WHO described SARS2 as a cough & sneeze droplet-transmitted virus
Prevention: 'wash your hands, don't touch your face'
At 12:37: #COVIDisAirborne!
'[emitted] small liquid particles...droplets to smaller aerosols'
Prevention: 'wear a mask'
Did you know?
WHO anti-airborne starting point:
'The COVID-19 virus spreads primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes'
WHO anti-airborne: prevention
🤦♂️Wash your hands regularly with soap & water, or clean them with alcohol-based hand rub.
🤔Maintain at least 1m distance between you & people coughing or sneezing [Ed: what about breath-exhaled aerosols; & why 1m?!].
🤦♂️Avoid touching your face.
'The virus can spread from an infected person’s mouth or nose in small liquid particles when they cough, sneeze, speak, sing or breathe. These particles range from larger respiratory droplets to smaller aerosols.'
✅Get vaccinated
Stay at least 1m apart from others
Wear a properly fitted mask when physical distancing is not possible or when in poorly ventilated settings.
✅Choose open, well-ventilated spaces over closed ones. Open a window if indoors.
Comment 🙏: there's nothing magical about physical distancing alone.
If you're indoors & the air quality is poor (inadequate fresh air supply, recirculation mechanical ventilation w/o HEPA filtration), transmission risk can be very high when sharing unfiltered, infectious air...
Like this: Jan 2020
2 buses, 1 pre-symptomatic case on bus 2: ALL secondary cases on bus 2
'in closed environments with air recirculation, SARS-CoV-2 is a highly transmissible pathogen.'
[No mask wearing: no known SARS2 cases in Ningbo city, China at the time]
'cases C5 & C10 seated in the last row were MORE THAN 5m from the index patient on the bus & neither reported direct contact nor sharing of spaces with the index patients during the event, YET THEY BOTH DEVELOPED INFECTION'
So please wear a mask indoors, regardless of distance.
As @WHO teams have come so far on this, hopefully it won't be long before they finally accept universally applicable physical laws underlying aerosol behaviour & change this element of their guidance on SARS2 prevention, for the benefit of all. @mvankerkhove@kprather88@DFisman
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‘Healthcare leadership has lost its way. Its foundation should be in love, not lies. We are truly sorry for what we have done’
** ‘testimony’ 🙃
/🧵
‘We knew SARS2 transmission was airborne in Jan 2020, but instead of showing love to healthcare workers & being honest with them about the RPE shortages, we lied to them & kept on lying’
‘…we are truly sorry for what we have done’
/2
We knew AGP-only aerosol risk was a smokescreen - a thinly disguised rationing tool for RPE - but instead of being honest with HCWs, in love, we lied to them & kept on lying’
If you missed what Prof Sir Chris Whitty said on IPC & PPE, or just couldn't carry on watching after the amazing @Kevin_Fong [God bless you sir, & thank you for all you do 🙏]
TL/DR
/1
Sir Chris worked shifts on the wards in every wave
Wore FRSM mainly - as per IPC guidance, he said
HCID declassification had no bearing on IPC guidance
"I am not an expert on IPC'
/2
On national IPC guidance:
'quite a lot of people had partial responsibility'
Now we've seen IPC Cell minutes from 22/12/2020 & the plea from 'CB' for wider FFP3 use because:
'Our understanding of aerosol transmission has changed'
🚨Would you like to know whether very late 2020 was when *all* 🇬🇧Gov departments knew of the importance of aerosol risk?
/1
Obtained via FOI request
🚨From the Department of Business, Energy & Industrial Strategy
🦺Working safely during coronavirus (COVID-19)
10 July 2020 update
'You should ensure that steps are taken to avoid people needing to unduly raise their voices to each other...
/2
'This includes...refraining from playing music or broadcasts that may encourage shouting, including if played at a volume that makes normal conversation difficult. This is because of the potential for increased risk of transmission, particularly from aerosol transmission.’
Over the last 2 days at @covidinquiryuk the NHS has shown its dark & ugly side
There was never going to be an apology from IPC guidance authors whose guidance drove disproportionately high rates of death & COVID19 in non-ICU HCWs & huge rates of nosocomial SARS2, but…
/1
the level of obfuscation, evasion & incompetence on display from those tasked with keeping HCWs safe, is jaw dropping
I was one of the lucky ones: my NHS Trust ALWAYS provided HCWs with FFP3 when caring for those with COVID19 - my IPC remained precautionary
As a result…
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by Dec 2020 the number of consultant staff working on Covid wards testing positive was: 0
🚨The ONLY deviation from national guidance was universal FFP3!
The last & most vital line of defence - FFP3 - *is life saving* @SMHopkins
TL/DR in evidence to @covidinquiryuk, CH stated SARS2 transmission is via large droplet & fomites
But:
Following peer review triggered changes 6 Jul 2022, CH's own work stated that SARS2 transmission is via 'fine aerosols & respiratory droplets, & to a lesser extent...fomites'
Why omit the empirical truth that SARS2 transmission occurs importantly via the airborne [aerosol inhalation] route?
Why do this, particularly as David Heymann's 13th Oct 2023 evidence to the PI clarified the @WHO position:
WHO knew SARS2 transmission was via aerosols, Jan 2020
'Arguably the most fundamental misstep in the UK response was the presumption that covid would be an unstoppable flu-like wave'
This
underpinned the early (Chris Whitty) position on T&T, & the Vallance view on 'herd immunity' (later air-brushed)'
Aside
Early SAGE minutes clarify the UK rationale for stopping community SARS2 testing: it was deemed unnecessary because with rapidly increasing case numbers there was no point in testing, as there were insufficient personnel to contact trace
Good to know whose plan this was
'But there was an alternative'
'This led us to question...though we found ourselves quietly dismissed as not understanding the science'
'Ironically, the pride in our science & our capabilities, slowed our ability to learn lessons from other countries'