Important paper on wildfire smoke, using cell phones and internet search. When it comes to searching for air quality info, similar for high- and low-income. But when it comes to health protection and staying home to avoid smoke…
“Residents of lower-income neighbourhoods exhibit similar patterns in searches for air quality information but not for health protection, spend less time at home and have more muted sentiment responses.”
2/n
Why care about wildfire smoke?
“During smoke events, indoor particulate matter (PM2.5) concentrations often remain 3–4× above health-based guidelines and vary by 20× between neighbouring households.”
3/n
These findings “suggest that policy reliance on self-protection to mitigate smoke health risks will have modest and unequal benefits.”
4/n
Outdoor particles penetrate indoors. But the #HealthyBuilding strategies we’ve been advocating for for Covid work for wildfire, too. But here, shift the balance to filtration over ventilation.
And careful - the system needs to be running for in-duct filters to work! Filters not doing anything if no airflow across them!
6/n
Also, perfect use case for portable air cleaners. They capture particles from wildfire smoke just like they capture particles from the respiratory system!
7/n
But this study shows it’s not just about *access to information*, it’s about *access to resources*.
Urgent investment and support needed for ventilation/filtration improvements in housing (a million benefits…), and subsidized air cleaners.
8/n
“Socio-economic status is not correlated with outdoor smoke levels but does appear to mediate behavioural responses to such pollution. Wealthier households in our sample can more easily stay home, are more likely to seek information on protective technology and…”
9/n
“…are more likely to own indoor pollution monitors. Such differential behaviour is consistent with a broader literature that shows how socio-economic status constrains households’ abilities to invest in environmental quality and health protection.”
10/n
“Yet, at least in our sample of monitor-owning households, income is only weakly correlated w/ the infiltration of ambient smoke into indoor environments, and we observe many households in wealthy neighbourhoods experiencing exceedingly high levels of indoor smoke exposure.”
11/n
“Current policy approaches to addressing smoke exposure focus on behavioural recommendations to stay at home and close windows and doors, but our results suggest that these policies alone are difficult to comply with and may still be inadequate:…”
12/n
“…many households’ indoor environments remain highly exposed, and our mobility results suggest that adherence might be difficult for lower-income households.”
13/n
“It such behaviours are indeed hard to adopt, then the policy approach of promoting private provision of protection could be biased against disadvantaged groups.”
END (I think, for now…)
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The Lancet COVID-19 Commission’s Task Force on Safe School, Safe Work, and Safe Travel sought to answer a basic question:
"What set of measures should every building pursue, that would lead to significant public health benefits immediately and through this fall and winter?"
Note that this is not a complete list of measures we recommend - that was not the intent of this report. Other strategies and considerations can be found at the end of our report and this thread
One of the real challenges in interpreting risk on airplanes is the massive denominator. When a plane crashes, it's rightly front page news, but doesn't mean flying isn't safe. Same issue w/ unruly passenger, jerky comment about masks, some guy playing guitar in the aisle...
1/n
These issues make 'front page news' on social media, but they're wholly unrepresentative. (I flew two days ago, and about 10-20% chose to wear masks, no flight attendants did, and nobody seemed to care either way. It was blissfully boring, and gets lost in the denominator.)
Same goes for transmission risk on airplanes. Can it happen? Yes, of course. Transmission can happen anywhere. But we can't take one-offs and apply generally without accounting for the denominator. 2 million people flew yesterday in the U.S. alone.
Well, this caught my eye. I led point on LD outbreak investigations and thought I’d seen it all, but never saw this. And, after reading it, I’m not buying the conclusion.
First glance issue is the exposure pathway. I’m having a hard time with it - aerosolized washer fluid on windshield that penetrates the truck cab? I guess maybe…
2/n
Then I was hoping to see genotyping but authors note they couldn’t get sample from respiratory secretions from either of the two cases so unable to do genotyping to confirm the washer fluid was actual source.
3/n
THE PROBLEM:
"an important flaw exists in how most buildings operate in that the current standards for ventilation and filtration for indoor spaces, except for hospitals, are set for bare minimums and not designed for infection control"
THE SOLUTION: 🧵👇
"Increasing air changes per hour and air filtration is a simplified but important concept that could be deployed to help reduce risk from within-room, far-field airborne transmission of SARS-CoV-2 and other respiratory infectious diseases."
"While multiple conventions exist to describe ventilation rate (total volumetric flow, volumetric flow per person and area, outdoor air ventilation rates), air exchange rate is frequently used in health care settings and commonly expressed in units of air changes per hour (ACH)"
"just about every building you’ve ever walked into is underventilated with low levels of filtration. That’s b/c the standard that governs ventilation rates is a bare minimum not designed for health."
When we think about the full suite of tools we need to combat covid, now and in the future, we’ve had many successes - vaccines, therapeutics, rapid tests. But amid all these achievements, one of the most important and needed has been ignored: good ventilation and filtration.
2/x
How much of a non-focus are ventilation and filtration? We don’t even include an assessment of the building systems in our outbreak investigations, as our Lancet COVID-19 Commission report pointed out should be done every time.
3/x