Those Nerdy Girls Profile picture
Jun 24, 2020 9 tweets 4 min read Read on X
1/ Q: What is “Superspreading”? How can we avoid it?

A: Yes, superspreading is as yucky as it sounds, and seems to have played an important role in early #COVID19 spread.

To avoid, stick to the Nerdy Girl stay SMART principles (Space, Mask, Air, Restrict, Time)! Image
2/ This article gives an excellent overview of the superspreading clusters that have been identified and what we know about the science: scientificamerican.com/article/how-ld…

Some highlights:
3/ Models based on #ContactTracing data estimate that 10 - 20% of infected people may be responsible for 80% of #SARSCoV2 spread.

BUT Keep in mind that superspreading events may be OVER-REPRESENTED in the data since they are easier to identify than casual individual encounters
4/ The virus spreads primarily via respiratory droplets produced by an infected individual during breathing, talking, coughing and sneezing.

One thing that makes #COVID19 super sly is that people are infectious *prior* to having symptoms.
5/ What is the recipe for a superspreading event?

🚪Closed, poorly ventilated space: Most #COVID clusters were in indoor settings.

🍾 Large numbers of people: It's difficult to “superspread’ to a small group. Larger groups increase the chance that someone is infectious.
6/
⏱️Time: The longer the contact, the greater the likelihood of spread. More than 10-15 minutes seems to be an important threshold.

🎤 Droplet spewing: We’ve learned that things that project droplets, such as loud speech, cheering, heavy breathing & singing are more risky
7/
📢 Speech “superemitters’: Less hard evidence on this, but some people may naturally emit more respiratory particles during speech.

Looking ahead, things like cheering fans in sports stadiums and concerts will likely still be too risky for awhile (sigh...)
8/ But the GOOD NEWS is that these estimates suggest that stopping #superspreading events can go A LONG WAY towards putting out the fire of #COVID__19 transmission. This gives us the best chance to resume many normal interactions in a safe way.
9/ We’ve done a good job limiting large gatherings the last few months, but as things continue to re-open remember to #staySMART and don’t give the #virus the super-spreading chance it’s waiting for!

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More from @DearPandemic

Dec 22, 2022
How can I stay safe during the holidays?

➡️Think in terms of harm reduction. Don’t let the perfect be the enemy of the good.

dearpandemic.org/safe-holidays/

#covid #rsv #flu #HolidaysAreComing

1/
2/ Just in time for Christmas, #COVID is again on the rise.

#Flu and #RSV may be peaking—but remember that there are often as many cases *after* a peak as before it.

dearpandemic.org/are-cases-peak…
3/ How can we enjoy moments w/ family & friends & lower the risk of illness?

💥 Small steps you take to reduce risk are worthwhile. A little bit better…is a little bit better.

Prevention steps that work for COVID will reduce the risk of RSV, flu, & many other nasty viruses.
Read 14 tweets
May 4, 2022
1/ Q: Has almost everyone been infected with COVID by now?
A: Recent estimates suggest around 58% of the population in the US and over 70% in England have been previously infected, with BIG increases during the Omicron wave.

dearpandemic.org/numbers-infect…
2/ A recent @CDCgov MMWR report estimated seroprevalence from a convenience sample of blood collected for medical tests.

➡️Roughly 58% of Americans showed evidence of previous SARS-CoV-2 infection in their blood by Feb '22.

cdc.gov/mmwr/volumes/7…? Image
3/ ➡️ During the Omicron wave from December 2021-February 2022, this estimate increased from 33% to 58%.
➡️ Rates vary a lot by age, ranging from 33.2% for those over age 65 to 75% for those under age 18.

cdc.gov/mmwr/volumes/7… Image
Read 15 tweets
Apr 29, 2022
1/Q: Did getting exposed to fewer germs for the last 2 years weaken our immune systems?

We've been hearing this question a lot.
dearpandemic.org/fewer-germ-exp…
2/ Not likely. If your kids are suddenly getting sick a lot, this is likely due to “catching up” on exposures rather than a weakened immune system.
3/ Many families w/ young kids have been hunkered down for the better part of 2 years– a good % of a young child’s entire life. While isolation had *many* downsides, we can agree that not having to suction snot out of infant noses or clean up norovirus puke was a happy upside.
Read 18 tweets
Jan 27, 2022
1/ Q: Are cases peaking? That means it’s all downhill from here, right?

A: Sort of…. Remember that even if cases come down as quickly as they rise, there will be as many cases *after* the peak as before (think area under the curve).

dearpandemic.org/are-cases-peak…
2/ ➡️ And if the downward slope is *slower* than the rise, we will see *more* cases during the decline from a surge.
3/ Burning fast could be a silver lining of super transmissible #Omicron. Cases rose & fell quickly in S. Africa (w/ hospitalizations & deaths still lagging). The UK appears to have turned the Omicron corner. Many US states appear past their peak in cases, w/ regional variation:
Read 17 tweets
Dec 30, 2021
1/ Q: Case numbers are jumping QUICK! What should I be doing?

A: Share your gifts without sharing COVID. Helpful gestures come in many shapes.

dearpandemic.org/what-should-i-…

#Omicron #ThoseNerdyGirls
2/ One HUGE help: Cancel non-essential plans.

Unfortunately, this includes New Year’s Eve plans. The perfect storm of a new variant & holiday get-togethers is hitting communities & health care w/ FORCE! Testing is in short supply.
3/ Health care is under extreme pressure with surging cases. If you can avoid even one additional contact, you are helping. This is a temporary and urgent request (from a health care provider).

#MedTwitter #HCWs @IMPACT4HC
Read 10 tweets
Dec 21, 2021
1/ Q: Is it true that #Omicron is less severe than previous variants?

A: We HOPE so, but we don’t know yet. The evidence so far is mixed.

dearpandemic.org/is-omicron-les…
2/ We are WAY past due for some good variant news. But pinning our #Omicron hopes on a less virulent variant is not wise for 2 reasons:

1) It might not be less severe in those who are “immune naïve” (neither vaccinated nor with a previous infection—still millions of people).
3/ 2) Many more infections *even* if less severe can still lead to an avalanche of hospitalizations and deaths, and the risk of long Covid.

@AdamJKucharski raised this last December w/ the rise of Alpha:
Read 25 tweets

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