Showing posts with label CDC. Show all posts
Showing posts with label CDC. Show all posts

Sunday, January 22, 2023

Ask a Fitness Dweeb

Dear Fitness Dweeb,

I read somewhere that I should always do my weight training before my cardio. Do you agree?

Justin D, Asheville, NC

Dear Justin,

I doubt it matters very much. According to the CDC, more than 60 percent of U.S. adults don’t get the recommended amount of physical activity, which is 150 minutes per week. Fixating on the order of your activities seems like gilding the lily to me. I will say that doing cardio first might help you warm up, which can prevent injury when lifting weights.

Dear Fitness Dweeb,

OK, I get that you work out a lot. So I’m wondering: do you still have some clothes that fit too tight, and/or some that are baggy?

Whitney P, Santa Monica, CA

Dear Whitney,

Sure I do! Don’t stress if you have this issue. It’s not you, it’s the clothes. Some stretch, some shrink, and even if we’re fit our bodies still do change over time. For example, my suit pants are super tight … I must have been biking up a lot of hills when I had them tailored. But I’ve also got these jeans that I’m practically swimming in, so having those fit better will be a nice silver lining when I gain some weight at some point.

Dear Fitness Dweeb,

During these short, dark, cold winter days my husband works out indoors on his bike trainer, and it’s almost scary to watch. He’s thrashing around with such intensity, and breathing so hard, it’s like an act of violence. Should I be worried? Could he have a heart attack or something?

Kim A, Berkeley, CA

Dear Kim,

As long as your husband is in good shape and warms up properly, it’s probably harmless. It could be that to reach his desired intensity he just needs a super high cadence, or resistance, or both. Maybe he’s working through some stress. See how he is afterward … if he seems mellower, that hammer-fest could be exactly what he needs (click here for details). As far as heart attacks, these do afflict sedentary people who suddenly exert themselves too intensely (for example, every winter you hear about people suffering heart attacks while shoveling snow). There is also some anecdotal evidence of ultra-fit athletes having heart problems, but I don’t think that’s widespread … click here for details. (I’m no real authority, of course … everyone is advised to consult a medical doctor before embarking on a fitness regimen.)


Dear Fitness Dweeb,

Walking is so low-intensity … does it even count as exercise?

Charles D, New York, NY

Dear Charles,

Any activity is better than nothing. Sure, you’ll be better off if at least some of your exercise is vigorous, and if you’re trying to lose weight intensity will definitely help. But it’s so simple to go for a walk, even if you have only 5 or 10 minutes, and it’s such a nice way to shift gears, get some air, etc., it would be absurd to denounce it. I use walks as a way to keep a perfect track record of getting activity every day. Even if you don’t get a chance for a proper workout, it’s never too dark, rainy, or cold to get out for a quick stroll.

Dear Fitness Dweeb,

I’m trying to increase my exercise consistency. Some of my fittest pals tell me the trick is gamification—that is, using a scoring system and/or friendly competition as a way to motivate them. They mention Strava, Zwift, etc. Do you employ gamification and if so is there a specific platform you recommend?

Brad H, Austin, TX

Dear Brad,

In general, I have found gamification to be very powerful. I haven’t tried Zwift (until recently, I thought it was a floor mop of some kind), nor am I on Strava. From what I’ve seen of Strava, it looks great for budding athletes because improvement over time can be very motivational. But as much as I exercise, age is slowing me down year by year, and in the Bay Area where I live there are so many dedicated bike racers, getting a KOM or even a top 50 would be pretty difficult. But regardless of age, level, talent, etc. you can totally employ DIY gamification. This could be as simple as sticking a gold star on your calendar for each day you exercise.

I have a really cool DIY gamification scheme. I host a quarterly online contest with over a dozen participants, all friends or family members, using a shared online spreadsheet. Here’s how it works: we simply enter the duration of our activity each day, and select the activity type from a pull-down menu. The spreadsheet calculates a score based on the difficulty. Here’s a snapshot (click to enlarge):


Formulas, graphs, etc. do the rest. The contest works really well for a lot of us, being very fun and motivational. The youngest participant is 17, and the oldest is almost 85. All but two of us are at or above the CDC exercise guideline, and three of us have more than tripled it. I’m happy to share the spreadsheet template—just email me here. (For what it’s worth, I used to do a far more complex contest that rewarded high intensity, based on heart rate, which led to absurd levels of fitness and suffering as detailed here.)

Dear Fitness Dweeb,

Given how much time you apparently spend exercising, do you ever contemplate what your regimen is displacing? In other words, what are you giving up to worship at the altar of fitness?

Laura M, Minneapolis, MN

Dear Laura,

I have contemplated this, but not at length, because for me it is an article of faith that exercise is worth making time for. I suppose there are insanely busy people, like the scientists who developed the COVID vaccine, or single mothers working two jobs to feed their families, who really cannot afford the luxury of daily workouts. But for the rest of us, trying to reduce exercise hours would make sense only after first cutting back on all the time wasted indulging in clickbait, binge-watching video entertainment, and being glued to the 24-hour news cycle.

Dear Fitness Dweeb,

Why do you settle for such an unflattering moniker? Don’t you feel demeaned? Why not “Exercise Advisor” or something? Just curious…

Rob R, Topeka, KS

Dear Rob,

When I first pitched this column to my editor, I proposed something like “guy who actually exercises.” He laughed in my face and said, “Sounds pretentious, which is especially annoying coming from a dweeb like you.” He reluctantly agreed to let me do the column, but only if I called myself The Fitness Dweeb.

Dear Fitness Dweeb,

My girlfriend wants to get an e-bike, not just for commuting but for actual exercise. If the point is fitness, isn’t an e-bike kind of like putting an escalator or moving walkway in a health club? Can you set her straight?

Monica L, Phoenix, AZ

Dear Monica,

Actually, I disagree with you. If an e-bike makes your girlfriend more likely to exercise, it’s a good thing. We all have to fight our natural aversion to unpleasant duress, and if that one big hill on her route is just too much to face before or after a long workday, why not get a little help surmounting it? I tried out a friend’s high-end electric-assist road bike once, and it was a total blast. I was still pedaling, still working, but I just flew along; more than anything, it made me feel young again. My impulse wasn’t to loaf; it was to go even faster. Look, when you compare cycling to a truly difficult sport like running or swimming, it could seem like the bicycle itself is cheating. Where pedal-assist bikes are concerned, I say go for it. (But that other kind of e-bike with no pedals, that’s like a scooter … forget it, that’s just a vehicle.)

Dear Fitness Dweeb,

Do you get a lot of hate mail?

John P, Detroit, MI

Dear John,

Of course I get some negative feedback, but most of it is positive. Here are a couple of recent comments:

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Dear Fitness Dweeb,

I am an avid runner but don’t have the ambition to do any races. Can you suggest some S.M.A.R.T. goals to help me improve over time?

