Lazarus Long Profile picture
Aug 11, 2021 29 tweets 14 min read Read on X
A mega thread on the ultimate DIY air filter known as the Corsi/Rosenthal Box (@CorsIAQ/ @JimRosenthal4).

Take it into work. Donate a couple to your school classroom if they'll let you.

Illustrations beautifully done by @ughberta, discovered through @kprather88.

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But my little angels don't transmit CoVid!?

They have ACE2 receptors, which SARS-COV-2 targets.

They get it and transmit it.

And those little bodies have a thermal plume wafting CoVid up to you.

. link.springer.com/article/10.100…
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Always a typo, no matter how many times you go over it....

Sorry - @Poppendieck has a great FAQ here - used up above!



Another classic FAQ is one maintained by about 10 aerosol scientists.


poppendieck.com/IAQ/COVID19%20…
tinyurl.com/FAQ-aerosols
Above...about 40,000 tweets ago, you mentioned 5 microns...and seemed excited about it. Why?

Respiratory aerosols (emitted when we breathe, talk, laugh, yell, sing, cough, sneeze) carry SARS-COV-2.

And 85% of them are 5 microns or smaller.

Used for Bacon. Gets it's very own tweet. Mmmmm. Bacon....

Pulling this up into the thread for optimum visibility.

Thank you, David!

(A great follow!)
Your lungs will thank you!

Next tweet...this is the hand sanitizer for the lungs you've always needed. Just without that bad smell...

This spacing is really excellent.

The one thing I would change, based on @Poppendieck's recommendation is to flip the box to be pointed up.

So any dried respiratory aerosols (carrying SC2) on the ground are not lifted off the ground (re-aerosolized).


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Would these help in a hospital with already great ventilation?
(H/T
)

Yes.

Preprint, but Dr. Marr is serious money:



Great discussion of why they still help in such already great ventilation:


And that tweet author is the lead on this study showing basically the same:


Same study, but a great tweetorial, too.

Ontario, Canada bringing in 20,000 portable air cleaners.
Someone asked how to dispose of the filters.

Put on your N100 elastomeric respirator (more comfortable than N95).



Carefully, pick up the Corsi box and gently take it outside.

Since you used painter tape, gently peel it back to get the fan off.
Separate the filters and gently place in a garbage bag. Do not shove them in as might have virus in them and don't want the garbage bag blowing the virus back on you.

Tie the bag tight. Toss into garbage.

Make new box!

Why not spray disinfectant on it?

Because by the
time the garbage bag degrades the virus will have been activated...

nejm.org/doi/full/10.10…
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Corsi/Rosenthal Thread Update:

Some folks, (mostly teachers) cannot bring in an air cleaner. But can bring in a fan.

Here's a fan that has a filter built into it! So, a stealth air cleaner.

"Lasko FF305 Air Flex 2-in-1 20-inch Box Fan and Air Purifier in One with MERV10 Image
Air Purifying Filter"

Won't be as good - but something is better than nothing!



H/T @kprather88 for this. She is NOT endorsing it - I am just thanking her for the knowledge of its existence, and I am the one suggesting it would make a great stealth one.walmart.com/ip/Lasko-FF305…
The filters here: are 13-A - so I would buy one and swap out the MERV 10 that it comes with.



No affiliation, just these are hard to find.
@Al_pha_Q2 @CorsIAQ @JimRosenthal4 @ughberta @kprather88 @CathNoakes might require slower air to do its job. Not as familiar with that tech, so happy to stand corrected if wrong.
@Debbie_Winslow_ @ManTh1ng @tafkak @CorsIAQ @JimRosenthal4 @ughberta @kprather88 @DavidElfstrom But ...I am NOT the expert here, so if any of the actual experts could "like" the above tweet, or otherwise correct my ruminations, I'd be most appreciative :). .
@Karthik07720496 @CorsIAQ @JimRosenthal4 @ughberta @kprather88 improved by implementation of 2 portable air cleaners.

