Why social distancing during COVID-19 may not always work

covid-19 airborne virus
Figure. Sketch showing arrangement of restaurant tables and air conditioning airflow at site of outbreak of 2019 novel coronavirus disease, Guangzhou, China, 2020. Red circles indicate seating of future case-patients; yellow-filled red circle indicates index case-patient. CDC

Most wildland fire organizations have reduced or eliminated indoor meetings, training sessions, and air travel in order to reduce the spread of COVID-19. Research and real world experiences are coming to light illustrating why this is a good decision.

The COVID-19 virus becomes airborne by talking and can spread through the air staying aloft for 8-14 minutes according to one study, or perhaps for hours according to another. Air conditioning can cause droplets containing the virus to travel around a room. There is much less risk when personnel are outside, since the droplets can be dispersed.

The longer a person is exposed to a contaminated atmosphere, the greater is the risk of introducing more virus than their body can easily handle. A short exposure may have no obvious effect, but if it is longer the disease could gain a foothold that can be difficult or impossible to fight off.

Here is an excerpt from a study published by the U.S. Centers for Disease Control (CDC). The above illustration is from the article.

Abstract
During January 26–February 10, 2020, an outbreak of 2019 novel coronavirus disease in an air-conditioned restaurant in Guangzhou, China, involved 3 family clusters. The airflow direction was consistent with droplet transmission. To prevent the spread of the virus in restaurants, we recommend increasing the distance between tables and improving ventilation.

From January 26 through February 10, 2020, an outbreak of 2019 novel coronavirus disease (COVD-19) affected 10 persons from 3 families (families A–C) who had eaten at the same air-conditioned restaurant in Guangzhou, China. One of the families had just traveled from Wuhan, Hubei Province, China. We performed a detailed investigation that linked these 10 cases together. Our study was approved by the Ethics Committee of the Guangzhou Center for Disease Control and Prevention.

On January 23, 2020, family A traveled from Wuhan and arrived in Guangzhou. On January 24, the index case-patient (patient A1) ate lunch with 3 other family members (A2–A4) at restaurant X. Two other families, B and C, sat at neighboring tables at the same restaurant. Later that day, patient A1 experienced onset of fever and cough and went to the hospital. By February 5, a total of 9 others (4 members of family A, 3 members of family B, and 2 members of family C) had become ill with COVID-19.

The only known source of exposure for the affected persons in families B and C was patient A1 at the restaurant. We determined that virus had been transmitted to >1 member of family B and >1 member of family C at the restaurant and that further infections in families B and C resulted from within-family transmission.

A study in the Proceedings of the National Academy of Sciences determined that droplets from speech can stay aloft for 8-14 minutes.

Speech droplets generated by asymptomatic carriers of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are increasingly considered to be a likely mode of disease transmission. Highly sensitive laser light scattering observations have revealed that loud speech can emit thousands of oral fluid droplets per second. These observations confirm that there is a substantial probability that normal speaking causes airborne virus transmission in confined environments.

From an Associated Press article — a different COVID virus in very small aerosols “remained suspended in the air almost indefinitely”.

Since the aerosol particles produced by talking and breathing are so small, they linger in the air for relatively long periods of time before gravity pulls them to the ground. This allows them to be transported over greater distances. A 2006 study of SARS-CoV-1 found that particles with a diameter of 1-3 µm remained suspended in the air almost indefinitely, particles 10 µm in size took 17 minutes, and 20 µm took 4 minutes to fall to the floor. A recent laboratory study found that the virus can remain viable and infectious in aerosols for hours (it remained viable for the entire three-hour duration of the study) and on surfaces for up to days.

And finally, a study published by the CDC about a choir practice in Skagit County, Washington.

Among 61 persons who attended a March 10 choir practice at which one person was known to be symptomatic, 53 cases were identified, including 33 confirmed and 20 probable cases (secondary attack rates of 53.3% among confirmed cases and 86.7% among all cases). Three of the 53 persons who became ill were hospitalized (5.7%), and two died (3.7%). The 2.5-hour singing practice provided several opportunities for droplet and fomite transmission, including members sitting close to one another, sharing snacks, and stacking chairs at the end of the practice. The act of singing, itself, might have contributed to transmission through emission of aerosols, which is affected by loudness of vocalization.

