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Lazarus Long Profile picture
@LazarusLong13
Jul 26, 2022 • 44 tweets • 23 min read • Read on X
Speaking of the CDC - a thread on them NOT recommending masks - although an outbreak on a plane in 2021 was stopped by masks.

Per the actual monkeypox lead for the CDC.

And more - enjoy:

#MonkeypoxIsAirborne.

According to the CDC Travel department. Thank you, @jmcrookston .

"... Person to person spread is principally respiratory..."

Someone is going to try and squawk about respiratory droplets. Let's head that off at the pass.

wwwnc.cdc.gov/travel/yellowb… Image
The word is respiratory. Not respiratory droplets.

The word comes from respire.

Which comes from the Latin word "respirare."

To breathe in, and to breathe out.

I don't breathe in and out spittle. Neither do you.

We both breathe in and out aerosols. Airborne aerosols. Image
Expect that page to change now that I am notifying @CDCgov that their travel department has given the game away.

And relax. Breathe in clean air through your N95. Don't breathe in monkeypox.

(H/t @fitterhappierAJ ) Image
If there is asymptomatic transmission with a disease already suspected of airborne transmission? Odds go way up that it's airborne.

Because it moves airborne ahead of droplets. No symptoms means no coughing (no droplets).

Further tying asymptomatic transmission to monkeypox. It would be foolhardy to think this does not happen.

You might wonder why I am hammering down on this? #CoVidIsAirborne was SIGNIFICANTLY delayed due to authorities proclaiming not airborne since not asymptomatic.

Not this
time.

At the very least, even the most stubborn Benjamin Button type of science writer would concede that we should assume asymptomatic transmission is occurring.

Especially because they report what the authorities are reporting.

And the CDC as seen in an MMWR, used the
precautionary principle to euthanize those animals who might have asymptomatically transmitted monkeypox.

This was the 2003 outbreak:
cdc.gov/mmwr/preview/m… Image
This next one is an exercise in logic and an understanding of aerosols.

H/T @NjbBari3 !

Ok, noninvasive means ... See 👇

And here's the thing.

Those who were close to an animal? 80% experienced upper respiratory symptoms.

Using Occam's Razor, is it more likely the person touched the animal, then their mouth having just touched a prairie dog? Image
Or they were close enough for the concentrated cloud of near field aerosols surrounding the clustered cages, to be inhaled?

Keeping in mind, fomites, once thought to be one of the two main ways of infection of CoVid, are now relegated to the 1in 10,000 kitchen junk drawer.
Now, this is a HOT #MonkeypoxIsAirborne update.

You see, evidently they have been collaborating with Congo for a long time.

And it turns out it's airborne.

Per them.

H/t to @lavika and @sri_srikrishna .

Image
Of course, some will try to twist the above sneezing and coughing to mean droplet.

The key is "through the air" . And this is why you are glad that a #CoVidIsAirborne team member is now giving you the guided tour.

Because the phrase "through the air" has only one
meaning in CDC-landia.

For example, with TB. For sure known to be airborne by the CDC.

"Through the air."👇

cdc.gov/tb/publication… Image
Here is the Congo travel warning. Lots of backups to web archive.

wwwnc.cdc.gov/travel/notices…
Another #MonkeyPoxIsAirborne Update!

H/T @DrEricDing and the US DHS.

"Humans can be contagious
before a visible rash appears and can continue shedding the virus weeks after symptoms
have dissipated. "

No symptoms means no lesions. No coughing.
dhs.gov/sites/default/…
What does that leave?

Just like CoVid, breathing, talking, laughing, etc - because it is airborne via aerosols.

And look at that, @celinegounder @benryanwriter, DHS confirming airborne aerosols

"Sources of laboratory-acquired infections include exposure to aerosols..." Image
The CDC should just write this thread on #MonkeypoxIsAirborne .

"... Wear a well-fitting mask..."

You don't need a mask for lesions or fomites.

You don't need a well-fitting mask for droplets.

You only need a well-fitting mask for airborne.

Image
This is getting embarrassing.

How is a smaller Anon account just beating the daylights out of the @CDCgov with their own words, over and over?

BTW, @CDCgov, in the linked doc, why not just recommend N95s?

There is no shortage.

Hmm.. let me put it in terms you can
understand.

@3M, a multinational corporation, will make more money if you actually say "N95."

