1/ A very good article in @elpaisinenglish about how to avoid becoming infected with COVID-19 by breathing the air exhaled by others:

(By the team that brought you "A room, a bar, and a classroom")

english.elpais.com/usa/2021-03-29…
2/ Humans exhale CO2. Our metabolism "burns" the foot we eat (carbohydrates, fats, proteins) into CO2 and other products (H2O, urea etc.) to extract energy.

Exhaled air has ~4% CO2 (40000 parts-per-million, or ppm). It is quickly diluted as it mixed w/ ambient air.
3/ We get COVID when we inhale virus-containing aerosols exhaled by others.

Mainly in 2 situations: (1) in close proximity because we inhale much more of the exhaled air of the other person then.

Distance reduces infection mainly because we breathe less of that exhaled air.
4/ But distance does NOT eliminate transmission (it would, IF large droplets)

Although aerosols are much less concentrated in room than right in front of a person, they can build up over time and infect lots of ppl (choir, restaurant, bus and lots of other superspreading events)
5/ So the other situation in which there is a lot of transmission in in shared room air.

CO2 and virus-containing aerosols (much larger than the virus itself) are exhaled together & behave very similarly in room air.

Drawing by @numeroteca (numeroteca.org/cat/en-el-aire/)
6/ It'd be wonderful to have an instrument for $200 that beeped when there was virus in a room. Does not exist now

CO2 is only thing that we can measure at low cost, that serves as an indicator of infection risk. Which varies a lot btw locations and time. Not perfect, but good.
7/ Back to @elpaisinenglish. They use as an example a shared car. About the worst place in no ventilation, due to very small volume with high density of people. CO2 rises very very rapidly.

(And most of us did not pay attention to its ventilation in the past, only hot / cold)
8/ But if we open a couple of windows a couple of inches, we get cross-ventilation. Then we can keep exhaled air (CO2) at much lower levels.

(Also works with car ventilation system, if set to strong + outside air)
9/ @elpaisinenglish explains very clearly what level of CO2 corresponds to what percent of exhaled air.

An easy rule of 3 (400 ppm outdoor):

400 ppm - 400 ppm = 0 ppm ==> 0% exhaled air
40400 - 400 = 40000 ==> 100%
Your_Measurement - 400 = X ppm ==> Y %
10/ And we have to realize that the virus, like CO2, accumulates in indoor air, even if a person is alone in that space (as cigarette smoke would).

So we have to wear a mask indoors even if alone, if others will come into the space.

(Drawing by @numeroteca)
11/ So if we are going to enter a car where someone else has been for a while, best to ventilate it first.

And then keep the windows a little open (see graphic), or the ventilation system going with outdoor air.
12/ Indoor spaces have to be ventilated CONTINOUUSLY while people are present in them.

Many experiments show this, e.g. by @JbcLiftec, @franj_moya, or @felisi2punto0:
13/ Measuring CO2 also shows if an indoor space may have too many people, for the available ventilation.

E.g. in this bar in Zaragoza (Spain), per measurements of @JbcLiftec.

[Opening doors helped, but too many ppl so CO2 stayed too high]

#covidCO2
14/ Article by @mariano_zafra and @javisalas, with development by @jacob_vx.

The team that brought you "A room, a bar, and a classroom." Which is a must read, if you missed it.

english.elpais.com/society/2020-1…
15/ And the same team also warned us recently about air communication within apartments in a building, and the potential risk of transmission through those.

english.elpais.com/science_tech/2…

[They deserve a medal for #scicomm when this is over]

#COVIDisAirborne #COVIDEstaEnElAire
16/ To learn more about CO2 (simple, big picture): section 9 of Scientist's FAQs: tinyurl.com/faqs-aerosol

To learn about the fine details (for scientists) see our preprint: doi.org/10.1101/2020.0…

[And I apologize for typo on #2: hopefully we are eating "food" and not "foot"]

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More from @jljcolorado

31 Mar
Aerosol Scientists Try to Clear the Air About COVID-19 Transmission

"Medical textbooks have descriptions of virus transmission that are not consistent with basic physics"

By @jrdscience in @AGU_Eos (Official pub. of American Geophysical Union @theAGU)

eos.org/articles/aeros…
2/ "@WHO’s definition of respiratory droplets is wrong. Cloud droplets are around 20 micrometers and they don’t fall to the ground, he said. That means that droplets of larger size could be airborne longer than the WHO acknowledges."
3/ “It’s just absurd”. “This still is the official statement of the @WHO, and they have refused to correct it for a year.”

