Thread by @UniversalMaski2

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 Thread. I think the WHO would be wise to look at this article from Paul Mayo, MD Academic Director of Critical Care at the flagship hospital for the largest health system in NYS @ZuckerSoM @NorthwellHealth northwell.edu/coronavirus-co… (1/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth “The severity, morbidity and mortality of COVID-19 must be re-emphasized to all, both young and old, as it spares neither.” @SusanSchutte2 has many examples of young people who get seriously affected by this virus. #CountLongCovid (2/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth @SusanSchutte2 “SARS-CoV-2 was thought to be primarily transmissible via … droplets …. Those droplets usually travel short distances before falling and will not reach another person practicing social distancing nor penetrate standard (cloth or surgical) masks.” (3/ @jljcolorado

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth @SusanSchutte2 @jljcolorado “However, it has recently been determined that a major mode of transmission of SARS-CoV-2 is via aerosol droplets, exhaled by presymptomatic, asymptomatic or symptomatic persons.” (4/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth @SusanSchutte2 @jljcolorado This article was written on July 6, more than two months ago. But the WHO still refuses to accept aerosol transmission as a major source of transmission. @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes (5/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth @SusanSchutte2 @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes “We believe that the lack of emphasis placed on the prevention of aerosol droplet transmission is a major contributor to the rising case numbers in many areas of our country.” I would say it is THE major contributor. (6/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth @SusanSchutte2 @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes “The key point is that, for standard masks to be effective, there needs to be near universal wearing of these masks by all persons when in any poorly ventilated, air-recirculated, confined indoor, or highly congested outdoor environment.” (7/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @NorthwellHealth @SusanSchutte2 @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes And the author describes a few superspreader events. (8/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes “The choir practice where one singer infected 52 of the other 60 attendees? Aerosol transmission.” The article confirming this recently passed peer reviewed. @ShellyMBoulder (9/ scholar.colorado.edu/concern/articl…

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder “The 22-year-old presymptomatic man who sang karaoke in an air-conditioned room for two hours and infected six of his 15 friends? Aerosol transmission.” (10/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder “The presymptomatic 29-year-old man who infected 102 people during visits to multiple crowded nightclubs? Aerosol transmission.” (11/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder “Cruise ship and aircraft carrier mini epidemics? Aerosol transmission through air-recirculation systems.” Think about the Diamond Princess and Teddy Roosevelt. (12/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder “The more than 100 meat-packing plants with massive outbreaks despite the workers’ wearing safety goggles, gloves and frocks? Aerosol transmission.” (13/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder Why is a N95 required for all Ebola patients when Ebola transmits through the skin, but not COVID which transmits through inhalation? (14/

https://twitter.com/jljcolorado/status/1306578450224873473?s=21

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder Since Ebola transmits through the skin and via contact transmission, it should be no surprise the level of PPE required for COVID is a fraction of what is required for Ebola. (15/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder COVID requires according to the WHO gloves, gown, surgical mask, and eye protection. Ebola requires double gloves, Tyvex suit + apron, N95, and goggles. But isn’t COVID more transmissible than Ebola? (16/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder The evidence from NY of healthcare workers getting infected not treating patients with N95’s and Boston at Mass General where universal masking reduced transmission 75% among staff should have been sufficient to accept aerosol transmission. @medpie1 @jeremyfaust @ashishkjha (17/

@busycactus @YouAreLobbyLud @nick_coatsworth @drajm @WHO @Dr2NisreenAlwan @DrKatrin_Rabiei @itosettiMD_MBA @apoorva_nyc @danaparish @Cleavon_MD @mvankerkhove @jessieabbate @meganranney @CarlosdelRio7 @ZuckerSoM @jljcolorado @linseymarr @Poppendieck @lisacng @kprather88 @CathNoakes @ShellyMBoulder @medpie1 @jeremyfaust @ashishkjha The WHO should join US doctors and epidemiologists in accepting aerosol (not droplet) transmission predominates. (18/18)