Prof. Jose-Luis Jimenez Profile picture
Oct 2, 2022 20 tweets 14 min read Read on X
1/ The State of Ventilation in the US as illustrated by a trip to the #AAAR2022 conference.

Just boarded @RideRTD bus to @DENAirport. 1/3 full, so far I am the only one with a mask (N95 Aura).

CO2 already quite high 5 min. after boarding even tho NOT full: poor ventilation...
2/ Still on @RideRTD bus to @DENAirport.

CO2 steadily climbing. Now over 2600 ppm, meaning >5% of the air we are breathing is "second hand", it has been in someone else's lungs before.

POOR ventilation. ~10 ppl masked our of 45, mostly KN95, few N95, 1 surgical.

#CovidCO2
3/ Made it to @DENAirport. Eating something outdoors so that I can remove the mask as little as possible in the terminal and the plane.

The CO2 sensor is measuring typical outdoor levels.

#CovidCO2
4/ At @DENAirport Main Terminal, by the security checkpoint.

Lots of ppl, 10% masked, mostly KN95.

Ventilation ok, though probably not good enough If we are going to rely on translation is the only layer of protection.

Hopefully there is some filtering.

#CovidCO2
5/ Train at @DENAirport from Main Terminal to Departure Terminal.

Crowded, very short ride... And poorly ventilated.

#CovidCO2
6/ Bathroom at @DENAirport. As I saw in a previous trip it is very poorly ventilated. No wonder it stinks in here!

@DENAirport, you need to do better on bathroom ventilation!

#CovidCO2
7/ Boarding @united. I was lucky to board early: CO2 was low, 700 ppm

Quickly going up. Little ventilation flow, so little filtering

Annoyingly @united personnel offered only a disinfecting towel when boarding... for a virus that transmits poorly, if at all, through surfaces!
8/ @united announcement: "Safety is our top priority"... as unmasked flight attendants perform safety demonstrations and CO2 stays high...

Ah, the irony!

#CovidCO2
9/ I do choose to fly @united, when I have to fly. NOT bc they are GOOD on safety on airborne diseases. But they are the LEAST BAD of the options available to me. @SouthwestAir seems to be much worse, per CO2 measurements that people have posted. Or e.g.:

10/ I regularly encounter some ppl, especially in the US, who have never heard of CO2 as a tracer of ventilation, and about its use as a surrogate of airborne disease transmission potential.

This article and thread give some bakground:

11/ I have chosen to go to #AAAR2022 (Annual Conference of @AmericanAerosol) in part bc I expect it to be pretty safe: masks are required everywhere indoors, and vaccination is also required.
12/ Not surprising: we understand airborne transmission

Unlike conferences from fields that mostly DO NOT understand airborne transmission (e.g. American @PublicHealth Assoc., some medical conferences) where masks are not required... & often turn into superspreading events
13/ Although I am glad to see that @IDWeek2022, an upcoming major infectious disease conference, does require well-fitting masks and vaccination too. Maybe we are getting through, if slowly.

idweek.zendesk.com/hc/en-us/artic…
14/ But unfortunately this is indeed still pretty common:

15/ During the @united flight CO2 stayed around 1100-1400 ppm. Not great, but not terrible given the HEPA filtering (which should be on when plane is on the air -- unlike being OFF when we boarded). And less bad than other airlines.
16/ Arrived to @sheratonhotels

Unfortunately CO2 in room is elevated. Either air recirculation thru filter (if I am lucky), or infiltration from other rooms (if less lucky), like studies where ppl got COVID from ppl their never met in quarantine hotels:

wwwnc.cdc.gov/eid/article/28…
17/ Day 1 of the #AAAR2022 (American Association for Aerosol Research @AmericanAerosol) Conference.

Picking up lunch at @jimmyjohns in Raleigh, NC (to eat outdoors).

Quite a few ppl, good ventilation.
18/ At the @AerodyneRes Mini Users Meeting at the #AAAR2022 conference.

40 ppl at Raleigh Convention Center @Raleigh_CC. Large room, high ceiling, ventilation is on.

CO2 staying low.

