I promised I would provide a way to calculate room air exchange, using a simple MERV-13 filter & a box fan. The sweet spot seems to be 6 exchanges per hour. This means all the air in the room is moved through the filter 6 times in 1 hour. 1/6 #ProtectHCWs#ProtectKids#Covid#BA2
First we need to get the volume of a room. It doesn’t need to be perfect! But note units are important. We are using feet/inches here. Use this calculator & input the measurements, A, B, & C as shown in the graphic below. Order is NOT important 2/6 #Filtervcalc.com/wiki/KurtHeckm…
I found a company that did calculations using a box fan on high speed & MERV-13 filters of different depths. The thicker the filter the BETTER the air flow! Strange but true. Note I added the Air Volume based on a 20” square box fan. 3/6 #N95#BoxFanFiltertexairfilters.com/how-a-merv-13-…
Now we will take your room volume you calculated. Multiple it by 6, or the number of times you want to exchange the air per hour. That is the amount of air you need your fan to filter per hour. If that number is less than than the above numbers, you are covered! 4/6 #LongCovid
What do I do if my calculated number from above is greater than the calculated filtration rates??? You take the number from above & divide it by whatever your fans CFH number (based on filter thickness). Round to the next largest whole #️⃣. 5/6 #ventilation#ProtectTeachers
Here is a graphic showing how the set up works. I have a tweet with instructions for making one too! Disclaimer: this is not HEPA filtration, it will DECREASE the viral load in the air this decreasing risk of infection. You NEED to wear an #N95Mask to be fully protected. 6/6
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I am going to post how this virus has destroyed me as a HCW. I have a Dr. in pharm, with a specialty in infectious disease. I worked on the critical weird cases. I have practiced for 18 years. I knew about #covid on 12/29/19. This was me the week before I knew is was airborne 🧵
I started crunching the numbers Jan 7 2020. By the 14th I knew it was airborne. I started warning colleagues & hospital admin on the 27th. I was laughed at & criticized. Gaslighting at its finest. By Feb 5th I had to take my Covid info private due to professional harassment 🧵
I kept trying to fight the good fight. Many people who did work with me asked me for advice. I recommended the following Feb 7th 2020. I knew this was going to be catastrophic. I calculated an initial R2.3 & mortality of 1.3-2.3%. This was FEBRUARY 2020! The @WHO or @CDCgov?! 🧵
🧵 So I have contacted @3M a # of times regarding a serious safety issue. Many users have experienced catastrophic failure w/ 9205 masks. An #N95 fail miduse is literally life threatening in professional situations. Why has @NIOSH not addressed this? It’s a simple fix. #HCWs
I have reported the 9205 design flaw & so have numerous other practitioners. Why hasn’t @NIOSH or @OSHA_DOL acted?They have know that these break mid use, exposing us to dangerous pathogens. Yet @3M can’t seem to do the right thing & use braided elastic exclusively like the 9210!
It would be one thing if @3M weren’t aware. But they are! I have been trying for a year to get this flaw fixed. Dozens of others reported the SAME problem on my tweet about this last night. That’s a SINGLE tweet. Yet many lives are put at risk? #ClassActionLawsuits anyone? #3M
So I want to explain some terms today & put things in perspective. You hear the term Ro or R naught. What it is is the measure of an average of how many people 1 infected person spreads a disease to. Covid was originally about R2.4, it has increased to an astounding R12+ with BA2
What does this MEAN? This means that the virus is getting BETTER at spreading with each wave. Improving the ability to infect us. What can happen next is a mutation increasing mortality, or the percentage of people it kills. Fun times! #CovidIsntOverplus.maths.org/content/epidem…
Unlike other viruses #COVID19 has the unique ability to spread before you even have symptoms. In other words this virus could have a 100% mortality rate & it wouldn’t matter. It would continue to spread. As it has already spread before it kills its host. Which is us. #MaskUp
I want to share an analogy & call to #Hospitals to #ProtectHCWs. 2+ years yet hospitals leave workers open to PREVENTABLE death & disability. They need to held to task & REQUIRED to properly & fully protect their workers. Please join me & share this. #HCWs#Covid#LongCovid (1/3)
Providing P100 respirators, increasing proper indoor air filtration, & testing workers regularly will help attract & retain staff. In addition to it being the RIGHT THING TO DO! Questions? Contact me #DoTheRightThing#LegislateProtection#ProtectHCWs#Nurses#ProtectRNs (3/3)
Let me tell you a story. By Jan 7, 2020 I knew this was airborne based on the spread occurring in China. By the 21st I had calculated an Ro of 2.4 (turned out to be pretty damned accurate). By the 23rd I called on my fellow healthcare professionals to ensure they had N95s
Or better yet P100 respirators. Then the backlash started. On the 27th I was openly mocked online by an ID doc I had worked with. It snowballed. I was trying to get anyone to listen. I was treated like I was nuts. All I was advising was to stock up on PPE & be prepared
I advised that we figure out a system for increasing mask longevity/reuse at my hospital system. I was dismissed as “reactionary”. The ICU attending & ID MDs went on international vacations in February & March. The hospital admin ignored this. I started posting videos on PPE
I think it’s time to revisit masking with #BA2 & how contagious it is. I am upgrading my recommendations to a P100 @3M respirator. They are less likely to suffer structural damage, meaning I have had them in use for 1 year at a time. That 100 is for 100% an N95 is 95% blocking
Note do NOT use @amazon they have a huge issue with #CounterfeitMasks. The @US_FDA doesn’t seem to be doing their job & cracking down while Bezos lounges on his yacht. I have samples of counterfeit 3M masks I bought off of Amazon. I confirmed with 3M DIRECTLY. So this is serious
This isn’t hearsay but actually provable. Amazon hides behind “tHeY aRE iDepEnDanT coTrAcTOrS” while they rake in that sweet pandemic cash. I recommend you order from @HomeDepot as they buy directly from 3M. I wish I had a better solution. #MaskUp#P100Masks#CovidIsNotOver