Features
I’m a veteran expert in stopping epidemics. Here’s why Jewish institutions should cancel everything.
By GARY SLUTKIN
CHICAGO (JTA) — I am an infectious disease epidemiologist who worked at the World Health Organization on epidemics in over 25 countries around the world.
As a physician and member of the Jewish community, I prize the Jewish teaching that places the saving of a life above all other laws and practices. It is my expert opinion that as a result of the emergence of the novel coronavirus COVID-19, the Jewish community (along with all religious and community groups) must change what we are doing immediately: We need to suspend our usual religious services and social gatherings.
Many communities have recognized the emergency and already made this change, and more and more are doing so in the hours before Shabbat begins. But others are still making small-scale changes or contemplating what to do next.
Each community and individual will have to work within their own traditions and norms. But as an epidemiologist, I know that these recommendations will save lives.
I have worked to help stop epidemics of many sizes and infectious patterns — from AIDS in Africa and Asia, to tuberculosis in San Francisco, to cholera in Somalia. I also ran the Intervention Unit for WHO, which guided countries in epidemic control and the behavioral changes needed.
All serious epidemics disrupt populations, and all require important changes to what the population does. These changes are necessary and urgent to avoid preventable deaths and the spread of infections that cause more preventable deaths. That’s why I recommend that we as Jews temporarily but immediately refrain from attending synagogues and other in-person meetings, no matter whether we live in an area where there is a known case of COVID-19 or not.
This virus is easily transmitted through droplets in the air, through hand to hand (to face) contact and on surfaces, and is much more dangerous than the seasonal flu. The seriousness and lethality of this virus to older people is exceptionally high, and other adults also have higher risks of serious illness as well as high likelihoods of causing transmission to older people.
First and foremost, we must take these steps because we value human life: our own lives, our families, and the greater community and the world around us. Stopping group contact is an essential method right now for preventing ourselves from getting this easily transmitted and highly lethal virus, and also to stop any spread to our families and the community.
Mistakes and delays and less than perfect compliance with new behaviors and practices can be deadly. We have seen this happen already in other countries, like Italy and elsewhere in Europe, and we are witnessing the active spread in Seattle and New York state. Other cities and parts of cities will see lethal outbreaks if they are late or noncompliant.
Complacency, denial and overconfidence are common among us, but there is no place for this now.
You may get pushback from your family or friends, and you may feel social pressure to go about business as usual. But this is not a time to care about that — now is the time to do as much as we can to prevent the spread of disease and death. Resist these impulses and counter arguments.
This pandemic will go on for at least several months – we still don’t know how long. As we learn more, we will be better able to make more localized and informed decisions about when and how to adjust or attempt to get back to normal, but now is the time to stop any possible potential for getting infected yourself and causing illness, perhaps serious illness to yourself — or for unknowingly infecting others, which you cannot judge by appearances of health right now.
Major global and local crises require these adjustments but also challenge us to increase our humanity and the best parts of our communal lives.
Synagogues and our religious communities present both significant challenges and value in that regard. However, we must now learn to balance our spiritual and emotional health with the real physical risks to our health today.
Therefore, unfortunately:
We must suspend our usual religious services and gatherings now.
Crowds and close contact risk invisible spread and disease to you and others, and you don’t know who might be carrying the virus.
In addition, in our daily lives:
Cancel and don’t attend other non-essential in-person meetings.
Learning can be done on conference calls, including video services like Zoom, Skype and Google Hangouts. The same goes for meetings. It may sound harsh, but remember, the risk to what we schedule isn’t simply inside the synagogue walls. It also takes place for the participants on transportation, street encounters, etc.
We must stop (“ban”) all handshaking, as well as hugs and embraces.
Even the “fist bump” and “elbow rub” puts two individuals in closer proximity than is optimal and I recommend we stop this entirely.
That doesn’t mean we can’t greet one another with respect and warmth. The heart, “lev” in Hebrew, has been taught in Jewish and other traditions to be the seat of spirituality. Consider alternatively placing your hand to your heart and bowing your head in acknowledgement of an encounter with a fellow community member. It may feel awkward at first, but can help to maintain critical social distance while honoring the encounter. It might even feel good.
Practice frequent and thorough handwashing.
I cannot overemphasize frequent and thorough handwashing throughout the day. An incredibly frequent means of spread of respiratory pathogens is a sick person touching their face, shaking hands with another person and that person then touching their face. We touch our face dozens of times a day, mostly unconsciously. This practice with an unwashed hand is enough to cause the infection through your eye, nose or mouth touched. Develop a different relationship to your hands, be aware if you have touched a door knob, railing or other surface someone may have touched. These surfaces also harbor the virus if they have been touched by someone sick or incubating the infection.
