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Tag Archives: public health
Covid test kits at the airport
Despite the relaxed stance on COVID-19, the virus is still very much around and evolving or mutating. While airports in the Philippines are lax about the wearing of masks, airlines require masks for passengers on flights. I’m not sure how effective as a preventive measure this is since most people at airports don’t wear masks and there is nothing that will allow for contact tracing anymore.
Meanwhile, COVID-19 test kits vending machines are now common at airports. I guess aside from being a reminder of the pandemic, it is also a convenience for people who want to check, quickly though not so accurately, if they are positive for the virus.
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On air quality in subways
I saw this article on Wired and immediately read it as the topic to me was interesting. I have been using when I lived in Japan in the 1990s and in Singapore in 2010-2o12. I have used the transit system in many other cities including in the US and Europe. And so the topic of air quality in subways (particularly the stations and inside the trains) got my attention. I guess this is not entirely an issue for ground-level and overhead systems like what most of Lines 1, 2 and 3 and the PNR are. Only Line 2 has one underground station (Katipunan Station) and perhaps has that issue. Here is the article about the air in subways:
Baraniuk (April 24, 2023) “The Filthy Truth About Subway Air,” Wired, https://www.wired.com/story/subway-air-health/ [Last accessed: 4/25/2023]
To quote from the article:
“The big unknown is whether all of this particulate matter is actually causing health problems for people. Millions of commuters use metro systems, in many cases for multiple hours a day, five days a week, for years on end. And thousands of transport workers spend even longer in the tunnels. But there are no widespread signs of severe or acute health problems among these populations, even if pollution levels in subways exceed recommended limits. Could there be more subtle, chronic effects, however—impacts on lung, brain, or heart function?”
Indeed, metros or subway systems have been operating for over a century and so far there is limited that we know about the health risks concerning their use by passengers. But this is something to keep in mind as the Philippines builds its first subway line in Metro Manila. The depots and the situation of workers thought may be a different matter. I recall one of my colleagues at the university doing a quick study of the Line 3 depot, which is underground (i.e., underneath the Trinoma Mall), and measurements showed the air quality to be quite bad. Imagine working there and being exposed to that everyday. Those conditions merit further study but require immediate action to improve working conditions considering the impact to health.
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Noise, air pollution and your health
Here is another quick share of an article relating transportation and health:
Hunter, M. (March 27, 2023) “Road Noise Might Be One Reason Why Your Blood Pressure is High,” Medium.com, https://medium.com/beingwell/road-noise-might-be-one-reason-your-blood-pressure-is-high-5f6c7bd69ad8 [Last accessed: 3/29/2023]
To quote from the article:
“After a median of 8.1 years, the researchers discovered a dose-response relationship: The higher the noise exposure, the greater the risk of having a diagnosis of hypertension.
For every 10 decibel increase (in average 24-hour road traffic noise level), there was a 1.07 times rise in the chances of having high blood pressure. The researchers adjusted the data for fine particles (PM2.5) and nitrogen dioxide (NO2) exposure.
Exposure to air pollution and traffic noise exposure led to the highest high blood pressure risk.”
Both air pollution and noise are mentioned as issues to be addressed by implementing programs for sustainable transport. Sustainable transport includes low carbon transport as well as the reduction of noise generated by traffic.
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On the air that you breathe when inside aircraft
I am sharing a different kind of article this time. It is still on transportation but more health-related in the sense that the article’s topic is about the air passengers breathe when inside a plane. This is very relevant as we continue to grapple with COVID-19 and other diseases such as influenza, while also trying to get back to our normal activities including traveling whether for family affairs, work, recreation or other reasons.
McGee, W.J. (September 20, 2022) “How clean is the air on planes?” Condé Nast Traveler, https://www.cntraveler.com/story/how-clean-and-safe-is-a-planes-cabin-air?utm_source=nl&utm_brand=spotlight-nl&utm_campaign=aud-dev&utm_mailing=thematic_spotlight_092122_2&utm_medium=email&bxid=5bd6761b3f92a41245dde413&cndid=37243643&hasha=cf6c402001bc473063a8744033fe9be3&hashb=ec2bb753c2e6299f5107823241955221da67bd1f&hashc=09f65c608bfb62050199733de500e3cd82827631b36d537ce8386d41a3bd1ff7&esrc=FYL_SEG_APR18&sourcecode=thematic_spotlight&utm_term=Thematic_Spotlight [Last accessed: 9/21/2022]
Obviously, there are concerns about the air inside the cabin. But there are other items that one needs to be mindful of if you are truly concerned with the risk of infection.
To quote from the article:
“But some experts have expressed more doubt about the ability to completely scrub the air for zero chance of spreading flu and COVID. “Transmission of infection may occur between passengers who are seated in the same area of an aircraft, usually as a result of the infected individual coughing or sneezing or by touch,” WHO warns. Cabin crew members agree with this assessment. “It’s naive to think an airline can protect passengers 100 percent because you’re in an enclosed space for however long the flight is,…””
The article also provides the following recommendations to travelers (quoted directly from the article and highlights mine):
- If you’re concerned about aircraft cleanliness, try booking the earliest flight possible that day, as most airlines do a deep-clean each night. And if your itinerary allows it, consider nonstops rather than connecting flights, to limit your exposure to multiple dirty cabins.
