A short thread explaining #airborne precautions for a #layered approach of mitigation against #COVID19
Keep in mind that multiple layers is a key need. The more layers, the lower your risk 1/
2) Source elimination is always the first step we think of when dealing with an #airborne problem - no risk without an actual source in the space.
Again, these steps need not be perfect, but they reduce the chances of an infectious person being in the room.
3) Source control - when we cannot eliminate the source, we try to control it. It could be direct - like masks, use packed lunches, and it could be indirect like keeping a control on community levels using vaccination and surveillance like waste water testing
4) Dilution through ventilation - if we can lower the concentration of virus bearing particles in the air you are breathing, you can reduce the risk and there are a ton of ways - simple to complex, of accomplishing this.
5) Increasing ventilation may not always be an option. Or, you could have spaces with greater risk when you want more layers, over the ventilation. Here you need filtration - in the HVAC, local air cleaners, personal protection with respirators, and upper room UVGI
6) You need multiple layers; no one measure can be perfect. Some measures can contribute under multiple headings.
These are measures that work against other #airborne threats, and they can mitigate against #SARSCoV2
We can deal with #airborne. \end

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More from @akm5376

17 Aug
Dose makes the risk - more the inhaled dose, more the risk of infection. These are screenshots of a slide deck made with pointers from @CorsIAQ and @ayushumd
A 🧵 1/
2) Risk of infection can be related to the inhaled dose. This helps to understand mitigation measures at a very simple and basic level. The slides were intended for high school students
3) Start with a dessert - in this case, an Indian dessert. If you are a bigger sweet tooth than me, you must want lots of spoons of sugar, right?
Read 16 tweets
10 Aug
A few days back, I posted this graphic that created quite some interest and confusion too. So, trying to put it together in more than 240 characters now - 🧵 1/ Image
2) The original idea came from ACGIH, trying to stress the point that essential worker, beyond healthcare, also need better masks, better respiratory protection.

acgih.org/covid-19-fact-… Image
3) Their assumption was that if without masks, it takes 15 minutes for a vulnerable person to inhale enough virus loaded particles to get infected, under the same conditions, how much can masks delay this time needed to reach infectious dose.
Read 12 tweets
30 Jun
Oh, thank you for disillusioning us. I thought modern medicine already had solved the problem of immortality and all of us were just too smug to consider it 1/
The problem with statements like this is they want to reduce medicine into disease care and forget about health care. 2/
If small measures like living in well ventilated spaces, wearing a mask when not feeling well, filtering air when there are pollutants can help keep people healthy, they are worth investing in, pandemic or not 3/
Read 4 tweets
30 Jun
Few days back, came across the thought that future generations will be surprised that we could manage a vaccine for a pandemic so quickly and yet could not manage equitable distribution for the vaccine. A 🧵 on potentially what else about the pandemic would surprise 1/
2) That it took so long for public health bodies to accept the fact that a respiratory tract infection, that can be exhaled by infected individuals, can also be inhaled by vulnerable individuals.
3) That the idea of #filtering the air we breathe (#masking) could be so controversial
Read 12 tweets
23 May
The word Swaraj is a sacred word, a Vedic word, meaning self-rule and self-restraint, and not freedom from all restraint... - M K Gandhi
"Freedom" should mean freedom to wear a mask to protect the society you are part of
"Freedom" should mean the self-restraint to stay indoors if you do not need to go out
"Freedom" should mean avoiding crowding to protect yourself and others
Read 5 tweets
23 May
I will tell you the story of an open #window which did not work, from personal experience. Short 🧵on prescriptive vs performance based guidance 1/
2) Over the past 8-10 months, I have force-fed family members and close friends my opinion on how #COVID19 is #Airborne and so irrespective of govt. or public health bodies guidance, they are more or less aware of preventive measures that could work.
3) So, they are aware of the need for ventilation and why it works. They know they need to open a window and why they need to do so (not just because "I told you so").
Read 16 tweets

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