Jill M, Lafayette, CO

Dear Jill,

To be honest, even when I was a pretty serious bike racer, I didn’t put much stock in long-term goals. As detailed here, that approach covers the rest of my life as well. I think that devoting myself to the process, without worrying about where that might take me, has always been enough. For example, instead of worrying about next year or five years out, why not just make each run as fun and challenging as you can? More recently, I’ve concluded that SMART (i.e., specific, measurable, achievable, relevant, and time-bound) goals might be the worst kind. As I describe here, when setting long-term goals such as New Year’s Resolutions, I favor DUMB ones: duplicate, unimpressive, mealy-mouthed, and best-effort. For example, my goal for this quarter is to try again to beat my brother Geoff in the humble online contest I described earlier … and if I fail, who cares, because it means he got a lot of exercise too! All this being said, if you want extra motivation for your running, maybe sign up for a Fun Run that’s longer or hillier than what you normally do.

Dear Fitness Dweeb,

After a workout I feel so good, I’m already looking forward to the next time … but then when the next time comes around, I find I’m dreading it. What gives?

Thomas B, Seattle, WA

Dear Thomas,

I struggle with that myself, and have for decades. It’s just the way we humans are wired, I’m afraid. But as I describe here, it may be possible to mitigate this dread a bit by making sure your workouts aren’t too long or too intense. In the moment, when we’re caught up in all the adrenaline and endorphins of a great workout, we’re often tempted to dig deeper and/or go longer, which is all well and good until we viscerally recall that experience later, when the adrenaline and endorphins have worn off. Then we seem to mainly remember the brutality of it. So I make a point to keep my regular workouts more reasonable, to exercise self-compassion, and to save the big efforts for when I ride with friends (i.e., when I struggle to keep up).

Dear Fitness Dweeb,

I had a gym membership for years because I thought shelling out the money for it would make me actually go … but it didn’t. So now I’ve quit, and I’m thinking hey, maybe I can put the money I’m saving toward something else, like nice gear, that can help motivate me to work out. But part of me thinks that might just be throwing good money after bad. What’s your take? Am I just being crazy?

Sarah D, Portland, OR

Dear Sarah,

No, you’re not crazy. Obviously spending money on fitness doesn’t guarantee results, but if any of your gear isn’t up to snuff, and thus makes your workout less fun, by all means replace it. Are your shoes completely comfortable? And given how much rain Portland gets, do you have the all-weather gear (i.e., groovy technical fabrics) you need? I have zero regrets about the super-cool bike wheels I bought a few years back, and I’m already dreaming of a new yoga mat that’s long enough that I don’t clonk my head on the hardwood floor during the full-body stretch…

The Fitness Dweeb is a syndicated journalist whose advice column, “Ask the Fitness Dweeb,” appears in over 0 blogs worldwide.

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Friday, April 16, 2021

COVID wristbands

Introduction

I’ve had my first COVID vaccination shot, and more and more of my friends and family are getting theirs. It feels like there’s finally an end in sight. It’s so tempting to give in to this or that temptation, such as to finally ditch the mask. Of course I won’t yet, for two reasons. One, with variants etc. it’s still possible for a vaccinated person to spread the coronavirus. Two, from a social perspective I don’t want to scare anyone. That’s what this post is about: signaling to others when we’re no longer a threat. Is there a simple way of doing this?


Mask as token

A face mask prevents the spread of two things: airborne virus-laden droplets, and fear. Much of the time, this second thing is arguably more important. When I go for a walk (whether on a trail in a regional park or just in my neighborhood) and encounter another person, it’s almost comical how much evasive action we both take. If our masks aren’t already on we swiftly apply them in a practiced motion, and then we greatly alter our course so as to put at least ten feet between us, even when it means going out into the middle of the street. Most of the time this is unnecessary. It’s just a social gesture that says, “I respect your right to not get COVID.”

The fact is, three conditions must exist for the virus to spread: close proximity, lack of good air flow, and prolonged exposure. If you’re indoors, maskless, and talking loudly in someone’s face for several minutes or more, sure—that’s dangerous. A five-second encounter on a fire trail isn’t. Nevertheless, I always pull up my mask because not everybody understands this, or believes it, or feels comfortable tempting fate. It’s easy enough to wear a mask and I’m happy to do it.

Still, I get dirty looks. Sometimes I’m a little slow pulling my mask over my face, or somebody appears to resent my practice of only having my mask in place when I encounter others. (These are the folks who wear a mask while driving alone with their car windows rolled up.) One time I was at home and stepped across the sidewalk, unmasked, to get something out of my car and encountered somebody whose stroll brought her unexpectedly into my death zone. She scolded me, “You should always wear a mask when you go to your car because a person might be coming!” I replied, “Oh my god, thank you so much for pointing that out. I never would have put that together.” She smiled smugly and continued on (either oblivious to my deadpan sarcasm, or even deader-pan than I).

Why are safety-minded people so prickly? It’s because as babies they were given all the routine vaccinations against polio, diphtheria, tetanus, etc. and they’re all autistic.

Note: that was a joke, and if you got all excited because you’re an anti-vaxxer, you’re a joke and should go somewhere else for your “news.”

So once I’m fully vaccinated, will I still wear a mask and give everyone a comically wide berth? Sure. After all, that’s preferable to irking people wherever I go. But wouldn’t it be nice if people could be that much more relaxed around me because they could tell, somehow, that in addition to my mask I have all the antibodies I need to keep the virus from turning me into a highly infectious disease-spreading machine?

How about I’ve-been-vaccinated wristbands?

So I got to thinking: what about a rubber (well, silicone) wristband, like those yellow Livestrong bands from the early aughts? A color-colored wristband worn by those lucky folks who have had the COVID vaccine could suddenly become all the rage, and overnight would come a universal symbol for greatly reduced contagiousness. Next time somebody gave me stink-eye for being a little slow on the mask-draw, I could flash my wristband on they ass, and then they’d be like, “No worries, my bad!”

Once I had this idea, I figured I’d write a blog post about it which would immediately go viral, and we’d be well on our way to wristbands being standard for everyone who gets the vaccine. Five seconds later I realized that if I’ve had this idea, of course countless others have as well. Sure enough, a cursory Google search turned up countless heartwarming stories about how “two Seattle techies,” a “Carpenteria man,” an “RIT alum,” a “government contractor,” and a “father and son” came up with this ingenious idea to promote vaccination while reducing social anxiety through been-vaxxed wristbands. All these news stories seem to have been written in a vacuum, taking it on faith that nobody else had thought of this simple social signaling mechanism.

Do these wristbands work?

I don’t know about you, but I’ve never actually seen anyone rocking the I’ve-been-vaccinated wristband. For now, it looks like a movement that’s just spinning its wheels. So what’s missing? Well, think about this: why didn’t the Livestrong wristbands come in a variety of colors? It’s because they had to be instantly recognizable in order to convey the message “I support Lance Armstrong’s amazing cancer foundation.”


You can chuckle and roll your eyes all you want now, but the Livestrong Foundation sold 80 million of those wristbands before Lance got popped. They were all the rage and the various knock-offs, like the grey “APATHY” wristband I somehow acquired, never saw significant sales.


I don’t think the current COVID wristbands will ever be adopted because they’re not distinctive enough to mean anything. It’s like if a wedding ring could be made of any material or worn on any finger … how would we know what’s merely decorative vs. declarative?