Dr. Schofield's excellent study here - with an explanation of why:


And yes, it will reduce virus transmission by removing the respiratory aerosols that carry SARS-COV-2.

&

@dgurdasani1 @laineydoyle @DavidElfstrom @fischelfe @CorsIAQ @JimRosenthal4 @ughberta @kprather88 @CathNoakes @Poppendieck But round fans are addressed here with some examples:


Overall FAQ here - includes all build instructions for 5/4/2/1 filter versions. (Actually working on finishing up the 5 version).

cleanaircrew.org/boxfanfilterfa…
cleanaircrew.org/boxfanfilterfaq
Mega Corsi/Rosenthal Box Thread Update:

David Elfstrom has done a fantastic triangle filter build with estimated CADR.


It, along with everything else, is now in the FAQ:


One of the FAQ's is the Gallery - check it out!
cleanaircrew.org/boxfanfilterfa…
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Mega Corsi/Rosenthal Box Thread Update - Adding the Baskett Box (3 filter build).

Wow! An update to the Mega Corsi/Rosenthal Box Thread that kind of went a little viral.

Here's a fan that has a filter built into it! So, a stealth air cleaner.

"Lasko FF305 Air Flex 2-in-1 20-inch Box Fan and Air Purifier in One with MERV10."

Next tweet - a surprisingly Image

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More from @LazarusLong13

Nov 13
A study demonstrated 100% PERFECT protection against SARS2 w/ readily available KF94s

✅ 181 HCWs
✅ 1 got SARS2 antibodies, but an epi investigation -> the infection happened elsewhere.
😡 The final checkpoint was March 2021. N95s only became freely available 1 month later
/1 FDA: N95 masks, now plentiful, should no longer be reused  By MARTHA MENDOZA and JULIET LINDERMAN  (Associated Press)  April 23, 2021 12:44 p.m.  Medical providers may soon return to using one medical N95 mask per patient, a practice that was suspended during the pandemic due to deadly supply shortages
What is described in the tweets
in the USA.

Korean study:
jkms.org/DOIx.php?id=10…

This is in comparison to a Swiss study during the same rough time-frame. A study which did NOT show the same excellent results, but dismal results. Why?

The Swiss had the same sort of fit testing,

pubmed.ncbi.nlm.nih.gov/35123572/ Results: We enrolled 3259 participants from nine healthcare institutions, whereof 716 (22%) preferentially used FFP2. Among these, 81/716 (11%) reported a SARS-CoV-2-positive swab, compared to 352/2543 (14%) surgical mask users; seroconversion was documented in 85/656 (13%) FFP2 and 426/2255 (19%) surgical mask users. Adjusted for baseline characteristics, COVID-19 exposure, and risk behaviour, FFP2 use was non-significantly associated with decreased risk for SARS-CoV-2-positive swab (adjusted hazard ratio [aHR] 0.8, 95% CI 0.6-1.0) and seroconversion (adjusted odds ratio [aOR] 0.7, 95% CI ...
PPE monitoring.

What was the big difference?

Are N95s/FFP2s inferior to KF94s?

No, it was supply - and other reasons.
Read 10 tweets
Nov 2
Thread of debunking the myth that "babies should not be masked."

A baby uninfected is better than a baby infected.

If you oppose masking babies, you are immediately for infecting babies.

Let's get to it. A most excellent instruction page on how to mask babies.  Suck it antimaskers.
This solves an equity problem.

Not everyone has the money or technical skill to build a baby buggy PAPR.

Just like not everyone has the money to buy an adult PAPR.

Are you for people on SNAP being able to protect their babies? Or not?

Most can rustle up the money to buy some uber cute baby masks!

This is the link from the baby zine.

These need to be fit tested.

Now, let's get into the good stuff. The "OMG Laz has gone too far! We've got him!"

