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.
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"
4/ (via @By_CJewett & also @LaurenWeberHP)
"... people can make $600+ per device on some of these electronic air cleaners."
"This sounds amazing. The school board just wants to tell the parents everything is safe & things just sort of snowball from there." soundcloud.com/scifri/are-hig…
5/ An associated thread by @By_CJewett on the radio show, with other great links to follow.
Summary of IAQ advice -- stick to HEPA filtration for in-room use and avoid ionization and other unproven technologies.
9/ But indoor air quality experts are consistent in their strong recommendations to focus on proven technologies like HEPA filtration, ventilation, and/or upper-room germicidal UV when necessary.
E.g. letter here by @marwa_zaatari & @MarcelHarmon1: medium.com/open-letter-to…
11/ There is also plenty of reason to avoid chemical-based air cleaning technologies. For example, see this nice thread by @CorsIAQ on the dangers of ozone (O3) use indoors:
13/ Or see similar recommendations by the @JohnsHopkinsSPH team, incl. @polsiewski. Same story: avoid unproven technologies, rely on ventilation and HEPA filtration indoors.
14/ The studies supporting the use of proven technologies, especially in-room HEPA filtration, are seemingly endless. One important one is the Lindsley et al. study via @CDCMMWR from earlier this year:
15/ There are questions people often ask on what filtration-based air cleaner to buy. @marwa_zaatari has put out some nice analyses, like those shown below. She is a great person to follow for these.
19/ Much has been written on the importance of improved indoor air quality, including the needed focus on proven methods like ventilation with outdoor air & HEPA filtration. E.g. see old OpEd by @ChemDelphine, @marinavance, and me:
20/ And in the current context of Delta-COVID concerns, it's not just masks and ventilation that are important, but another opportunity to deploy HEPA filtration for immediate improvements in indoor air quality:
🔥 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.
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."
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."
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:
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:
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."
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."
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. ..."
- Can we pls take school precautions seriously?
- Kids <12 yrs unvaxxed & vulnerable
- Don't take off your mask (to read aloud)!
- Wear a (good) mask **correctly** 👇 cdc.gov/mmwr/volumes/7…
2/ This MMWR report ⬆️ seems scary & catches attention. Good. We need to pay attention.
- Delta is very contagious & kids get sick
- Vax is critical for everyone possible
- But vax isn't silver bullet alone. Even vaxxed can transmit
The good news next ... medrxiv.org/content/10.110…
3/ #Schools can help w/ layers:
- Good, tight masks reduce room risk & at inhale
- Also distance, good ventilation, room filtration, outside meals
Risky w/ unvaxxed kids in schools at all -- but no question if schools & teachers don't take this seriously