I'm amazed that this concept exists. It's as if some doctors have pledged eternal loyalty to the vaccine and any additional measures are a form of adultery. It's absurd. Stop encroaching on engineering.
1/9
An engineer's perspective:
a. Especially with boost, vaccines are extremely effective against severe disease.
b. They are not effective long-term in preventing infection.
Because of this, many have said that only severe disease matters. It's not true. Here's why:
2/9
1. We've tried using a vaccine only approach. It's failed in every country that attempted it. 2. What about the immunocompromised, elderly and unvaccinated? 3. A vaccine only approach causes people to blame the pandemic on the unvaccinated. This can't continue.
3/9
4. We don't know the long term effects of infection with this virus after vaccination. 5. We don't know the long term effects of constant reinfection. 6. What about the next virus or variant that is more severe and the vaccines don't prevent severe disease?
4/9
7. How often do we want to be sick even if we're not hospitalized? Is it good for society, healthcare and business to have people more sick a couple weeks a year? 8. Enough people are not helped enough by the vaccine that it can still overwhelm the healthcare system.
5/9
9. Many are still unable to be vaccinated.
Maybe people advocating a vaccine only approach should listen to experts outside their field.
We've known since 1941 that upper room UVGI reduced transmission of measles in school by about 75%.
New analysis shows 2 effective ways to stop measles: vaccination and ventilation/filtration. Also, the measles vaccine has better long term protection against infection + less reinfection, so engineering controls are more important for COVID.
If it works for measles, it'll work for COVID. Ventilation, filtration and upper room UVGI are known to be effective against airborne diseases. We still need to protect the vulnerable using airborne mitigation. We need to learn to stop this virus when we need to.
8/9
We need to stop relying on vaccines + lockdowns & closures. The vaccines are part of the response, but it's ridiculous to think they are the only part of the response. If you can't accept that, please get out of the way and let the engineers run the show.
fin/9
Addendum: I may have missed the most important point:
Infection leads to transmission.
Transmission leads to mutation.
Mutation leads to variants.
Variants lead to suffering.
It is the path to the dark side.
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A UV light is placed in the duct or by the coil of an air handling unit. It will kill virus particles being supplied to the zone.
I'm not in favor:
a. It can damage the filters
b. Better alternatives are: increasing outdoor air % and improving filtration.
2/20
c. Transmission through ducts is long range transmission. Shared room transmission is much higher risk. Better to focus on higher risk.
d. People in the industry have expressed skepticism to me of how
effective this actually is.
e. UV is more expensive than filtration.
If all the money that was spent on cloth masks, face shields, gloves and gowns would have been spent on N95s, everyone would have been protected.
If all the money that was spent on hand sanitizer would have been spent on CO2 monitors, people could keep themselves safe.
1/7
If all the money that was spent on deep cleanings would have been spent on HEPA filters, there would have been less transmission.
If all the money that was spent on plexiglass would have been spent on UVGI, those classrooms would have been safe.
2/7
If all the time spent on teaching people to wash their hands would have been spent on teaching people about airborne mitigation, people would know how to protect themselves.
If some of the media time given to PH and ID docs...
How I'm rating the HEPA filters purchased by Canadian schools 🧵
I will tweet a thread soon comparing some HEPA filters purchased by Canadian schools. Before, I want to explain my rating system here.
1/8
Getting the info about the HEPA filters was very difficult - it isn't available. The proper info provided for each one should be the CADR (clean air delivery rate) and noise at each speed, but you can't find that, so I had to estimate based on the available information.
2/8
Many companies provide misleading info. For example, they state the CFM of the fan without the filter instead of the CADR. They state the noise at >6 ft away rather than the standard of 1 m. You have to sort through the nonsense to find the necessary info.
3/8
We stopped COVID in our home! My wife felt sick early last week and then tested positive (RAT). Everyone in our family is now negative. My kids and I never got it. We didn't resort to extreme measures like isolation or kids wearing N95s all day. This is how we did it:
1/11
We followed public health advice:
-wore comfortable cloth masks
-washed our hands frequently
-cleaned and disinfected - especially the toys
-practiced safe physical distancing
-put up plexiglass barriers as an extra precaution.
Just kidding. That's not how it's done.
2/11
#COVIDisAirborne . Focus on keeping the air clean and you can stop the spread. These are the measures we took:
Vaccines - we're all fully vaccinated (including boosters) except my 3 yo. My 4 month old had 2 doses in utero. My 6 yo has 2 doses.
What are good CO2 levels and what can you do if they aren't good?
When people breathe out they expel CO2. Depending on the level of ventilation, this can be exhausted and the CO2 levels will stay low (good ventilation) or if it isn't good, the CO2 will build up and rise.
There is no hard cutoff with the different levels, but here is a guide.
<800 ppm is quoted a lot, but in my experience, classrooms can be much higher. Up to 1500 ppm can occur with ventilation not working perfectly (very common). > 2000 happens with bad ventilation.
2/7
CO2 levels measure how much air is shared or rebreathed. @DavidElfstrom prepared a table comparing CO2 levels to the % of rebreathed air. The more rebreathed air, the higher the risk of airborne transmission.
1 air change only removes 63% of the virus particles. Why? (Warning: Math)
Thought experiment 1:
Start with 100 virus particles (VPs).
Remove all the air in the room (100 VPs).
Refill the room with air.
You have 0 VPs left - 100% removal.
1/5
Thought experiment 2:
Start with 100 virus particles (VPs).
Remove half the air in the room (50 VPs).
Refill half the room with air and let it mix.
You have 50 VPs left.
Remove half of the air again (25 VPs).
Refill the room.
You have 25 VPs left - 75% removal
2/5
Thought exp. 3:
Start with 27 VPs.
Remove 1/3 of the air (9 VPs).
18 VPs remain. Refill the room.
Remove 1/3 of the air (6 VPs).
12 VPs remain. Refill the room.
Remove 1/3 of the air (4 VPs).
8 VPs remaining, 19 removed total.
Refill the room.