By Laurie Archbald-Pannone, Kathleen C. Brown, Ryan Huerto, Sue Mattison and Thomas A. Russo
Earlier this fall, many of the nation's restaurants opened their doors to patrons to eat inside, especially as the weather turned cold in places. Now, as COVID-19 cases surge across the country, some cities and towns have banned indoor dining while others have permitted it with restrictions. Still other geographies have no bans at all.
The Conversation / CC BY
Not an Option
<p><strong>Dr. Laurie Archbald-Pannone, Associate Professor of Medicine, University of Virgina</strong></p><p>No. March 12, 2020 was the last day I ate indoors at a restaurant. At the time, there was mild apprehension – but much changed that week. The COVID-19 pandemic altered many aspects of "normalcy," and for me eating inside at a restaurant is one of those activities. I loved eating out and typically would eat out three times a week (sometimes more!). But understanding how the COVID-19 infection is transmitted, I feel that being inside without a mask on – even just to eat – is not an option for me. I strongly believe that we need to support our community through these challenging times, so we still get curbside pickup or delivery from our favorite local restaurants at least three times a week – sometimes more! – but it will be a while before I'm back inside. When I do return I'm definitely getting dessert.</p>Great Risk
<p><strong>Dr. Thomas A. Russo, Chief of Infectious Disease Division, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo</strong></p><p>No. And it's been "no" right from the beginning.</p><p>We have a little more information now, but what I <a href="https://theconversation.com/how-to-lower-your-coronavirus-risk-while-eating-out-restaurant-advice-from-an-infectious-disease-expert-138925" target="_blank">said in the spring</a> hasn't really changed. The <a href="https://www.medrxiv.org/content/10.1101/2020.02.28.20029272v2" target="_blank" rel="noopener noreferrer">greatest risk</a> of getting infected with SARS-CoV-2 is being indoors with people who aren't using masks at all times. The concern isn't just big respiratory droplets when close to someone talking; it's also the <a href="https://theconversation.com/when-covid-19-superspreaders-are-talking-where-you-sit-in-the-room-matters-145966" target="_blank" rel="noopener noreferrer">tiny aerosols</a> that linger in the air.</p><p>Making it even riskier is the generally poor ventilation in many restaurants. The key differences between indoor dining and shopping in a big box store or grocery store are: 1) big stores have more ventilation and greater air space; 2) everyone can wear a mask at all times; 3) you're not fixed in space, so if you see someone who just has a bandanna or their mask drops down below their nose, you can steer clear of them; and 4) it should take less time than dinner out. At a restaurant, you're stuck at that table. If a party near you is having an animated conversation, they could be generating a lot of respiratory secretions.</p><p><a href="https://doi.org/10.3346/jkms.2020.35.e415" target="_blank" rel="noopener noreferrer">Some interesting studies</a> have looked at the airflow and air currents in restaurants in relation to <a href="https://wwwnc.cdc.gov/eid/article/26/7/20-0764_article" target="_blank" rel="noopener noreferrer">where people became infected</a>. In one, a person was <a href="https://doi.org/10.3346/jkms.2020.35.e415" target="_blank" rel="noopener noreferrer">20 feet away</a> from the source for only about 5 minutes, but the person was directly in the airflow and became infected. It's a reminder of what we've been saying – there's <a href="https://theconversation.com/what-a-smoky-bar-can-teach-us-about-the-6-foot-rule-during-the-covid-19-pandemic-145517" target="_blank" rel="noopener noreferrer">nothing magical about 6 feet</a>. The high degree of community disease in the U.S. right now increases the likelihood that another diner in the restaurant is infected. If you are tired of cooking and need a break, takeout is the way to go.</p>Careful Mixed With Trust
