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

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Lazarus Long

Lazarus Long Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @LazarusLong13

Jul 24
Hypothesis: reducing the inoculum you are exposed to will result in a less severe infection.

Follow-up Hypothesis: wearing a respirator will result in less severity than cleaning the air with a HEPA.

Been thinking on this for a long while. Here are the underpinnings.
🧵
On the first, this is a pretty common theory. Here's a good quick overview of the idea 👇.

Greater the inoculum, the worse the outcome.

A dose-response relationship between viral load and outcome, to use the more scientific parlance.

thelancet.com/journals/lanin…

The influence of the inoculum on disease severity is more challenging to study in humans, given that some viruses only cause mild clinical manifestations in immunocompetent human hosts. Viruses that cause severe disease symptoms are too dangerous to study experimentally in humans, and disease severity is more challenging to measure than is infection itself. However, in one controlled experiment with respiratory syncytial virus, five of the seven human participants who were successfully infected with undiluted, higher dose virus inoculum (105 plaque-forming units) administered intranasally, ...
Given the severity of illness associated with SARS-CoV-2 infection, human challenge studies are controversial.31 However, in an animal model of SARS-CoV-2 infection, Syrian hamsters were successfully infected with two different doses of SARS-CoV-2, intranasally and intraocularly, and the higher dose was associated with greater weight loss and more severe lung abnormalities on chest imaging.32 In another experiment, when a surgical mask partition was placed between the cages of infected and uninfected Syrian hamsters, only six (25%) of 24 hamsters protected by the surgical mask partition wer...
Here's an epi example of two groups of soldiers spatially separated, but very similar in make-up.

Group after masking and social distancing
13 (15%) of 88 asymptomatic.

Group before masking
102 (47%) of the 215 soldiers who tested positive were symptomatic. Some epidemiological data1,  2,  3,  4,  5,  37 suggestive of the viral inoculum effect with SARS-CoV-2 are also worthy of notice. A natural experiment of sorts occurred in the Swiss Alps between March 25, 2020, and April 14, 2020, in two spatially separated homogenous cohorts of soldiers of similar age (median age 21) and without substantial comorbidities.4 After a COVID-19 outbreak occurred in one of the cohorts, physical distancing and surgical mask-wearing was implemented in both cohorts. An outbreak of COVID-19 in the previously unaffected cohort occurred after the implementation of th...
Read 16 tweets
Jul 22
🔥 Wildfire season, folks! 🔥

Got a smoky or smokey house from a fire or a BLT sandwich gone wrong?

TLDR;
Make a #CorsiRosenthalBox with activated carbon filters

AND CLEAN SURFACES:
By vacuuming, dusting; then wiping and mopping with a commercial, non-bleach solution. Pic of smoke and fire -  hopefully not headed your way.
Huge caveat. The carbon filters will fill up quickly with particulate matter.

While the smoke is ongoing? Regular filters.

After the smoke is over, while cleaning up? The activated carbon filters (ACF).

Someone is working on a variation of the CR Box w/ 3 regular panels,
1 ACF panel. Numbers are still being run. No ETA, so I am going forward with this thread, as is.

⚠️ACFs are also great for paint fumes.⚠️

BTW, this thread will get a fair amount of useful clarifications, so check the end of the thread, in a couple of days.
Read 21 tweets
Jul 22
A new strategy.

I used this new study, that points to C0vid co-infection with StaphA, worsening StaphA, to write the HICPAC.

The patient safety pages do not recommend N95s.

This allows me to avoid the quarrel of StaphA OR C0vid being airborne.

Image
Image
And allows me to use their words on N95s being best for C0vid against them.

Soft-copy email below.

hicpac @ - just join these together.

This strategy can be used on every safety page for every disease.

cdc.gov
docs.google.com/document/d/12y…


Image
Image
Image
- SARS-COV-2
hastens
worsens
X

Find the X CDC safety page. Confirm no N95s recommended. They never are.

And you are off to the races.

Some will think, "this is just some weird internet trick."

This is just us using their system against them.Scholar.google.com
Read 4 tweets
Jul 19
A NEW Colorado Chicken farm outbreak with 1.34 million.

The one with 5 people confirmed infected, 64 pending, has 1.8 million, 10-14 days of work.

CDC team of 10 has just been dispatched for the 1.8 million.

The farms are about 35 minutes apart (thank you @0bFuSc8!)

Image
Image
Read 5 tweets
Jul 16
Holy airborne H5N1.

69 symptomatic workers, 5 positive so far?

150 on antivirals?
It's always been airborne.

This means that it is more transmissible to the humans than before.

Not Covid levels. Probably not even original WT level.

But more transmissible to the humans than before.
Homeland Security moved to Level 2.

Read 8 tweets
Jul 16
I get it. You need a place to decompress.

So, the Covid Careful tend to take umbrage to outdoor transmission studies.

Outdoors IS safer. But study after study has shown outdoor transmission.

As do these 2 studies.

Catching Covid Camping.

🧵.

Image

Image
I deliberately began this thread with white men, because the only countries doing these detailed studies are Asian countries. As is this one.

But every time, a tinge of ethnocentrism creeps into replies. Please keep this in mind :) .
Many don't know that measles is airborne outdoors based on an hour long conversation with a young boy and his family, after the Special Olympics. No CCTV. No credit card tracing. No GPS.

Our first study? July 24–26, 2020. South Korea. South Korea had done an
Read 20 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(