[Thread] Workplaces & #Covid19

😷 Many people WFH are concerned about risks in offices, schools, colleges & other buildings

🏢Workplace safety is regulated in EU (& other places). Virus is a biological agent & that requires precautions @EU_OSHA 1/
osha.europa.eu/en/themes/covi…
‘identification & assessment of risks is starting point for managing occupational safety & health.. Employers are obliged to revise risk assessment when there is change, to consider all risks, including affecting mental health..& to make an action plan’ 2/ oshwiki.eu/wiki/COVID-19:…
In Ireland, workplace safety is the responsibility of the Health & Safety Authority @TheHSA hsa.ie/eng/

#Covid19 resources here: hsa.ie/eng/topics/cov… 3/
Work Safety Protocol was updated in May 2021 (from November 2020), so previous arrangements need to be revisited 4/ hsa.ie/eng/topics/cov…
*the remainder of this thread is about precautions for aerosol transmission

#Covid19 is predominately inhaled in infected air.. it is rarely caught from surfaces & normal cleaning is adequate (CDC) 5/
cdc.gov/coronavirus/20…
Precautions for #aerosol transmission are 😷 masks & 🪟 clean air

Masks & clean air can reduce virus risk up to 90%..so these are TOP priority 💯

HSA on Ventilation: hsa.ie/eng/topics/cov…

NPHET Expert Group on Ventilation: gov.ie/en/publication… 6/
*the remainder of this thread is my advice & watch-points

😷 Masks ~everywhere at all times~ in buildings & shared vehicles, rooms, offices, lifts, toilets, corridors, stores,

#Delta is highly transmissible, people have been infected in poorly ventilated unoccupied rooms 7/
😷 Masks ~everywhere at all times~
Consider arrangements for eating/drinking (outside, in separate rooms, in cars)..to reduce risk of break-room outbreaks.. if no space/no time, consider no talking while masks are off for eating (yes it makes a difference to virus spread) 8/
😷 Masks ~everywhere at all times~

⚠️ 2 metre distance is NOT a protection in shared indoor air

⚠️ Perspex screens are NOT a protection

⚠️Cubicle partitions are NOT a protection

😷 Poorly fitting masks are NOT a protection

💉Vaccines are sun-block, not a bullet proof vest 9/
Good mask makes a big difference

😷 comfort -so you keep it on

😷 filtration -so fabric blocks aerosols

😷 fit -so no gaps

N95/FFP/KN95 mask is better than surgical mask, cloth mask over surgical mask also effective

Employers are responsible for PPE
Clean Air can be achieved with ventilation (diluting with fresh air) or filtration (cleaning air) or both

A CO2 monitor shows if ventilation is inadequate, recommended <800ppm

At 800ppm about 1% of every breath is air breathed out by someone else.. over 800ppm risk rises /11
🪟Naturally ventilated (windows/doors/wall vents) -keep air moving with cross-ventilation. Calm days & cold days are higher risk

🪜Mechanically ventilated- get an engineering check on operation of system/settings/filters

Consider plug-in HEPA filtration (many brands available)
HEPA is recommended & it’s cheap, avoid ‘air purifiers’ using:

⚠️ Ionisers

⚠️Ozone systems

⚠️Plasma systems

These systems may be ineffective & may be unsafe

🔷UVG (ultra violet germicidal irradiation) has some specialist applications so get independent specialist advice
FAQs here: docs.google.com/document/d/1fB…

HEPA comparison by price/noise/effectiveness (USA market) here:
Future-proofing

♻️Clean air protects from every new variant, respiratory virus incl flu, & pollution, pollen & odours

♻️People who work in clean air perform better & are ill less

♻️Better ventilation is part of building energy upgrades for climate change..so bring it forward?
Finally, distancing is NOT a protection when people share indoor air. Infected air can spread to fill a room, it can be trapped & linger for hours after someone has left

2 minute video showing how virus can spread indoors. Stay safe /END
HT @HoltArch
.. & here’s the thread on one page for anyone who wants to share a link threadreaderapp.com/thread/1433103…

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More from @Orla_Hegarty

13 Sep
🇮🇪 #Covid19 It’s been one year since the LongForgottenDublinPandemicExperimentOf2020™️

If we had paid attention, 2021 could have been much, much better. Here’s why..

