Easter, Passover and Ramadan will be a little less lonely this year as more people get vaccinated. But experts say we can’t let down our guard just yet.

 
 

 
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The weather is warming, the days are looking brighter and the number of people getting vaccinated is on the rise. So can we finally celebrate the spring holidays together like we used to, back when we could see the bottom halves of everyone’s faces?

Well, not exactly.

Although coronavirus cases and deaths are declining nationwide and the Centers for Disease Control and Prevention recently issued new, looser safety guidelines for vaccinated people, the agency recommended against unmasked indoor gatherings with unvaccinated people except in certain circumstances.

We asked public health experts to help us understand the latest guidance and offer advice on how to safely observe upcoming holidays like Easter, Passover and Ramadan.

According to the C.D.C., if the people in your home have been fully vaccinated, meaning at least two weeks have passed since each person’s final shot, you can spend time together unmasked with the unvaccinated members of one other household — either indoors or outdoors — without physical distancing. But this holds true only if all of the unvaccinated people are not at increased risk of severe illness if they were to contract Covid-19, the agency said.

The risk of transmission between a vaccinated household and an unvaccinated household “is incredibly low,” said Dr. Joshua Barocas, an infectious diseases physician at Boston Medical Center.

 
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And when both households are vaccinated, the risk is even lower, he added.

Erica Fleischer, 42, a public policy expert and mother of two who lives in Chicago, said her family would typically celebrate Passover Seder, held on the first two nights of the eight-day holiday, at her in-laws’ home, surrounded by as many as 20 people.

Last year they met virtually, but this year, given the new C.D.C. guidance, her unvaccinated family will have a small dinner with her in-laws, who have each received the vaccine.

Ms. Fleischer said she feels “pretty confident” the risks of infecting one another are low. “I think I actually needed more convincing than my in-laws did.”

Dr. Shaun Din, 35, a radiation oncologist in Manhattan, is planning to spend part of the holy month of Ramadan with nearby family members. Five of the eight adults, including Dr. Din and his parents, have been vaccinated, so the family feels comfortable meeting unmasked on weekends for the evening iftars that break each daylong fast.

“Last year was very lonely, not being able to celebrate together,” Dr. Din said. “Ramadan is difficult, but the communal aspect of all of us going through it and then breaking the fast together is something that’s very fun.”

 

Can we invite more than one household?

If you are fully vaccinated and you would like to invite other fully vaccinated friends over for dinner, the C.D.C. says that “it is likely a low risk,” and there is no need to wear masks or stay physically distanced.

Even so, keep the get-together small. The C.D.C. advises against medium- or large-size gatherings (though it hasn’t defined what constitutes medium or large).

“Variants are circulating, and the vaccines might not be quite as effective against them,” said Linsey Marr, a professor of civil and environmental engineering at Virginia Tech who studies viruses in the air.

If you plan to mix unvaccinated people from multiple households, experts suggest holding the gathering outside, staying six feet apart and wearing masks.

And if you decide to spend time indoors with unvaccinated people from other households, wear a mask and open the windows to improve the ventilation, said Shelly Miller, a mechanical engineering professor at the University of Colorado, Boulder, who studies airborne disease transmission in enclosed spaces. She also suggested using a HEPA filter air cleaner certified by the Association of Home Appliance Manufacturers.

The coronavirus vaccine is not currently available to most children because clinical trial results are still forthcoming.

Say there are two healthy families of four. If the kids aren’t vaccinated in either household but all of the adults are, you might consider inviting people inside as long as the windows are open and everyone is wearing masks, said Dr. Asaf Bitton, a primary care physician who runs a public health research laboratory at Brigham and Women’s Hospital in Boston. If the kids in neither household are vaccinated and only one set of adults has been vaccinated, he and other experts said an outdoor gathering with masks and distancing would be safest.

You may also be wondering if your unvaccinated children can finally get a hug and kiss from their healthy, vaccinated grandma. On this question, the experts’ opinions diverged. But in general, if everyone is healthy and you’re comfortable accepting some degree of risk, a hug or kiss is probably fine.

