The purpose of this COVID-19 Policy & Action Plan is to outline the Institute for Integrative Wellness (Interfusion Festival) current thinking regarding policy and risk mitigation strategies against the Coronavirus 2 (SARS-CoV-2) virus and B.1.617.2 (delta variant), and Coronavirus disease 2019 (Covid-19) resulting from the virus as it applies to participation in the event occurring on January 13-17, 2022.
On October 30, 2020, Interfusion Festival announced  that in response to the COVID-19 pandemic, the January 2021 event would be postponed by one year to January 2022. Since that time, the Interfusion Team expanded the festival offerings , established 2 new programs, improved on its organizational structure, increased the festival grounds, and secured the festival host venue for four more years. At the same time, we embarked in the process of seeking to understand the many viewpoints of the community regarding the pandemic, and the best tools available at this time to fight the virus, to create a plan that holds the health and safety of our community as our highest priority.
This process involved the collection of data through various community-based surveys, conversations with stakeholders, counsel with medical and industry experts, and sharing of best practices with community-based organizations. The result of this effort is a COVID-19 Policy & Action Plan based on eight layers of protection, that when combined, aims to reduce the risk of SARS-CoV-2 infection and severity of illness of COVID-19. Our hope is that by working together as a community, and by employing a combination of the best tools we have available, that we may hold a safer and more responsible event to return to after 2 years since the last Interfusion Festival in 2020.
Disclaimer: There is no single method or plan that is completely effective against the spread of SARS-CoV-2. There is a risk to all persons attending the festival during the pandemic, including breakthrough COVID-19 infections for the fully vaccinated. Persons who are immunocompromised, have underlying medical conditions and over the age of 65 are at increased risk. This plan is based on currently available data and subject to change based on the evolving situation regarding COVID-19 in the US. Interfusion Festival will follow all state and federal mandates at the time of the event.
8 LAYERS OF PROTECTION FRAMEWORK
Interfusion Festival’s COVID-19 Policy & Action Plan is founded on an eight layers of protection framework.
A negative COVID-19 test result is required for all persons entering festival grounds. In response to challenges with accessibility of antigen self-test and timely delivery of PCR/NAAT test results, the testing requirement may be met with a PCR/NAAT test taken no more than 72 hours before arrival and/or an antigen self-test taken on the same day as arrival.
Proof of the negative test result may be provided with 1) a digital or hardcopy result report with the person’s full name and date of the test or 2) a date- and time-stamped photo of test result. Persons who have been infected by COVID-19 between November 14, 2021 - January 3, 2022 may waive the testing requirement by providing a copy of a COVID-19 positive test result with their full name and the date of the test to firstname.lastname@example.org.
Proof of Full Vaccination by a COVID-19 vaccine or an exemption is required for all persons entering festival grounds.
A passing symptom screener result is required for all persons entering festival grounds.
Temperature checks are required for all persons entering festival grounds. Digital infrared thermometers will be used at festival ground points of entry and a temperature result of 100.4 degrees or higher will prevent access and require additional testing.
Enhanced daily cleaning and disinfection protocols of the festival grounds including use of electrostatic sprayers with hospital-grade disinfectants. Hospital Grade Disinfecting Wipes will also be deployed throughout the ground areas to be used as needed by the community.
The host venue has installed upgraded in-wall air filtering systems throughout the convention space with the highest tier of air filtration available, H13-H14 HEPA, which are considered medical grade and can remove 99% of all air particles including SARS-CoV-2. Interfusion has also secured Airrex HEPA 2000 Air Filter Machines to speed the rate of removing airborne SARS-CoV-2 throughout the festival grounds.
Face masks are required of all persons within the festival grounds. 5,000 face masks (3-Ply and KN95 types) have been secured by the Interfusion Team to better support all participants in meeting this requirement. Face mask use is optional to Program Artists while teaching on a stage while positioned 10 feet or further from their audience and others.
After meeting the COVID-19 Policy & Action Plan requirements for event access, all full pass holders will receive H&S Care Packs that include complementary rapid self-tests, 8oz spray hand sanitizers and disposable 3-Ply and KN95 black-colored masks. These items are complementary and intended as an additional layer of protection to further reduce the risk of all persons attending the festival.
BACKGROUND & GUIDANCE
According to the World Health Organization (WHO) , diagnostic testing for SARS-CoV-2 is a critical component in the overall prevention and control of COVID-19. The following 2 options may be used to meet the testing requirement for participation:
1) Molecular lab PCR/NAAT test taken 72 hours before arrival and/or;
2) Antigen self-test taken on the same day as arrival.