[we didn’t learn, but it’s never too late!] 1/ Our World in Data graph of Covid-19 cases in Ireland March 2
On 13 Sept 2020 the national 7-day average was 187 cases/day (it’s currently 1,300 almost 7 times amount)

In context of summer 2020, there were concerns. So govt brought in new restrictions ~for Dublin only~

Most significant was a ban on indoor dining & pubs ~in Dublin only~ 2/ Graph of 2020 cases
[+ an inter-county travel ban, limits on gatherings, closure of museums, & limits on some other not-so-high risk activities]

Most significant difference between Dublin & the Rest of Ireland was that indoor dining & pubs were open outside Dublin 3/
assets.gov.ie/87604/405b1065…
Read 8 tweets
12 Sep
(rough maths)
HEPA filtration €400 per classroom is < weekly cost of 1 contact tracer

We pay *900* contact tracers

HEPA for EVERY classroom ~as permanent protection for EVERY variant, virus & pollution~ would cost <6 more months of 900 contact tracers
irishexaminer.com/news/arid-4069…
(rough maths #2)

HEPA for EVERY classroom would be < cost of hospitalising 1,800 children (for average 1 week each)

1,800 schoolchildren is the number that would be expected to be hospitalised if 1 in 4 of all schoolchildren were infected in the coming months (0.25%)
(rough maths #3)

HEPA filtration for EVERY classroom as permanent protection would cost less than the *increase* in funding to horse & greyhound racing this year (up from €84m to €96m in 2021)
rte.ie/sport/racing/2…
Read 4 tweets
9 Sep
#Covid19 Children & managing class outbreaks

🇫🇷 France: full class isolate

🇮🇹 Italy: full class isolate

🇪🇸Spain: full class isolate

🇮🇪 Ireland: isolation of ‘close contacts’ if not vaccinated

🏴󠁧󠁢󠁥󠁮󠁧󠁿 England: no isolation of any under 18s for any reason
🇫🇷 France #schools “masks, mandatory from age 6.. classrooms regularly ventilated… In primary schools, if one child tests positive, class will close for 7 days.. In high schools children positive & not vaccinated placed into isolation for at least 1 week” amp.france24.com/en/france/2021…
🇮🇹 Italy ‘masks for everyone aged over six, staggered entrance/exit times, quarantine rules for classes with positive cases & some classes taught online, depending on the health situation in local area’ thelocal.it/20210831/expla…
Read 10 tweets
31 Aug
😷 👧🏼 #Covid19 #Schools #Delta
Masks are the most effective & simplest protection we have for children

Mask are worn very successfully from age 5 in schools in many countries

It’s not forever, & we will never regret doing it now. We must protect children
all the evidence for masks from Professor of Primary Care, Oxford @trishgreenhalgh
info from Professor @linseymarr Virginia Tech (expert in viral aerosols)
Read 5 tweets
30 Aug
🇻🇳 Vietnam ‘modern field hospital for 500 #Covid19 patients’, let’s look at INFECTION CONTROL in Asia
thread with Google Translate, HT @DzungLeVN for link) 1/
zingnews.vn/benh-vien-da-c…
‘Hospitals use ventilation one-way to avoid cross infection’ 2/ Image
‘This is considered one of most modern facilities in Vietnam to treat #Covid19 patients. The hospital is in 3 zones
🟩 Green area- administration
🟨 Yellow area- dormitory, canteen, testing & equipment
🟥 Red area- treatment’ 3/ Image
Read 17 tweets
29 Aug
(rough maths)
Let’s say 6,000 cases/day by late Sept..& let’s say 1/3 are children..so that’s 14,000 kids/week.. that’s 1 infected child in half all classrooms in Ireland..& then add close-contacts, siblings, teachers… & add parents off work, minding kids & isolating.. & worse..
.. let’s say 1 in 100 have to go to hospital, that’s 140 children/week.. & if only 10% of them need ICU that’s 14 children.. in a country where there are only 31 ICU beds for all sick children

This crisis was foreseeable.
[6,000 cases/day is NPHET Central1 range, 14 Jul slide)
.. so if 14 in ICU (say €2,500/night) & 126 in hospital (say €1,000).. that’s €1 million/wk cost.. & add deferred treatments & surgeries for other sick children.. & the other 13,860/wk kids with ‘mild illness’ (not hospitalised)?
Over 1,500 will likely get Long Covid (>5 wks)
Read 4 tweets

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