Abraar Karan Profile picture
infectious disease doctor, epidemiologist, researcher @stanford

Sep 21, 2020, 5 tweets

1/ CDC putting aerosols under “common routes of spread” of #covid19 is a significant shift.

We have been saying “wear a mask” and “6 feet apart” for months.

Cloth masks are not designed to block aerosols. And 6 feet apart may be insufficient, esp indoors w/ poor ventilation.

2/ Many experts have understood for a long time now that both droplets and aerosols play a role in spread.

But the big public communications campaigns have *largely focused on droplets only*

This is the key issue for me.

Cc @zeynep @SaskiaPopescu @j_g_allen @jljcolorado

3/ I have yet to see any major public health comms campaigns talk about when 6 feet apart is *not* enough, the need for better ventilation, or the need for better masks in certain high-risk situations.

And many of the official entities won’t do it unless CDC says so first.

4/ And this is *not* to say that everyone in the community needs to be walking around in N95s— from our current understanding, aerosol spread is most important in crowds, closed spaces w/ poor ventilation — so we need to focus communication campaigns on avoiding these scenarios.

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