#EbolaIsAirborne

And by that I mean avoid inhaling infectious aerosol in addition to other precautions. Use a respirator. Ventilate the room.
Don’t believe me? Think I’m anxious? If you are right, you feel rightfully annoyed about wearing your respirator for a bit.

If I’m right… 🤒+\-🪦 (+🪦🪦🪦 of people it spread to).
Yes, yes people have tried using droplet precautions for Ebola.

No… no it’s not a good idea.
Frankly I think droplet precautions should be scrapped, abandoned, retired completely and immediately.

Either protect the respiratory tract with a respirator, or with other means until you can get a respirator, or be darned sure it is not able to transmit via the resp route.
By other means until you can get a respirator is purely because one might find oneself in a situation where that is not possible, then you have to improvise/manage somehow, but that should be a temporary thing!

After 2.5yrs of COVID-19, every HCW on the planet should have one!
So, dear NHS workers, while perusing the monkeypox guidance… did you notice which column Ebola is in?

If there is an outbreak… are you going to be bravely going where sane people don’t go with a dinner lady apron on? Image
At some point, we have to draw the line. Might as well draw right now… otherwise it’s going to get really ridiculous.

SARS2 is deadly enough, is causing enough illness, is disrupting healthcare and the economy, and it’s airborne.

I think the consequences are high enough.
*dinner person now. Was all ladies at my school… in the Cretaceous period.

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More from @NjbBari3

May 24
Why for the last few decades have we treated #monkeypox as airborne?
Firstly, it is related to smallpox. One of the most “airborne” diseases we know. Monkeypox cases were often found in the course of investigating smallpox cases. They were known to be related.
That assumption may have been “precautionary” so what other reasons did we have for not downgrading its status from airborne earlier.

Animals produce aerosol. So do humans. Was there infectious material in the aerosol? ->
Read 23 tweets
May 24
I think if you want to know what is upsetting the kids, you have to sit down and listen to what they have to say.

I am seeing a lot of theorising on “anxiety” and “school refusal” but not a lot of high quality observational research on the cause.
Now I have been observing what has been going on in my kids life, and his cohort.

There are *diverse* concerns. Kids are stress about COVID-19, yes, but there are also family financial stresses, exams they feel unprepared for, homework overload too.
The entire country and indeed the world is in a state of distress and change. These things naturally filter down.

I would like to see much better research, and then we can start much better support.
Read 4 tweets
May 23
Dear Everyone That Wants To Go Back To Normal,

When you “live with viruses”, hard work *is normal*.

who.int/emergencies/di… Image
It’s either that, or death, disability, and economic devastation. 🤷🏻‍♀️
I noticed on the WHO information about Ebola it didn’t mention aerosol. Only body fluids and contact.

I am at the point of complete exasperation. Please do not see Ebola patients without proper respiratory and whole body contact precautions.

This is how they do it properly. Image
Read 6 tweets
May 23
Monkeypox is not transmitting as fast as smallpox because it’s not adapted well yet. In virus terms it’s just getting to know us. Smallpox took many, many years to become what it was.

But that doesn’t mean it is using a completely different tactics to transmit. #Aerosol
MPx is known to transmit in many ways… including aerosol in animal studies.

If I’m wrong, you wear a respirator for a couple of years and save yourself some COVID infections.

If I’m right, and we don’t act on this, it’s going to get grim.
PS. MPx has been classified as an airborne HCID since it was discovered. I’m not talking whacky science. I’m talking ordinary boring science.
Read 7 tweets
May 22
Complete 💩 show.

Get the facts straight.

Contact (esp with blisters), Airborne/Aerosol-borne, Fomites (esp contaminated clothes and linen), Body Fluids.

#monkeypox
As far as we know, contagious until the last scab has fallen off and the skin not broken anymore. (Looks healed but may be scarred.)
Obviously intercourse involves all of the above transmission routes, but that doesn’t mean intercourse is needed for spread.
Read 21 tweets
May 21
Erm

What happens when you add COVID-19 and Ebola I wonder…

nature.com/articles/s4158…
See… I do wonder if it would be a good idea to have some kind of border health screening program in this brave new living with SARS world… maybe even some quarantine facilities with proper airborne precautions… for flights from outbreak zones…

Bad idea?
TL;DR

It is thought that a latent Ebola infection may have reactivated and sparked an outbreak.
Read 5 tweets

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