(No offense intended 3M... Love your products, but when you speak to 5 year olds, you have to use words they understand.)
Yet another source for #MonkeyPoxIsAirborne.

Dynamed. A point of care solution by physicians for physicians.
dynamed.com/condition/orth… Image
Another update for #MonkeyPoxIsAirborne.

H/t @citlanx.

@celinegounder along with Benjamin has been pointing to the mostly MSM network of transmission as proof positive that it's not airborne.

As I have pointed out, it's just in that network.
Eventually, it will branch out.
You know the phrase - if you don't know your history, you will be doomed to repeat it?

Back in 2008, everyone was reporting that the drug-resistant MRSA was relegated to the MSM network.

And it was. For example, the @nytimes itself reported that MRSA was isolated to gay men.
archive.ph/ZNjAc

"A separate part of the study found that gay men in San Francisco were about 13 times more likely to be infected than other people in the city."

I am grateful that @apoorva_nyc has been reporting the possibilities of airborne transmission
in the NYTimes - even in the face of pushback from the CDC Director.

This MSRA history might be handy, Ms. Mandavilli.
archive.ph/Ftkc2d

Because there is no more mention of MSM with MRSA.

Sometime in the near future, certain parties will take a
mayoclinic.org/diseases-condi…
a break from Twitter. The CDC's website (am I the only one who views the focus on MSM as homophobic?) will be quietly redacted.
Welcome to the #MonkeypoxIsAirborne thread, @RougeMatisse

Excellent thread disconnecting sexual activity from Monkeypox.

Keep in mind - when we engage in sexual activity, our respiration rate increases - which means we see an increase in intake of aerosols.

Masters and Johnson had some classic work embedded in this study - the whole thing was fascinating.
sci-hub.hkvisa.net/10.1016/s0002-…
I haven't found any studies actually documenting the production of aerosols during sex - would love to give a H/t and include you in the thread if you know of one.

Given that the Gesundheit 2 might be ergonomically difficult to work with during sexual activity? Image
Another #MonkeyPoxIsAirborne update.

I almost feel sorry for
@benryanwriter @celinegounder as the onslaught of non-MSM cases begins.

You two probably won't watch it all the way through, but yep.... she shared that it's also airborne.

tiktok.com/t/ZTRUfTThX/?k…
I've just deleted a tweet where I stated that Monkeypox is only handled at BSL4 labs - that was incorrect.

The law does state that:
law.cornell.edu/cfr/text/42/73…

But, there was a caveat not viewable on that page, but over here is citation #4.

selectagents.gov/sat/list.htm

My apologies! Image
#MonkeyPoxisAirborne - because we breathe it out through - even when there are NO lesions present.

If lesions are present, then it's even more airborne due to those nasty little skin flakes.

Mask up, folks.
#MonkeyPoxIsAirborne - via a saliva test that correctly predicted the infected.

Huh?

Please bear with me.

Excellent results for saliva test:
medrxiv.org/content/10.110…

This is huge for ring vaccination strategies.

Also, huge for airborne. 5 of 22 had no symptoms at the Image
time of test. 23%.

4 of the 5 did not have symptoms AT THE TIME. Which meant they went on to develop symptoms.

And yet they tested positive.

The authors nailed it as a concern.

Most likely - if you can test for it? You can spread it.

Mask it up! Image
#MonkeypoxIsAirborne because fomites are very rare.

"Only about 0.2% of people have caught the virus through contact with contaminated material, according to a recent report from the WHO."

Which suddenly make the sorts of reports in the next tweet?

statnews.com/2022/08/10/wha…
Make you realize it's airborne.

A Six Flags worker caught it just by walking by his coworker.

Image
#MonkeypoxIsAirborne - because NHS from the UK says its spread by coughing or sneezing. Which as we all know is accompanied by turbulent clouds of aerosols.

Which are airborne. This is for sneezing - coughing has the same basic mechanism.

nhs.uk/conditions/mon… Image
As always - there are many forms of transmission with monkeypox. Though as we saw above, thanks to the WHO, actual fomite-based infection is far below .5% of cases.

"A new airborne Ebola-like viral disease, referred to as ‘Monkeypox’ has hit the Niger Delta University Teaching Hospital."

"They said the symptoms of the disease include...cough.."

H/t @mdc_martinus for:
guardian.ng/news/monkey-po…

H/t @Iamgoingtosleep for the top qt and pic. Image
A mystery infection. How, oh how, could he have been infected?