The media is picking up on the fact that fighting wildfires is going to be even more hazardous during the pandemic

A wildland firefighter in Washington state has tested positive for COVID-19

36th Av fire masks wildfire covid-19
Personnel at the 36th Ave. SE Fire about 10 miles east of Naples, Florida posted May 15, 2020 by the Greater Naples Fire Rescue District.

In the last few days I have seen several articles in the media about how the COVID-19 pandemic increases the risk for wildland firefighters.


From the Associated Press, “Official: Busy wildfire season will be impacted by pandemic.”

…The coronavirus pandemic already reduced the amount of training for fire crews, and Franz said Washington can expect less assistance this year from federal agencies and other partners in battling wildfires.

The DNR has already recorded its first case of a firefighter testing positive for the virus, said Commissioner of Public Lands Hilary Franz. It was a seasonal firefighter in northeastern Washington.

To prevent additional cases, the state will embrace federal guidelines on social distancing and other reforms, said Jack Cates, chief of Spokane County Fire District 9 during a conference call with reporters.

“Fire camps will look a lot different this summer,″ Cates said. “They won’t be mini-cities like you usually see.″

Instead, firefighters will camp in smaller groups to limit contact with others, Cates said. They also will not be eating buffet-style in big kitchens.

Fire bosses also plan to rely more heavily on aerial assets to reduce the number of firefighters needed on the ground, said George Geissler, the Washington state forester.

Still, Geissler predicted that the number of firefighters will be in short supply because of the pandemic.

“It could be a significant impact to us,″ he said.


A piece in the New York Times describes a model the US Forest Service is using. On a fire with “hundreds of people”, their model predicts nearly two dozen will be infected with COVID-19, and there could be a 2 percent fatality rate among those infected. That 2 percent is a revision from the previous figure they were using, which was 6 percent.

The “hundreds of people” number is a little difficult to analyze, but if they meant 300, the prediction is that the fatality rate would be about 0.48 percent among all personnel on the incident. So if there are 1,000 people on the fire, approximately five would die, according to the model. Unacceptable!

“All models are wrong, but some are useful.”  (Statistician George Box, from a paper published in 1976)

From the Times article, “US Report Indicates Broad Risk of COVID-19 at Wildfire Camps”:

…The U.S. Forest Service’s draft risk assessment suggests that even in a best-case scenario — with social distancing followed and plenty of tests and protective equipment available — nearly two dozen firefighters could be infected with COVID-19 at a camp with hundreds of people who come in to combat a fire that burns for months.

The worst-case scenario? More than 1,000 infections.
The Forest Service said the document was outdated and being redone, and the newest version wasn’t yet ready to share. The AP obtained the draft from an official who has access to it and didn’t want to be named.

One of the authors of the risk assessment said Tuesday that in the new version, the infection rates remain the same. But while the draft originally said the death rate among infected firefighters could reach as high as 6%, that is being revised sharply downward, to less than 2%, to reflect newer data, said Jude Bayham, an assistant professor in the Department of Agricultural and Resource Economics at Colorado State University.


From The Conversation,  “Wildfire smoke worsens coronavirus risk, putting firefighters in extra danger”:

…Italian scientists reported in 2014 that air pollutants can increase the viral load in the lungs and reduce the ability of specialized cells called macrophages to clear out viral invaders.

Researchers in Montana later connected that effect to wood smoke. They found that animals exposed to wood smoke 24 hours before being exposed to a pathogen ended up with more pathogen in their lungs. The researchers showed that wood smoke exposure decreased the macrophages’ ability to combat respiratory infection.

Now, new evidence suggests that long-term exposure to PM2.5 air pollution, which is produced by sources such as wildfirespower plants and vehicles, may make coronavirus particularly deadly.

