The CDC just sent a response why they haven’t emphasized airborne. They confuse aerosol & droplets.

➡️3 modes of #COVID19 transmission:

1. Touch
2. Spray droplets
3. Inhalation

*But even at close range, exposure is more likely by inhalation than spray*—see 🧵 by @Don_Milton.
2) The CDC response is in response to @briancolder’s request for information.
3) the gist is that CDC refuses to act and make airborne precautions official guidelines until they can see proof airborne is a greater threat than droplets by framing it as wanting to see hard proof of “proportion of infections”—which is *absurd* from precautionary principle.
4) Don’t get me wrong, I absolutely respect and love the CDC and the WHO on 99.9% of what they are doing. But sometimes they are behind the curve in accepting new data on human to human, on asymptomatic transmission, on reinfection, on airborne, ventilation, & on pediatric risks.
5) they get it, but it just takes a long long time to turn the titanic around sometimes. And sometimes they fear message confusion and often don’t want to tackle a new direction by admitting a previous position was incomplete / less than fully accepting of all emerging science
6) Dr Milton sums this up best:

If spray mostly—face shields enough and you wouldn’t need really N95 masks.... but is it? ➡️NO!

If just spray—you wouldn’t need ventilation or air cleaners for risk, and you wouldn’t see long range transmission. But is it? ➡️NO!

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More from @DrEricDing

28 Feb
FIRED FOR DEMANDING AIRBORNE & VENTILATION SAFETY—I want to say kudos to bravery of @BenBonnema for speaking out for safety of workers and shoppers at Trader Joe’s. Corporate HQ didn’t like him speaking out on #COVID19 safety—fired him instead. Disgusting. ibtimes.com/trader-joes-un…
2) here was Ben’s letter that set off his firing. He only advocated what the CDC recommended for schools just yesterday evening.
3) Meanwhile, the CDC just came out strongly in favor of indoor air quality in schools! See detailed🧵
Read 5 tweets
27 Feb
BREAKING—A new hope—3rd vaccine is now approved. FDA has emergency authorized Johnson & Johnson’s single-shot #COVID19 vaccine. US now adds 100 million doses by June, on top of 600 mil Pfizer/Moderna 2-dose vaccines. ➡️US now has enough to donate too. 🧵
nytimes.com/2021/02/27/hea… Image
2) Besides 100 mil for the US, the J&J vaccine has been ordered by UK 🇬🇧 (30mil), EU (200 mil), Canada 🇨🇦 (38 mil) and 500 mil by COVAX nations. Image
3) While overall efficacy was 66% (pretty good), excluding South Africa and Brazil where variants dominate, US trial efficacy was 72%. Severe illness efficacy was 85%, and efficacy against mortality was 100% so far during followup. This is key. bbc.co.uk/news/world-us-…
Read 5 tweets
27 Feb
HUGE—CDC just released NEW indoor air guidance for schools & #COVID19! Now emphasize: “Opening windows, using portable air cleaners, improving building-wide filtration are ways to increase ventilation in school or child care program.” Good, but caveats:🧵 cdc.gov/coronavirus/20… Image
2) “Bring in as much outdoor air as possible.
If safe to do so, open windows and doors. Even just cracking open a window or door helps increase outdoor airflow, which helps reduce the potential concentration of virus particles in the air.” Image
3) “Use child-safe fans to increase the effectiveness of open windows. Safely secure fans in a window to blow potentially contaminated air out and pull new air in through other open windows/doors.
Read 34 tweets
27 Feb
VENTILATION IS CRITICAL—The CDC should be doing more to guide and encourage improved air circulation in schools to help prevent the spread of #COVID19. CDC has not paid anywhere near enough attention to the role ventilation, and air disinfection. 🧵

cnn.com/2021/02/25/hea… Image
2) “Schools will need to spend time and money improving airflow using HVAC systems, stand-alone HEPA air filtering systems or even just by opening windows if students, teachers and staff are to return safely to in-school learning in the fall, the experts say.”
3) “The state of ventilation in schools in the United States right now is woefully inadequate," Richard Corsi, dean of the College of Engineering and Computer Science at Portland State University, told a forum hosted by JHU Bloomberg School of Public Health this week.
Read 24 tweets
27 Feb
JUST IN—Tennessee is investigating vaccine wastage and potentially improper temperature storage of thousands (possibly tens of thousands) of #COVID19 vaccines past their shelf-life outside freezers. They had improper record keeping in Shelby County. Damn🧵 tn.gov/health/news/20…
2) State investigators cannot verify that all the thousands of vaccines were even refrigerated or frozen properly!!!
3) Apparently TN dept of health found that Shelby County was inappropriately stockpiling vaccines and throttling them instead of giving them out to high risk eligible patients. This is super weird.
Read 5 tweets
27 Feb
Here in Washington DC, entire roads & lanes completely change direction mid-day... via a giant road machine that literally “eats” the concrete barriers and “spits” them out the other end.

In other words, perfect reflecting of the meat grinding life in America’s capital. 🇺🇸
2) To be clear, this isn’t some HOV segregated lane with extra wide berth. It’s literally one LEFT lane that directly BECOMES the new left lane of the oncoming direction. And the machine COMES directly at you!
3) Also at rush hour, ENTIRE ROADS goes from being ONE WAY one direction to ONEWAY other... and even a whole damn bridge (with no other bridge option for miles and miles on either side).

Canal Road

Rock Creek Parkway

Chain Bridge google.com/amp/s/wtop.com…
Read 4 tweets

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