Partial good news out of @CDCgov today. cdc.gov/coronavirus/20…
Recognition that fomites are a minor route, and stop the #hygienetheatre . Also good, and pathbreaking that they cite #QMRA studies in support. 1/N
Interesting that they use a 1/10,000 from a surface contact as being indicative of low risk from fomites (many of us have seen that number before). But, still some problems in this updated science brief. 2/N
Opening sentence: "The principal mode by which people are infected with SARS-CoV-2 (the virus that causes COVID-19) is through exposure to respiratory droplets carrying infectious virus." While they don't use the word #aerosol in the body 3/N
of the text, this sentence does IMHO give de facto recognition of the inhalation route that many have been concerned with: "When a person with suspected or confirmed COVID-19 has been indoors, virus can remain suspended in the air for minutes to hours." 4/N
and #ventilation is at least mentioned "During the first 24 hours, the risk can be reduced by increasing ventilation". So I am starting to think that CDC is on the road to Damascus, but has some distance yet to get there. Curious to see what my tweeps may think. end/N
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The fallacy of #fomites.
There has been a lot of attention devoted to the potential transmission of #COVID19 by fomites, a lot of money and time spent on "sanitizing" surfaces, and on marketing various chemicals, treatments, etc. 1/N
While generically, cleanliness is good, I am convinced that the vast amount of these efforts when targeted at #COVID19 are misguided and represent more #hygienetheatre than true prevention. 2/N
First, I have yet to see any reports of transmission that convincingly demonstrate a fomite route (as opposed to a couple of cases reports that allege this as a diagnosis of exclusison, while failing to consider more plausible routes such as aerosols). 3/N
I wish in this rush to reopen, there was not the unstated assumption that everyone can just hop into their private car (bubble) and get from the personal home to their personal office. We don't have teleportation. 1/N
Some must rely on public transit and may not have other options, and the comfort level with this needs to be substantially assured. In office buildings, there is growing recognition of "choke points" such as 2/N
elevators, lobbies, etc., which could make gathering points for people. In schools and universities, corridors, stairways, etc. have not been designed for efficient movement in a physically distanced way. This 3/N