Researchers from the Harvard T.H. Chan School of Public Health conducted a nationwide study of county-level data and found that even a small increase in the amount of PM2.5 from one U.S. county to the next was associated with a large increase in the death rate from COVID-19. While small increases in PM2.5 also raise the risk of death from other causes for older adults, the magnitude of the increase for COVID-19 was about 20 times greater. The results were released last week, before the usual peer review process was conducted, to help warn people of the risks.

Taken together, these findings suggest that air pollution, including wood smoke, could increase the risk that wildland firefighters will develop severe COVID-19 symptoms.

That probably doesn’t surprise seasoned firefighters.


From the New Mexico Political Report, “COVID-19 complicates 2020 fire season”:

The article begins by recounting the incident within an incident on the 2017 Frye Fire near Safford, Arizona. A doctor swabbed the throats of 80 firefighters, with 63 (or 78 percent) testing positive for Streptococcus (strep throat). Thankfully strep can usually be cured within days or weeks.

Then the article moves on to this year and COVID-19:

…In New Mexico, the state’s Forestry Division is adapting much like its national counterpart. The Forestry Division, which manages 43 million acres, worked with local and tribal partners to create new guidelines for their staff, said Vernon Muller, resource protection bureau chief with the New Mexico Department of Natural Resources.

Those include self-screenings at the start, middle, and end of every shift, even while on active fire assignments, for any signs of sickness. Only two individuals will ride in an engine while a string of chase vehicles transports the rest of the crew.

Crew buggies will carry a fraction of their capacity. Temperature tests will be taken. Meals will be packaged individually instead of served buffet-style. Already, Muller said, two individuals declined an assignment after their self-assessment questionnaire found they or their family members may have been exposed to coronavirus.

But these choices create tradeoffs. Some say it’s still not possible to keep six feet apart, and crowding the roads with almost twice as many vehicles creates a hazard of its own and doubles the workload when it’s time to sanitize trucks and equipment.

And because firefighters are paid only when on-assignment, passing on an assignment because they suspect exposure to COVID-19 cuts into their paycheck.

Thanks and a tip of the hat go out to Karen. Typos or errors, report them HERE.

Photos of mask-wearing personnel at the 36th Av SE Fire near Naples, Florida

covid-19 36th Ave. SE Fire Naples Florida wildfire wear masks firefighters
36th Ave. SE Fire — Greater Naples Fire Rescue District.

These photos of personnel at the 36th Ave. SE Fire about 10 miles east of Naples, Florida show that many of the emergency management staff members were wearing masks.

The photos by the Greater Naples Fire Rescue District were posted May 14, 2020.

covid-19 36th Ave. SE Fire Naples Florida wildfire wear masks firefighters
36th Ave. SE Fire — Greater Naples Fire Rescue District.
covid-19 36th Ave. SE Fire Naples Florida wildfire wear masks firefighters
36th Ave. SE Fire — Greater Naples Fire Rescue District.
covid-19 36th Ave. SE Fire Naples Florida wildfire wear masks firefighters
36th Ave. SE Fire — Greater Naples Fire Rescue District.
covid-19 36th Ave. SE Fire Naples Florida wildfire wear masks firefighters
36th Ave. SE Fire — Greater Naples Fire Rescue District.

More information about the 36th Ave. SE Fire east of Naples.

Checklist created for mobilization of firefighting resources during COVID-19

The CDC has published Frequently Asked Questions for Wildland Firefighters

The National Multi-Agency Coordinating Group has issued a checklist to be completed before the interagency mobilization of resources working in the COVID-19 environment. An electronic copy of the document can be downloaded, but here is a screenshot:


Firefighter mobilization checklist COVID-19
Firefighter mobilization checklist COVID-19. NMAC, May, 2020.

In another COVID-19 development, the CDC has published Frequently Asked Questions for Wildland Firefighters.

Legislation introduced to provide benefits for families of firefighters killed by COVID-19

Senators are also seeking hazard pay for federal employees in essential positions whose jobs cannot be accomplished while maintaining social distancing recommendations

David Ruhl memorial service
The memorial service for fallen U.S. Forest Service firefighter David Ruhl, Rapid City, SD August 9, 2015. Photo by Bill Gabbert.

