Delighted to have collaborated with @MicroLevitator@jfdavies and team to continue our deep dive into understanding mechanisms of virus decay in droplets and aerosols. /1
Levitated aerosols of various model fluids--we did not test any real respiratory fluids--evaporate and become semi-solid at moderate relative humidity (RH), solid at low RH. Diffusion of potential disinfectants would be inhibited, slowing kinetics of decay reactions. /2
We expect kinetics to also be affected by solute concentrations, which increase at lower RH, so a competing effect. elifesciences.org/articles/65902 by @dylanhmorris & co-authors /3
Immune response also matters, as reviewed by @VirusesImmunitypubmed.ncbi.nlm.nih.gov/32196426/ I thought we had it figured out a long time ago, but the deeper we go, the more questions I have. We'll keep at it! /8
• • •
Missing some Tweet in this thread? You can try to
force a refresh
How do we do public health better in a country with such a strong culture of individualism? /1
The reluctance to promote rapid tests and N95s is due in part to rules for diagnostics and worker protection (@michael_mina). If the boat is sinking, I'll take any life vest I can get. /2
How do we start adapting our buildings for clean air like we did for clean water? It's time for an Indoor Clean Air Act. @kprather88 See science.org/doi/10.1126/sc… /3
We found RNA on 71% of HVAC filters, 57% of surface samples (faucet handle, doorknob, floor, etc.), 67% of bathroom vent grilles at 10 to 10,000 gc/swabbed area of ~10x10 cm2. /3
@theNASEM webinar on Public Health Lessons for Non-Vaccine Influenza Interventions: Looking Past COVID-19 today at 1 pm nam.edu/event/advancin… Report released yesterday at bit.ly/3kHhZeW /1
The report recommends use of respirators, surgical/procedural masks, and multi-layer woven cloth face masks to reduce transmission of SARS-CoV-2, and states that face shields alone are not effective /2
It highlights the importance of physical distancing, ventilation, & air filtration to remove pathogens from the air, but recognizes that physical barriers are not effective & may actually be harmful /3
Tang & I wrote about updating transmission routes to inhalation, spray, and touch, following up on suggestions by Yuguo Li and @Don_Milton. academic.oup.com/cid/advance-ar… /1
"Current infection-control guidelines subscribe to a contact/droplet/airborne paradigm that is based on outdated understanding. Here, we propose to modify and align existing guidelines with a more accurate description of the different transmission routes." /2
"This will improve the effectiveness of control measures as more transmissible variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerge." /3
"The phenomenon of low risk outdoors and high risk indoors deserves some explanation. This is probably the most important observation in this pandemic. There is a simple explanation: dilution." /2
"For an ideal expired jet from a person breathing at rest, at a distance >1 m, there is >10-fold dilution from surrounding air because of...entrainment. If the surrounding air is totally free from infectious virus, as it is outdoors, the concentration beyond 1 m is very low." /3
Just as I advocated for mask use when needed, I'm going to join @j_g_allen in advocating for ending mask rules when no longer needed. In my mind, that's after kids 5-11 have a chance to get vaccinated. /1
My 10-yo will get vaccinated as soon as possible, not because I'm particularly worried about her getting Covid-19 but because I'm worried about her *spreading* it. /2
With the normalization of mask wearing in the US, I hope that people will feel comfortable wearing them or not wearing them as it makes sense (not for political reasons). /3