- Wipe down your airline seat and surrounding area with a sanitizing wipe to kill any lingering flu virus; pack an alcohol-based hand sanitizer and wash your hands often.
- The CDC recommends that most travelers get a flu vaccine in September or October; it also advises to get up-to-date with your COVID vaccines and boosters before any travel.
- Practice social distancing throughout your journey—at check-in, security screening, boarding, baggage claim, etc. Select seats apart from other passengers (often in the rear) and ask to be moved if possible.
- Although there is no longer a mask mandate for air travel in the U.S., the CDC still advises travelers ages 2 years and older to opt to wear a face mask in indoor areas of public transportation—such as airplanes, trains, buses, ferries—and in transportation hubs like airports.
There seems so many of what are being termed as revenge travel these days. Many people were not able to travel particularly for family (visits, homecomings) or recreation (vacations) the past 2 years. They are now traveling again as more countries open up for tourism and more people have been vaccinated or gained immunity from the virus. The recommendations above should be heeded as there’s really nothing to lose if we follow them and particularly continue good practices to avoid infection.
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Road safety history – first fatality and crash
Have you ever wondered when the first road crash involving a motor vehicle occurred? Or who was the first person to die (i.e., fatality) in a car crash? Here’s a brief but informative article on this topic:
Sal (April 15, 2022) “Who Was the First Person Ever to Die in a Car Crash?” Medium.com, https://sal.medium.com/who-was-the-first-person-ever-to-die-in-a-car-crash-8385add6cbcb [Last accessed: 4/20/2022]
Were you surprised about the 3 mph speed of the car that ran over the first fatality involving a car? That’s really slow considering the speeds of vehicles these days and how high speed limits are along streets where there are many pedestrians. Meanwhile, the circumstances about the first crash appears to be similar to what we still have now. That is, reckless driving, increasing speed limits and (truth be told) pedestrians not being aware of their surroundings (say what you will but the car was traveling at 4 mph and there was a claim that the driver tried to get the attention of the victim to no avail). I agree though with the author that this was a portent of worse things to come as road crashes has become a top killer and health concern.
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Take a hike or a walk?
Here’s an interesting article calling for people to go out and spend some time with nature.
https://www.inverse.com/mind-body/doctors-free-nature-prescriptions-treat-chronic-diseases
The prescriptions mentioned are not at all new, content-wise but the article does mention that people tend to follow prescriptions from their doctors. Perhaps the prescription will be treated or perceived as a more serious matter compared to verbal ones that are interpreted as suggestions and not really all that serious? No matter, the important thing is to be active and keep walking, hiking, jogging or cycling.
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No vax, no ride – some insights and opinions
The Department of Transportation (DOTr) recently issued a memo stating unvaccinated people may not use public transportation in Metro Manila. People will have to show proof of vaccination (i.e., vaccination card) before he/she is allowed to board the bus, jeepney, van or train, which are all under the jurisdiction of the DOTr. I assume tricycles are not included here since these are under the local government units.
Certain groups quickly slammed the memo as being “anti-poor”. Note though that vaccinations are covered by government funds and are free. You only have to register and show-up for your shots. Given the period when vaccinations started, there should be few or no excuses for not being vaccinated at this time for most people (children under 11 years old are not yet being vaccinated as of this writing). In fact, many vaccination centers have already been giving booster shots from November 2021 and many have reportedly had fewer people getting vaccinated or boosters by December 2021. That changed when the current surge attributed mainly to the Omicron variant of Covid-19 led to a sudden influx of people at vaccination centers. Workplaces requiring their employees to be vaccinated also probably contributed to people being convinced they needed to get vaccinated. Otherwise, they could not earn a living.
A colleague explained that the modality of vaccinations requiring registrations online meant those without smart phones could only do walk-ins. While certain LGUs such as Cainta automatically registered their constituents, and particularly senior citizens, and posted vaccination schedules that covered everyone registered as their constituents, others especially larger LGUs might not have the capacity to do this simplification. Non-vaxxed people will also have to take some form of transport and not everyone will opt to bike or would have their own private vehicle.
Perhaps we should again look to science for an answer to the question whether this policy is good or bad. Ventilation or air circulation-wise, open air vehicles and without those plastic barriers present a better situation for lesser likelihoods of virus transmission among passengers. Many public transport vehicles though are closed, air-conditioned types. People are also obliged to wear masks (shields have been proved as ineffective and unnecessary) so everyone wearing masks should reduce the risk of transmission even with unvaccinated people (remember there was a time everybody when everybody was unvaccinated). Again the key word here is “reduce”. There is no guarantee that one will not get Covid even with excellent ventilation and mask use.
Implementation-wise, there are many challenges here including the additional delays to travel brought about by the vaccination card checks. If there are to be checkpoints, that’s another source of delay (and we already know how checkpoints can result in carmaggedon-level congestion). The even more recent DOTr pronouncement is their intention to deploy what they call “mystery passengers” seems amusing and inspired by similar people mingling in public to tell on people violating this and that law.
