I’m told schools are nagging Congress for more “flexibility” to spend the new $130 Bil school COVID aid $ so 🏫 can uselessly buy plexiglass & hire more janitors to disinfect surfaces—instead of prioritizing improving ventilation & air quality science.🤦🏻‍♂️🧵
2) I’m the biggest supporter of teachers and students—but school boards honestly don’t understand the science and importance of ventilation & air quality for airborne transmission! This is COVID pandemic assurance money—for truly stopping the pandemic not for “pandemic theatre”!
3) VENTILATION is key. Both ventilation and masks needed to reduce risk indoors in schools. But most schools are not ventilated well enough.

4) Most schools don’t even achieve half the recommended 5 air exchanges per hour. @CorsIAQ says he typically sees classrooms with just 2 ACH per hour. In Arlington VA school, average was just 2.4. Many classrooms have as low as 0.5 per hour!
5) does the CDC suggest good ventilation and air cleaning like HEPA filters? Yes! But it was buried in their recent guidance.

cdc.gov/coronavirus/20…
6) To be clear, air quality improvement + ventilation are stackable together for achieving the recommended 5 ACH per hour. A good HEPA can add +3 to a background 2 natural ventilation. Or it can add +4.5 to poor 0.5 ventilation.
7) I’m told schools also want to use the $130 billion (~$1 mil per school, for 130k schools) to backfill their budget deficits. But THATS NOT GONNA SOLVE the pandemic and make schools safer for kids to return & STAY SAFE. Safe schools is key. Airborne transmission is real.
8) How important is ventilation outside of COVID risk? “There is compelling evidence, from both cross‐sectional and intervention studies, of an association of increased student performance with increased ventilation rates.”... onlinelibrary.wiley.com/doi/abs/10.111…
9) “The net annual costs, ranging from a few dollars to about 10 dollars per person, are less than 0.1% of typical public spending on elementary and secondary education in US. Such expenditures seem like a small price to pay given the evidence of health & performance benefits.”
10) Here is the cost breakdown of one good portable HEP filter per standard classroom, by @CorsIAQ. The total cost across 3 years is just $11/student. That is nothing compared to the cost of other school materials. And this improves learning! We need to do this & *PRIORITIZE* it!
11) it’s not impossible. President Kennedy once said, we choose to goto the moon not because it is easy—but because they are hard—and important. Some think asking for sufficient school ventilation is like asking schools to goto the moon. No, not true! It’s possible. We can do it.
12) To be clear, what I’m advocating is prioritizing spending on ventilation, air cleaning approaches, more testing, and more/better PPEs like premium masks. And I have the support of not only aerosol scientists, but also teachers unions & parents. Stop airborne transmission!
13) Worst case, we can sometimes ventilate without HEPA filters or full windows. You can even do it with 1 door—but 2 doors better. Here is how to ventilate your school classrooms if unable to open window with 2 fans. #COVID19
14) Heck, even Biden’s own former transition COVID TASK FORCE members are demanding the CDC to better focus on airborne transmission—and emphasize premium masks, air quality, and ventilation! His own COVID task force experts! drive.google.com/file/d/1O5zd_J…
15) Do we want to be like teachers in students in Quebec 🇨🇦 where #COVID19 cases surged faster in schools than general population? Notice cases plummet during winter break and surged again after break.
16) How many HEPA filters do we need for a room? Well there is a science to this—aerosol environmental engineering to the rescue. See this post and thread 🧵 on how to solve the math based on the CADR rating of a HEPA filter — get a 250-300 CADR portable machine.
17) Also really cool cheap air cleaner is this MERV13 filter homemade device called “Corsi Box”. This fan’s air speed is 580 feet/min—so multiply by the area of the fan—to get Q. The F of these filters is 0.9 I’m told. Then you can get the CADR value for room calculation & ACH.

