A family emergency means I’m flying today for the first time since 2019. Fortunately I’ve got my N95 to reduce my inhaled dose as much as possible + my CO2 meter to gauge air.

Short 🧵 to occupy me while on a layover.

The CO2 was nicely & low in the Shreveport, LA airport (1/x) ImageImage
2/ On this tiny United commuter flight, 45 minute flight time from Shreveport to Houston, no one with N95 masks. Maybe 2 w/ surgical masks.

Boarding & taxi process, the #AirplaneCO2 briefly peaked at 1600 ppm, but mostly in 1100 range. Obviously higher than ideal, but not bad. Image
3/ Cruising (if you call it that for just a few minutes) was still in the 1000 - 1200 ppm range. At that upper level, roughly 2% of the air is likely rebreathed from others on board. But the ventilation is also filtering resp. particles from background air relatively frequently. Image
4/ Kept N95 on tightly the whole flight. Now in Houston and really need food. Fortunately, not too crowded. Did some recon and feel ok taking mask off to eat at this place with low person density & reasonable CO2 at <800 ppm. CO2 meter (and a beer) show...
5/ I hadn’t planned on this trip to Tucson. Changing plans mid-vacation, leaving family to be with other family. Fortunately we brought a few rapid COVID tests. I took a test immediately before I left the house today. Was negative, obviously. But was glad we had the RATs on hand.
6/ Virtually no one in the Houston airport (or Shreveport) is currently masked. Maybe 1%? Of those, maybe 10% in KN95. Most in cloth or surgical. I’m not sure I’ve seen another N95 (and certainly no elastomeric respirators).
7/ Happily, the CO2 level is very good in the areas I’m wandering in Terminal A of George Bush Intercontinental airport in Houston. Mostly in the 400 - 600 ppm range. But it’s also not very busy. Not sure the take-away there. Consult the airport seers and travel at off times? Image
8/ CO2 at my gate is a little worse at ~800 ppm, but not bad for a crowd.

I can currently see 63 people at gate. 9 masked. Better than rough airport avg. ~15% here. Of those:

3 below nose 
2 cloth
1 surgical
2 KN95 (parents w/ infant twins)
1 N95 (me)
None on United staff Image
9/ Short jetway experience was good. Line moving fast, so exhaled air, respiratory aerosols, and CO2 not likely building up much. Image
10/ Another small plane for second (of two) flights for me today. ERJ175 airplane operated by United. Two seats on each side of aisle in the cheap seats.

Not as lucky with #AirplaneCO2 this round. Very quickly gets to >1600 ppm once I sit down. Not feeling as optimistic here … Image
11/ They apparently didn’t have time to fuel up the tank. Waiting extra 10 minutes for that. They left the door open & air on. 🙏

CO2 holding steady in the ~1650 ppm range.

I lucked out. No seatmate & behind me is one of the few w/ mask (surgical).

More on the flip side …
12/ CO2 stayed 1700-1900 ppm while on taxi & waiting the few minutes before take off.

Overhead air turned on shortly before take off. More air movement and CO2 at 1400-1600 ppm. Image
13/ Interesting that @united reworked standard flight attendant speech to announce proud use of “antimicrobial surfaces,” w/ no mention of air filtration already in place. Highlights perceived need to reinforce attention to surface cleaning rather than airborne routes of disease.
14/ Cruising: 1600-1800 ppm range. But in contrast to similar CO2 levels in most indoor spaces, keep in mind that airlines have rapid air exchange. Filtration removes particles (infection worry) while not removing gases. So air is *much* cleaner of particles than w/o filtration. Image
15/ That said, I’m still leaving my N95 tightly in place for most of flight. I’m taking sips of water & small shovels of gummy bears into my mouth as I quickly dip my mask. It goes back on w/ a quick adjustment as soon as the refreshments are in. It’s comfy enough & I’m fine. Image
16/ Overall, I’m feeling ok in the experience so far. All travel involves risk, spread of infection as one part. But w/ the air filtration during flight, the moderate CO2 (in my case), and the heavy defense of my N95, I feel reasonably comfortable w/ my personal level of risk. Image
17/ CO2 dropping as we descend. Started at ~1600 ppm while cruising and steadily dropped to 1100 ppm by landing. Image
18/ Waiting for Uber outside (in 84 degree F Tucson night time ‘dry heat’). Fortunately, CO2 outside is within range of what you would expect for the sensor (420 ppm +- 30-50 ppm). Image
19/ And to round it out, the Uber ride was an uneventful 25 min. Driver was masked w/ KN95. Air was on high w/o recirculation. CO2 never got above 660 ppm. 👏

All in all my first set of flights in 30+ mo’s was fairly uneventful. I can’t claim no risk, but I’m comfortable w/ it.
20/ (Postscript) To add some points associated with comments, I want to clarify that this was not intended to be a treatise on best practices of travel or a comprehensive explainer about CO2 & risk. It was a fairly simple live-tweet of some observations I made while traveling.
22/ And there are many articles that can walk you through different perspectives on the risks involved in air travel. It’s not for me to endorse or summarize here, but to say that you *can* take steps to help assess & reduce your risk while traveling.
washingtonpost.com/travel/tips/fl…
23/ If you are still want more about CO2 or airborne risks, others on Twitter have offered great threads. Some are documented here. Search (Cntrl-F) e.g. for CO2 or airplane on the tabs for media articles or threads. I’m way behind, but still a lot there.
bit.ly/3fzmB16

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More from @HuffmanLabDU

Oct 7, 2022
Important article by @PatriciaFabianS & @jonlevyBU: investment in improving school air quality is critical.

