thing that everyone can do to help slow the spread is to practice social distancing, wash your hands, and to wear a mask. The CDC recommends that everyone ages two and up wear a mask that is two or more layers of material and that covers the nose, mouth, and chin. Gaiters and face shields have been shown to be less effective at blocking droplets. Homemade face coverings are acceptable, but wearers should make sure they are constructed out of the proper materials and that they are washed between uses. Wearing a mask is the most important thing you can do to save lives in your community.
Two massive clouds of dust in orbit around the Earth have been discussed for years and finally proven to exist.
- Hungarian astronomers have proven the existence of two "pseudo-satellites" in orbit around the earth.
- These dust clouds were first discovered in the sixties, but are so difficult to spot that scientists have debated their existence since then.
- The findings may be used to decide where to put satellites in the future and will have to be considered when interplanetary space missions are undertaken.
What are they?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xODgyMDA0NC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzNTM1ODc0Mn0.NH33LuauIo__sUBi4tvhwxDcsvhflDFD-Nhx9FjlSNk/img.jpg?width=1245&coordinates=148%2C0%2C149%2C0&height=700" id="cec96" class="rm-shortcode" data-rm-shortcode-id="acb78abe2ab46a17e419ad30906751d6" data-rm-shortcode-name="rebelmouse-image" />
Artist's impression of the Kordylewski cloud in the night sky (with its brightness greatly enhanced) at the time of the observations.
G. Horváth<p>The<a href="https://en.wikipedia.org/wiki/Kordylewski_cloud" target="_blank"> Kordylewski clouds</a> are two dust clouds first observed by Polish astronomer Kazimierz Kordylewski in 1961. They are situated at two of the <a href="https://www.space.com/30302-lagrange-points.html" target="_blank">Lagrange points</a> in Earth's orbit. These points are locations where the gravity of two objects, such as the Earth and the Moon or a planet and the Sun, equals the centripetal required to orbit the objects while staying in the same relative position. There are five of these spots between the Earth and Moon. The clouds rest at what are called points four and five, forming a triangle with the clouds and the Earth at the three corners.</p><p>The clouds are enormous, taking up the same space in the night sky as twenty lunar discs; covering an area of 45,000 miles. They are roughly 250,000 miles away, about the same distance from us as the Moon. They are entirely comprised of specks of dust which reflect the light of the sun so faintly most astronomers that looked for them were unable to see them at all. </p><p>The clouds themselves are probably ancient, but the model that the scientists created to learn about them suggests that the individual dust particles that comprise them can be blown away by solar wind and replaced by the dust from other cosmic sources like comet tails. This means that the clouds hardly move but are <a href="https://www.nationalgeographic.com/science/2018/11/news-earth-moon-dust-clouds-satellites-planets-space/" target="_blank">eternally changing</a>. </p>
How did they discover this?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xODgyMDAzNi9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1Nzc4MjQ4MX0.7uU9OqmQcWw5Ll1UXAav0PCu4nTg-GdJdAWADHanC7c/img.jpg?width=1245&coordinates=0%2C180%2C0%2C181&height=700" id="952fb" class="rm-shortcode" data-rm-shortcode-id="a778280a20f1c54cd2c14c8313224be2" data-rm-shortcode-name="rebelmouse-image" />
"In this picture the central region of the Kordylewski dust cloud is visible (bright red pixels). The straight tilted lines are traces of satellites."
J. Slíz-Balogh<p>In their study published in the <a href="https://academic.oup.com/mnras" target="_blank">Monthly Notices of the Royal Astronomical Society</a>, Hungarian astronomers Judit Slíz-Balogh, András Barta, and Gábor Horváth described how they were able to find the dust clouds using polarized lenses.</p><p>Since the clouds were expected to polarize the light that bounces off of them, by configuring the telescopes to look for this kind of light the clouds were much easier to spot. What the scientists observed, polarized light in patterns that extended outside the view of the telescope lens, was in line with the predictions of their mathematical model and ruled out other possible sources. </p>
Why are we just learning this now?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8xODgyMDAzOS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2MjUyNDMyMH0.Zl8GmQ_rJHiL4b7hN0r_YBmgb6_ZqIRvqOVuko2ubpw/img.jpg?width=1245&coordinates=0%2C141%2C0%2C185&height=700" id="87afe" class="rm-shortcode" data-rm-shortcode-id="dd4c0b5088e601d7279cc5eb226f8b7b" data-rm-shortcode-name="rebelmouse-image" />
"Mosaic pattern of the angle of polarization around the L5 point (white dot) of the Earth-Moon system. The five rectangular windows correspond to the imaging telescope with which the patterns of the Kordylewski cloud were measured."
