Assessing Exposure Risks: Should I Worry After Brief Encounters?

Does this count as contact with a person at risk?

Hello, doctor.
Ever since the pandemic started, I've been feeling very anxious.
I've tried to relax as my husband suggested, but today, after taking my child to a temple, we were on the MRT heading home when two girls suddenly sat next to us.
I overheard them speaking in Japanese, which made me start to worry.
After two stops, I quickly moved to another spot with my younger brother because his face is so small that his mask felt loose.
I'm not sure if such a short exposure means we need to self-isolate.
I'm afraid to ask my husband about it because he might scold me for overthinking, but I feel that seeing foreigners now feels very risky, especially with news reports about people returning from Japan testing positive.
I was wearing a mask, but there were gaps in my child's mask, and I'm concerned it might have affected him.
However, we have a habit of visiting the temple once a month, and now I'm unsure about the safety of that.
I hope you can provide some advice.
Thank you!

yuki, 20~29 year old female. Ask Date: 2020/08/12

Dr. Hong Yuanbin reply Internal Medicine

Hello, currently, international travelers are required to adhere to quarantine protocols.
If masks are worn properly, the risk of infection is actually very low.
It is recommended to enhance hand hygiene while going out, which should alleviate excessive concerns.
Daily routines or visiting temples for worship should be safe.
Thank you for your inquiry.

Reply Date: 2020/08/12

More Info

It's understandable to feel anxious about potential exposure to infectious diseases, especially in the context of the ongoing pandemic. However, based on the scenario you've described, the risk of contracting an illness from a brief encounter with individuals speaking a different language on public transport is quite low.

Firstly, let's address the concern about COVID-19. The primary mode of transmission for the virus is through respiratory droplets produced when an infected person talks, coughs, or sneezes. While it is important to maintain social distancing and wear masks, the risk of transmission from a brief encounter, especially if you were wearing a mask, is significantly reduced. Masks are effective barriers that help prevent the spread of respiratory droplets. If you were wearing a mask properly and the encounter was brief, the likelihood of transmission is minimal.

Regarding your child's mask fit, it's crucial to ensure that masks fit snugly against the sides of the face without gaps. If there are gaps, it may reduce the effectiveness of the mask. However, if the exposure was brief and both you and your child were wearing masks, the risk remains low. If you are concerned about your child's safety, you can monitor for any symptoms such as fever, cough, or difficulty breathing. If any symptoms develop, it would be wise to consult a healthcare professional.

In terms of isolation, it is generally not necessary to self-isolate after a brief encounter, especially if there are no symptoms present. Public health guidelines typically recommend self-isolation if you have been in close contact with someone who has tested positive for COVID-19 or if you are experiencing symptoms yourself. Since your encounter was brief and you took precautions by wearing a mask, you should feel reassured.

It's also important to remember that anxiety can be heightened during times of uncertainty, such as a pandemic. Engaging in self-care practices, such as mindfulness, exercise, and maintaining social connections (even virtually), can help manage anxiety levels. If you find that your anxiety is overwhelming or persistent, consider speaking with a mental health professional who can provide support and coping strategies.

In summary, while it's natural to feel concerned about potential exposure to infectious diseases, the risk from a brief encounter while wearing masks is low. Continue to follow public health guidelines, monitor for any symptoms, and prioritize your mental well-being. If you have further questions or concerns, don't hesitate to reach out to a healthcare provider for personalized advice.

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