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

Jun 8
"COVID IS OVER, YOU DON'T NEED THAT!"

Reason 4,657 on why I mask now that I understand aerosols and transmission. It's not all about COVID.

This is Chicago, but it's really Anytown, USA. Image
"The human DNA virome. Prevalences (%) of viral DNAs in the body (≥1 tissue positive for a virus) and in different organs as determined by qPCR or NGS"

researchgate.net/figure/The-hum…

x.com/AbundantLandUs… Image
.Why I mask in more details...

EV-D68. An enterovirus - many people think enteroviruses are strictly fecal-oral.

They think wrong ( this is not a subtweet at Dr. Johnson).

Read 6 tweets
Jun 7
How do we know TB is airborne?

71 guinea pigs gave their lives between 1956 and 1958 in the eponymous study by Riley et al, getting TB air piped in from some TB patients, to prove TB is airborne.

Influenza is kind of airborne per most doctors. But kind of not.

So....

/1 Image
We need some volunteers.

Will horses be those volunteers that finally lay it all out?

Yes - but none of them lost their lives.

Air samplers were deployed and tracked horses inoculated with Equine influenza virus (EIV).

From the very first day post inoculation (dpi), until the Image
12th day, EIV was found in the air, in this new study.

With no horses, or guinea pigs, hurt in the process.



But sure, influenza's not airborne - if you are the USDA, right, @nirav_maine?

Of course, yet another new study points an accusatorysciencedirect.com/science/articl…
Read 9 tweets
May 26
Thank you @BarryHunt008 for flagging this.

@ThailandMedicaX, retweeted by some because of their controversial takes (ahem, their lies?), is saying that FAR-UVC is dangerous because somehow the light will get into the lungs.

Lol.

They are just apparent supplement grifters.

🧵 Image
I noticed they were using @NukitToBeSure's excellent torches as their example picture.

Strange to be so selective of an example picture for someone purporting to be an independent news source on health.

Hmm. I helped defend Nukit against charges of Image
racism by a very nasty couple who it turned out just do not like UVC, personally. I wonder....

Yep, ThailandMedicalX has blocked me.

But, it's weird for a purported news source to block someone like me @gorskon
@doritmi @19joho.

And them blocking me, is probably because Image
Image
Read 21 tweets
May 25
You've heard of "The Three Problem." - great book, and excellent Netflix series.

If you want to be avoid catching Covid, you probably have "The Empty Room" situation in the back of your mind.

How long after a room had people in it, can you safely demask?

Thread.
/1 3 body problem netflix cover showing a eye with a countdown running in it.  That was a countdown to each person's death.
Measles was thought to be airborne after a child caught measles an hour after the infected child left the same office.

.

Interestingly, you can see the reluctance in blue below to call measles airborne. Much like the WHO with @mvankerkhove researchgate.net/publication/19…In February 1981, a measles outbreak occurred in a pediatric practice in DeKalb County, GA. The source case, a 12-year-old boy vaccinated against measles at 11 1/2 months of age, was in the office for one hour on the second day of rash, primarily in a single examining room. On examination, he was noted to be coughing vigorously. Seven secondary cases of measles occurred due to exposure in the office. Four children had transient contact with the source patient as he entered or exited through the waiting room; only one of the four had face-to-face contact within 1 m of the source patient. The...
which spent millions to rebrand SARS2 as "through the air" rather than airborne.

It is an inconvenient truth that then leads us to the study showing an #EmptyRoom SARS2 infection at 1 hour and 43 minutes, and FOUR HOURS and FORTY-FIVE MINUTES.

In this study, it comes with Experimental evidence suggests that SARS-CoV-2 remains viable within aerosols with a half-life of approximately 1-3 hours, though changes in aerosol microenvironment may shorten viability to minutes. However, it remains unclear how long airborne SARS-CoV-2 can transmit infection. Whole genome sequencing of nasopharyngeal samples obtained from patients on an outbreak unit suggested in-room transmission of the delta variant, AY3 lineage, of SARS-CoV-2 to two patients admitted 1 hour, 43 minutes and 4 hours, 45 minutes after discharge of an asymptomatic infected patient. These findings suggest...
Diagram showing 1 hour and 43 minute and 4 hour and 45 minute infections.
Read 30 tweets
May 23
Mum's the word - if @SecKennedy is Mum.

You see, I have been a VERY FOCAL CDC critic. But you can't criticize without listening.

And I have been noticing that that the CDC has been very, very quiet.

NPR noticed as well. Image
This is crazy. Image
Yes, the @CDCgov has been deathly quiet.

90 times last year, versus 4 this year.

This is not MAHA.

This is MASA - Make America Silent Again.

And as one of the CDC's most focal critics? We NEED them to be sharing Public Health information. Image
Read 5 tweets
May 1
Fit factor of 250- 4000 versus the normal 100-200 for an N95? Where do I sign up?

Oops, that's here. With me. Starting a build with an Ebay'd Bullard EVA PAPR's filter - and some DIY loving goodness of a heat gun and PVC pipes.

The benefit of this build will be the over 10
hour run-time of the massive battery on the PAPR.
Got a long dental appointment? This will be the answer.

Let's get cracking!
Read 32 tweets

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