An orange sand bucket and red shovel are placed on the beach next to a medical mask and hand sanitizer.
A nice day at the beach? Sounds great! Just make sure you take precautions. (For Spectrum Health Beat)

As many states’ stay-at-home orders come to an end and life begins to resume a sense of normalcy, Spectrum Health infectious disease doctors offer tips and advice on how to avoid a resurgence of COVID-19.

Rosemary Olivero, MD, and Liam Sullivan, DO, understand well how excited people are to emerge from solitude and enjoy summertime fun. They just hope people proceed with caution.

A key thing to remember, they noted, is that outdoor activities are generally safer than indoor activities because of better air circulation and the ease of maintaining a social distance of 6 feet or more from others. Indoor areas tend to have more aerosolized droplets floating about that people may breathe in as they pass by.

Wearing masks whenever you’re around others who are not in your immediate family is important in helping to prevent the spread of the novel coronavirus that causes COVID-19.

As much as 40% of disease spread is from those who are infected with the virus yet show no symptoms. The droplets they release into the air when they talk, cough or sneeze may infect others around them.

Masks reduce this chance of exposure. They may be hot and uncomfortable, but they are the best line of defense as people seek to safely enjoy the world outside their front doors.

Another factor to consider is the size of gatherings.

“If your summertime activities involve family and friends, try to keep your social circle tight and limited to those you believe also are being cautious,” Dr. Sullivan said. “The wider your social circle, the more likely you are to be exposed.”

Top 10 summertime activities, ranked from lowest to highest risk:

10. Staying in a hotel

If you avoid crowded lobbies and breakfast buffets, the risk is low. Wear a mask when checking in and leaving your room, Dr. Sullivan said.

Also consider wiping down or spraying hard surfaces you might touch with disinfectant. This includes door knobs, remote controls, light switches, faucets, countertops and bedside tables.

9. Going camping

Enjoy the great outdoors with low risk, particularly if you camp as a family unit.

“Incorporating other friends or families increases the risk so practice social distancing as much as possible,” Dr. Sullivan said.

8. Going to a public pool or the beach

Swimming and summer are almost synomynous. Good news here—you are unlikely to contract the virus in the water. If you practice social distancing, this is an activity that poses a low risk.

“But steer clear if your beach or pool of choice is crowded,” Dr. Sullivan said.

Perhaps enjoy a swim in the early morning or walk and lounge on the beach in the evening when fewer people are present.

7. Attending day camps or visiting playgrounds

Outdoor activities in small groups pose a relatively low risk if social distancing is in effect.

“Ask camp organizers how they will enforce social distancing and be sure to pack your own sack lunch,” Dr. Olivero advised.

Also, be sure to wash your hands or use hand sanitizer after a visit to a playground.

6. Using a public restroom

Public restrooms present a low to medium risk, particularly if they are cleaned often.

Larger restrooms inside establishments are likely to have better sanitation and ventilation rather than small portable units or restrooms that are outside gas stations. Mask-wearing is suggested.

“As always, wash your hands and avoid touching many surfaces,” Dr. Sullivan said.

5. Dining at home with friends

A dinner at home with friends poses a low to medium risk if you eat outdoors and keep the numbers low.

Think about spacing your guests out and not sharing appetizers. The risk increases if you move the meal indoors and if your party of 4 or 6 grows much larger.

“Risk also grows if your guests stick around for several hours,” Dr. Sullivan said.

4. Weekend trip with another family

Time away with another family poses a medium risk.

“The risk level varies depending upon the size of the group and how much time everyone spends in close proximity,” Dr. Olivero said. “Reduce the risk by connecting with families who have been exercising caution.”

3. Dining in a restaurant

Just like dining at home with friends, outdoor dining is less risky than indoor dining. Dining indoors, particularly if the restaurant is busy, presents a medium to high risk due to concerns about poor ventilation and proximity to others.

“Servers should wear masks but it’s impossible for diners to do so for the duration of their visit,” Dr. Sullivan said. “Think about carry-out instead.”

2. Visiting an amusement park

“Amusement parks are synonymous with large crowds,” Dr. Olivero said.

As such, visiting one poses a high risk.

1. Hitting the bars

Going to a bar is a high-risk activity due to crowds, loud talking (which emits more droplets into the air), your inability to wear a mask and the difficulty of social distancing.

“Bars also have lots of high-touch surfaces and patrons aren’t likely to be frequently sanitizing or washing their hands,” Dr. Sullivan said.