On top of this, the current crop of COVID vaccination wristbands are pretty ugly and/or cheesy. Let’s look at a few. Here’s a pretty revolting color:


Compared to this awful green, the maillot jaune color of the Livestrong wristbands was like the new black. Now look with these orange-white numbers:


They remind me of Creamsicles. Yuck. Here’s an even grosser color, with an embarrassing label, “I AM A COVID WARRIOR,” into the bargain:


This plain white one is just poorly executed, like the bottom-of-the-barrel swag from a trade show (remember those?):


This one is particularly ugly in color, and “GOT THE SHOT” with the silly coronavirus-shaped Os is just unforgivably tacky:


Now, this fancy bracelet version is particularly problematic: it can’t be read without glasses or myopia; wouldn’t be popular among dudes; and could cause skin problems for those who require 14-karat gold jewelry.


The father/son team wristband, stating “Vaccinated and Proud,” looks like the cheesy toy from a Cracker Jack or cereal box, and is not only unwisely political but kind of arrogant. Proud that you were lucky enough to get a vaccination appointment? Proud of believing in science? Proud of braving that scary needle? Give me a break. Meanwhile, who could read the text from over six feet away … Superman?


On top of these aesthetic concerns, I’m not about to fork out real money for a cheap rubber wristband. Prices look to be in the $1.30 to $5.00 range (or $34 for the bracelet) and you often have to buy a 5-or 10-pack. This seems like a ripoff, particularly if these wristbands don’t become ubiquitous among the vaccinated, so I just look like a random solo douchebag wearing one.

My analysis of the problem here? This is one of those times when the private sector just isn’t up to the job. It’s time for the government to step in.

Hey CDC – you make the wristbands!

The solution is obvious. The CDC needs to develop a totally standardized rubber wristband, embossed with a non-embarrassing label like “C19 VACCINATED.” They should manufacture them by the millions, and ship them to vaccine distributors to give away to everyone who receives a shot. It wouldn’t be an indicator of anyone’s personal style or fashion, but more like a government-issued ID of sorts so it’d simply be a matter of public health to wear one. The color should be something muted but also completely distinctive. I propose Celeste #227, the strange milky blue-green created by Bianchi, the Italian bicycle company. Here’s a swatch:


Understated, distinctive, and utilitarian … so much easier to adopt than the current tacky hodgepodge. Get some major celebrities to sport them, and you’d have a nationwide phenomenon in no time.

So if anyone reading this is close personal buds with Dr. Fauci, or if you’re some kind of big shot Internet influencer, please get this going. My second shot is only a week away…

More reading on the pandemic

Sunday, January 24, 2021

Should You Eat Less Salt?

Vlog

I would love to have an albertnet podcast, but the fact is, I don’t know how. I would have to learn some new platform, and figure out how to make it available to the 4.3 billion users of the Internet, and I simply don’t have the time. Knowing that many people would rather passively listen to podcasts than scroll through large bodies of text, I’m providing the next best thing: a vlog version of the following post. If you aren't enthralled by the sight of me pretending not to read, just close your eyes. Or open another tab and look at pictures of Gal Gadot while you listen. Or bite the bullet and scroll down for the text. Your call.

Introduction

I am not a doctor or nutritionist, nor a scientist of any kind. I’m not in the business of making specific health recommendations to anybody. That said, I think blanket advice from nutrition experts to the population at large can be imprecise. This post examines the question of whether you, dear reader, need to worry about your salt intake. I don’t know who you are, of course, but I aim to slice and dice the question of “who” more finely than other sources you might encounter. I also review here the results of a simple survey I sent out to my cycling friends. You won’t (and shouldn’t) come away with a new approach to your diet, but perhaps with a few good questions and some (low-fat, all-natural, free-range) food for thought.

Why do I care?

Humans need salt. And so does food. As a dumb kid I thought salt just made food salty, but that’s wrong. Salt makes food yummy. As I learned to cook I was astonished at how you can have a dish 99% done and it won’t taste right until you salt it, and then suddenly it can go from edible to delicious. The end result doesn’t necessarily taste salty; it just tastes right.

Now, if salt were utterly, incontrovertibly bad for you, I might consider it a necessary evil. I’m not willing to go without it, despite being sufficiently health conscious that I’ve essentially given up bacon and other cured meats. But the amount of added salt needed for a complete gastronomic apotheosis doesn’t need to be large. Have you ever tried to eat unsalted peanut butter? It’s revolting. I’d rather eat my scabs. Hell, I’d almost rather eat your scabs. If salted peanut butter had twice the FDA’s recommended daily allowance of sodium in it, and cost twice as much as unsalted, I’d still choose it.

But you know how much sodium regular peanut butter actually has? A mere 140 mg, just 6% of the recommended daily value. (Note that trying to go lower than this wouldn’t necessarily be beneficial: humans actually need about 500 mg of sodium a day to conduct vital functions, as described here.)


So why does unsalted peanut butter exist, other than as a specialty product for sufferers of hypertension? I’ll tell you my hunch: many people who buy it are reacting to the vague sense that less sodium is always better for you. And peanut butter is just one example of this phenomenon. It breaks my heart that well-meaning people are eating inferior meals based on rule of thumb that may or may not apply to them.


[Above: this PBJ was such a work of art, my daughter asked for a bite and then made off with half of it. This never would have happened in my household growing up. More on this later.]

Does sodium actually increase blood pressure?

I won’t bother to provide a wide survey of the science on this, but here are the high points of an article from the Harvard Medical School, based on an interview with Dr. Nancy Cook, a professor of medicine there:

  • On average, Americans eat too much salt
  • Whether or not sodium is bad for everybody, vs. only those with certain risk factors, has been a matter of some debate
  • There is a fairly undisputed effect of sodium on blood pressure, and it’s stronger in people with hypertension
  • People respond differently to salt, one to the next

Regarding the mechanism of sodium’s effect on blood pressure, Cook explains, “When you eat too much salt, your body holds on to water in an effort to dilute it. This extra water increases your blood volume, which means your heart works harder because it’s pushing more liquid through your blood vessels. More strenuous pumping by the heart puts more force on the blood vessels. Over time, this increased force can raise blood pressure and damage blood vessels, making them stiffer, which increases the risk of stroke, heart attack, and heart failure.”

Now, I don’t know about you, but when I read that, I didn’t immediately have an “Oh, shit!” reaction. Perhaps my salt intake does cause water retention, but not for long because every time I exercise, which is generally around four times a week, I sweat a lot, and in fact after a particularly hard ride I’ll get these head rushes every time I stand up—a classic symptom of low blood pressure—until I rehydrate. Not that I expect Dr. Cook to base her guidelines on my particular case. Given that a fairly recent CDC study concluded that only 22.9% of Americans get enough exercise, it’s not hard to see why Dr. Cook would advocate for reducing sodium intake when addressing the general public.

Meanwhile, the CDC reckons that “Americans consume an average of more than 3,400 mg of sodium each day,” which is far more than the 2,300 that the U.S. Department of Health recommends. Clearly, overconsumption of sodium is a public health problem in this country.

But does this mean you and I and everyone should all cut down? I think that would be a problematic conclusion. If Americans by and large use too much petroleum and create too much pollution by driving giant SUVs, then yeah, I can try to mitigate the damage by driving a Prius. But if someone eats too much salt and doesn’t exercise enough, I can’t help him by lowering my salt intake. In other words, I may or may not be implicated in this public health crisis. (Again, I can’t fault the article; the safe bet when advising a wide audience is to advocate caution and restraint.)