PCR tests have the highest accuracy rate are highly encouraged. Antigen self-tests are less accurate than PCR tests but may be more accessible. For persons using a self-test, we recommend acquiring an antigen self-test in advance to test on the same day as arrival. Self-test may be administered before arriving at the event at home or in a hotel room. Interfusion encourages persons to self-quarantine  or isolate after testing as much as possible until arriving at the event.
Is supervision needed for the self-test option?
No. In response to the challenges with accruing covid-19 rapid test with telehealth supervision throughout the US at this time, virtual supervision of self-test is not required at this time. Self-test may be administered before arriving at the event at home or in a hotel room.
Where can I get a test?
At this time, there are many low to no cost COVID-19 testing options available in the US (CVS Health,  Rite Aid,  and Walgreens  for example). See the U.S. Department of Health & Human Services summary on community-based testing sites for COVID-19 for a more complete list here. 
How do I provide proof of test result?
Proof of the negative test result may be provided with 1) a digital or hardcopy result report with the person’s full name and date of the test or 2) a date- and time-stamped photo of test result.
What if I recently recovered from COVID-19?
Persons who have been infected by COVID-19 between November 14, 2021 - January 3, 2022 may waive the testing requirement by providing a copy of a COVID-19 positive test result with their full name and the date of the test to email@example.com.
After meeting the COVID-19 Policy & Action Plan requirements for event access, all full pass holders will receive a complementary BinaxNOW, QuickVue, or iHealth rapid test, along with other items provided by the Interfusion Team intended as an additional layer of protection to further reduce the risk of all persons attending the festival.
According to a study from the Israel Health Ministry published on July 22, 2021, Pfizer's COVID-19 vaccine was only 39 percent effective at preventing COVID-19 infection. This is a 25 percent decrease from a previous study from Israel's Health Ministry released only 2 weeks earlier the same month. The same studies show that Pfizer's COVID-19 vaccine was 91 and 93 percent effective at preventing serious illness, respectively. As the world continues to learn more about the efficacy of vaccines against the delta variant accounting for an estimated 98 percent of cases in the US today, vaccines remain a helpful tool in reducing the severity of illness and hospitalization of persons infected by COVID-19.
1) Digital health pass or certificate that requires a full vaccination; or
2) COVID-19 vaccine card or a photocopy made available at check-in.
Vaccination exemptions will be made for persons who have either 1) a medical condition or disability that prevents taking a COVID-19 vaccine or 2) a religious belief or practice that prevents the person from taking a COVID-19 vaccine.
On Symptom Screeners
Individuals who have COVID-19 may be asymptomatic, meaning they don’t have symptoms, which reduces the efficacy of symptom screeners as a method of prevention. However, with its limitations, symptom screeners still provide an added layer of prevention to help reduce the spread of the virus. According to the Department of Health & Human Services, symptoms  may appear 2-14 days after exposure to the virus, and include: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, diarrhea, congestion or runny nose, and nausea or vomiting.
All persons entering the Interfusion Festival grounds are required to show results of passing a symptom screener (see UCLA Screener  or CDC Screener  for recommended options) by answering questions about possible symptoms of COVID-19. Persons that do not pass a symptom screener should follow CDC-recommended steps  and immediately separate themselves from others.
On Temperature Checks
The CDC recommends  conducting health checks for events including temperature checks of staff and attendees, safely and respectfully. An elevated temperature is one way to identify a person who may have a COVID-19 infection, although an infected person may be contagious without an elevated temperature or other easily detectable symptoms. Temperature checks will be administered at points of entry as an additional level of protection to help reduce the risk of COVID-19 to participants and are required for access into the main festival grounds.
It is recommended that participants do not seek access at temperature check entry points within 30 minutes after exercising or after taking medications that may affect your temperature. Persons found to have a temperature of 100.4 degrees or higher will not be granted access at the time of the test and should take CDC-recommended steps , in addition to taking an additional COVID-19 test, to help prevent the spread of COVID-19 or other possible illness. Temperature checks alone are not effective means of detecting a COVID-19 infection and an elevated temperature does not conclusively indicate a COVID-19 infection.
On Disinfection & Cleaning
According to the CDC, cleaning and disinfecting surfaces can reduce the risk of infection of the virus and causes COVID-19. It is possible for persons to become infected if they touch those surfaces and then touch their nose, mouth, or eyes. In most situations, the risk of infection  from touching a surface is low. The most reliable ways to prevent infection from surfaces is to regularly wash hands  or use hand sanitizer.
The host hotel has increased the frequency of cleaning and disinfection, particularly in areas with high traffic including restrooms, elevators, and escalators. Hotel staff will utilize enhanced disinfection tools including electrostatic sprayers with hospital-grade disinfectants, to support the already rigorous cleanliness protocols. In addition, hand sanitizer stations will be readily available throughout the festival grounds with regular use encouraged by all participants.