#MonkeypoxIsAirborne. Second study this progression has been observed.

Enters respiratory. Then to lymph, the off to the races, and finally the lesions on the skin.

H/t @beansprouts_mom

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More from @LazarusLong13

Lazarus Long Profile picture
Apr 2
@TheAtlantic @danengber Heh - I suspect Mr. Engber has been eavesdropping on my (and my fellow Covid Conscious) swimming safer threads. I have a new solution for showering safer for that I will be rolling out tomorrow.

For future articles by those who will come along, let me point out a few things /+
@TheAtlantic @danengber Thank you very much for pointing out that 4% of America is still masking 100% of the time! That is 13.2 million Americans.

The Masking Nation is larger than 38 states. :)

But, 18% of us masking some of the time in the SAME PEW POLL (tch tch). You would think that would be/+ At a basic level, their COVID-conscious attitudes may not be so far from the mainstream. Twenty-one percent of Americans still think of the disease as “a major threat” to public health, according to a recent poll from Pew Research Center. Thirty-nine percent say we’re not “taking it seriously enough.” But if 50 million to 100 million adults harbor such concerns, very few are doing much about them. Masking rates were once as high as 88 percent; now they’re close to nil. For those who still maintain their masking habit—4 percent, says Pew—the whiplash in social norms has been a shock.
@TheAtlantic @danengber be mentioned, @TaylorLorenz, by Mr. Engber, since 18% lines up pretty closely to the 21% still worried that Covid is a big deal (it is) - that he mentioned.

And suddenly, Masking Nation has 59.4 million residents. We are the largest state. Canada /+

Read 14 tweets
Lazarus Long Profile picture
Mar 22
This may be one of the most important studies in a decade.

#LongCovidBinder.

"The models produced correctly classified those with severe ME/CFS from recovered controls with an accuracy of 97%, sensitivity of 94%, and specificity of 100%. "

THAT IS HUGE.
"We found that at Stage 1, those fated to develop ME/CFS 6 months following IM had low levels of IL-5 and IL-13 [25]. " We found that at Stage 1, those fated to develop ME/CFS 6 months following IM had low levels of IL-5 and IL-13 [25]. IL-5 enhances the production of B1 cells which are anti-inflammatory (impaired B1 cells have been found in multiple sclerosis, systemic lupus erythematosus, and rheumatoid arthritis), and IL-13 has anti-inflammatory properties. Jason et al. [26] also found that students who failed to recover from IM had more restricted, inflexible cytokine networks whereas those who recovered had more flexible, less interconnected networks. Network analysis suggests that IL-5 and IL-13 influe...
So, this means ME/CFS can be predicted.

And what can be predicted - treatments can be found.

And they are studying LongCovid as well.

This study is easy to read, And everyone should.

/+

mdpi.com/2076-2607/13/4…
Read 6 tweets
Lazarus Long Profile picture
Mar 13
A new study just showed what I have been saying since the start of bird flu. H5N1 is airborne.

Still in place?
USDA: YOU ONLY NEED TO TEST LACTATING COWS.

oops.

USDA: FOMITES (infectious objects) SPREAD IT.

oops.

WASHING YOUR HANDS WILL STOP IT.

oops. This new Federal Order does not override or supersede USDA's April 24 Federal Order, which still requires the mandatory testing of lactating dairy cows prior to interstate shipment and requires that all privately owned laboratories and state veterinarians report positive test results connected with those tests. The new Federal Order announced today is intended to complement and enhance this existing order.
Question [00:51:52] Given the CDC's vaccination program, I'm wondering if this means you think it's no longer realistic to expect that the outbreak will be contained this year? Eric Deeble, USDA [00:52:12] Just on the animal side and all that Dr. Nirav speak to the human side, there's a lot about this disease that makes us feel as if we can arrest its progress. And we've actually seen some success demonstrated to date. With this disease, it does not appear to move by respiratory transmission. We know that there are high viral loads in milk, and we've identified through close, collabora...
In addition to testing, biosecurity is the key to containing this virus, and ultimately ensuring that it is eradicated so that producers do not have to deal with this virus in dairy cattle permanently. Good biosecurity including cleaning and disinfection of vehicle and equipment - is critical to minimizing the risk of disease spread. USDA works closely with state animal health official, producers, and industry organizations to provide guidance and resources for cleaning and disinfection not only on affected farms but for all livestock producers as a part of practicing good biosecurity. APHI...
The study.

