Thread by @DRTomlinsonEP

#COVIDisAirborne: For Dummies

✅ How to convince any IPC team still stuck on droplet & AGP viral transmission dogma

1. VIROLOGY LOGIC:

SARS1 was airborne, so SARS2 is airborne.

Simples!

That's why @WHO didn't want to call it SARS2, see?

https://twitter.com/DRTomlinsonEP/status/1351211625081171969?s=20

1a) Need another reference?

Try this: 2013, co-authored by our very own JVT & Lisa Ritchie, Head of Infection Prevention & Control @NHSEngland

How were they ever happy letting anyone on a SARS2 ward without FFP3? 👇

https://twitter.com/DRTomlinsonEP/status/1347232348786610177?s=20

2. HUMANS RELEASE AEROSOLS DURING NORMAL PHYSIOLOGICAL ACTIVITIES WHICH RESULT IN SUFFICIENT ENVIRONMENTAL AIR CONTAMINATION TO CAUSE INFECTION VIA INHALATION

Reference?

1966 ok? 👇

https://twitter.com/DRTomlinsonEP/status/1432735118536454144?s=20

2a) DENIAL

"That's flu!"

Or maybe:

"Rubbish - too old!"

...DO NOT mention Galileo, Newton or Einstein.

Oct 20: this will shut them up 👇

https://twitter.com/DRTomlinsonEP/status/1327226726762622977?s=20

3. STUNNED SILENCE

🚨 NEARLY ALL SARS2 RELEASED BY HUMANS IS IN AEROSOLS

✅ 85% of it, to be precise.

Kudos to @drkristenkc, @Don_Milton & team for this fantastic work. 👇

https://twitter.com/DRTomlinsonEP/status/1417232123535233028?s=20

4. *AEROSOLS* CONTAINING SARS2 HAVE DIRECT ACCESS TO RECEPTOR BINDING SITES - NO NASTY MUCO-CILIARY CLEARANCE GETS IN THEIR WAY

...meanwhile droplets are on the floor, obvs.

https://twitter.com/DRTomlinsonEP/status/1417233866297860099?s=20

4a) ANGER

"IT'S TOO COMPLEX MY HEAD HURTS!"

✅ Show them this video from the nice people at @DHSCgovuk.

It was released Nov 2020.

Pity they 'forgot' to tell droplet aficionados at the 🇬🇧IPC Cell that #COVIDisAirborne 👇

https://twitter.com/DRTomlinsonEP/status/1376574739800588295?s=20

5. BARGAINING

"How about we say 'after instigating the hierarchy of controls & according to local risk assessment yada yada' & then you get your FFP3?"

No Way Jose. 👇

https://twitter.com/DRTomlinsonEP/status/1411657864930811905?s=20

6. DEPRESSION

"It's impossible. If #COVIDisAirborne we're doomed!"

Not so fast!

FFP3 respirators are the answer to many a HCW's safety prayer.👇

https://twitter.com/mjb302/status/1409628852867850240?s=20

7. ACCEPTANCE

"OK. You've got your FFP3...what else can we do...together?"

I was thinking you'd never ask. 🙏

✅ Clean the air! 👇

...& monitor & maintain CO2 <800ppm (lower the better) with additional ventilation, plus no recirculation on air con.

https://twitter.com/DRTomlinsonEP/status/1440992197361475585?s=20

8. BIRTH OF AN AIRBORNE BELIEVER

"How can I help share this great news?"

Tell your friends & family. Talk about air hygiene.

Explain that #BetterMasks block better & are our main route out of the pandemic.

...think about it: vaccines are fab, but they don't STOP transmission.

9. BIRTH OF AN AIRBORNE CAMPAIGNER

"OK this is great but I need more: who should I follow?"

Too many to mention 💙
@kprather88
@trishgreenhalgh
@jljcolorado
@DFisman
@microlabdoc
@hughes_eilir
@YouAreLobbyLud
@NjbBari3
@Orla_Hegarty
@JimRosenthal4
@DavidElfstrom
...

@jmcrookston
@DrEricDing
@akm5376
@CPita3
@zerocovidthai
@LazarusLong13
@healthyheating
@Iamgoingtosleep
@Amal4Solutions
@UniversalMaski2
@citlanx
@JOHNJOHNSTONED
@JenniferKShea
@ariccio
Many more...

#FreshAirNHS
@LawtonTri @mjb302 @Linzofm87 @ThePalpitations @BarryMcAree @huwwaters @isfrackingsafe

And last, we should all just do this 👇

h/t @NjbBari3

End
#COVIDisAirborne

https://twitter.com/NjbBari3/status/1447419389070897154?s=20