How To Create a COVID Bubble and Why You Should Consider One

August 26, 2020

Clinical Contributors to this Story

Juan Prudente, M.D. contributes to topics such as Family Medicine.

If you’ve been following social-distancing guidelines since March to help limit the spread of the novel coronavirus (COVID-19), you and your kids may be aching to socialize with people outside of your household.

During the warmer weather, perhaps you’ve been seeing loved ones in outdoor locations while staying six feet apart. But with colder weather here for much of the northern U.S., you may worry that your opportunities for in-person companionship will dry up when the temperature drops and outdoor gatherings aren’t a possibility.

One way to expand the number of people whom you’ll interact with is creating a small network of trusted friends or relatives, known as a social bubble, who agree to abide by a shared set of rules to try to keep everyone safe from COVID-19. Some people call these COVID-inspired social bubbles “social pods” or “quaranteams.”

“Forming a social bubble helps you expand the number of people whom you feel comfortable interacting with, while keeping the total number of people you see small,” says Juan Prudente, M.D. a family medicine specialist with Hackensack Meridian Medical Group. “Finally being able to hug people from outside your household or have them over for dinner again can add some normalcy back to your life. A bubble can also provide playmates for children while keeping their contact with others to a minimum.”

Social bubbles may help flatten the curve

Social bubbles are research-proven to help slow the spread of COVID-19, because they limit the number of people whom you meaningfully interact with. Many experts suggest capping a bubble at about 10 people, which may be two or three households.

If you’re thinking about creating a bubble with friends or family, have lengthy conversations to see if your households are well-matched. It helps if you live near each other, have similar lifestyle habits and share the same risk tolerance for COVID-19.

Some experts suggest that everyone in a bubble should be about the same age – peers, not parents. Older people (and those with underlying health conditions) may not want to expand their social circles, because they’re at higher risk of COVID-19 complications, should they get sick.

“You really need to use your judgment when deciding whom to include in a social bubble, since the ultimate goal of a bubble is to avoid getting the virus while having a larger group of people to interact with,” says Dr. Prudente.

Who’s a good fit for your bubble?

These are good questions to ask prospective bubble-mates:

  • is everyone in your household staying six feet away from others?
  • is everyone wearing masks in public?
  • will everyone limit in-person social interactions to the people within our bubble?
  • will everyone abide by whatever rules we jointly agree upon?

Next, talk about your pandemic lifestyle habits, which should help you see if everyone is compatible. For example, do you have groceries delivered or go to the supermarket? Do you change your clothes and shower after going to the store or the office? It’s also important to know which bubble members will be going to work or school, versus working or learning at home. (People may be more comfortable if everyone – or no one – goes to work or school.)

Finally, decide what ground rules everyone will be comfortable with. Consider ideas like:

  • whether touching/hugging is okay
  • whether meeting people outdoors (while six feet apart) is okay if they aren’t in the bubble
  • what to do if someone takes a vacation and needs to self-quarantine upon return
  • what to do if someone within the bubble gets sick

How to initiate your social bubble

Once you decide on rules, consider taking two weeks to ensure that everyone is following them before getting together. Consider doing a test run for a week or two before committing for the long term. Also, create an exit strategy in case people decide to leave the bubble.

“It can help if you agree ahead of time that nobody should get hurt or upset if someone decides to leave the bubble,” says Dr. Prudente. “However, careful planning ahead of time should make the bubble appealing for the long term.”

How to act when you’re outside your bubble

It’s important to distance yourself from others. When you go out:

  • stay 6 feet away from people outside of your bubble
  • wear a mask over your nose and mouth
  • wash your hands frequently, or use hand sanitizer
  • follow the group’s rules about shopping, seeing people you know, etc.

Next Steps & Resources:

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.