My OpEd today
Yes, everyone needs to wear high-quality #masks in #schools, but that’s not the only urgent action necessary to keep kids safe -- we desperately need to focus on air quality by adding #HEPA filters & by addressing the risks at lunch time,🧵👇
denverpost.com/2021/08/19/sch…
2/ Opinion: As an aerosol scientist, I know schools need masks, HEPA filters and outdoor lunches

A link to the same OpEd, but with hyperlinks to various articles and support: bit.ly/3ATKzPD
#DeltaSchoolsAirborne #MasksInSchools #HEPAInSchools
denverpost.com/2021/08/19/sch…
3/ "We all want children to attend school in person & avoid bouncing to online modalities. To make that happen, [we] need to follow the near-unanimous advice ... to mandate indoor mask-wearing, install more portable HEPA filters, & institute safer lunchtime procedures ... ."
4/ "While mask-wearing indoors is the cheapest and among the best strategies against airborne virus spread, it is not the only strategy that school districts need to improve."
5/ "Layered defenses reduce risk of inhaling viral aerosols as no individual layer is a silver bullet to prevent infection. The combination of approaches lowers overall risk."
6/ "High rates of ventilation & portable HEPA filters clean viruses from the air, reducing build-up. Improved school building air quality using these measures has shown add'l long-term benefits — such as lower absenteeism, lower asthma & allergy rates, and higher test scores."
7/ "But free approaches add significant health benefits to risky, indoor spaces where masks come off, such as lunch and music rooms. Those spaces need special care. Moving lunch outdoors is the most important strategy to reduce exposure. ..."
8/ "... Otherwise, it is imperative to increase the distance between students at meals, reduce time indoors while eating, add multiple extra HEPA units in lunch and music rooms, and sufficiently flush out air between groups."
9/ "School leaders that rely on low COVID transmission rates from last year ignore that the war has changed due to the delta variant. Officials that go against public health advice disrespect their students ... model that admin ideologies trump prof. scientific & med. expertise."
10/ "You, as students, parents, & staff must contact school district leaders to press that they listen first to experts. Be respectful, but make sure they mandate masks indoors, deploy portable HEPA filters, & publicly release details ... incl. ventilation & filtration upgrades."
11/ "Until children in Colorado have widespread access to the COVID vaccine, the risk to our children and community is simply too high not to follow basic public health advice."
12/ Also look into this excellent, multi-disciplinary #DeltaSchoolsAirborne event yesterday: gospeakupamerica.com/deltaschools

My analogy of risks during #school meals, below (adapted from @Poppendieck) #EatOutside
Video clip:
13/ A short, not comprehensive thread on some of the challenges of messaging on the importance of #schools having #LunchOutside:

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More from @HuffmanLabDU

16 Sep
🔥 by @DrAliceVirgil1 in @PsychToday. She argues indoor school meals are not only dangerous during COVID, but further destabilize a sense of truth and reality among gaslit students.

Short 🧵 from article + links on lunchtime risk
(ht @kprather88)
psychologytoday.com/us/blog/compas…
2/ "The term gaslighting comes from the 1944 film Gaslight ... invalidating her reality and understanding of her experiences."

"Trust in the person or entity doing the gaslighting is essential for it to be an effective tool to undermine a person’s entire perception of reality." https://en.wikipedia.org/wi...
3/ "Yet, every day in countless lunchrooms across America, as both the New York and Chicago school districts have noted, children are eating and talking loudly, unmasked, in crowded indoor spaces without proper ventilation."
Read 9 tweets
16 Sep
Article w/ tips on childrens' masks, by @BetsyMorris2. (🧵 & info, 1/x)

My quotes didn’t make article cut, but I agree w/ many others who have said priority order is:
1) Wearability (quality irrelevant if kid won’t wear)
2) Tight fit
3) Filtration quality
wsj.com/articles/findi…
2/ In the context of kid masks, it’s worth following @masknerd and looking through great contributions he has made to provide test data & evaluations of various adult and kid masks:

3/ The article also mentions an open Google doc put together by @ajprussin & @linseymarr on various kid masks, which is a useful resource:
docs.google.com/spreadsheets/d…
Read 7 tweets
11 Sep
Important #CDC update yesterday improves guidance on mask quality & fit; now recommends #N95 respirators as one option for #BetterMasks. (1/x)

Updates like this don't just happen. People like @kprather88 & @linseymarr have been pushing behind scenes. 🙏
cdc.gov/coronavirus/20…
2/ Also important: N95s are not limited due to a supply chain shortage. True for months and why the CDC finally updated their guidance yesterday.
@projectn95 is a non-profit that provides a marketplace for vetted masks at low price:
shop.projectn95.org/all/
3/ Any mask is better than no mask, but given the highly contagious Delta variant that now dominates, you should wear the best mask you can. See this great interview clip with @mtosterholm motivating the use of upgraded masks:

Read 14 tweets
9 Sep
So glad to see growing national push to #EatOutside & increase #school lunch safety. Anytime masks come off indoors, COVID risk increases.

@HeidiNBC 👇: "Does this cost money?"
Principal: “Money?! No, we just used our brains!”

Full 🧵 of links & info. #DrFauci up next ... (1/x)
2/ Parents here realized that if adults need to be very careful w/ indoor dining when masks are off, so do school kids during lunch.
@HeidiNBC: "Here's what they do. It's not hard. They open these doors, the kids come out."

h/t @SmartRestartAPS
3/ #DrFauci today" "You have pretty good prevention measures at the time you’re in the class or working, and then you let your guard down when you get a lunchbreak and you take your mask off, b/c you have to take your mask off to eat."
Read 20 tweets
7 Sep
ICYMI, @By_CJewett did an excellent job last week on #ScienceFriday w/ @iraflatow. Worth a 14-min listen on key points about air cleaners for school & elsewhere.

Here are some additional thoughts & links on in-room air cleaners as a 🧵 (1/x)
soundcloud.com/scifri/are-hig…
2/ I think this bit from @By_CJewett takes it home:
"Your HEPA filter is kind of like a pair of kaki pants or a garden hose. It's not on-patent, it's not expensive, it's not that hard to find, and there's not a salesforce for it."
soundcloud.com/scifri/are-hig…
3/ "But what you do see is the more electronic air cleaners. Those are the companies going to the school boards, talking about ionization ... they sound spectacular"
Read 21 tweets
6 Sep
A great episode of #NOVANow by @AlokPatelMD on back-to-school concerns (Sept. 2).

First 18 min. @linseymarr does an excellent summary of the basics of airborne spread & most important areas for #schools to focus.

"My biggest concern is lunchtime." (1/x)
pbs.org/wgbh/nova/podc…
2/ (14:40) "My biggest concern is lunchtime. Eating in a cafeteria is my pandemic nightmare scenario. In order to eat you have to remove your mask. There are hundreds of kids in there together. They're seated closely together at these long tables. Everyone's trying to talk ..."
3/ "... and be heard. That's kind of the worst possible situation. Crowding. Close together. Loud talking. You release aerosols and droplets when you talk, and the louder you talk the more you release. ..."
Read 6 tweets

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