If he qualifies for this summer’s Olympic Games, Canadian swimmer Brent Hayden would prefer to receive a COVID-19 vaccination before arriving in Tokyo.
That doesn’t mean he wouldn’t go without getting his jab. He also isn’t sure if he would use the vaccine being offered to Olympic athletes as part of a recent partnership announced by the International Olympic Committee and China.
“I think that would be something I have to talk to my coach about, to figure out what we think is going to be the best decision,” said Hayden, who won a bronze medal in the 100-metre freestyle at the 2012 London Olympics.
“I do want to be vaccinated, I want to be covered at the Olympics. I don’t want to catch it and spread it. Now whether or not that’s the China one … I’m just going to have to wait to see what my coach or what Swimming Canada recommends.”
In the recently announced agreement, the IOC entered into a partnership with the Chinese Olympic committee to buy and provide vaccines for people participating in the Tokyo Games and next year’s Winter Olympics in Beijing.
None of the Chinese vaccines are approved for use in Canada.
In a statement, the Canadian Olympic Committee said it would prefer Canadian athletes use Health Canada approved vaccines.
“Our strong preference is that any vaccine a Canadian athlete receives has been approved by Health Canada,” COC boss David Shoemaker said in a statement.
“The COC will continue to follow Health Canada guidelines and the recommendations of our chief medical officer and the return to sport task force for all matters relating to the health and safety of Team Canada.”
WATCH | Should Olympians cut in line for vaccine?:
Some athletes say they want to wait their turn. 2:20
A Swimming Canada spokesman said they are encouraging athletes to follow the COC guidelines.
At least one Olympic expert said he isn’t surprised the by the IOC’s decision to buy vaccines or that they are being purchased from China.
Michael Naraine, an assistant professor with Brock University’s department of sport, said IOC president Thomas Bach has pushed for the Tokyo Games to go ahead, even though concerns remain about COVID-19.
“They weren’t going to force athletes to take the vaccine, but they wanted to do everything they could to ensure health and safety,” said Naraine, who studies major games and the Olympic movement.
“It’s not surprising that China would be the place where they were able to procure them. The supply chains are really tight now when you’re thinking about all the different countries that are trying to procure. When you think about scale in the supply chain, China’s clearly the top dog.”
WATCH | Why a COVID-19 vaccine isn’t the key to a fair Olympics:
Jacqueline Doorey speaks with Canadian middle distance runner Gabriela DeBues-Stafford to discuss the COVID-19 vaccine, how it can affect the Olympics, and whether athletes deserve to cut the line. 5:51
The IOC is also “very bullish on China” considering it’s hosting next year’s Winter Games and some of the major sponsors that comes with that, he said.
While athletes in some countries may be hesitant over the IOC’s offer, for others it might be their best chance to access the vaccine.
“If I’m an athlete in a country which has a very heavy strain on health care and the public health system, you’re looking at this as jumping the global queue as far as vaccination and inoculation is concerned,” said Naraine.
Wrestler Erica Weibe, a gold medallist at the 2016 Rio Games, supports more athletes having access to the vaccine.
It would be great if the IOC’s partnership “can help athletes and citizens of countries with less robust vaccination plans than Canada,” the Stittsville, Ont., native told The Canadian Press last week.
Prime Minister Justin Trudeau has promised that every Canadian adult who wants a vaccine will be able to receive a shot by the end of September.
In B.C., where Hayden lives, his age group is scheduled to receive their first round of the vaccine in May or June.
The Tokyo Games, which have been delayed a year due to COVID-19, are scheduled to open July 23.
Hayden, who retired after the London Games but decided to make a comeback for Tokyo, said not being vaccinated won’t stop him from competing.
“My goal is to go to the Olympics,” he said. “If I’m vaccinated or not vaccinated, I’m planning on going until they tell me I can’t go.”
