Lazarus Long Profile picture
Oct 10, 2021 23 tweets 10 min read Read on X
@AHS_media
CC: @AntibioticDoc @CMOH_Alberta

Allowing KNOWN CoVid positive people into a maternity Ward is a very bad idea.

You will get sued.

You will lose.
Your opening argument is a horrible one.

'It's been in place for a while, so because we've never been called on it, that makes it ok.'

You need to hire a PR person, because the optics on that alone?

Wow.

Moving on. You care about the pregnant person Image
needing support, because it's just them right?

Let's bring in @CiannaLyon - two weeks from term, and TERRIFIED of your hospital system.

Why?

Her words: Image
"Trust the system"...or your protocols. What are they, again? Image
Blah, blah, masks.

Great, right?

Wrong. Image
The supplied masks are procedure masks.

Oh, and what caught my eye? They might not have to wear a mask?

Exceptions like a rabid antimasking antivaxxer proclaiming they can't breathe in a procedure mask? Image
Like these AHS procedure masks that 150 doctors submitted a petition because they were of such inferior quality?

globalnews.ca/news/6921421/a…

But, surely, that's been resolved, right?

Moving on again. That article had a very interesting tidbit about PriMed, Image
the largest mask supplier in Canada.

What does PriMed say about the masks you want CoVid coughing folks stumbling around in the shared rooms? Shared elevators. Shared bathrooms. Shared cafeteria where the mask comes off to eat.

primed.ca/resources/astm…

Procedure masks are not Image
to be used for airborne contaminants like TB or SARS?

But that's surely not SARS-COV-2, right?

who.int/news-room/q-a-…

Oh. Aerosols.

So, your procedure mask PROVIDER specifically says to NOT use procedure masks to protect against airborne contaminants - aerosols. Image
Is that all?

No.

Pregnant Albertan women - you should file a class action lawsuit.

This thread, no matter how indemnifying, will result in nothing except notifying you of the deliberate exposure to CoVid.

Mom and Dad waiting at home-breakthrough cases happen all the time.
Because, as a pregnant woman you are particularly at risk.

Pregnancy makes you breathless, right?

It's because you are breathing for two, and so you are actually breathing in 30 to 35% more volume of air.

google.com/url?sa=t&sourc…
And when you go into labor?

40 to 60% more on top of that.

When you breathe in more, you have more opportunities to encounter a virusol.

And will you be wearing a mask during labor as you are sucking in huge amounts of air?

clinicalgate.com/respiratory-sy…
With Delta producing 1,260 times more viral load than Alpha?

I'm sorry if you are scared. If I were pregnant, I'd be calling my lawyer & a reporter.

But make sure they talk to an aerosol scientist, because the Alberta Healthcare System does not have your back.
(Speaking of back, @AHS_media, I have backed up all of the sources, so do please delete them to show consciousness of guilt :) ).
A couple of folks have DM'd me about why this thread.

Because of this:


As I watched the ideas roll in, it just struck me as completely insane that this was necessary when AHS has a perfectly capable IPC group.

If they weren't being hamstrung by,
their leadership.

Is it hubris? The cost of real PPE?

Lord knows it's not the evidence.

WHO clearly says it is transmitted via aerosols. Their PPE provider clearly says surgical masks are not to be used for aerosol protection.

They are clearly
allowing CoVid positive people into a maternity ward.

They can wordsmith 'exception' all they want.

They cannot wordsmith away clear legal liability.

It's a shame that it has to be phrased that way.

If they truly cared about people, they'd have everyone in N95's.
Here is the AHS Patient First Proclamation.

albertahealthservices.ca/assets/info/pf…

A proclamation, like a declaration, is simply that - if there is no action behind it.

AHS's patients AND HCW's are yelling for help.

Is anyone listening? Image
Thank you to @CMarieHs for pointing out that Twitter has chomped the Google amp link on the tweet re: 30 to 35% more volume above:


Direct source:

emedicine.medscape.com/article/303852….

Thank you,@CMarieHs !! Image
@AHS_media @CMOH_Alberta

If I was pregnant and headed into the AHS, I would be sure to get multiple tests before going in.

Because if you test negative, go in, and get CoVid thanks to Surgical Mask Hills - oops, FootHills based policy?

You'll have a darn good lawsuit,
due to leadership holding IPC back from controlling and preventing infections.

Because neonatals have worse outcomes if Mom has CoVid.

tandfonline.com/doi/full/10.10…

And Mom gets symptomatic quickly? Entirely possible with Delta.

Even worse.

Does AHS's lawyers know this Image
game of "hubris chicken" they are playing?

Does their board?

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More from @LazarusLong13

May 19
Not included in the below evisceration of the CDC?

This. The beginning of the Everyday Action document to protect the kids.

The BASIS of everything after.

A 🧵 of analysis you will not have read before. No studies.

Infections spread because of ....

cdc.gov/orr/school-pre…

Image
❌ shared objects? Do the objects spontaneously get dirty?

