C Pita Profile picture
28 Dec, 16 tweets, 4 min read
Resist the fatalism.

An Omicron infection is NOT inevitable.

It has a weakness: it needs to travel on an air bridge.

We have the technology to break that air bridge, through filtering, cleaning and changing the air.

🧵 on some Omicron avoidance SUCCESS stories!

1/
1️⃣ Last Monday, my family was briefly exposed to a symptomatic person who had tested negative on a RAT. When I realized they were symptomatic, I asked them to leave as a precaution, and immediately refreshed the air via doors and windows open. They tested + the next day.

2/
For the next week, we wore respirators in the house to protect our 2 year old son, just in case we had become infected.

9 days later, nobody has tested positive.

Lesson: Isolate symptomatic people, regardless of RAT result. If exposed, purge the air as soon as possible.

3/
2️⃣ Two Fridays ago, my good friend met his family at his in laws for dinner. 10 minutes in, he received a call from work that there was a positive case at his job site. He immediately left.

4/
Despite not being anywhere near the index case, he donned a CAN99 respirator as a precaution and slept in the basement. He had been unmasked in his closed door office within the same work trailer, and thus could have been sharing air with the index case. Ventilation unknown.

5/
On Saturday evening, he developed symptoms, and tested + on Sunday. He upgraded his furnace filter to Filtrete 1900 (MERV13), isolated in the basement with windows cracked, bathroom exhaust fan on, and a HEPA filter. He wore a respirator when possible.

6/
His wife wore a respirator to protect their 15 month old, and ran a 2nd, borrowed HEPA filter upstairs with them. She regularly refreshed the air on the mainfloor by opening windows and doors.

10 days later, his wife and baby are still symptom free and negative.

7/
3️⃣ Unfortunately, there was one transmission event at the brief Friday night dinner, before the friend found out he was exposed. The friend's MIL developed a cough about 5 days later. This was especially concerning, because the friend's FIL is immunocompromised.

8/
The MIL tested negative on nasal RAT, but then tested positive on PCR shortly after. They didn't isolate on the first night of mild symptoms - but the next day instituted Airborne precautions (MERV13 filter, HEPA filter, respirators, isolated).

No transmission as of Day 6.

9/
Lessons: If you develop ANY symptoms, don a respirator and start isolating in the house, regardless of RAT test result.
Even if you didn't isolate in the first day of symptoms, it's not too late!

/10
Summary of what I've learned to prevent Omicron transmission:

☣ Isolate if ANY symptoms (scratchy throat, sore throat, light cough, etc)
☣ Don't trust a negative RAT in the first couple days of symptoms.
☣ Swab your THROAT as well as your nose

/11
If you are + or exposed to a + case (shared same air)

☣ Don a respirator to prevent onward transmission
☣ Buy/borrow a HEPA filter, or build a Corsi-Rosenthal Box
☣ Crack your windows and purge the house air regularly
☣ Upgrade furnace filter to MERV13

/12
At the beginning of this Christmas week, I was feeling pretty fatalistic and stressed.

At the end, I'm feeling hopeful. We successfully prevented any onward transmission as soon as we implemented Airborne precautions.

13/
Vaccinated people with Omicron tend to get symptoms early - and it doesn't necessarily transmit in those early days. Trust yourself and isolate - take the precautionary approach.

RATs are a vital tool, just don't trust a negative in the first couple days of symptoms.

14/
Some of these tools are not affordable for people.

The government needs to provide more supports to help people contain this virus.
@JustinTrudeau @cafreeland

➡️ Free RATs
➡️ Free Respirators
➡️ Discounts/tax credits for home Air Quality (MERV13, HEPA filters)

/end
Amending with a good summary guide on all of this, from the Canadian Aerosol Transmission Coalition.

I forgot to mention a key step:

☣ Turn your furnace fan from AUTO to ON, to keep air cycling through your MERV13 furnace filter at all times (not just when the heat comes on)

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More from @CPita3

25 Dec
Many people are waking up with the gift of Omicron this Christmas, thanks to our incompetent government and PH establishment, that decided to let this Airborne virus rip.

Stop the cycle - if you have ANY symptoms, DO NOT GATHER regardless of Rapid Test OR PCR Test result.
Early symptoms that I've heard from friends and family:

☣ Scratchy throat
☣ Sore throat
☣ Mild, recurring cough
☣ Fatigue
☣ Chills
☣ Headache
☣ Congestion

If you have ANY of these, DO NOT VISIT FAMILY INDOORS.

DON'T TRUST A NEGATIVE TEST (PCR or RAT)
I've heard more anecdotes than I can count of RATs and PCRs missing early symptomatic cases. Some people are testing positive on the throat but not nose - so do BOTH!

One friend transmitted it during a 10 minute maskless encounter, while still presymptomatic and unaware.
Read 4 tweets
22 Dec
Getting warmer... but still insufficient for an Airborne virus.

There are some easter eggs in this document, which tell us the @WHO IPAC Group is STILL drunk on #DropletDogma, and that they DO NOT support this minor change in RPE guidance.

That should concern us all.

🧵1/
First, Omicron is measles-level Airborne (maybe worse). 2 weeks ago I had no close friends or family that had caught COVID. As of today, 3 people close to me are positive after long-range Airborne transmission in restaurants or at work.

2/

How do I know it's long range? They did not get within 20ft of an index case. They inhaled it from the air.

One friend wore a CAN99 everywhere, EXCEPT in his closed door office space, in a large work trailer. The index case was in the same trailer, on the opposite side.

3/
Read 13 tweets
21 Nov
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…
Read 11 tweets
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
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
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

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