As is so often the case, there’s a bit of a conundrum here: the people who are concerned about their health and go looking for dietary advice are often not the ones recklessly eating a lot of processed food, fast food, and salty snacks, and thereby creating frightening statistics around widespread hypertension. A good many conscientious folks may heed these general warnings about salt and reduce their consumption, thus depriving themselves of its goodness for no legitimate reason.

My own experience

In brief, I’ve been seeing borderline high systolic blood pressure readings since high school, while my diastolic numbers are always nice and low. Meanwhile, my blood fats (cholesterol etc.) are remarkably good, my body mass index is spang in the middle of normal, and my resting heart rate is in the low 40s. I’ve never had a doctor recommend a change in diet, and over time my systolic reading has come down a bit. I chalk this up to being less of a hothead than I used to be. In general I suspect the benefits of life balance, of stress release achieved through exercise or yoga, and of emotional hygiene such as self-compassion are underrated. Modern life has people working too much, exercising too little, over-consuming news and social media, and then trying to undo all the damage by eating less salt. Nice try.

My survey

I surveyed a bunch of my cycling pals, because they’ve always been an insightful and amusing bunch. Being cyclists, most of them seem to eat basically whatever they want, and they’re all pretty much fit as a fiddle. That said, they take their health seriously, which statement I base on a couple of decades of riding and eating together, and also on their reactions to a couple of articles that have come out about too much exercise possibly damaging your heart. I was curious about my cycling team’s approach to salt so I emailed them this simple question: Do you make any effort to limit your salt intake for health reasons?

Of the 23 responses I got back, 17 were some version of no (i.e., they eat all the salt they want) and 6 were yes (they limit their salt). Of course I got some interesting comments, too:

  • No, but I’m also pretty naturally salt-averse. One of my most frequent complaints about restaurant food is that it’s too salty, and one of my family’s most common complaints about my cooking is that there’s not enough salt in it.
  • No. But then again, I don’t really make any effort to limit my intake of anything. I’m a gluttonous hedonist. What could possibly go wrong with that philosophy???
  • I double down on salt - I’ve got low blood pressure and find getting light headed when I stand up a bit irritating.
  • How can a person cook without salt? It’s my understanding (possibly inaccurate) that salt is only a problem if you have high blood pressure, so not really an issue for healthy people with normal blood pressure.
  • Switched to dry brining with kosher salt. Definitely healthier and tastes better but I cannot speak to any metaphysical benefit.
  • I’m casually aware of salt intake but never limit myself vs. what tastes appropriate. I don’t buy potato chips very often but when I do I want ‘em salty.
  • No. But I know when I’ve had too much and I don’t necessarily enjoy that feeling.
  • No. Well, maybe. I salt liberally from the shaker/cellar, but I do try to be aware of how much sodium certain prepared foods contain, and err on the side of less is better there…
  • Well, occasionally I think about limiting my salt intake but it doesn’t really happen.
  • Yes and yes - Simply put, Salt= Hypertension, Sugar= diabetes. Controlling these substances through diet can extended the life of several organs. It’s no secret that food companies fill processed food with these as a preservative and as a sales angle. We don’t even realize how much is added … I haven’t added salt to anything in years.
  • Several years ago, I went to the doctor and my blood pressure was slightly higher than it used to be, almost 140/70. (Getting older sucks...) Since then I’ve generally cut back on the Mexican and Korean foods, and now it’s back to 120/60. However, if I ride 4+ hours in the heat, then I’ll always reward myself with some Mexican food.

My favorite comments were from the two MDs in my survey:

  • I maximize salt intake!
  • Salt is not a major contributor to hypertension. The processed food that contains a lot of salt probably is. (I spent a 1/3rd of a course in college studying sodium.) However, from a public health perspective, telling the public to limit salt probably has beneficial effects.

Now, there are (at least) two conclusions I could draw from these results. One, I could assume that by not worrying about salt whatsoever, we are consuming huge amounts of sodium and yet somehow getting away with it. On the other hand, we could be well within the recommended range of sodium consumption quite by accident. Granted, we cyclists love us some big, rich meals, but we tend to cook them ourselves. I’ve never known any of these pals to eat fast food, and as health-conscious types we avoid processed food like frozen entrees, “lunch meat,” and snack foods, because of all the other crap in them (trans fats, nitrates, refined flour, artificial flavors, etc.) and because we’re frankly too epicurean. (I get frozen pizza for my kids a couple times a year as a guilty pleasure, and indeed, only the scarcity of it makes it a treat.)

Honestly, the Recommended Daily Value of sodium, 2,300 mg, seems pretty generous. I tallied up the amount of sodium I get from my typical lunch, and found no cause for alarm. Lunch is often my biggest meal of the day, and it’s invariably a big burrito (basically homemade but with canned refried or whole beans and store-bought tortillas). Look, here’s one now.


I just read some labels and have calculated that one of my big-ass burritos contains about 1,400 mg of sodium. Of the US Recommended DV of not more than 2,300 mg, that leaves just 900 mg free for dinner (since I don’t eat breakfast). This is probably okay because my wife does most of the cooking and seldom resorts to things like canned beans. Besides, even if I’m a bit over the guideline, I’m a big guy and my daily caloric intake is very high—some would say legendary. But I guarantee I’m far from the 3,400 mg of sodium that the average American takes in, without even trying … that is, without compromising the tastiness of my food.

According to the CDC, “Most of the sodium Americans eat comes from packaged, processed, store-bought, and restaurant foods. Only a small amount comes from salt added during cooking or at the table.” A Harvard medical school article concurs: “At least 75% of the sodium in the average American diet comes from processed foods, such as cold cuts and cured meats, pizza, burgers, and sandwiches.”

This makes perfect sense, of course. Food is big business, and if sacrificing the health of consumers is what it takes to ensure shareholder value, so be it. Take the case of Campbell’s soup: they were famously required by the FDA to desist using their old slogan “Soup is good food” because their soup had too much sodium to be called “good.” More recently, Campbell’s experimented with lowering sodium, but then reversed course when sales dropped. As described here, their new CEO announced at an investors’ meeting, “For me it’s about stabilizing [sales] first.” Campbell’s contends that “the proposed nutritional principles ‘describe products that manufacturers will not produce because children and teens will not eat them.’”

Obviously we can’t stake our health on the companies that pander to philistine tastes. But that doesn’t mean when we cook at home we should gild the lily and err on the side of blandness. If anything, that will just tempt us to eat out more. And with restaurants, of course, all bets are off.

Conclusion

Again, I’m not a doctor or a nutritionist, but I think I can you give this bit of advice: before you automatically seek to lower your sodium intake based on the general messaging we get from the FDA, CDC, etc., find out what your own blood pressure is and ask your doctor if you’re at any risk. And if you do have a need to keep an eye on your sodium intake, do so with precision, by reading labels and knowing what goes into your food. It could well be, for example, that a person with mild hypertension could still afford the amount of sodium in regular peanut butter, and doesn’t need to be shaking Mr. Dash on his or her dinner.

Appendix A – salt in peanut butter

I grew up eating a lot of PBJs. My mom was a great cook, but these sandwiches were atrocious. The bread was fine, and the jam (generally homemade) was great, but the peanut butter was awful. It was a brand called Deaf Smith, and as detailed here, it was the first organic peanut butter on the market. It came in a giant plastic bucket—it had to be at least a few gallons—and it looked like a cross between diarrhea and that old-fashioned Dijon mustard with all the seeds in it. It was a roiling, gritty, grainy, wet mess and we called it quicksand because if you lost your grip on the knife (which happened a lot because it’d get oily), the knife would quickly sink and you wouldn’t see it again until you eventually got to the bottom of the tub and there’d be like five knives there.

