Asit Profile picture
Aug 10, 2021 12 tweets 4 min read Read on X
A few days back, I posted this graphic that created quite some interest and confusion too. So, trying to put it together in more than 240 characters now - 🧵 1/ Image
2) The original idea came from ACGIH, trying to stress the point that essential worker, beyond healthcare, also need better masks, better respiratory protection.

acgih.org/covid-19-fact-… Image
3) Their assumption was that if without masks, it takes 15 minutes for a vulnerable person to inhale enough virus loaded particles to get infected, under the same conditions, how much can masks delay this time needed to reach infectious dose.
4) Here, 15 minutes is a starting assumption. It is not a saying that 15 minutes is always what it takes. You just need to start from a point to build on it.
5) The other option would have been to use x, 1.5x, 2x, 10x etc, to stress that these are all relative risks. But, concrete numbers are easier for people to wrap their heads around than algebraic correlations, so I think the choice of minutes makes more sense.
6) So, just to reiterate, these are all evaluations of relative risks, i.e., if it took 15 minutes, without masks, how much could masks protect us more, under same conditions.
7) I took the idea and started with 10 minutes instead of 15 - by that time, it was well known that it can definitely take less than 15 minutes. I needed to start t some point and chose 10 minutes based on the Korean restaurant findings. doi.org/10.3346/jkms.2…
8) So starting from 10 minutes, for no masks, for the wild variant, we have some numbers for the different mask configurations.
For all masks, I am using the same protection for both inward and outward filtration, except for cloth masks.
9) For Surgical masks, I am using 50%, for surgical masks fitted with a brace, 80%, for N95 90% and fit tested N95 99%. For cloth masks, I am using 30% inward and 40% outward.
10) So, based on these assumptions and starting point, we arrive at this figure, while assuming that #Delta can be ~2.5 times more transmissible, mostly due to more viral shedding. Image
11) The intention is not to provide you a number on how long you will be safe, but to help visualize how much risks increased with #DeltaVariant. Earlier, if fitted surgical masks were enough for you (~4.2 hours), now you may need respirators (~6.8 hours) \end
Redid the schema with X, instead of absolute times, just to reinforce the point that these are estimates of relative risks. Specifically, focus on what Delta did to our situation. Image

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More from @akm5376

Jan 9, 2023
popsci.com/health/survivo… A thread on long term impacts of polio for the survivors.
TLDR: Post polio syndrome warns us of what post covid/long covid could look like in the years to come. 1/
Polio, a dreaded disease during the 1940s, 1950s is a distant memory for most of us now. "By the 1940s and early 50s, the polio terror was killing or paralyzing more than a half million people globally each year."
2/
In mid 1950s, highly effective vaccines came out, eradicating the disease from entire countries - this was a high point for public health 3/
Read 20 tweets
Jul 13, 2022
#PollensAreAirborne
Average pollen size 25 microns, i.e., about 125 times larger than respiratory aerosols carrying pathogens.
He investigated over 80 types of pollens, concluding grasses caused the greatest reaction. He was in correspondence with Darwin:
Darwin asked if there is a difference between plants that pollinate by wind and those that pollinate by insects.
Can pollen be carried large distances in the upper regions of the atmosphere? Blackley wrote on 7 July 1873: "his experiments ... inspired by Darwin’s ... collecting atmospheric dust at Porto Praya"
darwinproject.ac.uk/humannature/20…
Read 7 tweets
Jun 25, 2022
A 🧵on mitigating against heatstrokes, especially during heatwaves but generically, during the entirety of summers.
This is based on a bit of my experience of 25+ Indian summers and a bit of my research background 1/
Locations previously unacquainted with hot summers now have to face them. And in the tropics, you have longer periods of high temperatures. Both things can be scary when it comes to a heat stroke. 2/
A very basic thing, but bears repeating. Hydrate. And carry a bottle of water, since you never know when thirst might strike. 3/
Read 29 tweets
Apr 19, 2022
[nature.com/articles/d4158…](nature.com/articles/d4158…)

****Why the WHO took two years to say COVID is airborne****
In short: hubris, conservative thinking, group thinking, and the group defending its own. A 🧵 on the Nature article 1/
2. WHO categorically tweeted in March 2020, “FACT: #COVID19 is NOT airborne,” - shouting out how sure they were about the statement
3. Their recco based on decades-old infection-control teachings. Also included one metre distancing and handwashing and surface disinfection. In the last 6 decades, their understanding of respiratory infections has not evolved
Read 29 tweets
Apr 11, 2022
The obsession with returning to "normal" has more to do with collective inertia than any love for "normalcy".
What was so special about the normal we want to return to? And in our fetish for a return, we missed so many opportunities of making things better. A dynamic thread 🧵1/
2/ Flushing toilets is a significant aerosol generating process. The pandemic should have opened our eyes to this. Just put the lid down when flushing, even at your own home. Even if those are your germs, do you really want them all through the home?
commons.wikimedia.org/wiki/File:Toil…
3/ Outdoor dinning - weather permitting and sometimes, even when weather not exactly permitting. We know how to make ourselves locally warm. All it needed was focus and some investment. Some took the initiative, but largely, we seem to be okay with eating inside stuffy rooms 🙄
Read 6 tweets
Jan 27, 2022
One more attempt at making a visual engagement for emphasizing the importance of better masks. This effort was led and culminated by @Its_Airborne - I am too lazy otherwise.
What started with a thread, is now interactive:
bettermasks.its-airborne.org
This is a schema intended for two purposes -
1) To give a visual depiction of how much better respirators can be than cloth or surgical masks due to their better fit and filtration.
2) To give a feeling of how things have changed with variants. For example, is cloth masks on everyone gave a certain level of protection with the wild variant, with omicron, you may now need surgical masks with fit adjusters for the same level of protection.
Read 16 tweets

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