A quick 🧡 highlighting some points from the brilliant @TheLancet article authored by @trishgreenhalgh @jljcolorado @kprather88 @zeynep @DFisman @chipatucsd 1/
2) This will be biased since I admire and respect the authors - so that is my admission.
3) Ten scientific reasons in support of airborne transmission of SARS-CoV-2
thelancet.com/journals/lance…
Authors provide arguments in favour of their position and detractors are free to come after these points, if they can
4) Some great quotes:
β€œIf an infectious virus spreads predominantly through large respiratory droplets that fall quickly…”
- droplets "DROP"
5) β€œSuch policies need not distinguish between indoors and outdoors, since a gravity-driven
mechanism for transmission would be similar for both settings.”
-Gravity is always a great equalizer
6) β€œ...attention to mask quality and fit, and higher-grade protection for health-care staff and
front-line workers.”
- note that they are advocating for better protection for HCWs and other frontline and exposed populations
7) Now to their 10 points
1⃣ Superspreaders and overdispersion
8)
2⃣ Long-range transmission in quarantine hotels
9)
3⃣ Asymptomatic or presymptomatic transmission (no coughs and sneezes for goblets of snot, breathing and talking enough)
10)
4⃣ Indoors a much higher risk and can be reduced by ventilation
11)
5⃣ Nosocomial infections with strict droplet precautions in place
12)
6⃣ Viable virus samples from the air
13)
7⃣ Finding virus/RNA segments in palace only aerosols could reach (air filters, ducts)
14)
8⃣ Animals infected via duct connection that only aerosols can negotiate
15)
9⃣ No convincing proof of absence of #airborne transmission
πŸ”Ÿ Limited evidence for other modes of transmission
16) So that is the position, clearly put together through 10 points. Detractors can very well argue the science, but please refrain from straw man arguments or arguments of "this is not how we do things" \end

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More from @akm5376

10 Apr
Situational #Airborne is not a real thing if the so-called situations are the norm! A 🧡 of these situations, likely to contain many places or situations you too frequent 1/
2) In a long bus journey - quite normal for many people commuting between home and work places

jamanetwork.com/journals/jamai…
3) From an inflatable costume at a party - unless you lack a friend group, you will be going to some parties/gatherings?
nytimes.com/2021/01/03/us/…
Read 23 tweets
8 Apr
#COVID19 and a tale of two gyms in a 🧡
Gyms are high risk situations since you are exerting and breathing in a lot more than you would usually do. Everything else remaining same, a gym could be 5 times more risky than a classroom 1/
2) Outbreak in a gym, leads to >400 cases
globalnews.ca/news/7744065/q…
3) Staff and clients got infected, they unknowingly carried the virus to a wide range of locations - grocery stores, homes, and workplaces
Final result 419 cases and counting
Read 19 tweets
2 Apr
What do we mean by #UseAirbornePrecautions? There are clear guidelines in health care settings, but what do we mean by it for the public? A 🧡 of 🧡(met-thread) on this. Strap in, this will be long 1/
2) First, this is not the first #airborne problem we have faced, and it won't be the last. And not all of them are exotic pathogens. Some could be as mundane as dust, smoke, pollens, volatile/semi-volatile organic compounds. They are all around our living space
3) Not all #airborne troubles are created equal. For example, I am a lot more allergic to cigarette smoke than incense. This varies from person to person and trouble to trouble. Some do not have any smell and can still be a "headache".
Read 41 tweets
3 Mar
Twice in as many days, again a 🧡 examining a specific document. This time, I am not very impressed with the document. The document being -
"Should all healthcare workers caring for patients with COVID-19 wear FFP3?"
ips.uk.net/post/news/shou…
1/n
2) Conflicts/Bias - I do not know the author of the document, and I am seriously biased against messy reviews of selective evidence.
3) The title is as a question. My observation - If you are asking this question, you already have an answer in your head "NO" and your entire effort is going to be to justify that answer.
HCWs deserve the best protection available, period.
Read 37 tweets
2 Mar
The @WHO recently brought about ventilation related guidelines, focused on the #COVID19 #pandemic
A 🧡 with a tour through the document
apps.who.int/iris/handle/10…
1/n
2) Document entitled "Roadmap to improve and ensure good indoor ventilation in the context of COVID-19"
- very specific and focused name though in the document they also state that these steps will have long term benefits, non-Covid ones as well
3) Conflict declaration - The Advisory committee that helped craft this, among them there are people I know personally and some are my former supervisors, people who taught me what I know about indoor air, so my view could be biased
Read 29 tweets
1 Feb
In July 2020, just as #Singapore was starting to open up after the #CircuitBreaker, the National Research Foundation of Singapore decided to fund projects that would look at life in the new normal - opening up while mitigating #COVID19
2/ I was then working @CREATE_NRF, with Berkeley Education Alliance for Research in Singapore (#BEARS) and we were fortunate enough to be funded for our idea
3/ "AUTOMATED DECONTAMINATION OF WORKSPACES USING UVC COUPLED WITH OCCUPANCY DETECTION"
The idea was, UVC can harm occupants but over the past years, occupancy sensing has also improved by leaps and bounds
Read 8 tweets

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