But you have to understand, my brothers and I were not picky eaters, and all this would have been completely forgivable if Deaf Smith didn’t taste so damn bad. It was just awful. We suffered through those PBJs because we had to—we were growing boys, after all—but it was just so gross. As soon as I moved away from home I switched to Skippy and discovered that peanut butter could be delicious.

A few decades later, though I’d moved on to natural, non-hydrogenated peanut butter, usually Adams or the Trader Joe’s brand, I was still totally digging it. And then one day my wife bought unsalted by mistake. The horror! It tasted exactly like Deaf Smith! Completely disgusting—I was right back in my miserable elementary school lunchroom! This was an epiphany. I realized that there had never actually been anything really wrong with Deaf Smith except the lack of salt. This omission was totally unnecessary and surely not why my mom chose that brand. She has always maintained that salt won’t hurt you if you don’t already have high blood pressure—it can only exacerbate it. She probably chose Deaf Smith simply because it was organic and available in bulk. So why did Deaf Smith eschew salt? Probably because they were a bunch of hippies and salt seemed evil to them somehow.

Postscript to this sad tale: a year or so later I mixed up a fresh batch of Trader Joe’s peanut butter (yes, this mixing is a pain in the ass and I do miss the hydrogenation of Skippy at times), and then made a PBJ. Yuck! Foiled again! Staring, enraged, at the label, wondering why my wife would poison the family again by buying more unsalted peanut butter, I realized this jar wasn’t actually labeled as unsalted. It was their organic variety, which had just 40 mg of sodium per serving, vs. 140 mg in the normal version. I guess they decided those who like organic food automatically want less sodium. I wrote an angry email to Trader Joes, which I’ve just found and reread. It ends, “When this jar is empty I will probably remove the label and burn it in effigy.” (In fairness, Trader Joe’s did apologize and gave me a refund.)

Appendix B – fact-checking the Deaf Smith tale

I fact-checked the bit about Deaf Smith peanut butter with my mom, to confirm that lowering our sodium intake wasn’t her goal in choosing it. This she corroborated, but she denied that we ate it that much. “I got it from the co-op, and hadn’t tried it before,” she said. “I think I only bought it once, and had no idea it wouldn’t be salted. It probably just seemed like we got it a lot, because it took so long to get through that giant drum.”

I thought this might have been wishful thinking … after all, no mother wants to admit she tortured her offspring for a protracted period. So I asked my brother Bryan. He responded, “It was just for a time as I recall, we didn’t really like it because it was so natural, and it separated so badly that the last few gallons of it were like concrete.”

My brother Max had a host of other memories around the Deaf Smith. “As I recall, the Deaf Smith was from ‘the co-op,’” he told me (via text). “That’s where those ginormous cylindrical loafs of Colby and Colby-Jack cheeses came from as well. I think there was more than just one five-gallon tub of Deaf Smith that came through [our household]. The Deaf Smith was really good in rice crispy squares. I remember that! When we complained about the Deaf Smith mom would laugh … for some reason she just didn’t believe that we really hated it.

“Remember the story of how Deaf Smith became deaf? He was a San Francisco kid and he had to take the trolley to school. One day he was a little running behind, as they say, and the trolley was already taking off. He ran up to the trolley and a man, who was just trying to be helpful, used the young Smith’s ears as handles to haul him up onto the trolley and he was deafened.”

At this point I replied, “I do not remember that story. Is that from the archives or did you just make that up?” Max’s answer: “True story as I remember it. I recall feeling that we had to eat this peanut butter because mom felt sorry for Deaf Smith. It may have been that the man ‘boxed’ his ears to punish him for his tardiness. I remember asking Mom what that meant, boxing the ears. I guess it was common back then for men to box the ears of wayward youths. As she described it, boxing the ears involves essentially punching a kid in both ears at the same time with the fists turned inward so the contact with the ears is made with the fleshy part of the hand between the wrist and bottom knuckle of the pinky finger.

“I recall that she may have been unsure whether the man dragged him up by his ears or dragged him up and then boxed his ears, but either way it resulted in two sure things: Smith became deaf and there was nothing more for him but to make peanut butter.

“Everyone who buys this product feels a bit guilty and a bit absolved simultaneously. I always tried to like the Deaf Smith out of guilt for the human condition. I’d think about the trauma that that kid endured, having his life ruined by some a-hole on the trolley, and how he had to crush peanuts for the rest of his miserable existence.

“It had to have been a miserable existence. If he had made any sort of meaningful recovery, he might have put some sugar or at least some salt in the peanut butter. It was almost as though he accepted being boxed in the ears. As though he deserved it for being late. That peanut butter was practically a punishment. Austerity in a five gallon tub.”

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Email me here. For a complete index of albertnet posts, click here.

Sunday, November 22, 2020

Travel Tips During the COVID-19 Pandemic

Vlog

This post is available as a vlog as as service to the blind, the illiterate, and the lazy. If you are blind, I hope somebody will start up the video for you so you can listen. (As for not seeing anything, trust me ... you’re not missing much.) If you are illiterate, I hope the Play button is self-explanatory. If you are lazy, congratulations on making it this far. If you are none of these, scroll down for the text version. Or not ... whatever.


Introduction

As if the COVID-19 pandemic weren’t bad enough, we as a nation are also facing a lot of scolds who have sky-is-falling, buzzkill attitudes about getting together with our families over the holidays. I say if we’re going to simply ignore or defy these naysayers, we might as well be responsible about it. This post tells you how.

Planning your trip

Leo Tolstoy wrote, “All happy families are alike; each unhappy family is unhappy in its own way.” What about healthy families? It’s worth taking some time to think about your particular crew and its COVID-19 profile. If your family Thanksgiving dinners inevitably descend into vicious long-winded bouts of character assassination, with everybody yelling at once like protesters at a political rally, maybe it’s best to sit out this holiday season. On the other hand, if the grownups sit with their hands in their laps, staring at their plates and finding themselves once again at a loss for words, while the kids sit isolated in another room, peering into their smartphones, silent and sullen for the entire long weekend, then it’s game on for holiday festivities!

Let’s be realistic about it, though: there is some question as to whether traveling is safe right now. According to the Georgia Departmentof Public Health, “Cases of COVID-19 have been reported in many states, and some areas are experiencing community spread of the disease.” Wow. I did not know that. Thanks, Georgia! (Yes, click the link and see for yourself: they really did say that.)

As it stands, the pandemic is certainly escalating. One of the main risks right now is the colder weather, with everybody gathering indoors. So instead of you and your far-flung siblings rendezvousing in Duluth, Bismarck, or Fargo where your parents live, you should have everybody meet up in a warmer clime. Australia would be ideal, but avoid the big urban centers. Kiwirrkurra, which is 450 miles from the nearest city, would be ideal. Kiwirrkurra’s population is barely over 200, so there can’t be much coronavirus there! Plan your trip carefully though, because it’s probably no tourist mecca … chances are you’ll be camping out. And steer clear of the locals ... you wouldn’t want to wipe out an entire community.