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More from @DrEricDing

26 Feb
⚠️Global case decline has reversed—#COVID19 is once again surging overall worldwide / no longer dropping. Especially in Europe where the more contagious #B117 variant is driving faster spread & helping launch another wave (as I’ve been shouting at the rooftops for last month). 🧵 Image
2) Denmark is the perfect example — they knew it was coming with the #B117 dominance. They knew it was inevitable but nobody listened.
3) Denmark CDC warned us in January to not be complacent Image
Read 6 tweets
26 Feb
Worst fears of Denmark 🇩🇰 CDC coming true—

📌#B117 will be the dominant #SARSCoV2 variant

📌Cases stop falling

📌Cases rising as result

➡️ All 3 ominous predictions now true. Denmark surging. 🧵

🇩🇰 B117 in past weeks:

2%
4%
7%
13%
20%
30%
46%
57%

files.ssi.dk/covid19/virusv… ImageImage
2) The steady inevitable March of #B117 replacing the old strain is as constant as time. B117 will replace older less contagious common strains - and it certainly has. Denmark 🇩🇰 Data is best because they now genetically sequence 100% of all cases!!! Image
3) Denmark cases surge is now very different than before - a lot more reports of children not seen before. Here is an outbreak of #B117.
Read 6 tweets
26 Feb
What the hell is going on in Canada 🇨🇦 health chiefs these days?! First, a mask-dismissing Dr Henry who downplays kids in BC, & now Ontario 🇨🇦 health chief Dr Williams didn’t recognize asymptomatic transmission for half year?!

Even Trump’s CDC knew that in Feb 2020! 🤦🏻‍♂️ #COVID19
2) Asymptomatic transmission was a already recognized by the CDC (Trump’s CDC no less) in mid February! cnn.com/asia/live-news… Image
3) here is the disgusting video today of BC health chief dismissing masks for elementary school kids! So gross. See 🧵
Read 4 tweets
26 Feb
I want to puke—BC🇨🇦 health chief doesn’t want school kids masking. “Asked if she’s revisit policy of no masks in elementary schools, Dr Henry replied: "Not at all—There's no evidence that a young child having to wear a mask all day long is going to make a difference."” #COVID19
2) A little reminder first of all what happened in Quebec when schools were open... and in slide let’s look at age groups...
3) After schools reopened... which group had the highest surge of cases? 0-9. Exactly the unmasked age group.
Read 6 tweets
26 Feb
TEXAS WANTS ANOTHER DISASTER—
@GovAbbott @GregAbbott_TX said that Texas is planning to soon lift all statewide orders (including masks, dining, and distancing rules) related to #COVID19 pandemic; announcement is forthcoming. Horrid. Only 5% vaccinated.
texastribune.org/2021/02/25/gre… Image
2) “In addition to the mask mandate, statewide orders in effect include a policy that rolls back business reopenings in a hospital region if its COVID-19 patients exceed 15% of hospital capacity for seven days. Abbott put that policy in place in last fall.
3) Experts say Texas is a long way from reaching herd immunity through the vaccines. Hitting the 70% to 80% level that many estimate is needed would mean vaccinating some 22 million people, or nearly 100% of adults in the state, according to census numbers.
Read 4 tweets
26 Feb
BREAKING—FDA declares that frozen vials of the Pfizer #COVID19 vaccine can now be transported & stored at conventional freezer temperatures for up to 2 weeks, instead of the ultra cold storage required previously. This will hugely improve rollout! 🧵
fda.gov/news-events/pr… Image
2) ““Pfizer submitted data to FDA to support alternative temperature for transportation and storage. This alternative temperature for transportation and storage of the undiluted vials is significant & allows the vials to be transported and stored under more flexible conditions.”
3) “The alternative temperature for transportation and storage will help ease the burden of procuring ultra-low cold storage equipment for vaccination sites and should help to get vaccine to more sites,” said Peter Marks, M.D., Ph.D., director of FDA CBER.
Read 7 tweets

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