#NursingHomes important to know #Covid19 builds up & spreads like cigarette smoke; so closed windows in cold weather is making conditions high-risk for super spread- it can be easily mitigated by airing rooms (ventilation), air purefier fans (filtration) & checks with CO2 monitor
[Thread] Last night the Chief Medical Officer finally said #covid19 is spread “indoors in poor ventilation”
This is HUGELY SIGNIFICANT, & here’s why.. 1/ #Covid19
..Ireland’s public health message is not in step with international scientific community & has not kept pace with 9 months of research.. so no warnings have been given about ~airborne~ virus spread that happens ~beyond 2m~ 2/
..it’s now known this respiratory virus is caught from inhaling when breathing; risks from surfaces were over-stared so perspex screens & deep cleaning have distracted people from the most important prevention- ‘clean air’ (take 5 mins this is worth it) 3/
Contacts between people are not all high-risk, & research says that most people with #COVID19 only transmit to 1 other person or fewer.. ‘It’s often not very contagious’ 1/
..but a small number of people with covid (less than 20%) are likely infecting more than 80% of new cases... ‘preventing superspreader events could go a long way toward stopping COVID-19’ 2/
..Germany’s top doctor
‘Most people only pass it to one other.. occasionally, someone spreads more widely, creating a cluster of infections that drives the pandemic. To avoid another lockdown Germany must focus on identifying & preventing clusters’ bloomberg.com/news/features/… 3/
‘If you need to be right before you move you will never win’ @who Dr Mike Ryan
HPSC acknowledges airborne spread of #Covid19 virus beyond 2m in poor ventilation, but give no public health warning because its ‘still uncertain..no conclusive proof.. further research needed’
High-risk #covid19 indoor air conditions are ~immediately~ preventable with public health advice about clean air, #ventilation & free/low cost solutions, it’s basic environmental science cires1.colorado.edu/jimenez/COVID/…
Autumn conditions in Ireland (10-15° & high relative humidity) are high-risk (yellow zone)
If #Covid19 surge is the weather, not bad behaviour, then policing, road blocks & fines won’t be effective at #Level5
..but ‘crowded indoor spaces have been shown to be associated with increased transmission.. determining what is due to proximity & poor hygiene practices, & what is ~due to poor ventilation~ though, is difficult’
^so, risk of spread due to poor ventilation is accepted by HPSC 2/
..but, no rules from HSPC, just ‘suggestions, specifically for commercial & public buildings’ ..& only for mech ventilation, which is small % of all buildings ..but ‘residential & healthcare settings fall outside the scope of HPSC document’ ..& very limited advice for schools 3/
#Covid19 High risk (yellow) zone at temperatures 5-11°C (spring & autumn)
An urgent public health message about clean indoor air & #ventilation (not fines & roadblocks) can have immediate impact on virus spread & prevent cases
WHO: ‘we are very concerned about rise in cases in Europe as it heads into winter’
‘Colder weather leads to behaviours that favour transmission of a respiratory virus- people tend to crowd indoors to stay warm, more often in poorly ventilated spaces’ smh.com.au/politics/feder…
‘overwhelming evidence that *inhalation* represents a major transmission route’
‘we urge public health officials to add clear guidance about importance of moving activities outdoors, improving indoor air & improving protection for high-risk workers’ science.sciencemag.org/content/early/…