On Advanced Air Filtering
The host venue has installed upgraded in-wall air filtering systems throughout the convention space with the highest tier of air filtration available, H13-H14 HEPA, which are considered medical grade and can remove 99% of all air particles including SARS-CoV-2. Interfusion has also secured Airrex HEPA 2000 Air Filter Machines to speed the rate of removing airborne SARS-CoV-2 that will be strategically positioned throughout the festival grounds.
On Mask Use Policy
Wearing a Mask  provides an additional layer of protection against COVID-19. Face masks are required by all participants at Interfusion Festival 2022. This decision was made by the Interfusion Board of Directors, following a majority vote by the Interfusion Team in favor of a 100% Mask Use Policy. 5,000 face masks (3-Ply and KN95 types) have been secured by the Interfusion Team to better support all participants in meeting this requirement. Face mask use is optional to Program Artists while teaching on a stage while positioned 10 feet or further from their audience and others.
On Health & Safety (H&S) Packs
After meeting the COVID-19 Policy & Action Plan requirements for event access, all Interfusion 2022 full pass holders will receive H&S Care Packs that include complementary BinaxNOW, QuickVue, or iHealth rapid tests, spray hand sanitizers and disposables black colored masks. These items are complementary and intended as an additional layer of protection to further reduce the risk of all persons attending Interfusion 2022. Please note A negative COVID-19 test result with the person’s name and date of the test is still required upon arrival.
Vaccinations have been the single most dividing topic observed in the process of seeking to understand the many viewpoints of the community regarding the pandemic. We found the following to be of most importance to members of the community that chose not to receive a COVID-19 vaccination.
Many individuals chose to develop a natural immunity to COVID-19 instead of relying on vaccinations. There is some data that suggests unvaccinated persons that have recovered from COVID-19 may have developed a stronger immunity against the disease than fully vaccinated persons that have not had COVID-19. The dependence on vaccinations over a lifetime rather than developing a natural immunity is of high concern.
Not Candidates for Vaccination
There are medical reasons why a person may not be a good candidate to receive full vaccination, from severe allergic reactions to the first dose of a vaccination to health conditions that may place increased risk of adverse events from receiving a full vaccination.
Bodily Autonomy & Sovereignty
There are conflicting values of supporting the fundamental human right of body autonomy/sovereignty such as with consensual physical touch but not when it comes to the personal choice regarding a medical intervention that many view as experimental in nature.
Long-Term Effects Unknown
The long-term health consequences of COVID-19 vaccinations are not fully understood. Most pharmaceuticals that reach the market do not show the severity of adverse events until years later. COVID-19 vaccinations are no different and not understood enough to have the trust of all persons.
The Pharmaceutical Industry
The pharmaceutical industry is entangled with media and government resources, and there is a revolving door between the industry and political campaign funding that influences policy and regulatory decision making. There are conflicts of interest that impact what research is funded and what info is shared.
Examples Outside of the US
The US does not generally share this same level of support with the European Union (EU) on the acceptance of recovery to COVID-19 as a means of developing immunity. For example, the EU Digital COVID Certificate, allowing free movement in EU countries, is granted for persons that have developed immunity from recovery from previous infection to the disease without full vaccination.
The alternative viewpoints highlighted in this section are not all inclusive and may only represent a fraction of the total due to increasing shaming, censorship and silencing of voices of persons that chose not to be vaccinated. Our hope is by highlighting what we learned to be some of the most strongly held reasons not to be vaccinated, while responding to the wider position of the communities we serve, that we may move toward greater support for each other and come together in the fight against this disease.
The impacts of the pandemic do not stop with COVID-19. Beginning with lockdowns, the pandemic brought with it an unprecedented rise in clinical depression, mental health disorders, opioid abuse, and suicides. From educational offerings in positive psychology, meditation, and expressive arts, to exposure to healthy social outlets, lifestyles and supportive communities, Interfusion Festival aims to bring awareness of a collective of practices and modalities that may help combat the public and mental health crisis beyond COVID-19 which continues to affect the lives of our friends, families, and communities to this day.
The COVID-19 pandemic is an unprecedented challenge, with far-reaching impacts on public health and all aspects of our lives. The Interfusion COVID-19 Policy & Action Plan is based on an 8 Layers of Protection Framework that, when combined, aims to reduce the risk of SARS-CoV-2 infection and severity of illness of COVID-19. It reflects a process of seeking to understand the many viewpoints of the community regarding the pandemic, and the best tools available at this time to fight the virus, to create a plan that holds the health and safety of our community as our highest priority. Our hope is that by working together as a community, and by employing a combination of the best tools we have available, that we may hold a safer and more responsible event to return to after 2 years since the last Interfusion Festival in 2020.