✅ 20% of the cows showed up as sick. Had symptoms. But....

✅ It turns out that 89.4% were actually infected.

✅ 83.7% of those had no symptoms. Remind you of any other airborne diseases?

✅ 40.5% of the dry cows not being milked? Infected. So, no Image
Image
Image
fomites or milk aerosols involved, most likely.
Read 6 tweets
Lazarus Long Profile picture
Mar 13
There is not much that scares me. Freaks me out.

I am freaking out.

You should be, too.

Do you know what this shows?

Do you know how to avoid this? Holy cow.
This is the continued accumulation of dementia-causing microplastics in your brain. Simple linear regression (shown with 95% CI represented by dashed lines) was performed for total plastics, polyethylene, polypropylene, polyvinyl chloride and styrene-butadiene rubber measured in normal decedent brains from 2004 (average of east coast samples), 2016 and 2024 (NM OMI samples).
See how it increased from 2016 to 2024?

And it actually is worse - they found less plastics in brains from a decade earlier.

ACCUMULATION. Simple linear regression (shown with 95% CI represented by dashed lines) was performed for total plastics, polyethylene, polypropylene, polyvinyl chloride and styrene-butadiene rubber measured in normal decedent brains from 2004 (average of east coast samples), 2016 and 2024 (NM OMI samples).
Read 28 tweets
Lazarus Long Profile picture
Feb 23
Great interview of Ed Yong - I am just covering the C0V1D part.

/1 The Interview Ed Yong Wants to Show You the Hidden Reality of the World Ed standing with his arms folded. His eyes tell you COVID is not over.
You've been clear in saying that C0V1D has not gone away. You ask people to wear masks at your events..... You’ve been clear in saying that Covid has not gone away. You ask people to wear masks at your events. But that attitude is not necessarily where the rest of the world is. How do you think about continuing to take precautions and advising others to do so when it feels as if society has moved on? I do it for a bunch of reasons. Firstly, I have learned that I enjoy not being sick. I know that the cost of long Covid is real and substantial, and I don’t want to run that risk lightly.
"I think it makes a huge difference to them to have the person at the front of the stage wear a mask. It tells them, It’s not weird." . I also know that I have many friends and people I’m close to who are immunocompromised. So for the sake of the people around me, I also don’t want to get sick. When I do events, I wear a mask for those reasons, and because I know that every time I do a talk, while the vast majority of people in the audience have probably moved on, there are going to be other people who haven’t. I think it makes a huge difference to them to have the person at the front of the stage wear a mask. It tells them, It’s not weird. So I do it for that reason, too. In terms of holding this line at a point when a l...
Read 5 tweets
Lazarus Long Profile picture
Feb 22
I am sorry if this will upset you. A lot of people depend on NASAL SPRAYS for C0V1D.

I have been iffy on them, but viewed them as "if they don't hurt, why not" but not for me.

There's an analysis
on Reddit that you should read in detail, and make up your own mind.
/1
Here is the link:


Here is a 4 tweet TLDR version.

Here is how it starts - the author goes HARD at the underlying studies. reddit.com/r/ZeroCovidCom…There is no convincing evidence that nasal sprays prevent COVID-19 There is a lot of misinformation out there about nasal sprays preventing COVID-19. Unfortunately, there are no convincing studies showing that nasal sprays prevent COVID-19. The published studies investigating whether or not nasal sprays prevent COVID-19 each have major issues, which I will detail here. I have a PhD in biochemistry and one of my PhD projects was on COVID-19. The main takeaway of this post is that there is no sound evidence that nasal sprays prevent COVID-19. Thus, nasal sprays should not be used for COVID-...
Some pretty harsh language, but to me the important thing is we still have clean air.

Which is good, because it boils down to only 2 studies saying that nasal sprays work, per them. 5. Summary/TLDR and final thoughts Unfortunately, many people including covid influencers have fallen for the grift of nasal sprays preventing COVID-19. Some such influencers have promoted these nasal sprays for free and helped spread the misinformation that they prevent COVID-19. Unlike with nasal sprays, there is ample, sound evidence that high-quality well-fitting respirators, ventilation and air purification prevent COVID-19. The human clinical trials testing whether or not nasal sprays prevent COVID-19 are garbage, and to my knowledge there are only two! Please don't lower your covid...
Read 7 tweets

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