This is an excerpt from Second Opinion, a weekly roundup of eclectic and under-the-radar health and medical science news emailed to subscribers every Saturday morning. If you haven’t subscribed yet, you can do that by clicking here.
The coronavirus that causes COVID-19 spreads through droplets that we spew as we breathe, talk, cough and sneeze — so tiny that they’re invisible to the naked eye.
That’s why questions remain about the virus’s transmission and what precautions need to be taken to curb its spread as governments begin to lift restrictions. Will it help if everyone wears a mask? Is keeping everyone two metres apart far enough?
Some researchers aim to learn more about transmission by trying to make invisible sneezes, coughs and breaths more visible. Here’s a closer look at that research and what it might reveal.
How do scientists think COVID-19 is transmitted?
According to the World Health Organization, the disease spreads primarily through tiny droplets expelled when a person infected with SARS-CoV-2 sneezes, coughs, exhales or spits while talking. They can infect another person who:
Comes into contact with those droplets through their eyes, nose or mouth (droplet transmission).
Touches objects or surfaces on which droplets have landed and then touches their eyes, nose or mouth (contact transmission).
The WHO says it’s important to stay “more than one metre away” from a person who is sick. But the Public Health Agency of Canada recommends staying a distance of at least two metres or two arms’ lengths away, not just from people who are sick but from all people you don’t live with.
Why is 2 metres the recommended distance for preventing transmission?
Scientists in the 19th century showed respiratory droplets from a person’s nose and mouth can carry micro-organisms such as bacteria and viruses.
Then, in 1934, W.F. Wells at the Harvard School of Public Health showed that large droplets (bigger than 0.1 millimetre) tended to fall and settle on the ground within a distance of two metres, while smaller droplets evaporated and the virus particles left behind could remain suspended in the air for a long time.
Wells proposed that could explain how diseases are transmitted.
Since then, respiratory diseases have been divided into those transmitted via droplets (usually from close contact) and those that are airborne and can spread over longer distances, such as measles or tuberculosis.
Such tiny particles are presumably pushed around by air currents, but can’t move easily due to air resistance. So their actual movements haven’t been well modelled or measured, said Lydia Bourouiba, professor and director of the Fluid Dynamics of Disease Transmission Laboratory at the Massachusetts Institute of Technology.
“And that’s why the notion of airborne [transmission] is very murky,” said Bourouiba, who is Canadian.
Why don’t experts think the virus is airborne?
A pair of recent studies raised the notion of airborne transmission, but Mark Loeb, a professor at Hamilton’s McMaster University who specializes in infectious disease research, cautions against putting too much stock in them.
Researchers found traces of RNA from SARS-CoV-2 in washrooms and some high-traffic areas in hospitals in Wuhan, China, and in Nebraska, and suggested it got into those areas through the air, though there was no evidence the particles were still infectious.
Loeb said that’s just a “signal” that part of the virus was there.
“Does it mean that COVID-19 is spreading from person to person through aerosols? I would say definitively not,” Loeb said.
If the virus were airborne, we’d know by now, said Dr. Allison McGeer, because every health care worker would be infected despite wearing personal protective equipment.
“You and I don’t have to worry walking down the street that we’re going to be breathing the air of somebody who walked down the street five minutes ahead of us who had COVID-19 and didn’t know it,” said McGeer, an infectious disease specialist with Sinai Health in Toronto who is leading a national research team studying how COVID-19 is transmitted. “That we can be confident about.”
Is there evidence the virus could be spread farther than 2 metres?
Some studies, including Bourouiba’s, show that droplets from coughs and sneezes can, in fact, travel much farther than expected. Bourouiba’s high-speed imaging measurements and modelling show smaller respiratory droplets don’t behave like individual droplets but are in a turbulent gas cloud trapping them and carrying them forward within it. The moist environment reduces evaporation, allowing droplets of many sizes to survive much longer and travel much farther than two metres — up to seven or eight metres, in the case of a sneeze.
