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Residents line up to enter a warming centre and shelter in Galveston, Tex., on Feb. 17, 2021.ADREES LATIF/Reuters

Ashley Archer, a pregnant, 33-year-old Texas financial adviser, and her husband have been cautious about the coronavirus. They work from home, go out mostly just to get groceries and wear masks whenever they are in public.

But when a friend lost power amid the winter storms that have left millions of Texans without heat in freezing temperatures, the couple had to make a decision: Should they take on additional risk to help someone in need?

Archer said they didn’t hesitate. They took her husband’s best friend into their suburban Dallas home.

“He’s like family,” she said. “We weren’t going to let him freeze at his place. We figured, `OK, we’re willing to accept a little bit of risk because you’re not in our little pandemic group.”' Weighing the risks in the pandemic era is fraught enough. But the storms and outages that have hit a big swath of the U.S. over the past several days have added a whole new layer of complexity.

Do we open doors to the neighbours? Should we stay in a hotel or go to a shelter? And what to do about handwashing, the most basic of precautions, when there is no running water?

The last few months have been challenging enough for Jonathan Callahan. He lost his job cleaning mail trucks in Jackson, Mississippi, and soon found himself homeless, sleeping in an abandoned church at night. Then the storm hit Mississippi this week, bringing bouts of snow and freezing cold.

Callahan, 40, was one of 14 people staying at a warming shelter at a community centre in Jackson, with cots spread around the gym. He said the space has been comfortable, meals have been provided, and he and some others played a game of pickup basketball, which “warmed us right up.”

He said he felt comfortable with the coronavirus precautions; he and most everyone else were wearing masks and there was room for distancing.

“I’m grateful they let us be here,” he said. “If we weren’t here, where would we be?”

Public health experts say that crowding people into shelters can contribute to the spread of COVID-19, but that there are ways to lower the risks, through masks and distancing.

“The ethics of the situation are simple enough,” said Dr. Stefan Kertesz, a University of Alabama at Birmingham professor of medicine and a homeless health researcher who runs a clinic for homeless veterans. “We can’t protect people tomorrow if they die today. Warming stations are needed.”

  • People wait in line to fill propane tanks in Houston.David J. Phillip/The Associated Press

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The storms that have disrupted social distancing precautions and thrown people from different households together have also undermined the nation’s vaccination drive, with tens of thousands of vaccine doses stranded and inoculations cancelled. Concern is mounting in some places.

Massachusetts Gov. Charlie Baker said Thursday he is thinking of sending the National Guard into the South to bring back held-up shipments of vaccine earmarked for the state. He said the state can’t afford to go a week without getting any new doses.

And North Carolina vaccine providers have yet to receive tens of thousands of doses the federal government was set to deliver this week, state officials said.

For Texan Anissa Ryland, it was a tough decision to head to a hotel. She, her husband and their five children lost power at their 115-year-old home in Austin around 2 a.m. Monday and left following a frigid night.

When they returned Tuesday to pick up supplies, the thermostat read just 7 degrees above freezing, and icicles had begun to form.

Under normal circumstances, the family could stay with neighbours or family, but the pandemic has made that harder. For one thing, one of her children has a compromised immune system, she said.

“You have to weigh the risks and say, ‘Danger now versus a theoretical risk,”’ Ryland said. “How do you do that? It’s a hard discussion.”

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