#Covid_19 and #Karma
Let me describe to you the concept of #Karma, as per Hindu philosophy, using Covid - ๐Ÿงต 1/
2) Karma is not as simple as "as you sow, so you reap". Karma is a lot about causality, along with chaos. Most importantly, actions have consequences.
3) The Karma for this pandemic may have started more than a 100 years back when science overcorrected from miasma to "everything is droplets" - read through papers.ssrn.com/abstract=39041โ€ฆ to understand how the karma of Chapin and droplets affected us
4) More recently, karma of @WHO, prior to the pandemic, in several developing countries, had positively impacted the life of hundreds of millions. That karma meant that when the pandemic came, @WHO would be heard and taken seriously
5) Unfortunately, it was also @WHO's karma that they took too long to recognize aerosols. As a result, maybe we lost the chance of rooting this pandemic out early on
6) Then there is the karma of people like @Don_Milton Against all adversity and lukewarm response of the medical community, Prof. Milton has continued to study the impact of aerosols and airborne transmission of infections for decades now
7) Since he persisted, since he developed the techniques for sampling and the study designs, we understand the transmission better now doi.org/10.1093/cid/ciโ€ฆ
8) Additionally, he informed and inspired others, including hundreds from the public to understand and protect themselves better from quite early on in 2020 - his karma, saved many.
9) There is the karma of aerosol experts like @jljcolorado and @kprather88 who essentially have been doing two jobs, one unpaid and under appreciated, for nearly 2 years now
10) It was their karma that they understood aerosols, they saw the situation and made the logical conclusion, and then, not only did they spearhead academic debate in the matter, they also communicated their knowledge actively to the public
11) People could be informed and take steps to protect themselves and their family and friends. Their karma, saved many
12) The there is the karma of @linseymarr - again someone like Prof. Milton, who stepped into the world of transmission of pathogens and in spite of inadequate support has been comprehensively studying viruses for nearly a decade now
13) Her karma meant we understood transmission and mitigation better, even quite early in 2020. Unfortunately karma of @WHO and @CDCgov just countered the progression and propagation of this understanding.
14) Then there are people at the grassroots level like @Iamgoingtosleep and @Amal4Solutions who have helped to spread the information to the public, helped organize information sources for them cleanaircrew.org
covid19data.alberta.ca
15) Their karma made sure the understanding moved from academic circles to people where it could benefit thousands, and also in a form that can be easy to understand and act upon.
16) The karma of C-R boxes - two highly experienced IAQ practicioner/teacher combining an idea on social media, making working prototypes and getting it to a grassroots level movement - where you also have karma of @LazarusLong13

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More from @akm5376

30 Sep
This is a false dichotomy.
Once you accept the possibility of aerosolized transmission/transmission by inhalation, you must strive for the highest grade of respiratory protection 1/
How to achieve that is a valid question considering we had been leaving in a droplet dogma world for long and respiratory protection has not seen as much innovation as it should have. 2/
That is not a reason to settle for leaky surgical masks, though. Wearing respirators for a long time can be difficult, but it is not a binary choice 3/
Read 5 tweets
10 Sep
A quiet inclusion that #Covid19 is #airborne and trying to move on is not enough. It is okay to admit you were wrong if you want people to trust you ever again. Not doing so leads to unfair situations 1/
I am focusing on one such situation here that I shall refer to as droplet masking vs aerosol masking 2/
Masks under your nose - breathing, in itself also generates aerosols. It does not have to be big drops expelled from your mouth. So, cover both mouth and nose 3/ Image
Read 11 tweets
9 Sep
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
Read 6 tweets
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 ๐Ÿงต 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 - ๐Ÿงต 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-โ€ฆ 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

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