📍AIRBORNE RESTAURANT TRANSMISSION—3 families—“No close contact or fomite contact identified, aside from back-to-back sitting—Airflow dynamics indicates the infection distribution is consistent with a spread of **long-range transmission of exhaled virus-laden aerosols**”. 🧵
2) It was clearly aerosol airborne transmission— “No sharing of items (e.g., a kettle) was observed between the three tables and no conversations occurred between the three families.”

sciencedirect.com/science/articl…
3) here was the air pattern—“The infection risk was also higher for patrons at zone-ABC tables (red) than those at non-ABC zone tables (χ2 = 25.78, P < 0.001). None of the patrons seated in the non-ABC zone were infected.”
4) Bottomline: the coronavirus is VERY airborne.

➡️ Anyone else feel like indoor school cafeteria lunchrooms without masks are a bad idea?

We need to ventilate + use CDC approved air disinfection. Outdoor lunches safest for kids. Let’s get these upgrades for kids schools now!
5) Have we seen indoor transmission in a restaurant before? Many many times. This South Korea 🇰🇷 infection stood out — it was from 20 feet away and a teenager was infected within just 5 minutes in the restaurant! See 🧵
6) How is aerosol different from large droplets? aerosol study indicates that coronavirus is persistent and stable for many hours. Typical air exchange every 20 min to 4 hrs, depending on ventilation. #COVID19
7) VENTILATION is key. Both ventilation and masks needed to reduce risk indoors. But most buildings not ventilated well enough.

8) “Until we recognise that #COVID19 is airborne we are setting ourselves up for repeated failure”

P.s. they don’t use masks in video because Australia 🇦🇺 is at almost #ZeroCovid #COVIDisAirborne

9) Now that aerosol transmission of the coronavirus is established, we need to disperse aerosols quickly. Key is ventilation. 🇯🇵 assumed it was airborne from the beginning. Here is how to ventilate your school classrooms if unable to open window. #COVID19
10) What we critically need in schools and restaurants is VENTILATION & AIR CLEANING whenever ventilation isn’t enough.

Air cleaning should be restricted to just CDC approved products. See detailed thread 🧵 below on CDC guidance on safe school air quality ⬇️
11) We need >=5 air exchanges per hour. Most classroom ventilation only offers 1-2/hour. Need air disinfection via portable HEPA filters or UV disinfection—do *not* use ionization based devices, says @marwa_zaatari, indoor air expert.
12) here are a list of key priority elements for safe schools (and restaurants) endorsed by CDC or by multiple indoor air experts.
13) BARS➡️OUTBREAKS. Over 600 students in one rural Illinois county were affected when a #COVID19 outbreak forced their school to close earlier this year.

📍The CDC now says a poorly ventilated bar opening event is to blame.

Damnit it’s airborne people.
bnd.com/news/coronavir…

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More from @DrEricDing

7 Apr
Disgusting—While Brazil 🇧🇷 had 4000+ #COVID19 deaths yesterday, Bolsonaro today decided to bash LGBT on HIV, claims there’s no vaccine for all the world, none in Africa (false—many vaccine trials done in 🇿🇦), & continues to push unproven drug therapies.

#Sosbrazil #Sosbrasil
2) There is a reason why I said “Brazil is like a Fukushima, it can put the whole world at risk”. theintercept.com/2021/04/05/ent…
3) I agree with @MiguelNicolelis — Brazil’s COVID crisis is like a Fukushima disaster that is going out of control.
Read 4 tweets
7 Apr
Michigan confirmed new hospitalizations for #COVID19 has soared an alarming +43% in just one week!

It’s now more than double the national US per 100 bed rate (12 vs 5).

Nursing home staff cases also up +8% in one week. Positivity up 4% points in one week. Not good. Image
2) Moreover, hospital admissions among 18-39 year olds are also up substantial % in the last 2 weeks (see dark orange below).

healthdata.gov/Community/COVI… Image
3) Here is Michigan cases now versus one month ago... huge surge. #COVID19 Image
Read 4 tweets
7 Apr
📍HUGE STUDY—One in 3 #COVID19 survivors received a neurological diagnosis within 6 months of infection—1 in 8 with first ever diagnosis, says study of 230,000 patient records. Also COVID patients had higher risk of dementia, anxiety, Parkinson’s vs flu.🧵
thelancet.com/action/showPdf… Image
2) Across all patients, #COVID19 infected (vs other respiratory infections) yielded higher risk for these diagnoses:

📌brain hemorrhage
📌ischemic stroke
📌Myoneural/muscle disease
📌Dementia
📌Encephalitis
📌Mood/anxiety
📌Substance use
📌Insomnia
📌Parkinson’s (vs RTI) Image
3) Moreover, the higher risks are not just for hospitalized patients. Even in **non-hospitalized #COVID19**, higher risks of these outcomes were still found:

Any brain hemorrhage
Ischemic stroke
Parkinson’s (vs flu)
Nerve disorders
Dementia
Mood/anxiety
Substance use
Insomnia Image
Read 5 tweets
7 Apr
💡Proposal—what if the Biden @StateDept authorized all US Embassies and Consulate abroad to share US #COVID19 vaccines? It could technically skirting the Trump WH contractual bans against donating & using them outside of “US Territories”. I hope @SecBlinken @ABlinken considers.
2) And not just US citizens would be eligible. But maybe there can be a section of US embassies / consulates that can offer it to non-Americans too theoretically if they came to the Embassy. There is no “citizens only” clause, just a “US territory” clause.
3) In addition, US military bases abroad. And maybe US entry Pre-clearance zones in which are considered as having “entered the US”.

I know embassies and military bases are still consider foreign soil, but they are under official US sovereign control. It’s grey area for sure.
Read 4 tweets
7 Apr
📍NEW—We now know why US cannot share its #COVID19 vaccines with the world—Trump WH had forced legal contracts that blocks US doses by Pfizer, Moderna, AstraZeneca, J&J from being donated. Hence 🇨🇦&🇲🇽 only got “loans”, despite >45 mil dose US surplus. 🧵
vanityfair.com/news/2021/04/w… Image
2) “The contracts the Trump administration signed with the vaccine manufacturers prohibit the U.S. from sharing its surplus doses with the rest of the world. According to contract language VF has obtained, the agreements with Pfizer, Moderna, AstraZeneca, & Janssen state:
3) ““The Government may not use, or authorize the use of, any products or materials provided under this Project Agreement, unless such use occurs in the United States” or U.S. territories.
Read 19 tweets
6 Apr
⚠️1 in 4 people infected or 1.1 million people now suffer #LongCovid in the U.K. 🇬🇧

📌REPEAT: ~25% who got #COVID19 now suffer long term persistent symptoms.

📌29% of all #LongCovid are under age <35

📌Top 2 occupations: healthcare workers & teachers.🧵
statista.com/chart/24561/uk… Image
2) Healthcare workers in 🇬🇧 NHS - 122k of them — are really struggling with #LongCovid.

Teachers are too.
3) Now there is the issue of #LongCovidKids too... the American Academy of Pediatrics now recommends all kids to be examined for post #COVID19 assessment before any physical activity.
Read 5 tweets

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