<p><strong>Sue Mattison, Provost and Professor in the College of Pharmacy and Health Sciences, Drake University</strong></p><p>Yes. As an epidemiologist, my response may seem surprising or hypocritical: I do eat at local restaurants, but only because in April, like more than <a href="https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days" target="_blank" rel="noopener noreferrer">17 million Americans since that time</a>, I tested positive for COVID-19 and recovered. According to the <a href="https://directorsblog.nih.gov/2020/12/08/study-of-healthcare-workers-shows-covid-19-immunity-lasts-many-months/" target="_blank" rel="noopener noreferrer">latest evidence</a>, I believe I have immunity for now, and perhaps longer. But I am not pushing my luck.</p><p>I have my own list of four restaurants where I eat. I trust these restaurants because each has drastically reduced their number of tables and spaced them at least 6 feet apart, and everyone inside is diligent about wearing a mask. My husband and I also order takeout a lot. It is important to reiterate, however, that evidence shows <a href="https://www.cdc.gov/mmwr/volumes/69/wr/mm6936a5.htm" target="_blank" rel="noopener noreferrer">restaurants are a significant source of infection</a>, and those who have not recovered from COVID-19 should refrain from eating at restaurants until the community gets a better handle on the spread of infection.</p>Short-Term Sacrifices
<p><strong>Dr. Ryan Huerto, Family Medicine Physician, Health Services Researcher and Clinical Lecturer, University of Michigan</strong></p><p>No. While I understand many factors contribute to indoor dining, such as the mental health toll of social isolation, the opportunity to support small businesses and cold weather, I strongly recommend against indoor dining.</p><p>The risk of contracting COVID-19 from indoor activities is far greater than from physically distanced outdoor activities. The recent spike in COVID-19 infections, deaths and ICU bed shortages is <a href="https://www.healthline.com/health-news/the-post-thanksgiving-covid-19-surge-is-here-what-to-expect-now" target="_blank" rel="noopener noreferrer">likely linked to indoor gatherings during Thanksgiving</a>.</p><p>On Dec. 22, <a href="https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html" target="_blank" rel="noopener noreferrer">201,674 infections and 3,239 deaths</a> due to COVID-19 were reported. This death toll is equivalent to approximately 20 Boeing 737 aircrafts crashing in a single day.</p><p>Even with a COVID-19 vaccine approved, staying home, physically distancing, wearing a mask and good hand hygiene are as important as ever. Think of these as short-term sacrifices to help protect your friends, family, neighbors and essential workers.</p><p>Instead of dining in, please consider exponentially safer alternatives such as ordering delivery or curbside pickup.</p>Restaurants Pose Big Risk
<p><strong>Kathleen C. Brown, Associate Professor of Practice and MPH Program Director, College of Education, Health, and Human Sciences, University of Tennessee</strong></p><p>No. The Centers for Disease Control and Prevention <a href="https://www.cdc.gov/mmwr/volumes/69/wr/mm6936a5.htm" target="_blank">reported that patients testing positive were twice as likely</a> to have eaten in a restaurant than those testing negative in the 14 days preceding their test. I regularly get takeout but do not eat in restaurants.</p><p>What I cannot control poses a risk. I have very open and honest conversations with family and friends about where we have been and who we have been with. From there, our risk is pretty clear but still not at zero. The more people I come into contact with, the greater the risk.</p><p>In a restaurant, I am not able to assess the risk posed by other patrons or the staff. Each person in that restaurant has a network of others that, taken together, increases my risk of contracting COVID-19. Currently, Tennessee, where I live, is the <a href="https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days" target="_blank" rel="noopener noreferrer">second-leading state for cases per 100,000</a>, which means community spread is high.</p><p>In plain language, that means there is an increased likelihood that I may come into contact with someone who is infectious – symptomatic or not – if I eat inside a restaurant. I will continue to pick up my takeout for now.</p><p><em>Disclosure Statement: </em><em>The authors do not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.</em></p><p><em>Reposted with permission from <a href="https://theconversation.com/would-you-eat-indoors-at-a-restaurant-we-asked-five-health-experts-152300" target="_blank">The Conversation</a>. </em></p>- How to Lower Your Coronavirus Risk While Eating Out: Restaurant ... ›
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Like many other plant-based foods and products, CBD oil is one dietary supplement where "organic" labels are very important to consumers. However, there are little to no regulations within the hemp industry when it comes to deeming a product as organic, which makes it increasingly difficult for shoppers to find the best CBD oil products available on the market.