Adds to reminder by @IAQinGWN at #AAAR2022 yesterday that investing in filtration can realize $10-100 return per $ spent e.g. via ⬇️ absences.
theconversation.com/investing-in-i…
Well-maintained HVAC filters or portable air cleaners can “also clean the air of pollen particles, mold spores & pollution from car exhaust and industrial operations. And in areas where wildfires are common, filters reduce the concentration of smoke particles inside buildings.”
[In schools that increase ventilation rate] “For kids and school staff, particularly those with asthma, allergies and sensitivities, this can mean fewer missed days of school, less medication, and fewer asthma attacks and subsequent trips to the hospital.”
onlinelibrary.wiley.com/doi/10.1111/in…
Read 4 tweets
Aug 18, 2022
"Indoor Air Management of Airborne Pathogens: Lessons, Practices, and Innovations" eventbrite.com/e/indoor-air-m…

Workshop by @theNASEM focusing on the current state of knowledge ➡️ practical lessons learned. Session 1 starting now.

Live-tweets below
#EHMI #NASEM #EnviroHealthMatters ImageImage
2/ @Don_Milton summarizes evidence that saliva PCR much better at catching COVID positive cases than PCR from nasal swabs. ImageImage
3/ @Don_Milton: It's the *combination* of masks, ventilation, filtration that can dramatically reduce spread Image
Read 66 tweets
Apr 4, 2022
Excellent OpEd by @linseymarr & @jljcolorado on the early and persistent confusion around the word "airborne" wrt the pandemic. It's a short overview on the effects of these miscomms across medical & disciplinary boundaries.
Some salient quotes, links (1/)
time.com/6162065/covid-…
2/ “This fundamental misunderstanding of the virus disastrously shaped the response during the first few months of the pandemic & continues to this day. We still see it now in the surface cleaning protocols that many have kept in place even while walking around without masks. …”
3/ “… There is a key explanation for this early error. In hospitals, the word “airborne” is associated w/ a rigid set of protective methods, incl. the use of N95 respirators by workers and negative pressure rooms for patients. These are resource-intensive and legally required.”
Read 11 tweets
Jan 14, 2022
CDC came out with another incremental update on #mask & #respirator guidance today: cdc.gov/coronavirus/20…

Clarifies N95s aren't in short supply & can be worn again!

It's still not perfect, but it feels like we're at least inching in the right direction. Some thoughts via a🧵.
2/ New statement that most respirators (i.e. #N95s) "are disposable and should be discarded WHEN they are dirty, damaged, or difficult to breathe through."

So you CAN #ReuseN95s‼️
See, e.g.:

That's *much* better guidance than to toss after a single use!
3/ Also clearly states that:
"Loosely woven cloth products provide the least protection ... and well-fitting NIOSH-approved respirators (including #N95s) offer the highest level of protection."

YES!!
Read 15 tweets
Jan 12, 2022
Really happy to see our paper led by @DaveyRachel1 just out in the #Forefront section of @AnalBioanalChem: rdcu.be/cEJN7

Improves a procedure to expose surrogate proteins to urban air (especially NO2, O3) to quantify changes in protein nitration ➡️ allergies, etc.
1/🧵 Image
2/ @DaveyRachel1 did a great job of quantifying & improving each step of the #bioanalytical procedure; ozone loss across PM filters, extraction & detection efficiencies, even good old analytical #FiguresOfMerit sensitivity & limit of detection.
rdcu.be/cEJN7 Image
3/ Possibly the most broadly useful piece is the data showing ozone loss across several filter types. The HEPA capsule scrubbed >60% of the ozone (bad if you're trying to quantify ozone). Kynar removed only 3%.
Important if using filter to remove PM, while quantifying O3 behind. Image
Read 6 tweets
Jan 6, 2022
If you have more experience & credibility than Dr. @brosseau_lisa on topics of industrial hygiene, aerosol science & mask use, etc. - then by all means speak up.
Otherwise, dispense w/ silliness that surgical masks are safer than N95s. Use #BetterMasks.
🔹cidrap.umn.edu/news-perspecti…
3/ Regarding new mask mandates:
“Once you go into a store & you know you’re gonna be there for more than a couple minutes, you’ve got to wear a respirator.”: @brosseau_lisa
Look for NIOSH stamp & a tight fit. "If it has ear loops, it's not a respirator."
minnesota.cbslocal.com/2022/01/06/bes…
Read 4 tweets

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