Lazarus Long Profile picture
Apr 2, 2022 14 tweets 7 min read Read on X
Omicron. Hotel rooms.

TLDR? Could not pay me enough to stay in a hotel room. Stand alone motel cabin? Sure.
Hotel with corridors? No way.

Going to start with a quarantine hotel. They have CCTV and genomic confirmation, typically.

Will add more as time permits.

🧵
Mainland china. Designated quarantine hotel (DQH).

Bets variant detected. Afterwards, HEPAS added to the corridors to stop cross-room transmission.

All good, right?
You would be wrong.

#Covid is airborne, and it is incredibly transmissible.

4 or less breaths transmissible in hospitals with 6 ACH (excellent ventilation). That was at the original Wuhan stage of things.

Now, with Omicron? Even with HEPAs in the corridor?

Transmission.

Now, they did point out the index case was not wearing a mask, or just a cloth mask, when they opened the door to get food or drop off the garbage in the corridor.

But was that the most likely root-cause?
No, a smoke test indicated that it was NOT air pouring under the door, but from when the doors were opened.

Next tweet. Their description.
This Omicron case ended up in a CDC EID write-up.

wwwnc.cdc.gov/eid/article/28…

Here's the link for the first study:
thelancet.com/journals/lanwp…

Anyway, the CDC one confirmed CCTV was available, and reviewed.
So. Just a hotel transmission of Omicron between two fully vaxxed people across a corridor with a HEPA in it.

Personally, I'll take my chances at the Bates Motel, before I'd ever set foot into Hotel CoVid.

Because that hotel stay could end up being a Long one.
By the way, this is a change in my position on hotels. Before I thought it would be ok if you sealed off your hotel room from air flow under the door.

Omicron has changed that calculation of risk for me.
This thread is continuing to get traction, and a lot of understandably concerned apartment dwellers are asking what they can do.

H/T @ArtburkNikki for:


Use the toilet paper test David talks about.

And then get a draft stopper.
amazon.com/Evelots-Double…
Thanks to @Amal4Solutions for these tests from covidstraighttalk.org/hacks-guides
And as always, an out of the box solution.

Use PVC and plastic to make an airlock around your front door, with a HEPA in it.

Enter into the airlock, mask on. Twitter until the air has been changed over.

Exit, mask off.
Inside of your airlock, a 4" single #corsirosenthalbox overhead will give the same amount of cleaning as a 4 filter one.

And much quieter.

Aim down for air curtain effect.

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More from @LazarusLong13

May 19
Not included in the below evisceration of the CDC?

This. The beginning of the Everyday Action document to protect the kids.

The BASIS of everything after.

A 🧵 of analysis you will not have read before. No studies.

Infections spread because of ....

cdc.gov/orr/school-pre…

Image
❌ shared objects? Do the objects spontaneously get dirty?

❌ Close contact with each other? If children stand next to each other, they are in close contact. Do they infect each other?

❌ Students playing close to each other, but not breathing each other's air, do they
infect each other?

Fortunately the CDC has spelled out the HOW of kids infecting each other.

Contact, spray & splashes, and inhalation👇.

Ah, @kprather88
@jljcolorado, you'll be pleased to see that droplets have now been renamed as spray and splashes.

cdc.gov/orr/school-pre…
Image
Read 12 tweets
May 18
A two week puke cruise from South Hampton to the Canary Islands with 3,077 other guests, 1,205 crew members, and 1 apparently greedy cruise ship company (?) -@pandocruises.

How does a 5 HOUR WAIT to call the ship doc sound?

H/t @FriedmanJas

pocruises.com/find-a-cruise/…

Image
The situation on the ship with capacity for 3,192 passengers was described as ‘terrible’ and ‘serious outbreak.’  The bug has allegedly plagued Ventura for more than a month, with staff thinking it was gone after each cruise before the bug returned to wreak more havoc among guests and some crew.  Guests allegedly face a five-hour wait to call the ship’s medical centre because of ‘so many cases.’
The norovirus outbreak has been going on for 5-6 WEEKS.

How does people throwing up in the public spaces sound?

How does 250, most def an undercount, infected passengers sound?

Ah, @pandocruises? Besides doing the deep cleaning? Image
Norovirus is airborne.

Why not offer your passengers and crew FFP2s/N95s, and suggest they eat outside - until the outbreak is over?

Or....bring in a bunch of HEPAs for the dining room? In between the tables? Plus the N95s.

Read 4 tweets
May 18
Dr. Marr wrote this. I respect her immensely, but completely disagree on this topic.

- She does not know the ventilation/filtration of every airport. She does not know who was just sitting in that spot moments before you found it. Aerosol stability, physics of aerosols, Image
speed of ventilation/filtration all agree with me on this. The Australian Church study of 45 feet transmission facing away agrees.

- On airplanes - the Harvard Aviation Public Health Initiative (APHI) disagrees with her, indicating masks are necessary

abcnews.go.com/Politics/covid…
Image
- On coughing, she might not be aware of the 58% presymptomatic transmission.

-Overall, she might not be aware of the:
✅ 38% LongCovid risk after 3 infections.
✅ It only takes one virion to start a covid infection (tight transmission bottleneck).

We can disagree, but still
Read 4 tweets
May 17
This is a 🧵 that cuts through this CDC school guidance like the thread used in Netflix show "The Three Body Problem."

Their guidance will cut down the kids just like were cut down in the show.
Let's start with their tweet. It provides a framework to evaluate their actions against their words.

- preventing spread of infectious diseases.
-benefiting ALL students.
-maximize school attendance.

Let's start with preventing spread.

-Maximize school attendance
While preventing disease
Benefits all students is highlighted
The single most efficacious way to prevent the spread of infectious diseases is wearing respirators, as they stop both near and far field aerosols.

Are they mentioned in the intro page linked to? No. Masks are, but are buried.

People are logical.
cdc.gov/media/releases…

Teach and reinforce proper hand washing and respiratory etiquette. Take steps for cleaner air by improving ventilation in schools. Schools should consider ventilation enhancements and design when undergoing remodeling or when undertaking new building construction to optimize clean air. Clean, sanitize, and disinfect, when appropriate. Promote vaccinations for students and staff.
Long red arrow showing way down the page where masks are buried
Read 36 tweets
May 15
These folks refuse to give good real-life advice on how to clean up Hantavirus droppings.

And here we go - a shed with pressed board flooring and mouse droppings.

If I mop? Floor gets ruined.

If I blow it out with safety goggles and an N95 on?

Safely clean. And I
/1


Image
Image
Image
didn't have to pull everything out to get it done.

Real world aerosol-based solution versus a laboratory fomite-based solution.

@WADeptHealth - join us in the real world where viruses are airborne via aerosols - THROUGH THE AIR.

Or don't and let me gain followers by pointing
out your many many mistakes.

I would prefer to have no followers, and you putting out aerosol-based solutions.

But until then...thank you for being yet another useful tool to let me "gain clout."
Read 11 tweets
May 14
CDC Influenza A monitoring is up.



They compare to last year's influenza season, and if up 80%? Begin investigating.

There are some latency problems with this, but let's ignore that.

Let's look at the geographic location problem. cdc.gov/flu/avianflu/h…

Image
Image
The thing is? While it's great to have this effort beginning, it is only covering 600 sites.

For Texas, it is Randall and Potter Counties. And there may be more than one wastewater treatment site in those counties.
Mdp showing Randall and Potter County as wastewater location for Texas panhandle.
Pic showing Randall and Potter County as popup context for map
I walked through every chicken and dairy outbreak from a preprint study that yielded county names.

(Only read if curious, can be skipped).
Read 8 tweets

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