Flying during COVID-19

A new study by the US Department of Defense suggests that aircraft ventilation systems aren’t actually spreading the virus as badly as previously thought. “Planes don’t spread lethal viruses—people do,” snarled retired Lieutenant Colonel Miles Briggs, who knows a guy involved with the study. Unfortunately, when I fact-checked this article I discovered that its conclusion was based on a misunderstanding: the authors were talking about two-seater fighter planes where both travelers have those cool helmets with built-in air supply hoses.

Notwithstanding the DOD’s little goof, it is true that even the CDC has acknowledged the efficacy of ventilation systems on airplanes. Thus, the chances of spreading the virus on the plane aren’t that high … you won’t start infecting people until you reach your destination or have returned home. Obviously the problem isn’t spreading the virus geographically, but contracting it somewhere between points A and B. After all, the difference between an epidemic and a pandemic is … wait. I’m getting a bit confused. Let’s move on.

It turns out the airplane itself may not be the most dangerous part of your trip. There are also the logistical hurdles at either end. Taking a cab or Lyft to the airport would obviously be a bad idea, so you’ll want to drive there and park in the long-term parking, expense be damned. But the shuttle bus from the parking lot to the terminal is also out of the question, so leave an extra hour early and walk.

The security line is of course a Petri dish of coronavirus. Look at this typical line. I don’t think that’s six feet between travelers; that woman’s mask has slipped down below her nose; and the dippy little dog doesn’t even have a mask! (Can a dog transmit COVID? Hello, we had a bat and a pangolin infecting people already … a slobbering, yapping dog is obviously a mobile four-legged superspreader event!)


Conventional wisdom has it that you should skip the long security line by using TSA Precheck or CLEAR, but that actually might be worse than the longer queue. Why? Because you’ll be in line with frequent travelers—the guys who continue to travel on business, all over the country, treating our beleaguered nation like their own personal coronavirus tasting menu. You want to steer clear of those guys, believe me. Instead, just walk from long-term parking right out to the jetway and simply board the plane, without having set foot in the airport! If you act natural, they’ll just wave you through. Note that this means flying only on those tiny commuter planes without the enclosed jetway bridges, so you may have to hopscotch a bit to your final destination, but hey, safety first!

If you can’t take a commuter plane and are forced to brave the airport security line, remember that the most dangerous aspect of air travel is forgetting to remove your toiletry items from their kit and place them in a Ziploc bag. If your toothpaste, deodorant, and shampoo aren’t segregated like this, the virus has already won. Also, if you have any liquid in a container over 3.4 ounces, you can pretty much kiss your whole family goodbye, unless the TSA catches you and saves the day (again). The exception is that they’re now allowing alcohol-based hand cleaner in containers up to 12 ounces, bless their hearts. So you can bring plenty of that, whether it’s to clean your hands with or to squirt on fellow-travelers.

Brace yourself for some unpleasant changes, though. Airports, which were crappy to begin with, have become even worse. For one thing, they aren’t offering the same amenities, like that $9 beer you normally splurge on because your can no longer handle your (spouse, kids, loneliness) without taking the edge off. Tip: bring your own beer, and charge your (spouse, kids, neighbor in security line) $9 a bottle so they can feel a sense of nostalgic normalcy while you make a few bucks. Yes, you’ll have to consume the unsold beers quickly before going through security, but chugging three or four good IPAs in 30 seconds at the threshold of the X-ray (actually, it’s properly called a millimeter-wave full body scanner) is bound to get your flight off to a good start.

As far as the flight itself, the best way to ensure safety is to make sure you’re well-equipped. I’m not just talking about N95 masks—though those are a good start—but also a good sturdy face shield (not just for blocking droplets, but in case you get in a fistfight, which is not unlikely during these trying times) and also some great noise-canceling headphones, so you won’t be unduly stressed out by the sounds of sneezing and coughing all around you, or people barking at you trying to pick a fight. If you can get your hands on one of those cool fighter pilot helmets with the built-in air supply hoses, that would be ideal.

Most planes use HEPA filters, but how will you know in advance about the plane you’re on, since airlines swap out the aircraft at their whim? The answer is, you can’t know: so bring your own HEPA filter if you can. Since these vary dramatically in size and shape from one manufacturer to the next, practice at home first. Ideally, you can bend the filter so it conforms almost exactly to your head.

If you can, get a window seat. Studies show that people in the aisle are there for a reason—usually because they use the disgusting lavatory several times during the flight, pace up and down the aisle constantly, rummage around in the overhead bin touching whosever bag they want, and otherwise act out annoyingly. Having one of these dirtbag extroverts right across the aisle can’t be a good thing. Meanwhile, if you’re sitting in the window seat and things get a little stuffy, you can open the window and get some air.

Keep your eyes open during the flight in case of unsafe behavior around you. For example, the guy next to you might remove his mask for no good reason, or let his nose poke out, or has a big greasy beard with possibly pestilent saliva dripping down it. Or maybe his mask is made out of tissue paper, or a pancake. Give that guy a proper N95, or ask to change seats!

Using an aircraft bathroom is sketchy during the best of times, and especially dangerous now. The number one rule? Keep it quick! But wash your hands for at least twenty seconds. How is that quick? Doesn’t proper hand washing violate the number one rule? Hey—nobody said this pandemic would be easy. One more thing: if you suspect a pangolin has used the coach class lavatory, don’t take the risk of following it in there. Go through the forbidden curtain to the first class restroom, no matter how much the flight attendant and first class passengers yell at you.


Since the most dangerous part of a flight is removing your mask to eat, you don’t want to do that—and yet you still need hydration and sustenance. I recommend you purchase the Self Help Personal I.V. Kit for air travel ($48.99 from amazon.com, though the needle must be purchased in the airport gift shop or newsstand). With the Personal I.V., you can just run a quick intravenous line, and infuse a bag of saline if it’s a short trip, or Gatorade if it’s a long one. Heck, if it’s a full flight you might even consider putting a little bleach in there!

The road trip option

If you decide it’s just not worth the extra bother of flying, taking some extra time to turn your vacation into a road trip is an excellent idea. I fear for Generation Z, with their reluctance toward learning to drive and getting their licenses. Will they miss out entirely on the classic American young-adult road trip experience of blasting along I-70 at 90 miles an hour, sending toilet paper comets flying out the window, eating greasy fast food and blasting Nine Inch Nails at party volume to drown out the roar of air through the open moon roof? Well, maybe the pandemic can be their savior. Of course, it takes months to learn to drive and get your license, so it’s a little late for that now. Once again, the parents will have to drive, which means windows rolled up, AC on, and Maria Carey, Coldplay, or Sting on the stereo. But there are arguably worse things, like dying of COVID.

Once again, staying safe during the trip will require extra precautions. Going to the bathroom, for one thing, is going to be harder. Many service stations are using the pandemic as an excuse to shut down their restrooms, and others are simply understaffed so their restrooms are filthier than ever. The obvious solution—just pulling over to the highway shoulder, walking a ways out into the bramble, and peeing on a rock or tree trunk—isn’t fair to the women or girls in the car. Luckily, there’s a solution: you can now purchase a Foley catheter in their new “Road Warrior” edition (amazon.com, $58.95), designed specifically for consumers who aren’t comfortable with restrooms.

