1/ As many of you know, we have been recommending respirators (N95, FFP2, elastomeric) for increased protection against the dominant airborne transmission of COVID-19.

For men with beards that want to wear a respirator, you need to consider the seal between respirator and face
2/ Facial hair gets in the way of the seal between the face and the respirator, which is achieved when the respirator material is pressed against the face.

@CDCgov has a guide of which facial hairstyles work best for this purpose:

blogs.cdc.gov/niosh-science-… Image
3/ I had posted a version of this idea earlier today, but I mistakenly said "masks" instead of "respirators" in the first tweet, and it seems to have caused a lot of confusion.

So I've deleted it and posting this one instead
And apparently this technique can be used to seal an N95 with a beard:

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More from @jljcolorado

23 Nov
1/ ¿COMO EVITAR LA TRANSMISION DE COVID ESTAS VACACIONES?

Lo + importante: entender que nos contagiamos al respirar aire infectado (aerosoles con virus) exhalado por ALGUNOS (no todos) los infectados

En proximidad cercana, y en aire compartido en habitación

#CleanAirHolidays
2/ Darse cuenta de q esta es una PANDEMIA DE INTERIORES

20 veces + probable contagiarse en interior q en exterior (sólo lo explica transmisión por aire)

HAZ TODO LO Q PUEDAS AL AIRE LIBRE (reuniones de familia, trabajo, escuelas...)

pubmed.ncbi.nlm.nih.gov/33249484/

#CleanAirHolidays
3/ Si tienes que ir a interiores, no hay BALA MÁGICA (una medida que por si sola nos mantenga a salvo)

Hay que hacer varias cosas para disminuir el riesgo.

El MODELO DE QUESO SUIZO del virólogo @MackayIM

#CleanAirHolidays
Read 17 tweets
23 Nov
1/ HOW TO AVOID TRANSMISSION and have #CleanAirHolidays?

Most important: understand and explain clearly that we get infected by breathing infected air (aerosols) exhaled by SOME (not all) the infected

Mainly in close proximity, and in shared room air

journalofhospitalinfection.com/article/S0195-… Image
2/ Recognize that this is an INDOOR PANDEMIC

20 times more likely to get infected indoors than outdoors (can only be explained by airborne transmission)

DO EVERYTHING YOU CAN OUTDOORS (family and work meetings, schools etc.)

pubmed.ncbi.nlm.nih.gov/33249484/
nytimes.com/2020/07/17/nyr… Image
3/ If you have to go indoors, there is NO SILVER BULLET. You need to do multiple things to reduce risk.

I.e. the "SWISS CHEESE" model of @MackayIM

#CleanAirHolidays Image
Read 18 tweets
18 Nov
1/ HOW COVID TRANSMISSION WORKS: the short version

I believe it is extremely important to communicate clearly how transmission really happens.

Then, one can understand easily real ways to limit transmission. And it reduces resistance to e.g. masks.
2/ SOME, NOT ALL infected people (those with high viral load during a certain period of the illness) exhale aerosols that float in the air. Many more if they talk / yell / sing / exercise.

More details in this paper in @ScienceMagazine:

3/ Those aerosols float like cigarette smoke, which is another aerosol

Read 21 tweets
29 Oct
1/ Algún no-científico repite que los aerosoles no pueden ser importantes para el contagio de COVID-19 porque si lo fueran "las tasas de ataque secundario domiciliario (TAS/SAR) oscilarían entre el 80 y el 100%"

Y confunde al personal, así que explico porque esto es erróneo.
2/ La tuberculosis pulmonar (TBP) y el sarampión las acepta todo el mundo como de transmisión aérea. La TBP SÓLO se transmite por el aire.

Sin embargo NO se infectan todos los que comparten el aire con un tuberculoso.
3/ Por ejemplo en este estudio sólo se infectó el 40% de los trabajadores que compartían el aire en la misma oficina tras una exposición de 4 semanas

(La TBP sin tratar puede ser infecciosa más de un año, y eso le ayuda a sobrevivir como enfermedad)

pubmed.ncbi.nlm.nih.gov/1907115/
Read 29 tweets
13 Oct
1/ Our article on historical droplet error (#DropletDogma) just published after peer-review

"How did we get here: what are droplets and aerosols and how far do they go? A historical perspective on the transmission of respiratory infectious diseases"

doi.org/10.1098/rsfs.2…
2/ An honor to have worked in an interdisciplinary team led by @linseymarr and Lydia Bourouiba of @MIT, together with the amazing @katierandall and @EThomasEwing

TL;DR: understanding of "droplets" in medicine is based on large errors that went mostly unnoticed until now
3/ We have written a review article on the wider arc of history, which is now under peer-review, preprint here:

papers.ssrn.com/sol3/papers.cf…

Already ranked #1 on their Infectious Diseases e-journal: papers.ssrn.com/sol3/topten/to…
Read 36 tweets
23 Sep
1/ TRANMISIÓN DE VIRUS RESPIRATORIOS POR EL AIRE: DIVULGACIÓN CON COMICS

Nuestro artículo reciente en @ScienceMagazine, presentado de forma comprensible a través de comics.

Artículo: science.org/doi/10.1126/sc…

Comics creados por @ChiaWang8, y traducidos al español por @nanoprofe
2/ El elenco de actores: las gotículas (grandes, caen rápidamente al suelo) y los aerosoles (pequeños, flotan en al aire como el humo)
3/ ¿Qué son los aerosoles?
Read 20 tweets

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