Meanwhile, here’s a question that’s easily answerable by “yes” or “no” but would likely elicit explanations or arguments for or against the idea: “Would you, assuming you’re vaccinated, be willing to take public transportation knowing that you will be riding a vehicle together with unvaccinated people?” I think the most common answer would be a “No”. Exceptional would be the “yes” reply if you consider the potential for spreading Covid-19 post-commute (by both the vaccinated and unvaccinated who are either asymptomatic or symptomatic).
As a parting note, a former student puts it quite bluntly in a social media post – “Smoking in public is banned precisely based on the science. Is smoking then anti-poor? And would you ride in public transport with people who are smoking while in the vehicles?” I think we also know the answer to this question without elaborating on the situation.
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Back to the old normal?
As traffic continues to worsen after, The MMDA has reinstated the number coding scheme albeit from 5:00 to 8:00 PM on weekdays for now. This is in recognition of the worsening traffic congestion brought about by people returning to their workplaces and the easing of travel restrictions across the entire population. People are now moving about as can be seen in transport terminals and commercial areas (e.g., shopping malls, markets, etc.). With the return of severe traffic congestion, it begs the question whether we are back to the ‘old normal’.
I thought the photo above pretty much describes how it was before Covid-19. The problem is that this photo was taken earlier today and we are still technically in a pandemic. Does the photo show the people’s renewed confidence in using public transportation? Or is it a matter of necessity (i.e., commuters having no choice but to risk it in order to get to their workplaces or home)? If they had motorcycles, these people would likely use them instead of taking the jeepney. I will also dare ask why don’t they bike instead? They seem able bodied enough to try cycling instead. Is it because their commuting distances are long? Or are there other reasons that evade us? If these are the same reasons and Covid-19 is not a major factor for their choice, then perhaps we are back to the ‘old normal’ and have not progressed significantly despite claims by various groups that we are experiencing a paradigm shift in favor of active transport. All the more that we need to urgently revisit and reassess how transport should be in order for us to transition to a more sustainable future.
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On the 12 global road safety performance targets
The UN recently released the Global Plan for Road Safety. I’m just sharing their graphic on the global road safety performance targets:
I will try to discuss each one in future posts especially as I am involved one way or another in trying to realize these targets. Note, too, that these targets are further categorized among the five pillars mentioned at the foot of the graphic. These are (1) Road safety management; (2) Safer roads and mobility; (3) Safe vehicles; (4) Safe road users; and (5) Post-crash response.
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On current health protocols applied to public transport
The current surge of infections attributed to the Delta variant of Covid-19 has been alarming. The recent quarantine issuances by national government have not been effective as there was basically lax enforcement or implementation. Granted, there were just a lot of loopholes designed to allow so-called “economic frontliners” to go to work and under conditions that made their commutes risky in the context of the pandemic. The same laxity and loopholes apply too, to people who have no business roaming around and yet travel with their motor vehicles (especially motorcycles) and bicycles across cities, towns and provinces in the guise of exercise or essential travel.
Meanwhile, the practice and enforcement of public health protocols in the country has been lax and misguided (e.g., do we really need to wear face shields?). In public utility vehicles, people are now crowding inside with usually only a sheet of plastic separating one from another. This is not exactly reassuring in as far as spreading the virus is concerned. And we shouldn’t pretend that we are not aware that there are asymptomatic people going around and infecting others whether knowingly or not. It’s no wonder, really, why people who have the private vehicle or active transport option use these instead of public transport.
Much has been said about government failing to address the Covid-19 pandemic from the start. And it continues to bumble through this health crisis (if you don’t want to call it one then either you don’t understand the gravity of the problem or just refuse to do so – the latter is worse). Tagging workers as ‘economic frontliners’ is probably at least as bad as calling BPO workers ‘Bagong bayani’, adding them to the Overseas Foreign Workers (OFWs) who had been branded as so in the past. This becomes a convenient excuse to ease health-related restrictions for people to travel/commute to work. It is a form of gaslighting the very same workers to believe they need to go out and work. Meanwhile, precious funds are being diverted elsewhere including the dolomite beach at Manila Bay and money spirited away in preparation for next year’s elections.
I got it from recent surveys that people give a higher priority to employment and earning income over Covid-19. Perhaps most have not had direct experiences with the frightening cases of Covid-19 (i.e., they’re asymptomatic or have encountered only asymptomatic cases with friends and families). I hate to say it but it seems like the same thinking pertaining to extra judicial killings (EJK). I can already imagine hearing the usual comments: “Malayo sa bituka.” “Wala akong pakialam diyan.” “Okay lang yan. Hindi naman kami apektado niyan.” These comments reflect an absence of empathy. Empathy I think is very much needed today in order for people to understand what’s going about. And that’s not just about us but businesses as well that definitely, likely lost a lot during this pandemic but still need to empathize if not call out those who are really responsible about the mess we are in. Do your employees really need to go to the office? Or can they continue working from home? The answer to these questions affect commuting in the time of Covid-19 and relates strongly to the protocols applied to public transport.
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Caught (up) in traffic 