If you will be driving for several days, sleeping accommodations become a necessity. Campgrounds may not be open, and sleeping in random city parks with homeless people might be bad for your family’s morale. Clearly you’ll need a motel, but are they safe? Once again, the conventional wisdom—to find places that have high reviews on Yelp and TripAdvisor—doesn’t apply here. Look, the most dangerous part about lodging is people: so you want to stay where nobody else is willing to go. Look for one-star reviews ranting about how filthy a place is. The gold standard here is a review containing something shocking, like “toadstools growing in the bathtub!” To remain safe, bring a large supply of disposable latex gloves, Tyvek bunny suits, plastic sheeting for the beds, and of course all your own toiletries and bedding.


Is holiday travel ethical?

It has been suggested that getting COVID-19 tests in order to travel more confidently is ethically questionable, when the number of tests—not to mention the personnel to process them—are limited. This can be a problem when we have front-line healthcare staffers to think of, and service-sector and manufacturing workers who don’t have the luxury to earn their living over videoconferences. To them I say hey, this is America. Anyone who can afford a test should just go get it. What’s all this money for, after all, if not to purchase the life we want for ourselves? Read my lips: we are having Thanksgiving with Grandpa, and yes, this means other people may die. You don’t like it, tough titty: this is just how capitalism works. You want you go spend your holidays in Russia? Be my guest. (Well …  theirs. Whatever.)

In closing: ten easy travel tips

Here are ten easy tips to keep in mind when planning or conducting holiday travel during the pandemic:

  1. Get tested for COVID-19 before, during, and after the trip.
  2. If you plan to visit a family member who has extra risk factors such as type 2 diabetes, kidney disease, heart conditions, cancer, or obesity, make sure these are cured before you visit them.
  3. Quarantine for two weeks before beginning travel and again when you arrive at your destination, and require all family members, including your hosts, to do the same—and then quarantine for another two weeks, ideally in a hermitically sealed room, before heading home.
  4. Download a COVID-19 app to your smartphone and use it regularly, being sure to rub down your phone frequently with an alcohol wipe.
  5. If you’re flying, get tested for COVID-19 before, during, and after the airport security screening, and before, during, and after your flight—ideally, without removing your mask.
  6. Demand COVID tests of those around you: at the airport, on the plane, at the florist, at the gift shop, and before hugging any family members.
  7. If any take-out food is served at family gatherings, make sure it’s safe by putting it under the broiler for at least 30-40 minutes, and serve it on paper plates, employing gravity rather than utensils to achieve the transfer from pan to plate.
  8. Keep your guard up—if somebody around you, whether it’s a family member or a complete stranger, endangers you by not wearing a mask, not keeping six feet away, or speaking too loudly (or worse, singing), take that dude out (but remember to wear disposable latex gloves if you strike him with your fists).
  9. Be smart about this: if you’re not that smart, read some books, take a few classes, get educated!
  10. Reconsider your actions as the situation changes. For example, if COVID-19 cases should happen to rise during your trip, don’t hesitate to just turn around and head home.

More reading on the pandemic 

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Email me here. For a complete index of albertnet posts, click here.

Wednesday, April 22, 2020

The Toilet Paper Hoarding Conundrum


Vlog


This week’s post is available as a vlog. Just kick back, crack open a beer, and click below.


Or, if you prefer my text to my mug, below is the classic format.

Introduction

Five weeks into shelter-in-place, it’s still hard to find toilet paper. I’ve never seen anything like it—but did you know this isn’t our nation’s first paranoia-induced toilet paper shortage? It turns out there’s a lot we didn’t know about this basic consumer product. In this post I’ll delve into the following:
  • The great TP famine of ‘73
  • Non-pandemic toilet paper hoarding
  • How unnecessary toilet paper actually is
  • The psychology of toilet paper stockpiling
  • Toilet paper hoarding as microcosm
Ah, “microcosm” … there’s a real English-major word for you. Don’t worry, I won’t get all eggheaded on ya. How could I, with such a low topic?

(Check out these stoked shoppers. One is saying to the other, “Look, not only do they have toilet paper here, but a choice of brands! It’s like 2019!”)


The great TP famine of ‘73

The world has seen pandemics before, and it’s seen worse. But this bizarre toilet paper hoarding? Actually, that’s happened before too, and what’s more, there was no global crisis precipitating it. This was back in 1973, and as described here, it all started with a congressman who, irritated with a relatively unimportant pulp paper shortage, which was “allegedly caused by companies that increased paper exports to avoid Federal price controls,” took to the American media to drum up support for his constituents. The press ignored him until he reframed the issue as a potential toilet paper shortage. This they jumped on, as did news agencies globally. Pockets of Americans started stockpiling, though this fell short of a national phenomenon. Then Johnny Carson got involved.

Johnny worked the news tidbit into his opening routine, during which—struggling to keep a straight face—he declared, “I wanna tell you, it is serious.” After that broadcast, everyone went nuts and started hoarding toilet paper, just as we are now. Perhaps they were being even sillier, believing in a nonexistent supply problem without even having an ostensible cause to point to. (Even before the Carson piece, the Scott Paper Company went on television to confirm that their production was as high as ever.)

Is it ever rational to second-guess the toilet paper supply?

There certainly are circumstances in which it’s perfectly rational to expect a dearth of toilet paper. One of these is large public events. I learned early on to bring my own TP roll to bike races, as the portable toilets often run out. One year at the Everest Challenge stage race, a guy coming out of the San-O-Let warned me, “There’s no paper. I had to use my arm warmers.” I thought he was joking, until I got in there … how disgusting. Fortunately, I’d planned ahead.

The other time you should BYOTP is when traveling to certain countries. Some of them simply don’t use toilet paper (more on this later) and others tend to run out due to theft. A Quora discussion on the topic “Why is there no toilet paper in Chinese public toilets?” tackled this apparently widespread problem. A few respondents explained the rationale behind the behavior:
It’s because they used to [be] poor or they [are] actually poor now … in 2018, Chinese per capita disposable income is 28228 Yuan or about 4000$ per year. And rural people’s per capita disposable income is 14617 Yuan or about 2000$ per year, 40 Yuan per day. Let’s say one roll of toilet paper is maybe 2 Yuan, so it’s almost 1/20 of rural people’s income for one day.
For some old people, extreme poverty had a destructive influence on their morality—Stealing will let you survive and being lawful makes you (and your children) starve to death.
One correspondent even provided this security camera footage.


Lest you think only Internet randos are reporting this, the New York Times wrote here about how technology is being used in China to address the problem: 
The authorities in Beijing are fighting back, going so far as to install high-tech toilet paper dispensers equipped with facial recognition software in several restrooms. Before entering restrooms in the park, visitors must now stare into a computer mounted on the wall for three seconds before a machine dispenses a sheet of toilet paper, precisely two feet in length. If visitors require more, they are out of luck. The machine will not dispense a second sheet to the same person for nine minutes. 

Still, the prevalence of toilet paper theft is subject to exaggeration. One person in the Quora thread chimed in to state that he generally has no trouble finding toilet paper, providing ample photographic evidence. He also shared this photo of a method used to deter waste:


Perhaps I’ll steal that idea and post a handy usage guide in my own bathroom!

Is toilet paper even necessary?