Keep social distances.
It is best to be further away from people than we usually are. This may seem weird or unusual, but it means in the grocery store, or wherever you go, try to be 6 feet or more away from others.
If you are sick with a fever or cough, stay home.
Call your doctor to determine if you really need to go in. Some medical facilities are getting full or risk being so, not everything is coronavirus and there are no treatments for now. If you are having shortness of breath or feel seriously ill, of course seek care as usual.
For those who are holding small services at home:
Don’t kiss communally shared objects.
Prayer books, mezuzot and the like should not be kissed for the duration. Even touching communal objects or surfaces should be avoided, unless you can assure handwashing immediately after.
Stop sharing challah and kiddush cups — and consider how and if you need to serve food.
It is very hard to ensure not spreading respiratory viruses by serving and sharing food.
Focus on the Jewish tradition of acts of lovingkindness.
While this is not an infection control recommendation, it’s an important Jewish value. Do you have a friend or family member or neighbor at high risk for whom you can run an errand? Many people are at home now working, in self-quarantine or just trying to stay safe. Check in on them safely. Pick up the phone and see how they are doing. See if they need an errand run for them without potentially passing on an invisible infection.
The isolation that can help protect our physical health should not erode our mental health. This important part of Jewish life can be adapted — perhaps not so easily, but we will figure out ways to do this with care and understanding.
While this is a moment for in-person synagogue activities to pause, this is an ever more critical moment for the role synagogue can play in the lives of people who are isolated, fearful or just in need of comfort. Nearly everyone is in some level of emotional and mental distress over what is happening.
There are brain processes we have as invisible to the eye, yet as powerful as microbial processes and just as crucial. Even in good times, our synagogues and religious communities represent crucial elements in our own sense of well-being and social safety net. This is all the more true during a frightening global crisis.
While nothing can fully replace human contact, our phones and computers offer a great means to connect in full safety. This is the moment for rabbis and synagogue leadership to be most mindful of preserving human life by using all technology tools — including the phone, of course — to make our communities virtual but still alive until this pandemic is under control. Which we are all now helping to ensure.
After decades of working to stop epidemics, I saw many very tough situations and many hard days, weeks and months. Epidemics follow a curve up and then back down, and eventually they end. It is up to us and our most important and trusted institutions to stop the spread now — and to keep the curve of infections and deaths as small and short as possible.
Better days are ahead. Our synagogues will again ring with beautiful voices and much joy. We will get there with these strong and proactive steps to ensure as many beautiful voices as possible are there to join us.
The views and opinions expressed in this article are those of the author and do not necessarily reflect the views of JTA or its parent company, 70 Faces Media.
Features
The Magic of DNA
By GERRY POSNER This is my story, but it just as easily could have been yours. Even at my older age, a new relative popped into the family. This was unexpected to me and the whole family and indeed the new family member as well.
Put the blame on or credit to DNA. What transpired I suspect is happening all over the world these days. That is, there is now a new first cousin in the family. Call her KBP. It seems that KBP took a test through ancestry.com not that long ago, just as I had done years ago. When you take the test, you end up receiving messages from Ancestry from time to time identifying people who have similar genetic markers to you, some closer than others. I have looked at these messages and have identified people I know to be my cousins just from the initials. However, most of the initials listed are completely unknown to me. These lists of relatives go on for pages and pages. I struggle with the value of trying to reach these distant relatives because, even if I can connect with any of them, no one can figure out just how we are related. What would we even talk about should we ever meet? Often, I just ignore the lists as there seem to be too many names to contemplate a possible contact.
As it turned out, KBP also took the same test with the same company, ancestry.com. But she also failed to notice a connection between her and anyone else. This story would have ended there but for the intervention of another cousin who also had taken the DNA spit test with Ancestry. This cousin spotted the relationship and alerted me. Once that occurred, we established a connection and then the rest of this story developed.
What took place some almost seventy years ago was the cause of this new relationship. Recall ( and this is particularly relevant to young readers) the decade of the 1950s was an era when abortion, though present, was in back lanes or in the shadows. Most of the time a child born out of wedlock was put up for adoption. In this case, an uncle and his then non-Jewish partner elected to put the child up for adoption and she was adopted into a family located in Alberta where she grew up. That would have been the end of the story – but for DNA.
My new cousin was ecstatic to find out about the whole new family she was now a part of and whose history was now hers. Even though she is now a Mormon, she was eager to explore her Jewish origins and indeed even came with me and my wife to synagogue at the Beth Tzedec Synagogue in Calgary not that long ago. She had much in common with the family. Most of all, she was so happy to delve into a past previously unknown. On the other hand, her birth mother, still alive at 93, rejected meeting her daughter from so long ago. KBP respects that view and has made peace with just her new association with Dad’s family.
