[Thread] Protecting yourself from viruses ‘is not just about ventilation, it’s about humidity in rooms’ -Dr @laoneill111 on @NewstalkFM #Covid19

& here’s why... 1/
In autumn conditions, as across Europe now, temperatures have dropped (10-15°C) people have moved indoors, heating is on & windows closed. #Covid19 cases have risen 2/ Image
It’s similar to last Spring when the hot-spot #Covid19 outbreaks were in yellow zone (Wuhan, New York, Seattle, cities in Iran, Italy, Spain, France, UK & Ireland) at 5-11°C, low absolute humidity 3/ jamanetwork.com/journals/jaman… Image
in lab conditions the half-life of #Covid19 virus is ~more than 24 hours at 10 C, 40 % RH~ compared to ‘an hour & a half at 27 C, 65 % RH’
So virus can survive much, much longer in autumn air 4/ biorxiv.org/content/10.110…
In Dublin last Wednesday (28/10/20) outdoor air was 7-10°C with 70-75% relative humidity (RH)

When 10°C, 70% RH air comes inside & is heated to 20° the RH drops to just 36%
5°C air drops to 26% RH
0°C air drops to <20% RH
(Sahara desert is 25% RH) 5/
in dry indoor air, droplets with virus dry out faster... & lighter aerosol particles float longer the air; if the room isn’t well ventilated, they build up & spread (like cigarette smoke) 6/ docs.google.com/document/d/e/2… Image
so there’s both more virus in the indoor air to inhale .. ~and~ dryer nose & throat for virus to land on, meaning much higher risk of infection 7/
..so across Europe there’s a perfect storm of ~specific known, measurable~ outdoor & indoor environmental conditions that are high risk 8/ english.elpais.com/society/2020-1…
Why does this matter?
🦠 these high risk conditions are measurable & PREVENTABLE (nursing homes, hospitals, homes, schools, workplaces, restaurants, cars, buses)
🦠 public health advice & low cost measures can IMMEDIATELY reduce risk/ prevent outbreaks 9/irishtimes.com/news/ireland/i…
NPHET has no expertise in buildings or environmental engineering

This science is not part of Ireland’s #Covid19 public health message, prevention plan or epidemiological model

High risk places with ~known & preventable~ high risk conditions are largely unchanged at #Level5 10/ Image
So, an incomplete ‘model’ (missing all the environmental science) may be why there’s so much confusion about interpreting NPHET results (even from people in NPHET)

..meaning there’s no certain outcome from #Lockdown2, because it’s a hammer, instead of a scalpel 11/
Ireland’s public health plan is out of step & out of date; as a result there is unnecessary social isolation, job losses & business closures on the one hand .. & ~unknowing~ high risk activity on the other particularly, in care homes, hospitals, schools, cars & family homes 12/ Image
Listen back: RTE Radio #Covid19 prevention through safe clean indoor air & ventilation with @MoyneFlu @boucherhayes on @TodaywithClaire rte.ie/radio/radiopla…
‘Active & targeted prevention of specific high-risk conditions, such as meat plants, direct provision, overcrowded housing & schools is key to both keeping buildings open & people out of hospital, without compromising the health services or the economy’
irishtimes.com/opinion/why-go…

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More from @Orla_Hegarty

3 Nov
[Thread] Nursing Homes

‘103 #Covid19 deaths in October, 39 of them in nursing homes’

.. almost 40% of all recent deaths from #Covid19, & almost 1/2 of all deaths in Ireland since start of pandemic, are in #nursinghomes 1/ irishtimes.com/news/health/co…
about 30,000 people live in nursing homes... so just 0.5% of the population have suffered 50% of #Covid19 fatalities

HSE attribute this to ‘high rates of community transmission’, but... 2/ irishtimes.com/news/ireland/i… Image
..elderly people & people with health conditions who live ~outside~ nursing homes ‘in the community’ do not have these infection rates

... & Dublin #nursinghomes have not allowed visitors for more than 6 weeks now 3/ Image
Read 10 tweets
2 Nov
WHO warns of high risk of #Covid19 spread ‘especially indoors in poor ventilation’ & says ‘open a window’

.. so why no risk prevention advice in Ireland’s public health plan.. nine months after this was warned about in many other countries?
Read 4 tweets
2 Nov
HSE mask policy is ~not~ in accordance with current international scientific evidence, & is unsafe
🦠covid is airborne past 2m
🦠15 mins is not a safe time #TodayCB @TodaywithClaire @HSELive @hpscireland @HIQA
@linseymarr explains distance risks
Read 4 tweets
1 Nov
[Thread] Covid19 & weather

Research from China points to Ireland being very high-risk for virus spread in winter months. This study linked Spring hot-spot outbreaks (yellow zone) at 5-11°C & low humidity 1/ #Covid19 jamanetwork.com/journals/jaman… Image
another study: ‘meteorological factors play independent role in #COVID19 transmission.. Local weather (low temp, mild diurnal temp range & low humidity) likely favor transmission.. each 1°C increase in [temp] related to decline of daily confirmed cases’ 2/ sciencedirect.com/science/articl…
‘Air temperature & humidity indicated to significantly influence transmission of COVID-19’.. the weather two weeks ago was correlated with confirmed new case counts.. epidemiological data were correlated with weather data 14 days ago’ 3/ medrxiv.org/content/10.110…
Read 7 tweets
24 Oct
[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/
Read 19 tweets
22 Oct
#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
Ventilation & air filtration usatoday.com/in-depth/graph…
#Nursinghomes -use air filtration fan units to ‘clean’ virus from a room for <€100 (& diy options also work)

#Nursinghomes -check poor ventilation with a CO2 (carbon dioxide) monitor for <€150 elemental.medium.com/air-purifiers-…
Read 5 tweets

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