WATCH | Close-up view of the droplets released by a person sneezing
(Credit Lydia Bourouiba/MIT/JAMA Networks)
She said the research “is about revealing what you cannot see with the naked eye.”
A more recent Canadian study used a “cough chamber” to show that if someone coughs without covering their mouth, droplets from the cough are still travelling at a speed of about one kilometre per hour when they hit the two-metre edge of the chamber. Within the chamber, droplets remained suspended for up to three minutes.
WATCH | The speed and distance travelled by droplets from a cough
Dr. Samira Mubareka, a virologist at Sunnybrook Hospital in Toronto who co-authored the study, said it “gives you a sense of what the possibilities are,” but noted that the researchers, who were studying flu patients, detected very little virus in the droplets.
What does that say about the 2-metre guideline?
Bourouiba says her research points to the potential for exposure beyond two metres from someone who is coughing and sneezing. As she wrote in the journal JAMA Insights in March, that means it’s “vitally important” for health care workers to wear high-grade personal protective equipment in the form of respirators even if they’re farther than two metres away from infected patients.
However, she does think two metres can be far enough for healthy people in the general public in most environments, since breathing and talking don’t propel droplets and surrounding cloud too far.
Mubareka stands by the two-metre guideline despite the findings of her cough chamber study.
Because despite dramatic images of respiratory droplets being propelled from someone’s nose and mouth, it’s not yet clear how many of them contain virus and how many are infectious.
“And that’s really the key variable — that’s what really determines your risk,” she said. “Those are the kinds of things we haven’t been able to measure.” That may change, she added, with the recent invention of particle samplers designed specifically for viruses.
Loeb of McMaster, notes that a cough chamber and similar laboratory setups are highly artificial settings and controlled environments.
“They’re basically saying what’s theoretically possible,” he said. “I think those are provocative and those are hypothesis- generating, but then they need to be tested in the field.”
Loeb is running such a field test himself — a randomized controlled trial of the use of medical versus N95 masks among health care workers to see if there is a difference in the transmission of COVID-19.
But are coughing and sneezing all we need to worry about?
That’s a question on a lot of people’s minds, given that a growing number of studies have shown asymptomatic and pre-symptomatic transmission is possible, especially among those who live with an infected person.
Even though researchers aren’t sure exactly how people without symptoms transmit the disease, the new evidence has prompted both U.S. and Canadian officials to suggest apparently healthy people wear masks in public to protect others — “because it prevents you from breathing or speaking moistly on them,” Prime Minister Justin Trudeau famously explained.
“People generate particles when they’re talking, singing, breathing — so you don’t have to necessarily be coughing,” Mubareka said. “It’s just that maybe the dispersion is a little bit more limited.”
WATCH | The droplets produced when someone speaks with, and without, a mask
This video, from a study published in April 2020 the New England Journal of Medicine by researchers at the U.S. National Institutes of Health, uses laser light scattering to show droplets produced when someone speaks. 0:42
A recent brief video and report by U.S. National Institutes of Health researchers used lasers to show that droplets projected less than 10 centimetres when someone says the phrase “Stay healthy.” It found the louder someone spoke, the more droplets were emitted.
But they were dramatically reduced if a damp washcloth — a stand-in for a mask — was placed over the speaker’s mouth.
So what about using masks to curb the spread of COVID-19?
Other studies, such as a 2009 paper in Journal of the Royal Society Interface, use imaging to show how wearing a mask while coughing reduces the jet of air that’s normally directed forward and down. A surgical mask “effectively blocks the forward momentum of the cough jet and its aerosol content,” the study found. Some does leak out the sides, top and bottom, but without much momentum.
The World Health Organization recommends that people wear masks if they are coughing and sneezing or if they are caring for someone who is sick.
It notes that studies haven’t been conducted yet on whether or not transmission is reduced when healthy people wear masks in public, but it encourages countries to look into that.