Spruce
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDY4NjI3OC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyOTM2NzgzOX0.axY0HjeqRctJsR_KmDLctzDpUBLBN-oNIdqaXDb4caQ/img.jpg?width=980" id="774be" class="rm-shortcode" data-rm-shortcode-id="8379f35b1ca8a86d0e61b7d4bfc8b46e" data-rm-shortcode-name="rebelmouse-image" alt="spruce organic cbd oil" data-width="710" data-height="959" /><p>As one of the best brands in the business, Spruce CBD is well-known for its potent CBD oils that feature many additional beneficial phytocannabinoids. This brand works with two family-owned, sustainably focused farms in the USA (one located in Kentucky and one in North Carolina) to create its organic, small product batches. The max potency Spruce CBD oil contains 2400mg of full-spectrum CBD extract, but the brand also offers a lower strength tincture with 750mg of CBD in total.</p>CBDistillery
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDcwMjkzNC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyMTU4OTM4Nn0.ypRdeDSBcE87slYrFfVrRwtJ2qGIK6FD5jBB4pndTMo/img.jpg?width=980" id="b473b" class="rm-shortcode" data-rm-shortcode-id="9930b53c9d58cb49774640a61c3e3e75" data-rm-shortcode-name="rebelmouse-image" alt="cbdistillery cbd oil" data-width="1244" data-height="1244" /><p>All of the products from CBDistillery are <a href="https://ushempauthority.org/" target="_blank" rel="noopener noreferrer">U.S. Hemp Authority Certified</a>, and for good reason. The company only uses non-GMO and pesticide-free industrial hemp that's grown organically on Colorado farms. Its hemp oils are some of the most affordable CBD products on the market, yet they still maintain a high standard of quality. CBDistillery has a wide variety of CBD potencies across its product line (ranging from 500mg to 5000mg per bottle) and offers both full-spectrum and broad-spectrum CBD oils to give customers a completely thc-free option.</p>FAB CBD
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDY4NjIyNS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2NDIwOTEyMn0.MlTjz096FJ0ev_-soK7_Z-FeQeJczWoeh9Qi9SSkHsY/img.jpg?width=980" id="04b26" class="rm-shortcode" data-rm-shortcode-id="76aa4862f44603242e318982acea6646" data-rm-shortcode-name="rebelmouse-image" alt="fab cbd oil" data-width="800" data-height="800" /><p>For an organic CBD oil that has it all, FAB CBD offers plenty of variety for any type of consumer. All of its products are made with zero pesticides and extracted from organically grown Colorado industrial hemp. FAB CBD oil comes in five all-natural flavors (mint, vanilla, berry, citrus, and natural) and is also available in four strengths (300, 600, 1200, and 2400mg per bottle).</p>NuLeaf Naturals
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDY4NjIxOS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1NzExNTgyMX0.D6qMGYllKTsVhEkQ-L_GzpDHVu60a-tJKcio7M1Ssmc/img.jpg?width=980" id="94e4a" class="rm-shortcode" data-rm-shortcode-id="3609a52479675730893a45a82a03c71d" data-rm-shortcode-name="rebelmouse-image" alt="nuleaf naturals organic cbd oil" data-width="600" data-height="600" /><p>As an industry-leading brand, it comes as no surprise that NuLeaf Naturals sources its CBD extract from organic hemp plants grown on licensed farms in Colorado. The comany's CBD oils only contain two ingredients: USDA certified organic hemp seed oil and full spectrum hemp extract.</p><p>NuLeaf Naturals uses one proprietary CBD oil formula for all of its products, so you will get the same CBD potency in each tincture (60mg per mL), but can purchase different bottle sizes depending on how much you intend to use.</p>Charlotte's Web
<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNDcwMjk3NS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0MzQ0NjM4N30.SaQ85SK10-MWjN3PwHo2RqpiUBdjhD0IRnHKTqKaU7Q/img.jpg?width=980" id="84700" class="rm-shortcode" data-rm-shortcode-id="a2174067dcc0c4094be25b3472ce08c8" data-rm-shortcode-name="rebelmouse-image" alt="charlottes web cbd oil" data-width="1244" data-height="1244" /><p>Perhaps one of the most well-known brands in the CBD landscape, Charlotte's Web has been growing sustainable hemp plants for several years. The company is currently in the process of achieving official USDA Organic Certification, but it already practices organic and sustainable cultivation techniques to enhance the overall health of the soil and the hemp plants themselves, which creates some of the highest quality CBD extracts. Charlotte's Web offers CBD oils in a range of different concentration options, and some even come in a few flavor options such as chocolate mint, orange blossom, and lemon twist.</p>- Best CBD Oils of 2020: Reviews & Buying Guide - EcoWatch ›
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