A bipartisan group of senators has introduced a bill to ensure families of public safety officers lost to COVID-19 can quickly access survivor benefits.

(UPDATE at 10:40 a.m. MDT May 15, 2020: the Senate passed the bill. Now it goes to the House of Representatives)

The Safeguarding America’s First Responders Act (SAFR), led by senators Chuck Grassley (R-Iowa) and Cory Booker (D-N.J.), clarifies the certification requirements for survivor benefits under the Public Safety Officers Benefits Program (PSOB) to account for the unique challenges presented by the pandemic. The legislation is cosponsored by Senators Cruz (R-Texas), Feinstein (D-Calif.), Tillis (R-N.C.), Coons (D-Del.), Daines (R-Mont.), Gillibrand (D-N.Y.), Scott (R-Fla.), Menendez (D-N.J.), Loeffler (R-Ga.), Blumenthal (D-Conn.), Moran (R-Kan.) and Chuck Schumer (D-N.Y.).

The PSOB program provides the families of public safety officers who are killed in the line of duty with a one-time lump sum payment of $359,316 and/or education assistance of $1,224.00 per month to their children or spouse. Wildland firefighters who work for the federal agencies are included in the PSOB program.

Infectious diseases are covered under a line-of-duty death as long as evidence indicates that the infectious disease was contracted while on duty. Providing evidence that a deadly disease was contracted on duty can be straightforward in instances where an officer comes into contact with a dirty needle, however in the case of COVID-19, it can be very difficult to provide evidence that the virus was contracted on duty.

What the bill does:

  • Creates a presumption that if a first responder is diagnosed with COVID-19 within 45 days of their last day on duty, the Department of Justice will treat it as a line of duty incident.
  • The presumption will guarantee payment of benefits to any first responder who dies from COVID-19 or a complication therefrom.
  • The presumption will run from January 1, 2020 through December 31, 2021.
  • The presumption will require a diagnosis of COVID-19 or evidence indicating that the officer had COVID-19 at the time of death. This covers officers in high impact areas where finding tests can be difficult.

Another proposal – Hazard pay

A group of 19 Senators have sent letters  to the Office of Personnel Management and the Office of Management and Budget requesting 25 percent hazard pay for federal employees in essential positions whose jobs cannot be accomplished while maintaining social distancing recommendations

The letter is below:

2020-05-05 Senators Letter … by FedSmith Inc. on Scribd

Firefighters that are already victims of COVID-19

Victor Stagnaro of the National Fallen Firefighters Foundation said on May 8, 2020 they are tracking 26 people connected with fire departments and 30 Emergency Medical Services personnel whose deaths appear to be caused by COVID-19.

Thanks and a tip of the hat go out to Jim. Typos or errors, report them HERE.

Geographic Areas release Wildland Fire Response Plans for COVID-19 Pandemic

Guidance for maintaining continuity of wildland fire response

SW Area Pandemic Plan wildland fire

The Geographic Areas have started to release their Wildland Fire Response Plans for the COVID-19 Pandemic.

The National Multi-Agency Coordinating Group (NMAC) assigned three Area Command Teams to work with partners at all levels in the fire community to develop protocols for wildfire response during the pandemic.  All of the teams worked directly with each Geographic Area’s Coordinating Group Chair, dispatch/coordination centers, and local units. They also worked under the direction and supervision of NMAC through a Team Coordinator (Joe Reinarz) and maintained frequent contact and communication through multiple daily briefings to the NMAC.

The Eastern Area released their plan in mid-April.

As this was updated at 1:36 p.m. MDT May 7, all of the plans are now available at the links below. NIFC had some problems with FireNET causing some of the links to not work over the last two days, but we were able to obtain from them direct links to the documents. Each one is about 80 to 110 pages.

Alaska

California (Northern and Southern)

Eastern Area

Great Basin

Northern Rockies

Northwest

Rocky Mountain

Southern Area

Southwest

Let us know in a comment what you found most interesting in the plans.