Of course, what made this secret such a well kept secret for so long is that the uncle died young and never told anyone. Who then could have known? The truth is out and I, for one, am glad it is now out there. Not everyone in my family agrees with me, but the main protagonist in this tale, KBP, was supportive of my writing this article. Of course, the real test now is to see if and how this new relationship with KBP unfolds, if at all.
As I said in the beginning, this is not an isolated story. You can bet there are hundreds, maybe thousands of such stories out there waiting to be unearthed and told. It is all about DNA.
Features
Kevin Leach and the Sabre Training Advisory Group: Providing training assistance to the Ukrainian military
By MARTIN ZEILIG As a private citizen, Kevin Leach is following the example of the Government of Canada by providing much needed assistance to our democratic ally, Ukraine, in its fight against the unprovoked war of aggression launched by Russia on February 24, 2022.
Mr. Leach, who grew up in Palgrave, Ontario and lived in Toronto before moving to Ukraine, is the founder of the Sabre Training Advisory Group, a not-for-profit organization geared towards providing training assistance Ukraine’s military. He is a 10-year veteran of the Canadian Armed Forces, and served as an OSCE ceasefire observer in Ukraine from 2018 until the full-scale invasion in February 2022.
He founded the STAG in November 2022.
“Since the beginning of 2022, Canada has committed $4 billion in military assistance to Ukraine,” says the Government of Canada website.
“This funding will allow Canada to deliver military assistance to Ukraine through to 2029. We deeply admire the bravery and courage of Ukrainians who are fighting to defend their independence and freedom, and we will continue to work closely with our Allies and partners to help Ukraine defend its sovereignty and security Canada and Ukraine are close partners with a long-standing defence relationship.”
As well, Operation (Op) UNIFIER, the Canadian Armed Forces (CAF) military training and capacity building mission in Ukraine, “was launched in 2015 at the request of the Ukrainian government,” and in 2023, was expanded and extended until March 2026.
“Since the start of Op UNIFIER, the CAF has trained approximately 41,000 Ukrainian military and security personnel in battlefield tactics and advanced military skills,” says the online information.
“As the mission progressed, much of the direct training undertaken by CAF members transitioned to members of the Armed Forces of Ukraine, with Canadians acting as advisors and mentors as well as assisting in the development of courses.”
“Ukraine’s fight is a fight for international law, for the United Nations Charter, and for innocent civilians, including children, who deserve to live in peace,” Prime Minister Justin Trudeau says on his website.
Besides military aid and training, Canada has also provided significant economic support, and humanitarian assistance to Ukraine, and has welcomed tens of thousands Ukrainian refugees fleeing the war into our country.
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Mr. Leach, who is a frequent guest on the Mriya Report, a 24/7 site on X that provides in-depth information on the war, agreed to an email interview with this reporter.
Q: What was your motivation in forming STAG?
KL: Sabre is a professional military training non-profit. Our aim is to give Ukrainian defenders the skills to come home alive. We are building the capacity for Ukraine to defend itself against Russian aggression.
Sabre Training Advisory Group grew out of the frustrations its founding members had with the chaotic and unprofessional way that many foreign instructors were attempting to train Ukrainian soldiers in the NATO and Allied style of warfare.
Q: Who else works with you in the STAG?
KL: We have a team of volunteers from all over the world. They are former soldiers from Canada, the US, UK, and even Australia, plus our local Ukrainian volunteers. Our executive staff, besides myself, are two former officers from the British Army and US Marine Corps, respectively.
Q: Do you work closely with the Government of Ukraine or Ukraine’s military and/or the Canadian Armed Forces?
KL: We don’t work closely at this time with any civilian government, but we have an official partnership with the 4th Rapid Reaction Brigade “Rubizh”. As we’re still a relatively small organization, we don’t warrant much attention from governments.
Q: What else that you would like the public to know about your work?
KL: Training inside of Ukraine is vital. It is far more efficient than moving large numbers of Ukrainian troops around Europe, and being here puts us closer to the action, and allows us to adjust faster to lessons learned on the battlefield. We also need support! It is hard to fund a program like ours, as it’s quite unique. Typically the role we are filling would be performed by private military contractors, which are illegal in Ukraine and carry severe political risk due to public perception of these companies.
