So are we satisfied? No, not really. If we had a do-over: 6 air changes or more, so more clean air per kid; 2 “True HEPA” air cleaners (no negative ions) in ALL or at least the ⅓ worst rooms, and classroom CO2 monitors to identify risky spaces, prompt teacher to open windows.
There is a major benefit to bringing classroom ventilation and filtration up to code, or just past code, and it's especially big for classrooms that had the least air coming in at the start. So while we'd push for greater, also want to recognize this!
Risk is increased by more infectious Delta 🦠, full classroom occupancy, no-quarantine policy for exposed masked or vaccinated children, reduction in who's a close contact, and reduced distancing.
Any increase to the targets for ventilation/filtration helps offset this.
Wish parents could organize drive to buy extra True HEPA cleaners (choose one model) for equitable distribution to all schools, to double up in the classrooms. Real HEPAs provide steady risk reduction by removing particles in air — not as variable as all the different masks.
Last year, because APS ran at about half capacity or less with hybrid, many classrooms probably DID have about 10 L/s/person of uncontaminated air, the international engineering group's target. Cases seemed under control.
This year, with full capacity, they basically cut the amount of uncontaminated air per kid in half. So increasing ventilation again (get additional True HEPA cleaners that are real HEPA cleaners) should be considered. But all school officials have just tuned out this issue.
2/ There was some inaccurate information being put forth that these machines were not ionizers, because they were not listed by the California @AirResources Board as ionization devices.
But these machines do indeed have an ionizer. 👇
3/ The use of additive and electronic air cleaning devices, often marketed with HEPA in the name although they ARE NOT HEPA cleaners, has come under scrutiny this year.
Isn't this how we'd hope to handle these situations at work? 👇
2/ Worker 😨, calling boss: Hey, I sat next to someone w/ COVID-19 for 7 hours yesterday, but am vaccinated; can I come into work and wear a mask? Have lunch in the cafeteria?
BOSS: No, work from home. Some vaccinated people have spread COVID-19. Get tested. Then come back.
3/ Worker 😨, calling boss: Has anyone in my work group had COVID-19 recently? I'm off to see my immunocompromised elderly mom, wanted to know.
BOSS: Sure, I'll check, but didn't you get that notice we sent, about case in building? Ought to get a test, in case you crossed paths.
1/ Thought-provoking 🧵 on how Delta variant may be more dependent on larger clusters of infection (super-spreading!) to surge. The “k” factor or variability could be more. But add a “super emitter” to a low air flow room and 💥, then multiply by how often this is happening…
2/ The obvious applicability is one would reduce the following:
📌Eliminate situations like indoor eating at schools, in community cafeterias, and improve airflow in rooms that are ideal for superspreading. (<1 ACH for sure; close to 2 ACH should be next priority, and so on).
3/ We would also:
📌Try to screen out next super emitter from turning infectious… We’d test kids in classrooms with known case, for instance, and not just assume “had a mask on so can’t have gotten it.” Many private schools have such required pooled testing or rapid testing.
2/☝️This shows about a 1% transmission rate while all kids were wearing masks in this study.
The caveat (in the earlier data we reviewed) was surveillance testing wasn’t utilized to catch many asymptomatic kids. In places where testing was used, like Omaha, they found 6x cases.
3/ Other studies found COVID-19 infected many more kids than known. Serology in MS found >10x COVID-19 cases in kids as known. (Many MS kids getting reinfected; devastating outcomes.)
INOVA/GMU study: HUGE undercount here.
Any known exposure = kid ~3x more likely infected
13,540 babies/preK <4yoa (100%)
20,181 kids (ALL <12 +teens to 19) (38%)
8,957 young adults, age 20-24 (56%)
25,156 age 25-34 (46%)
12,605 age 35-44 (33%)
15,892 age 45-64 (30%)
4,519 age 65-84 (20%)
1,115 of 85+ (35%)
TOTAL: 100,051 unvaxed
There isn't a record of some of the federally distributed shots, so our amount of vaccinated could be greater for some of the adults. Maybe 5% more? 10%?
90,000 unvaccinated is still plenty for a virus to attack.
Unlike our neighbors in DC and Maryland, we have no indoor mask mandate. We are fully open. The bars and restaurants are full. With indoor gatherings and back to school full-time, there is a lot of human fuel for #DeltaVariant to burn through and spread rapidly in our community.
Uh oh… APS Policy: Don’t notify kids/staff if they were near a COVID-19 case, if were wearing a mask? Hmmm…Confusing. An upset parent just sent us this APS note about contact tracing and asked us if we understood it. APS cites CDC…
BUT a 3-minute search of CDC turns up a guide for what to do if you have COVID, which CLEARLY states people you were near while wearing masks ARE CLOSE CONTACTS and must be notified. Is it any wonder why parents are worried ‘bout back to school… especially for unvaxed kids < 12?
WHY would we not err on side of at least notification? If nothing else? How many APS families include multigenerational members, caregivers for elderly, pregnant moms, new babies, or immune-compromised members at more risk from COVID-19?