1/ Helpful clarification by #CDC w/ important practical implications to avoid wasting energy & money on excessive surface cleaning:
"each contact with a contaminated surface has less than a 1 in 10,000 chance of causing an infection"

HT @JudahWorldChamp
cdc.gov/coronavirus/20…
2/ Important to note that COVID can potentially spread in individual cases via direct/surface contact, via cannonball-like droplets, or inhalation of aerosols.

The brief clarifies that surfaces are statistically very unlikely to cause many infections; so focus most on the air.
3/ From CDC brief today:
"However, based on available epidemiological data and studies of environmental transmission factors, surface transmission is not the main route by which SARS-CoV-2 spreads, and the risk is considered to be low."
4/ As imp. contrast, CDC brief also specifically points out that increasing #ventilation actually provides a practically important reduction of "airborne transmission cases." (via @JudahWorldChamp)
[but their explanation of droplets still confusing]
Image
5/ 'Science brief' today on fomite/surface spread 👆 is a good example that #CDC can eventually come around to consensus from airborne experts, just w/ some extra months.

Excellent article by @dyanilewis on need to focus on cleaning air more than surfaces
nature.com/articles/d4158…

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More from @HuffmanLabDU

30 Mar
New pre-print: “Respiratory aerosols and droplets in the transmission of infectious diseases”

Happy to contribute to this deeply detailed review paper by Mira Pöhlker et al. & colleagues at the Max Planck Institute for Chemistry.

Link: arxiv.org/abs/2103.01188…

A 🧵summary (1/x)
2/ Preprint review is very detailed: 50 pgs, 20 figures, 7 tables, >360 references.

☑️Reviews literature:
- Respiratory particle size distributions (rPSDs)
- Physical properties
- Emission & shrinkage mechanisms
☑️New multimodal parameterization of rPSDs
☑️Practical perspective
3/ The review ends by showing a parameterized size distribution of respiratory particles & the risks in different parts of a room using #masks, #ventilation, and #filtration. Broad application to SARS-CoV-2 other respiratory viruses.

Link: arxiv.org/abs/2103.01188…
Read 16 tweets
9 Mar
Frequently questions about type of room air filtration & if #ionization is a useful upgrade.

Nearly always, simple filtration is sufficient for most people. Study here shows a bipolar ionizer also *not* useful at reducing PM2.5. Thx @JimRosenthal4. (1/x)
sciencedirect.com/science/articl…
2/ "[experiments] ... suggest that operation of the ionizer unit led to a small increase in loss rates for ultrafine particles (<0.15 μm) and a small decrease in loss rates for larger particles (>0.3 μm), but with negligible net changes in estimated PM2.5 loss rates."
3/ In contrast to relative ineffectiveness of ionization technology to reduce concentration of suspended particles in a room, simple #HEPA filtration does an *excellent* job. See e.g. examples in this 🧵 showing filtration in a school classroom.
Read 7 tweets
7 Mar
1/ More good support that indoor dining is challenging (no masks indoors = risky). Nice article by @RoniNYTimes, w/ comments from knowledgeable folk following a recent CDC #MMWR report.

Amazing this still needs to be news (but it is & still important).
nytimes.com/2021/03/05/hea…
2/ “You have decreases in cases and deaths when you wear masks, and you have increases in cases and deaths when you have in-person restaurant dining,” said #CDC director Dr. Rochelle Walensky
3/ Unfortunately, the Nat'l Restaurant Assoc called the #CDC report “an ill-informed attack on the industry hardest-hit by the pandemic.”

I feel for restaurant owners & workers. I honestly can't imagine the difficulty through the pandemic. But the challenge & risk is legitimate.
Read 5 tweets
27 Feb
🧵1/ The #CDC update today (2/26) on "Ventilation in Schools and Child Care Programs" looks like good progress.

Details on #ventilation, #filtration, #bettermasks, w/ helpful links. Seems they're listening to @kprather88 @j_g_allen @CorsIAQ and others?
cdc.gov/coronavirus/20…
2/ The relatively short #CDC page seems to have more succinct, yet clear #K12 guidance & connection to other pages of support.

Though I admit, I haven't digested yet fully. What are your takes? (also e.g. @jljcolorado @linseymarr @ProfCharlesHaas @Don_Milton @ShellyMBoulder)
3/ I was pleased to see early mention that "Wearing a well-fitting, multi-layer mask helps prevent virus particles from entering the air or being breathed in by the person wearing the mask."

(BTW, need for good fit implies aerosols)

Links (twice) here:
cdc.gov/coronavirus/20…
Read 17 tweets
27 Feb
Opening #K12 schools safely requires applying the right airborne prevention. This article interviews the right people; listen to them!

"The state of ventilation in schools in the United States right now is woefully inadequate": @CorsIAQ

HT @jljcolorado
cnn.com/2021/02/25/hea…
"Right now, schools are looking to CDC and they are not getting the answers to the kinds of things we are talking about." "All of them look to CDC." said @CorsIAQ
"If you look at all the high profile outbreaks -- same underlying factors -- no masks, low ventilation. It doesn't matter if it's spin class, ice hockey, camps, classrooms, choir practice or restaurants, (it's) the same underlying factors" said @j_g_allen
Read 4 tweets
25 Feb
The more I read this story of #superspreading in a Chicago gym, the more outrageous it is, especially this late in the game. A few amazing quotes below.

So preventable: distance, wear good masks, improve ventilation & filtration.

HT @linseymarr (1/x)
cdc.gov/mmwr/volumes/7…
2/ Just amazing this can be true ...

"Overall, 43 (78%) attendees with COVID-19 participated in multiple classes while potentially infectious.* Twenty-two (40%) attendees with COVID-19 attended on or after the day of symptom onset."
3/ This is why #COVIDisAirborne education is critical:

"Patrons brought their own mats and weights and were stationed ≥6 ft apart."
"Mask use, temperature checks, and symptom screenings were required on entry"

"however, patrons were allowed to remove masks during exercise." 🤦‍♂️
Read 7 tweets

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