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Aug 27, 2020, 37 tweets

Nicole Alexander Scott @RIHEALTH says that the change in the masks being critical. #EnviroHealthMatters

Masks need to be mandatory at schools in RI and nationwide @meganranney @FutureDocs @IMPACT4HC @HelenBurstin #EnviroHealthMatters

Structural environments, not race, is what matters, which requires adjustments in the public health solutions for vulnerable communities #EnviroHealthMatters

Q2: Hospital settings are different. #EnviroHealthMatters

Wearing a mask or washing hands needs to be focused as much as ventilator needs to be a focus.

Also, the money to #GetUsPPE and ensuring that hospitals get funding so that the financial issues can be considered.

We can't compete for masks and need to get a public health message across. Needs to be communicated to all, not just in English to adults, but to all communities #EnviroHealthMatters

Ensuring that people feel safe and have adequate PPE / clinical trial equity needs to be considered #EnviroHealthMatters

Transmission was seen by inappropriate measures #EnviroHealthMatters

This is described as masks to aerosol generating procedures, even though talking is an AGP. #EnviroHealthMatters

Q3: How do we physically distance in certain places [to avoid plume exposure]? #EnviroHealthMatters #6ftapartandmasked

Poorly ventilated facility needs to be considered. Directionality needs to be considered. Stay home if sick. #EnviroHealthMatters

It is tough to implement physical distancing, but we need to use science. #EnviroHealthMatters Address this equitably through masks.

Mass transportation needs to be considered. Japan says low risk with normal crowds but says stay silent on transit. Considering layered steps needs to be considered. #EnviroHealthMatters

Also, both parties need to wear a mask. #EnviroHealthMatter northwell.edu/coronavirus-co…

Q4: How do we communicate? I will be producing a summary of this conference similar to what happened yesterday for Day 1. #EnviroHealthMatters

Also we need to communicate including a layered approach and universal masking.

What happens at the community level and community outreach needs to occur. #EnviroHealthMatters

We need to give away masks, talk about social gatherings, and flood the environment through behavior and cultural change understanding that equity needs to be considered #EnviroHealthMatters

Q5: On flying, it is well ventilated with 30 changes per hours and mask wearing and eating / drinking. #EnviroHealthMatters

Getting people to wait after pulling up to the gate needs to be done. #EnviroHealthMatters

Q6: What do we need to know now for non pharmaceutical interventions from masking. #EnviroHealthMatters

How much does masks + hand hygiene, masks + physical distancing, or masks + hand hygiene + physical distancing work.

Q7: How does the vaccine work. Does the flu vaccine or coronavirus vaccine prevent transmission, or stop disease. #VaccinesWork #EnviroHealthMatters

Q8: How do we minimize relative risk? We need the data from aerosol transmission using layered approach. #EnviroHealthMatters

We can't say take full precautions everywhere so we can focus on the individual level. For young people, what about individual risk? #EnviroHealthMatters

We need to tell communities so people understand what is high risk or not high risk.

Q9: Do we have a dose response so we can determine what will keep us well below the 50% threshold. A 10% risk of getting COVID is NOT worth it. #EnviroHealthMatters

Q10: Infectious dose is unknown. If near to others, there are multiple methods to get exposed. #EnviroHealthMatters

Q11: What is the most important thing for the public to know? Wear a mask.

Also, loud taking or talking, and not saying close is important, but does not compare to mask wearing. #MaskUp

Q12: Should you use H2O2 or electrostatic sprayers? While it can clean, it should NOT be used due to being toxic. #EnviroHealthMatters

Q13: What about dental offices? They are extremely high risk high exposure. The risk must be mitigated more than hospitals on risk mitigation. #EnviroHealthMatters

Q14: What about long term consequences?

CO2 pollution, throwing away masks as single use, and social cohesion need to be considered #EnviroHealthMatters

Physical distancing is good, social isolation is bad. #PhysicalDistancing

Q15: What is the role of testing? Testing is key. CDC's guidance was reckless. Testing also provides assurance.

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