Lazarus Long Profile picture
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.
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

Nov 20
Zombie Deers. Chronic Wasting Disease. Misfolded PRIONS in the brain - like Creutzfeldt-Jakob disease in humans.

✅ In 35 states.
✅ Incredibly stable in the environment.
✅ Highly contagious.

They are not sure how it's transmitted.

It's airborne. Can Rudolph infect Santa?
/1
Normally, I do long threads, but busy, today.

So, here is the source for the basics on CWD:

web.archive.org/web/2024111813…

Here's the study showing prions in saliva, which means it will be throughout the LRT and URT.

pmc.ncbi.nlm.nih.gov/articles/PMC11…

/2
Here's an initial study showing cervidized (cervid like deer) mice showing aerosol inoculation.

microbiologyresearch.org/content/journa…

Here's a follow-up showing aerosol inoculation of White Tailed Deer.

journals.asm.org/doi/full/10.11…

/3 Image
Read 8 tweets
Nov 18
Fascinating educational article about vaccines and the immune system.

And this was an interesting bit -
Bacterial and viral infections predispose to other infections.

Get the flu? You are at greater risk for pneumococcal pneumonia.
/1 Bacterial and viral infections, on the other hand, often predispose children and adults to severe, invasive infections with other pathogens. For example, patients with pneumococcal pneumonia are more likely to have had a recent influenza infection than matched controls.62 Similarly, varicella infection increases susceptibility to group A-hemolytic streptococcal infections such as necrotizing fasciitis, toxic shock syndrome, and bacteremia.63
Those 👇 post influenza infection effects look familiar.

Where have I seen those types of symptoms before?

COV_D. Which we are getting every year, unlike the flu which is every 5-6 years.

Anywho.....

wellesu.com/10.1086/313772The theoretical bases for susceptibility to bacterial pneumonia following influenza infection are plentiful and include decreases in the function of polymorphonuclear leukocytes, macrophages, lymphocytes, and monocytes; increases in the adherence of bacteria to the respiratory epithelium; and decreased mucociliary clearance [14–19]. In studies of pneumococcal pneumonia in mice and squirrel monkeys, greater severity of disease and mortality resulted from infections due to pneumococcus and influenza virus together than from infections of either organism alone [20–21]. These animal studies sup...
Varicella (chickenpox)? Leads to Group A-hemolytic Streptococcal infection. Known affectionately as GAS, and exhibiting as
necrotizing fascitis.

researchgate.net/publication/12…VZV infection itself may cause a predisposing immune aberration or may allow invasion via another less apparent portal, such as lesions on the oral mucosa or the respiratory tract. In favor of an immune aberration is the fact that NF, the most severe manifestation of soft tissue infection, tended to occur more commonly in association with chickenpox than in nonchickenpox cases. Furthermore, Fujimara et al33 have presented evidence of a switch of the CD41 T cell profile in patients with varicella and underlying atopic dermatitis from a TH2 toaTH1 dominant type with a relative immunosuppressi...
Read 14 tweets
Nov 16
I have my head so far up the governmental cow's butt on this one, I think I am uniquely qualified to answer on the difference between Biden and Trump on H5N1.

Ready for a🧵?
Biden's USDA is still denying airborne, and is still not telling the Spanish-speaking dairy workers that it is airborne. Or to wear an N95.

Biden's CDC is running Spanish ads on the radio and Facebook. Offering testing. Workers still not trusting the CDC.
Trump will get the CDC to continue to offer free testing clinics - and arrest the workers when they come in.

Nobody will want to milk or take care of the cows. They will continue to get sick, but really die without the intensive care they actually need with H5N1.
Read 15 tweets
Nov 15
You go to the doctor to get better, not sicker.

There is a group called the HICPAC that tells the CDC what they should do regarding whether or not the guy with bright pink eyes in the bed next to you is wearing an N95 or not.

Whether your doctor comes back from Bermuda with
Covid - and either wears an N95 when he sees you or not.

Whether the hospital gives you attitude about your N95 - or joins you in wearing an N95.

They are going to vote today to say that Surgical Masks are Respiratory Protective Equipment - which is a lie. Per NIOSH/ OSHA.
What can you do?

Read this thread and then call the Inspector General’s office is very receptive. The direct phone number is 202-619-3148. Tell them the HICPAC did what is in that thread, and about them ignoring all airborne evidence.

Read 11 tweets
Nov 14
The Canada BC teenager is in a hospital that barely uses surgical masks, under Bonnie Henry who screwed up SARS1, then C0V1D.

She thinks aerosols only come in cans.

⚠️ Trigger ⚠️

I am going to lay out the worst case for you. Going to get dark.
First, the subclade, or variant, that this poor kid has is D1.1.

It is not the dairy cow subclade - that is B3.13.

Good breakdown of what a clade is here:
cdc.gov/flu/about/viru…

D1 is lighting up the Pacific flyway.

33 outbreaks in 2.5 weeks.

x.com/0bFuSc8/status… Pacific flyway is basicallywedt of the  western tip of Texas, Wyoming etc.
"Genotype D1.1 has:
• Eurasian HA, PB1, MP, NS – all ea3
• North American PB2 (am24), PA (am4), NP (am13), NA [am4(N1)]"

PB2 is not good.

Read 16 tweets
Nov 13
Numerous people are pointing out that C0V1D brings with it "pink eye" - conjunctivitis.

It also brings with it some interesting comparisons to H5N1.

Some thoughts on both. If you are trying to minimize your exposure to airborne diseases, you will want to read this.

🧵 Mystery thread star.  Next tweet for their name.
It was Dr Li Wenliang, an opthalmologist, who first publicly warned us all, may he rest in peace.

He was seeing ophthalmological problems, and that led him to alert us all.

bbc.com/news/world-asi…Picture of Dr Li in a hospital with Covid.
But no one thinks about the eyes getting infected with aerosols.

There is a reason for that - we are far more likely to breathe it in as we inhale 2,900 gallons or 11,000 liters of air.

C0V1D is very airborne (Ashish Jha called it purely airborne).

Read 11 tweets

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