We set out to establish a high standard, using proper training techniques and taking a systematic approach to instruction. In just a few short months we were able to secure a high-quality training area, and a team of excellent instructors who draw on decades of collected military experience. We have successfully trained over 3000 Ukrainian warriors and medics, equipping them with essential skills and knowledge to excel on the battlefield. Our track record of tangible results demonstrates our commitment to the mission and the decisive impact on Ukrainian defenders.
For further information, visit the STAG website: www.sabretag.org
Features
Exploring 8 Innovative New Services in In-Home Care
In-home care has evolved significantly in recent years, driven by advancements in technology, changing demographics, and an increased focus on personalized care. These innovative services are transforming the way support is delivered, enhancing the quality of life for seniors and individuals with disabilities. Here are some of the most exciting and groundbreaking innovations that families can depend on when it comes to their space and the best practices to ensure comfort and safety.
Telehealth and Telemedicine
Telehealth and telemedicine have revolutionized health care by providing remote access to services. Through video consultations, seniors and caregivers can communicate with doctors, nurses, and specialists without leaving their homes. This reduces the need for frequent visits to health facilities, which can be challenging for those with mobility issues. Telehealth also enables continuous monitoring of chronic conditions, allowing providers to adjust treatments promptly and prevent complications.
Remote Monitoring and Wearable Devices
Wearable devices and remote monitoring systems are becoming essential tools. These devices can track vital signs such as heart rate, blood pressure, and oxygen levels, providing real-time data to caregivers and health professionals. Advanced systems can detect falls, monitor medication adherence, and even predict health issues before they become severe. This proactive approach allows for timely interventions, improving outcomes and enhancing the safety of in-home recipients.
Virtual Companionship and Social Engagement
Loneliness and social isolation are significant concerns for seniors living at home. Virtual companionship services, such as those provided by robots or virtual assistants, offer interaction and engagement to mitigate these issues. These technologies can remind individuals to take their medications, guide them through exercises, and provide cognitive stimulation through games and conversations. Additionally, platforms that facilitate virtual social gatherings and activities help seniors stay connected with family and friends, promoting mental and emotional well-being.
Personalized Care Plans and Artificial Intelligence
Artificial intelligence (AI) is playing a crucial role in developing personalized plans. AI algorithms can analyze data from various sources, including health records, lifestyle habits, and genetic information, to create customized strategies. These plans are tailored to the unique needs and preferences of each individual, ensuring they receive the most appropriate and effective solutions. AI can also assist caregivers by predicting potential health issues and suggesting preventive measures, thereby enhancing the overall quality of support.
Smart Home Technology
Smart technology is making it easier for seniors to live independently. Voice-activated assistants like Amazon’s Alexa and Google Home can control lights, thermostats, and appliances, reducing the physical effort required for daily tasks. Smart systems can also include sensors that detect movement, alerting caregivers if there is unusual activity or inactivity. This technology not only improves safety but also provides peace of mind for both the recipients and their families.
On-Demand and Flexible Care Services
The gig economy has introduced on-demand services to the in-home care industry. Platforms like Honor and CareLinx allow families to find and hire support quickly, providing flexibility and convenience. These services offer a wide range of options, from a few hours of assistance to round-the-clock support, accommodating the varying needs of individuals. The ability to schedule help on short notice ensures that support is available when it’s needed most. This includes teams like the one at Parners for Home Care; more on their services and support options can be found on their website: https://partnersforhomecare.ca/
Integrative Health and Wellness Programs
Holistic approaches to health and wellness are gaining traction – and for good reason. Integrative health programs combine traditional medical care with complementary therapies such as yoga, meditation, nutrition counseling, and physical therapy. These programs focus on the overall well-being of the individual, addressing physical, mental, and emotional health. As a result of promoting a balanced and healthy lifestyle, integrative health services can enhance the quality of life and prevent the onset of chronic conditions.
Enhanced Training and Support for Caregivers
Innovative training programs for caregivers are crucial in improving the quality of in-home care. Virtual reality (VR) and augmented reality (AR) technologies provide immersive training experiences, allowing support workers to practice and develop their skills in realistic scenarios. Additionally, online platforms offer ongoing education and support, helping individuals stay updated on best practices and new developments in the field. Enhanced training ensures that everyone is well-prepared to meet the diverse needs of their clients.
The Future of In-Home Care Services
The way we grow and age in comfort is rapidly changing, thanks to these innovative services and technologies. Telehealth, remote monitoring, virtual companionship, AI-driven plans, smart technology, on-demand services, integrative health programs, and enhanced training are all contributing to more personalized, efficient, and effective support. As these innovations continue to evolve, they hold the promise of significantly improving the lives of those who rely on in-home care, allowing them to age gracefully and independently in the comfort of their own spaces.