Thread by @Prof_Lowe

1/ Update on COVID & Indoor Dining/Drinking Venues
- Data on universal face coverings has grown and is strong
bit.ly/3kFYmAQ

-aerosol transmission occurs & risk in indoor environments close to 20-fold increase
BMJ bit.ly/38PLL

Medrxiv bit.ly/36IQd9R

2/ Restaurants indoor dining/drinking - possess three critical elements of transmission risk

Close prolonged contact
Confined spaces
Person/sq ft density is high than most other settings

3/Analysis of NPIs & association w infection
Taking public transportation
Attending worship services
Attending gatherings over 10 persons
Going to restaurants, bars, saloons
Frequenting restaurants had TEN TIMES the odds of infection v people who did not
bit.ly/2INo35A

4/ Case control analysis of COVID infection

Only significant association was people likely to frequent restaurants (2.4 times the odds of infection)

bit.ly/3nyO47G

5/ Analysis of COVID bar cluster in Hong Kong

go.nature.com/3nBFVz5

6/ Japan cluster analysis: Bars/Restaurants account for most clusters outside of healthcare. 16% of clusters investigated

bit.ly/2HcMLvC

7/ Widely shared restaurant COVID transmission in Restaurant in Guanzhou, China.

1 asymptomatic person 9 secondary cases

bit.ly/3kES58z

8/ Louisiana COVID contact tracing findings identifying where are outbreaks occur.

Restaurants and Bars account of 1/5 (21%) of all outbreaks & 1/5 (20%) of outbreak associated cases.

bit.ly/2KfEqZh

9/ Outbreak investigation at Harper's Brewpub in Lansing, MI

146 cases associated w pub 46 secondary cases

bit.ly/3kES04S

10/ Indoor dining/drinking is a mask free activity typically characterized by congregate, long duration, exposures.

Carry out should be prioritized and indoor dining avoided when community COVID transmission is high.

Updated BMJ link from post 1/ bmj.com/content/370/bm…