You better bring your A game.

aliexpress.us/item/325680749…
Read 39 tweets
Oct 22
If you are Covid Aware you have probably been avoiding the dentist. Well, the dental studies have come to you.

This edition? #CovidAwareSoReducingDentalVisits - Water flossing (WF) edition.

Or, as I like to think of it, the Gum Salon.

Thread.
Flossing is necessary for those super tight contact points as you see in the above thread, and is great to remove plaque down 1 mm deep in the gum line (gently).

InterDental Brushes are fantastic and go down 2-3 mm into the gum line to remove plaque.

And WFs in general, are, well, amazing!!

They basically go back and forth with InterDental Brushes on which is better as far as being the top of the food chain for overall cleaning of the space between your teeth.

But.

If you have gum recession, you may have this Image
Read 19 tweets
Oct 9
I remember why I got going on this run of dental care threads.

I got a root canal, and then a cleaning. The hygienist told me that masks cause dental problems. I didn't say anything, but that's complete horse...puckies.

#CovidAwareSoReducing - Plaque/ Toothbrush edition.
It upset me, to be frank, and when I get fired up, I act. Since she is very nice, albeit uneducated on masking, I let it go - with her.

But I decided to figure out what I was doing wrong.
And it was everything.

I was brushing and flossing losing 1-2 microns of enamel
after brushing/ flossing, immediately after eating.

I was nursing sweet Monster/ Starbucks/ my own sweet coffee drinks ALL DAY LONG. A bubbling vat of acid in my mouth.

I was doing the Dr. Ellie Phillips system - but just missing the boat on the importance of replacing sugar
Read 27 tweets
Oct 8
#CovidAwareSoReducingDentalVisits - less mouth open = less 'vid risk.

I am a GREAT flosser. My family thought we had genetic gum disease.

Below we can see rubber stick on the left, floss on the right, and a InterDental Brush (IDB) in the middle.

See the problem?
/1 Image
A couple more example pics on why I am sick to my stomach thinking of all that money wasted.

We THOUGHT we had great dentists. Not a single one mentioned IDBs, and how the bristles allow all interdental spaces to be reached.

And it gets better!

/2 Image
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IDBs actually reach down in between the gum and teeth - 2-3 mm. Floss? Only 1-2 mm.

As plaque grows down into and touches your gums, that's what causes them to get inflamed - and begin to retreat (very simplified).

If you brush that space? Problem solved.

/3 Floss, Interdental Brushes, and Waterpics Use all of them - floss works great for those narrow spaces.  Interdental Brushes (IDB) work great in larger spaces.  Waterpics work great immediately after eating, as you want to wait for an hour eating acidic/sweet just like regular brushing.  It is a mistake to NOT IDB.  Multiple studies indicate IDB is good, including this RCT where IDB was better than flossing (free version - great how to brush) - with people with chronic periodontitis.  Students found IDB to be better.  But IDB is better than rubber picks is better than floss.  IDB way better ...
Read 25 tweets
Oct 7
Covid Aware Teeth

The Calcium Lactate Rinse. Cheap, super easy to do - and it really enhances your fluoride uptake to re-enamel your enamel.

It's just not very well known, despite being very well supported within studies - and very cheap.

Mix 1/8 tsp with 1 oz water. Shake
thoroughly, till the granules disappear. Takes a few or 20 shakes, then just wait. Rinse for 1 minute. Spit out.

Immediately brush with fluoride or fluoride rinse.

There might be a better powder
amazon.com/dp/B0DHXX9LYC?…

1/8 tsp
amazon.com/dp/B0D5LH3K1H?…

pmc.ncbi.nlm.nih.gov/articles/PMC38… Image
I use the same 1 oz shaker as my stannous fluoride rinse comes in.

(That fluoride rinse was $4 cheaper at my dentist than this $24.

My Prevident 5000 ppm actually did not need a prescription - if bought from my dentist, as a couple of side notes.)

amazon.com/3M-ESPE-PerioM…
Read 24 tweets

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