Modern Athlete Magazine Issue 130, May 2020 | Page 14

A Runner’s As the COVID-19 Lockdown in South Africa continues, runners are seeing still more races cancelled as they wait in hope for a return to normal life and normal running. We once again asked medical doctor and avid runner Caroline Lee to shed some light on the latest situation surrounding the pandemic, and running in these difficult times. From the time COVID-19 was declared a pandemic by the World Health Organisation (WHO) in March 2020, the virus has ravaged through almost all the countries and territories in the world, with Lesotho being one of the very last to report a positive case, on 13 May 2020. By now, 4.8 million people are reported positive around the world, of which 2.6 million are still currently active. With the peak in spread seemingly over in Asia, Europe and the US, many countries are in the process of relaxing lockdown and re-opening businesses and travel. That does not mean the pandemic has ended. The number of new cases is still increasing by over 80 000 per day, and new deaths by around 5000 per day. In South Africa, the first case was reported on 6 March, seven weeks behind Asia and five weeks behind Europe. Level 5 lockdown was instituted early, and the country closed down completely. Now five weeks of Level 5 and two weeks of Level 4 lockdown later, we ask ourselves, has lockdown made a difference? The doubling rate of infections in SA has changed from doubling every two days to doubling every 12 days. So yes, lockdown has made a significant difference. But at what expense? Severe lockdown has resulted in immense economic hardship, and extreme uncertainty about our work, our children’s education, the future of our businesses and our very own livelihood. Social distancing, avoidance of public gatherings and human interactions have led to feelings of isolation, depression, anger and distress. Thus mental health issues are amplified. And for runners, it was definitely severe cabin fever, in spite of all those round and round the house efforts to keep fit. So 1 May was like picking up a “Get out of jail free” card in Monopoly. Suddenly, between 6am and 9am, it seemed half the country was out on the road. To the dismay of the authorities, the Promenades on the Durban beachfront and at Sea Point in Cape Town overflowed with runners, walkers, cyclists and dogs, all eager to be out and about for the first time in weeks. After weeks of being housebound, it is completely understandable that people wanted to be let out, but it certainly defeated the aim of the lockdown and the authorities clamped down quite severely. Reason for Level 4 Rules Let’s take a closer look at some of the rules of Level 4, explained for runners. • Distance: 5km radius – The 5 km radius is to limit the density of people on the road at any one point. There are only so many people living within a 5km radius. If there is no limit, then most runners would converge on the favourite running spots and some places would be overflowing with people, like what we saw on the promenades. • Time: 6am to 9am – This rule is controversial, and is being discussed at length, with a view to extend it in Level 3. The time frame was originally decided presumably to make it easier to police, and to make sure that only essential workers are moving around during normal working hours. • Masks: Compulsory in public – The wearing of a cloth face mask in public has been another controversial issue. The WHO initially recommended wearing of a face mask only for people that have tested positive for COVID-19 and are sick with symptoms. However, mounting evidence prompted the Centre for Disease Control to recommend wearing of a cloth face covering when in public, especially in areas of significant communitybased transmissions. There are many people who are asymptomatic – carrying the virus, without falling ill or showing signs of infection – and studies have shown that the universal wearing of face masks helps reduce the spread of the virus in a public setting. Running and Face Masks Runners often complain that they can’t breathe when running with a mask. There is one very important thing that needs to be said: These are not normal times. We are in the middle of a pandemic, so you cannot expect to be training as normal, and you cannot expect to be running the same speed and distance as you normally would. When you are wearing a mask, you need to adjust your effort and your speed according to what you are feeling. Slow down if you feel short of breath. This is not the time to be pushing yourself and to break records. You can go back to normal training and push PBs once the pandemic is over. There are no serious dangers related to breathing while wearing a face mask. If you think you are experiencing hypoxia (low oxygen) or hypercapnia (too much carbon dioxide), you may need to change your face mask. Shop around for a face mask that fits comfortably around your face, is secured with ties or ear loops, is not too tight over the nose and mouth, allows you to breathe without restriction, and can be washed without changing shape. There are some simple rules to remember in terms of mask etiquette when running: • You need to cover your mouth and nose when you are running close to other people. • You can use an adapted covering, such as buffs and other more breathable material when you are running. The three-layer cloth mask recommended while in public spaces may be quite limiting while you are exercising and is therefore not recommended for running. • Masks that fit snuggly over the nose and mouth are harder to breathe through. Try using pleated masks that allow more space to breathe when you run. The more space there is between the material and your nose and mouth, the easier it is to breathe. • If there is no one around, especially when you run early in the morning and as winter sets in, you may lower your buff and run without a face covering – as long as you remember to cover your face when you run past someone else. Images: iStock, Pexels, Tobias Ginsberg & courtesy Caroline Lee & Comrades Marathon Association 14 ISSUE 130 MAY 2020 / www.modernathlete.co.za