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C Pita Profile picture
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21 Nov, 11 tweets, 4 min read
This victimhood narrative from IPAC really defies belief.

It's incredibly petty and disingenuous to use tone policing and "rude twitter streamers" as an excuse for inaction and a shield against accountability.

It is doubly inappropriate, when 1000's of lives are at stake.

1/9
These folks are hospital directors, who set the infection control guidance for their hospitals and the province. They rule with an iron fist.

When subordinates and other disciplines spoke up about aerosol, they were chided, mocked, threatened, and retaliated against.

2/9
These IPAC Directors are the ones deciding that your elderly relative has to remove their N95 and replace it with a baggy blue when they go for surgery.

They are the ones propping up the school boards' bans on teacher respirator use.

3/9
toronto.ctvnews.ca/ontario-school…
They are the ones refusing to budge on respirator use for healthcare workers treating COVID patients, despite the mounting death toll from hospital acquired infections.

4/9
thestar.com/news/gta/2021/…
They are the ones providing expert testimonials and affidavits AGAINST the Ontario Nurses, in their legal battle to access more widespread N95s.

30 Ontario IPAC Directors signed Affidavits supporting Droplet Dogma in this lawsuit.

The nurses lost.

5/9
cbc.ca/news/canada/ot…
These folks are winning and have won. They hold all the power and are driving this train.

To this very day, HCWs continue to use surgical masks when treating COVID patients. Outbreaks continue to occur, and patients continue to die.

6/9
One year ago, we sent this respectful, diplomatic letter (containing hundreds of expert signatures) - pleading for these powerful gatekeepers to follow the science and mitigate aerosol transmission.

They batted us away like a pesky gnat.

7/9
cbc.ca/news/canada/mo…
There is no valid conflict between IPAC Directors and random MDs, teachers and engineers on Twitter.

The IPAC Directors have 100% of the power. They have their position of authority, and they are granted unquestioning coverage from the media on account of their status.

8/9
Now the IPAC Directors are saying us lowly peasants have become a bit too rude on twitter, and because of that, they will no longer engage in a discussion they have not been engaging in.

This is abusive, narcissistic, gaslighting of the highest order.

/end
Update: The preventable deaths and gaslighting continue.

Outbreaks are rampant at Ottawa hospitals, patients have died.

A prominent ID media darling is trolling Aerosol scientists about their "mental health", ie. the textbook definition of gaslighting.

Droplet Precautions, for the win:

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More from @CPita3

C Pita Profile picture
25 Oct
ID proponents of surgical masking on COVID wards, often site a handful of systematic reviews to defend their position.

Spurred by @AntibioticDoc's thread and @McDevonMD's tweet below - I did some digging.

Was MacIntyre 2013 covered in these reviews, and if so, how?

🧵1/17
First, let's review @Globalbiosec's MacIntyre 2013.
This RCT had 3 arms: 1) continuous surgical masks 2) continuous N95s 3) targeted N95s (worn only during high-risk procedures and AGPs)

The 3rd arm is testing the status quo at most hospitals.

2/17

atsjournals.org/doi/full/10.11…
MacIntyre 2013 found that continuous N95 use resulted in a statistically significant reduction in Clinical Respiratory Illness (CRI), whereas targeted/intermittent N95 use was not superior to medical masks.

This is not surprising given the nature of aerosol transmission.

3/17
Read 17 tweets
C Pita Profile picture
19 Sep
🚨 ATTENTION: Alberta Healthcare Workers, Patients:

Despite the catastrophic situation unfolding in your hospitals, and the uncontrolled spread of Delta in your communities, do not expect @AHS_media to provide HCWs with Respiratory PPE (N95s) anytime soon.

🧵1/
The @AHS_media SAG has just released a 73 page, biased, diatribe against the efficacy of Respiratory Protective Equipment - which can best be described as Decision-Based Evidence Making. I'm sure the AHS lawyers were pleased with this report.

2/
It's no secret that Alberta IPAC requires HCWs to use surgical masks when treating COVID patients, despite overwhelming evidence that SARS2 transmits via *INHALED* aerosols.
Not a shock that the usual #DropletDogma suspects concluded this was A-OK.

3/
Read 26 tweets
C Pita Profile picture
7 Sep
This week, @TorontoStar published 2 articles re. whether the public should upgrade their masks for the Delta wave.
That's good, except that they chose to interview ID experts steeped in #DropletDogma, who thoroughly muddied the waters on this critical, life-saving topic.

🧵1/
First is this story, which asks: Is it time to upgrade your mask? The obvious answer is YES!! But instead of giving this unequivocal advice, the article muddies the issue, providing reckless quotes from the Ministry of Health and biased IPAC officials.

2/
Let's analyze these quotes. First, the Ministry of Health states that ALL medical masks should be reserved for HCWs.

This is ludicrous.

We have a GLUT of Canadian made PPE, INCLUDING N95 Respirators! In hospitals, IPAC has the N95s locked up!

3/
Read 24 tweets
C Pita Profile picture
20 Aug
For the past 20 months, experts in Aerosol transmission of respiratory viruses have been conducting studies that prove #COVIDisAirborne. These experts have called for Airborne mitigations (ventilation, filtration and respirators), but we have not heeded their calls. Why?

🧵1/13
The ID/PH Evidence-Based Medicine gatekeepers, driven by biased #DropletDogma groupthink, and sunk cost fallacy, smugly dismissed these studies. They threw rocks at the conclusions, and perpetually raised the bar of evidence to accept and mitigate Airborne Transmission.

2/13
The criticisms from these self-anointed gatekeepers were ripe with logical fallacies, and they never bothered to offer a plausible alternate explanation for the undeniable indoor superspreader events. Just baseless declarations that COVID is NOT Airborne.

3/13
Read 14 tweets
C Pita Profile picture
8 Aug
The @Telegraph released an article claiming "we're still not completely sure how coronavirus spreads or how to stop it", muddying the waters re. Airborne Transmission.
If I were a hostile foreign state, with a goal of prolonging the Pandemic in the West, I would write this.
🧵1/
I'm not surprised that the usual WHO IPC Consultant suspects, continued to preach the biased tenets of #DropletDogma via their interviews in this article.

What shocked me is the lack of scientific fact-checking from the so-called "Science Editor" @sarahknapton.

2/
Two egregious things stick out, which amount to journalistic malpractice.

1) Citing the interviewees biased, failed review as evidence that Airborne Transmission isn't occurring

2) Referencing year-old, obsolete comments from Dr. Klompas, without mentioning his recent work

3/
Read 13 tweets
C Pita Profile picture
8 Aug
We know #COVIDisAirborne, spreading via inhaled aerosols.

Any mask will provide some source control, but given Delta's formidable transmissibility, it's time for #bettermasks to maximize protection for ourselves and others.

Keys to #bettermasks:
✅FILTER
✅FIT
✅FUNCTION

🧵1/
☑️FILTER
🟠GOOD: A 3 ply, tightly-woven, cloth mask with a polypropylene inner layer
🟡BETTER: ASTM rated surgical masks, Level 2 or 3
🟢BEST: KN95, KF94, N95, Elastomeric Respirators

But since COVID spreads in aerosols.. we also need to #mindthegaps with a good FIT...

2/
☑️FIT
🟠GOOD: Thin cloth mask over a surgical mask, or use ear-saver/hair clip.
🟡BETTER: KN95/KF94 respirator with user seal-check, or mask brace on surgical mask.
🟢BEST: N95/N99/Elastomeric Respirator with user seal-check. If high-risk worker: Fit-Tested Respirator

3/
Read 6 tweets

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