J. Slíz-Balogh<p>The objects, being dust clouds, are very faint and hard to see. While Kordylewski observed them in 1961, other astronomers have looked there and given mixed reports over the following decades. This discouraged many astronomers from joining the search, as study co-author Judit Slíz-Balogh <a href="https://ras.ac.uk/news-and-press/research-highlights/earths-dust-cloud-satellites-confirmed" target="_blank">explained</a>, <em>"The Kordylewski clouds are two of the toughest objects to find, and though they are as close to Earth as the Moon are largely overlooked by researchers in astronomy. It is intriguing to confirm that our planet has dusty pseudo-satellites in orbit alongside our lunar neighbor."</em></p>
Will this have any impact on space travel?<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="c3d797fff5430c64afcb5a49bddc3616"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/Ou8N3v9SFPE?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>Lagrange points have been put forward as excellent locations for a space station or satellites like the <a href="https://jwst.nasa.gov/about.html" target="_blank">James Webb Telescope</a> to be put into orbit, as they would require little fuel to stay in place. Knowing about a massive dust cloud that could damage sensitive equipment already being there could save money and lives in the future. While we only know about the clouds at Lagrange points four and five right now, the study's authors suggest there could be more at the other points.</p><p>While the discovery of a couple of dust clouds might not seem all that impressive, it is the result of a half-century of astronomical and mathematical work and reminds us that wonders are still hidden in our cosmic backyard. While you might never need to worry about these clouds again, there is nothing wrong with looking at the sky with wonder at the strange and fantastic things we can discover. </p>
Instead of looking forward, we should be consulting the past.
When will the pandemic end? All these months in, with over 37 million COVID-19 cases and more than 1 million deaths globally, you may be wondering, with increasing exasperation, how long this will continue.
New cancer-scanning technology reveals a previously unknown detail of human anatomy.
- Scientists using new scanning technology and hunting for prostate tumors get a surprise.
- Behind the nasopharynx is a set of salivary glands that no one knew about.
- Finding the glands may allow for more complication-free radiation therapies.
PSMA PET/CT technology<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="676e611b970c9b516cace0870447b325"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/RHAyoQF09X4?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>PSMA PET/CT is a new combination of <a href="https://www.mayoclinic.org/tests-procedures/pet-scan/about/pac-20385078" target="_blank">PET scans</a> and <a href="https://www.mayoclinic.org/tests-procedures/ct-scan/about/pac-20393675" target="_blank">CT scans</a> that is believed to offer a more reliable means of locating prostate cancer metastasis. A <a href="https://www.cancer.gov/news-events/cancer-currents-blog/2020/prostate-cancer-psma-pet-ct-metastasis" target="_blank" rel="noopener noreferrer">study</a> published last spring suggests it may be the most accurate way to diagnose prostate cancer metastasis than any method previously available.</p><p>Prior to PSMA PET/CT, the primary way to look for metastatic prostate cancer was to image the body using x-ray-based CT scans and to perform bone scans, since bone is where prostate cancer often spreads. CT scans, however, often miss small tumors, and bone scans can generate false positives as a result of other damage or abnormalities that have nothing to do with prostate cancer.</p><p>PSMA PET/CT scans track the travels of an intravenously administered radioactive glucose tracer throughout the body. For hunting down prostate cancer, this tracer contains a molecule that binds to the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1472940/" target="_blank">PSMA</a> protein that's present in large amounts in prostate tumors. The molecule is linked to a radioisotope, <a href="https://netrf.org/2018/11/13/gallium-68-scan-for-neuroendocrine-tumors/" target="_blank" rel="noopener noreferrer">gallium-68</a> (Ga-68).</p><p>In last spring's research, PSAM PET/CT was shown to be 27 percent more accurate than previous methods at finding metastases (92 percent accuracy as opposed to 65 percent). In addition, it was found to be much less likely to produce false positives, and it was particularly good at detecting tumors far removed from the prostate.</p>
A good kind of avoidance behavior<p>"Radiation therapy can damage the salivary glands," says Vogel, "which may lead to complications. Patients may have trouble eating, swallowing, or speaking, which can be a real burden."</p><p>The researchers looked back through the cases of 723 patients who had undergone radiation treatment, interested in seeing if inadvertent radiation of the tubarial glands was associated with the complications experienced by the patients. It turned out that this <em>was</em> the case: In cases where more radiation had been delivered to this area, patients did indeed report more in the way of complications of the type one would expect when salivary glands are radiated.</p><p>Now that we know the tubarial salivary glands exist, therapists can stay out of their way. Vogel says, "For most patients, it should technically be possible to avoid delivering radiation to this newly discovered location of the salivary gland system in the same way we try to spare known glands."</p><p>He's hopeful that that things may be about to get at least a bit better for cancer patients: "Our next step is to find out how we can best spare these new glands and in which patients. If we can do this, patients may experience less side effects which will benefit their overall quality of life after treatment."</p>
A new survey found that 27 percent of millennials are saving more money due to the pandemic, but most can't stay within their budgets.