Sometimes, a westerner’s inability to find toilet paper is a matter of foreign custom. Russians, for example, used scrap paper until fairly recently. As described here, their first toilet paper factory was built in 1969, and due to low output the product was strictly rationed. One citizen recalled, “The lucky ones who managed to buy it would thread rolls on a string and walk home wearing their spoils like a necklace, to the envy of passers-by.”

This scarcity of toilet paper in Russia continued for decades. A respondent to this Quora thread wrote, “I was in Russia for one month in 1985. There were baskets of ripped up newspapers in each bathroom stall.” A friend of mine who visited in the ‘80s reported a similar scenario, and in fact accidently walked in on two maids as they cleaned his hotel room. They were caught red-handed with the roll of toilet paper he’d brought from home, passing it back and forth and giggling. It must have seemed absurdly posh to them.

Moreover, many countries simply don’t want toilet paper. This fascinating thread provides lots of testimony from people, mainly in India, who consider it disgusting that anybody uses toilet paper instead of water. Some examples: 
Unless I live in a desert, I would never want to carry my mess in my pants for days!
Let’s imagine, a crow shits on your shoulder or head … Will you still use a tissue paper to clean it? 
Water is more efficient and practical for a populous country like India where we have plenty of rivers and ponds. It will be quite impractical to switch to tissues.
This valiantly but imperfectly translated assessment actually blames the western toilet paper tradition for the Black Death:
Britain enraptured from crapping from the windows … within the eighteenth century and victimization pans to shit in rooms so property somebody carry it and inflicting plague and Black Death to toilet rolls. We washed our bottoms and washed our hands at the moment. So, no plague. No Black Death.
One helpful respondent offers this challenge: 
Put some Nutella on your right hand. Then wipe it off with a piece of paper, preferably toilet paper. Put some Nutella on your left hand. Now wash this with water, preferably a faucet. Now touch and smell both the hands. The right hand would smell of Nutella and you may feel some remnant on it too. But the left hand neither smells of Nutella nor there is anything to touch. Now imagine. Put your bodily waste instead of Nutella. Now tell me, which one is more hygienic??
From this same thread I learned that Pakistanis also prefer water to toilet paper; that Italians also do; and that an American who lived in India for 38 years learned to prefer water to toilet paper. He writes, “There is nothing better than a jet of water to pressure-wash the exhaust port of your Death Star.”

Within this anti-TP context, it’s hard for me to understand why—at a time when people all over the world are dying of a horrible virus—Americans are getting so worked up about their preferred method of, uh, cleaning up. What’s the big deal, when toilet paper alternatives clearly exist? Maybe it’s because America is also out of hand sanitizer?

Which brings us to …

The psychology of toilet paper stockpiling

Chances are, lots of people hoard toilet paper simply because others are doing it. Imitation is perhaps the quintessential human behavior: it’s how we all learned to talk, after all. Where such copycat behavior is concerned, rest assured very little contemplation of supply chain fundamentals is going on.

Beyond that, this hoarding behavior may give us some sense of control at a time when we feel we have little. As articulated by this article in The Conversation, “Stocking up on toilet paper is … a relatively cheap action, and people like to think that they are ‘doing something’ when they feel at risk.” The article also points out, “Modern economies run on trust and confidence. COVID-19 is breaking down that trust. People are losing confidence that they will be able to go outside and get what they need when they need it.”

I have to think the CDC’s reversal on wearing masks hasn’t helped maintain this trust. “You don’t need masks,” they told us, and look what happened: those who defied the CDC and hoarded masks anyway are now almost the only people who have them. In this way cynicism and distrust have been reinforced.

Toilet paper hoarding as microcosm

There is no overall supply problem with toilet paper, and actual usage of this product is not increasing. If anything, we’re all scared shitless. (Sorry, I couldn’t resist.) Therefore, if nobody altered their behavior in any way—that is, if they purchased toilet paper on the same schedule they always have—we would all continue to have plenty.

And yet, in the short term we don't, because too many people are behaving irrationally. It doesn't take unanimous foolishness to create a problem; just a critical mass. After all, it doesn’t help me to think rationally about the toilet paper factories running at full capacity, because irrational behavior is creating outsized demand. The shortage, in short, is a self-fulfilling prophecy. The paranoid and/or highly organized types have far, far more toilet paper than they need, while the optimistic and/or disorganized among us are running out. The clear thinkers don’t get to lord their sensible approach over anyone; instead, they’re trampled by the stampeding masses.

In a more general sense, one downside of freedom is our vulnerability in the face of what can amount to crowdsourced public policy. Consider the problem of non-vaccinators (aka anti-vaxxers): they don't perceive diseases like measles or HPV as a threat because they've never encountered them, so they declare these diseases a non-threat and stop vaccinating their children. By behaving ignorantly, they are creating widespread problems that affect everyone in their cohort, and sometimes beyond. Measles, for example, could be eradicated worldwide if everybody were vaccinated; instead, it persists and is making a comeback. (As reported by the CDC, last year saw more than 22 outbreaks, with well over a thousand victims, here in the US—a country where this disease was thought to be eliminated 20 years ago.)

This same phenomenon could happen with COVID-19, as frustrated citizens demand an end to shelter-in-place and/or ignore the rules. By mistaking the success of social distancing for a lack of need for it, they lead us back into danger. Lashing out at the authority they’re tired of bending to, they err on the side of undue optimism. Oddly, this is almost the reverse of the toilet paper irrationality: in that case, they’re being unduly paranoid about something they have relatively easy influence over. As the Conversation article notes, TP hoarding “is an example of ‘zero risk bias,’ in which people prefer to try to eliminate one type of possibly superficial risk entirely rather than do something that would reduce their total risk by a greater amount.” In other words, it’s easier to hoard toilet paper than to shelter in place … never mind the return on investment.

Where the microcosm breaks down

Fortunately, there is enough toilet paper to go around, ultimately, and we'll reach a point where so many people have so much stockpiled, they'll eventually stop hoarding it. Their garages will get so overrun with TP, they'd feel silly buying more, and will finally learn to pass up their next opportunity to continue stockpiling. Eventually, the shelves will be replenished, and then the hysteria will die down and we'll go back to normal, which consists of all Americans having enough TP in their homes that they don't worry about it. Supply and demand will once again be in perfect balance. You might call it “hoard immunity.”

Alas, the world's overall resources don't work like that ... there really isn’t enough to go around, which is why a lot of people are malnourished, don't have educational opportunities, don't have great access to affordable health care, etc. The supply and demand of money has never been in perfect balance. Just about everybody wants more money, and it never starts to look ridiculous to stockpile it. Industries like advertising and marketing exist to increase demand, irrespective of the target market's standard of living, which in turn drives up monetary greed.

This brings us to what may be the harshest, most protracted aspect of this pandemic: long after the toilet paper, hand sanitizer, and mask shortages are over; when the shelter-in-place rules have finally been relaxed; well after the coronavirus has either run its course or been thwarted by a vaccine, we will likely be stuck in a terrible recession. And unlike the toilet paper shortage, it won’t affect people equally. Once again, the have-nots will take it the hardest.

Obviously there’s not much I can do about COVID-19 or its economic devastation. But where toilet paper is concerned, I will do my part: I haven't stockpiled any and I'm not going to. This is my symbolic stand, the simple, tiny gesture I’ll make in solidarity. I'll leave some toilet paper for the next guy and if I run out, so be it. Life will go on. (Or not.)

More reading on the pandemic
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