David R Tomlinson 🇺🇦💙 Profile picture
Nov 9, 2021 10 tweets 6 min read Read on X
Tue 7 Sept 2021, 10:57

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? 7th Sept WHO guidance ancho...ImageImageImage
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' Image
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. Image
7 Sept 2021, 12:37

WHO finally accepts that #COVIDisAirborne:

'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.' Image
#COVIDisAirborne: prevention

✅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. Image
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... Image
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] Image
'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. Image
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 Image

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with David R Tomlinson 🇺🇦💙

David R Tomlinson 🇺🇦💙 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @DRTomlinsonEP

Sep 30
Incredible testimony** today @covidinquiryuk

Sir Frank Atherton 🏴󠁧󠁢󠁷󠁬󠁳󠁿 Chief Medical Officer

‘Healthcare leadership has lost its way. Its foundation should be in love, not lies. We are truly sorry for what we have done’

** ‘testimony’ 🙃

/🧵 Image
‘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 Image
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’

‘…we are truly sorry for what we have done’

/3 Image
Read 5 tweets
Sep 26
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 JVT early 2021 in a vaccination centre - his personal 'covid green' risk assessment => FFP2. All other HCWs in FRSM as per national IPC guidance. JVT knows his AGPs
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 Image
On national IPC guidance:

'quite a lot of people had partial responsibility'

Q: Who was ultimately responsible?

A: The IPC Cell

/3
Read 9 tweets
Sep 19
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 Image
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 Image
'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.’

/3 Image
Read 8 tweets
Sep 18
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…

/2
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

How does this compare with other units?

/3
Read 18 tweets
Dec 18, 2023
'I would like to highlight evidence demonstrating that Professor Heneghan may be in breach of Section 35(2) of the Inquiries Act 2005'

Am looking forward to hearing your response @carlheneghan

covid19.public-inquiry.uk/documents/inq0…
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
Read 8 tweets
Oct 13, 2023
🚨David Halpern Cabinet Office

'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)' Image
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'

/2 Image
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(