“The likelihood that my kid transmits a virus that ends up causing severe disease in my vaccinated parents is very, very low,” Dr. Barocas said.

Similarly, he added, it’s unlikely that a vaccinated adult would transmit the virus to a child. That said, the experts advised doing what feels right to you and your family.

“I think everyone going into that visit needs to understand that we’re balancing risks and benefits,” said Dr. Adam Ratner, director of the division of pediatric infectious diseases at Hassenfeld Children’s Hospital at N.Y.U. Langone. But, he added, if the grandparents are vaccinated, “I am pro hugging and kissing.”

Jennifer Rogers, 46, an attorney in Philadelphia, said her husband and two children, 8 and 11, will celebrate Easter by visiting her parents’ home for several hours. They’re planning on having an outdoor Easter egg hunt and whacking away at a coronavirus-shaped piñata. But the kids, who will be joined by Ms. Rogers’s sister and her sister’s son, will all be wearing masks. Ms. Rogers and her husband are both vaccinated, but they are planning to wear masks too, because their family will have recently returned from a Florida vacation.

“It still feels like a loss, like it’s not the same as it’s been,” said Ms. Rogers, whose family typically stays overnight at her parents’ home during the holiday.

The C.D.C. is still saying no.

“We know that after mass travel, after vacations, after holidays, we tend to see a surge in cases,” the C.D.C. director, Dr. Rochelle Walensky, said last week on MSNBC. “And so, we really want to make sure — again with just 10 percent of people vaccinated — that we are limiting travel.”

We are also still learning whether vaccinated people without symptoms can unknowingly carry infections to the households that they are visiting, Dr. Bitton said.

“Travel in little metal tubes and crowded airports and taxi cabs brings risks of transmission,” he added.

Danielle Nuzzo, 36, a communications manager whose family celebrates both Easter and Passover, lives in California with her husband and 2-year-old daughter, across the country from both sets of grandparents. As soon as the grandparents got vaccinated, they asked if they could visit during the holidays, she said. But Ms. Nuzzo and her husband are not vaccinated yet, and they didn’t feel comfortable hosting anyone who had just hopped off a plane. In the end, they decided they will celebrate just like they did last year, over Zoom.

“It’s really hard. It’s emotional,” Ms. Nuzzo said. “We want her to know who her grandparents are and see them. But we also want to do what’s right and just be safe.”

If your family does decide to travel, the C.D.C. recommends first getting fully vaccinated for the coronavirus, if you are eligible, and also getting a Covid-19 test one to three days before the trip. All travelers, regardless of whether they are vaccinated or not, must wear a mask; try to stay at least six feet from others; get tested again three to five days after your trip and quarantine for seven days, even if your test is negative. (If you don’t get tested, the C.D.C. says you should quarantine for 10 days.)

Check your state and local requirements because different areas have different rules. New York State, for example, says domestic travelers do not need to quarantine during the first three months after being fully vaccinated, provided that they are asymptomatic.

After a year of public health warnings, some family members might feel uneasy about loosening the rules while others might be anxious to get back to normal.

Last year, ahead of the Thanksgiving holiday, Claudia W. Allen, a clinical psychologist and the director of the Family Stress Clinic at the University of Virginia School of Medicine, told The New York Times that if there are differences of opinion, it’s important not to pass judgment, start lecturing or assume that your relatives have bad motives.

“The people who are willing to take more risks are usually doing it because they’re valuing connection. And the people who are less willing to take risks are usually less willing because they are prioritizing safety. Connection and safety are both good,” Dr. Allen said at the time.

The same advice applies for spring holidays. “A new tricky aspect is that some people are vaccinated and others aren’t,” she added this week.

If you’re at odds with a family member, don’t forget to recognize the other person’s good intentions, even if you ultimately have to agree to disagree, Dr. Allen said. Take a moment to also acknowledge their feelings and the uncertainty of the situation and say, “I totally understand your caution; we each have to try to weigh the risks as best we can.”

New York Times