This in the @NatGeo today. Statement from @WHO that #monkeypox doesn’t spread like COVID-19 (true) in tiny airborne droplets (not so true).

We know aerosol does play a part in monkeypox transmission, even if not major. See thread that follows. Image
A short thread on evidence of the role of aerosol in #monkeypox transmission.
The problem is, if you ignore a route of transmission, no matter how minor you think it is, it will stifle contact tracing and disease control efforts.

This thing is going to do a slow but inexorable burn, probably over many years, always tending towards fitter strains.
We will lose lives, waste time, expend resources, contaminate wildlife, and still lose the battle unless we deal with reality, and deal with the most neglected mode of transmission. Aerosol and airborne.

That too despite having vaccines that work.
So I will say it again. #MonkeyPoxIsAirborneToo and spread by contact, body fluids and fomites.

It’s not very efficient at airborne spread, but it is floating about, we are breathing it in… and it does have the capacity to adapt, eventually.
Try not to teach it new tricks. Along with everything else, wear a respirator.

Should be wearing one anyway to prevent COVID-19.

#monkeypox #respirator

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More from @NjbBari3

May 31
Monkeypox is known to infect humans via the respiratory route amongst others.

Studies have shown that in the near field aerosol dominates and is the most efficient means of transmitting disease in general.

Strong messaging is emerging that monkeypox is not airborne. What next?
People will associate monkeypox with touch, fomites, sexual activity and “droplets”.

Ferocious cleaning will re-commence. As the outbreak grows people will physically distance from one another.
There will probably be stigma associated with getting infected… as is the human way.

Efforts will be made to ring vaccinate and stop the disease spreading…
Read 18 tweets
May 30
Many British children have died.

Vaccines for British kids seriously delayed in a failed attempt to reach disease mediated herd immunity.

Thousands of British children have long COVID.

Schools remain unsafe and amplifiers of disease killing vulnerable people.
Kids have, and still are suffering serious complications after being deliberately infected through neglect.

Not a single person that has participated in promoting disease spread should be able to walk away from this carnage without accounting for their activity.

Not one.
Sorry, no. This pandemic was not your moment to learn on the job. If you didn’t know what you were talking about, you shouldn’t have said anything.

Caution was always warranted.
Read 5 tweets
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 24 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…
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.
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

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