❌ Close contact with each other? If children stand next to each other, they are in close contact. Do they infect each other?

❌ Students playing close to each other, but not breathing each other's air, do they
infect each other?

Fortunately the CDC has spelled out the HOW of kids infecting each other.

Contact, spray & splashes, and inhalation👇.

Ah, @kprather88
@jljcolorado, you'll be pleased to see that droplets have now been renamed as spray and splashes.

cdc.gov/orr/school-pre…
Image
Read 12 tweets
May 18
A two week puke cruise from South Hampton to the Canary Islands with 3,077 other guests, 1,205 crew members, and 1 apparently greedy cruise ship company (?) -@pandocruises.

How does a 5 HOUR WAIT to call the ship doc sound?

H/t @FriedmanJas

pocruises.com/find-a-cruise/…

Image
The situation on the ship with capacity for 3,192 passengers was described as ‘terrible’ and ‘serious outbreak.’  The bug has allegedly plagued Ventura for more than a month, with staff thinking it was gone after each cruise before the bug returned to wreak more havoc among guests and some crew.  Guests allegedly face a five-hour wait to call the ship’s medical centre because of ‘so many cases.’
The norovirus outbreak has been going on for 5-6 WEEKS.

How does people throwing up in the public spaces sound?

How does 250, most def an undercount, infected passengers sound?

Ah, @pandocruises? Besides doing the deep cleaning? Image
Norovirus is airborne.

Why not offer your passengers and crew FFP2s/N95s, and suggest they eat outside - until the outbreak is over?

Or....bring in a bunch of HEPAs for the dining room? In between the tables? Plus the N95s.

Read 4 tweets
May 18
Dr. Marr wrote this. I respect her immensely, but completely disagree on this topic.

- She does not know the ventilation/filtration of every airport. She does not know who was just sitting in that spot moments before you found it. Aerosol stability, physics of aerosols, Image
speed of ventilation/filtration all agree with me on this. The Australian Church study of 45 feet transmission facing away agrees.

- On airplanes - the Harvard Aviation Public Health Initiative (APHI) disagrees with her, indicating masks are necessary

abcnews.go.com/Politics/covid…
Image
- On coughing, she might not be aware of the 58% presymptomatic transmission.

-Overall, she might not be aware of the:
✅ 38% LongCovid risk after 3 infections.
✅ It only takes one virion to start a covid infection (tight transmission bottleneck).

We can disagree, but still
Read 4 tweets
May 17
This is a 🧵 that cuts through this CDC school guidance like the thread used in Netflix show "The Three Body Problem."

Their guidance will cut down the kids just like were cut down in the show.
Let's start with their tweet. It provides a framework to evaluate their actions against their words.

- preventing spread of infectious diseases.
-benefiting ALL students.
-maximize school attendance.

Let's start with preventing spread.

-Maximize school attendance
While preventing disease
Benefits all students is highlighted
The single most efficacious way to prevent the spread of infectious diseases is wearing respirators, as they stop both near and far field aerosols.

Are they mentioned in the intro page linked to? No. Masks are, but are buried.

People are logical.
cdc.gov/media/releases…

Teach and reinforce proper hand washing and respiratory etiquette. Take steps for cleaner air by improving ventilation in schools. Schools should consider ventilation enhancements and design when undergoing remodeling or when undertaking new building construction to optimize clean air. Clean, sanitize, and disinfect, when appropriate. Promote vaccinations for students and staff.
Long red arrow showing way down the page where masks are buried
Read 36 tweets
May 15
These folks refuse to give good real-life advice on how to clean up Hantavirus droppings.

And here we go - a shed with pressed board flooring and mouse droppings.

If I mop? Floor gets ruined.

If I blow it out with safety goggles and an N95 on?

Safely clean. And I
/1


Image
Image
Image
didn't have to pull everything out to get it done.

Real world aerosol-based solution versus a laboratory fomite-based solution.

@WADeptHealth - join us in the real world where viruses are airborne via aerosols - THROUGH THE AIR.

Or don't and let me gain followers by pointing
out your many many mistakes.

I would prefer to have no followers, and you putting out aerosol-based solutions.

But until then...thank you for being yet another useful tool to let me "gain clout."
Read 11 tweets
May 14
CDC Influenza A monitoring is up.



They compare to last year's influenza season, and if up 80%? Begin investigating.

There are some latency problems with this, but let's ignore that.

Let's look at the geographic location problem. cdc.gov/flu/avianflu/h…

Image
Image
The thing is? While it's great to have this effort beginning, it is only covering 600 sites.

For Texas, it is Randall and Potter Counties. And there may be more than one wastewater treatment site in those counties.
Mdp showing Randall and Potter County as wastewater location for Texas panhandle.
Pic showing Randall and Potter County as popup context for map
I walked through every chicken and dairy outbreak from a preprint study that yielded county names.

(Only read if curious, can be skipped).
Read 8 tweets

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