"@kprather88 and others created an open-source document of frequently asked questions (FAQ) about airborne spread."[tinyurl.com/faqs-aerosol]
Read 4 tweets
31 Mar
1/ Seven Hard and Crucial Lessons of Covid-19

An invisible virus exposes critical blind spots in science and society. But will we learn?

Very useful article to reflect on the pandemic's lessons

elemental.medium.com/7-hard-and-cru…

By @RobertRoyBritt
2/ Lesson 1: Virus science just underwent a paradigm shift

"Sanitizing groceries and drowning our homes with bleach was wrongheaded, in hindsight. The main mode of transmission is through the air, by breathing in aerosols that contain the virus”
3/ L1 (cont):

"@WHO & @CDCgov have been slow to acknowledge the outsized role of airborne spread and to translate what leading experts have been saying since last spring into loud and clear advice."

“Millions of people have been infected because we emphasized defending...
Read 6 tweets
30 Mar
1/ Parece que en España damos 1 paso para adelante y 2 para atrás...

Nueva ley ha salido hoy:

- Grave error: no obliga a llevar mascarillas en aire compartido por no convivientes. En todo momento, AUNQUE SE PUEDA GUARDAR DISTANCIA.
lavozdegalicia.es/noticia/socied…
2/ No es tan difícil de entender por qué hay que llevar mascarilla en interiores EN TODO MOMENTO, independientemente de la distancia.

Hay miles de brotes de superpropagación, todos así: interiores, con distancia, sin mascarilla.

3/ O más fácil de forma gráfica:

[puntos rojos representan el virus, y puntos negros el CO2)

De @numeroteca (numeroteca.org/cat/en-el-aire/) Image
Read 10 tweets
28 Mar
1/ A sad anniversary: 1 year since one of the worst errors in the history of Public Health

SARS-CoV-2 is mostly transmitted through the air

But @WHO said, just a year ago, "FACT: IT IS NOT AIRBORNE"

And that saying it was airborne was "misinformation"

2/ We all make mistakes. But very important to correct them clearly

After saying loudly that virus only went through surfaces & large spray droplets, @WHO refuses to explain clearly that SARS-CoV-2 is airborne

Have NOT explained that their "FACT" of a year ago was a huge error
3/ It means that people don't know how to protect themselves, because they haven't explained clearly how virus is transmitted:

Like invisible smoke exhaled by the infected. We get infected by inhaling it

So ppl don't understand that indoors is dangerous despite distance
Read 13 tweets
28 Mar
1/ Aniversario funesto: 1 año de uno de los errores más grandes en la historia de la salud publica.

El SARS-CoV-2 se transmite sobretodo por el aire

Pero la OMS @WHO, justo hace un año, dijo que estaban seguros de que no, y que decirlo era "desinformación"!!

#CovidEstaEnElAire
2/ Todos metemos la pata, pero es importante corregir

El problema es q después de gritar que el virus sólo va por superficies y gotas grandes, @WHO se niega a explicar claramente que el virus va por el aire

Y no han explicado por ejemplo q ese mensaje de hace 1 año es un error
3/ Eso hace que la gente no se sepa proteger, porque no le hemos explicado cómo se transmite el virus: como un humo invisible que exhalan los infectados, y podemos inhalar en infectarnos.

Y la gente no entiende que interiores son peligrosos a pesar de distancia.

de @numeroteca
Read 13 tweets
28 Mar
1/ Un muy buen artículo en @el_pais sobre cómo evitar el contagio evitando respirar el aire de otros:

elpais.com/ciencia/2021-0…
2/ Los humanos exhalamos CO2. Nuestro metabolismo quema la comida (carbohidratos, grasas, proteínas) a CO2, y otros productos (agua, urea etc.)

El aire exhalado tiene 4% CO2 (40000 ppm). Se diluye rápidamente al mezclarse con aire ambiente.
3/ Nos contagiamos sobretodo al inhalar el virus exhalado por otros. Como los aerosoles (con virus, pero ++ grandes) y el CO2 se comportan de forma similar en el aire, el CO2 sirve de indicador de riesgo de contagio.

De @numeroteca

#CovidEstaEnElAire #SonLosAerosoles
Read 14 tweets

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