EVERYONE is masked (required), 1/2 KN95, 40% N95, 10% other (surgical and cloth). [Quite safe]
19/ Just arrived into my room ar @sheratonhotels after being away all day. Same as yesterday, CO2 is elevated, indicating some recirculation.
20/ Plenary Lecture at #AAAR2002 at @Raleigh_CC.

500 ppl in large room, good ventilation (~700 ppm CO2)

Everyone masked and vaccinated, so feeling quite safe. Much more welcoming for ppl at higher risk to be able to attend in person.

#CovidCO2

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More from @jljcolorado

May 26
1/ Survey of CO2 indoors during trip

CO2 (above ~400 ppm outdoors) indicates the amount of exhaled air (& virus) trapped in a space

Also per recent scientific results by @ukhadds, CO2 helps SARS-CoV stay infectious in air much longer

@united flight boarding, pretty terrible! Image
2/ This is the trip so far:

-Low outdoors
-Pretty high ~2000 in @RideRTD bus to airport
- ok ~800 at @DENAirport, except restroom ~1500. Not sure why restrooms at this airport are so often poorly ventilated
- Then boarding on @united, ventilation OFF, so huge increase till ON Image
3/ For details of the recent results on how and why CO2 makes SARS-CoV-2 stay infectious much longer in the air, see this recent thread by @ukhadds

Read 9 tweets
May 8
1/ "After four years of fighting about it, @WHO has finally proclaimed that viruses, including the SARS-CoV-2 virus that causes COVID, can be spread through the air"



By @maggiemfoxscientificamerican.com/article/a-figh…
2/ "It took four years to get here because some leaders in public health, medicine and science clung too tightly to precision and semantics"

"One particular moment of shame came on March 28, 2020, when WHO tweeted: “FACT: #COVID19 is NOT airborne.”

3/ "Words matter. When people heard that COVID might spread on surfaces, they wasted time wiping down groceries. People who misunderstood airborne spread needlessly wore masks on outdoor walks and veered off sidewalks to avoid their neighbors."
Read 7 tweets
Apr 18
1/ @WHO has published a report on updated terminology for disease transmission

I've seen some debate about it. My take:

- Terminology itself is ok. Big progress
- But no recommendations of how to protect!

Report:

Press release: who.int/publications/m…
who.int/news/item/18-0…
2/ The report was likely the result of intense pressure on @WHO during the pandemic:

- They denied that #COVIDIsAirborne on March 2020
- They finally accepted it 2 years later

nature.com/articles/d4158…
@WHO 3/ To their credit, @WHO did invite some of their critics to be part of the committee.

What was the terminology before. In medical circles:

- droplet transmission: if it happened in close proximity, or if particles were > 5 microns

- airborne transmission: if it happened far
Read 34 tweets
Mar 28
1/ New paper in @ScienceMagazine: "Mandating Indoor Air Quality for Public Buildings"

Explaining current status of indoor air quality standards (in short: bad or non-existent), the huge health benefits that would arise from them & proposing a path forward
science.org/doi/10.1126/sc…
Image
2/ "People living in urban & industrialized societies, which are expanding globally, spend more than 90% of time indoors, breathing indoor air (IA)."

"Most countries do NOT have legislated indoor air quality (IAQ) performance standards for public spaces"

science.org/doi/10.1126/sc…
3/ "Few building codes address operation, maintenance, and retrofitting, and most do NOT focus on airborne disease transmission."

"We propose that Indoor Air Quality (IAQ) standards be mandatory for public spaces"

science.org/doi/10.1126/sc…
Read 14 tweets
Oct 4, 2023
1/ Checking the ventilation by measuring CO2 as I travel to the #AAAR2023 conference

@RideRTD bus to Denver airport. Bus route had started 3 min before I got in, already 1500 ppm

Typical of these @RideRTD buses, poor ventilation Image
2/ Not getting any better as time passes in the @rideRTD bus to the airport...

7% of the air is being re-breathed, it has already been in someone else lungs when each of us breathe it. Image
@RideRTD 3/ Given the often poor-to-mediocre ventilation in US transportation systems, I wear N95 masks (not KN95, less good)

In this case @3M VFlex, which I tested at 99.99% filtration for myself

It also stays sealed when I talk, doesn't distort my speech (& add to my Spanish accent) Image
Read 14 tweets
Oct 2, 2023
1/ Video de mi presentación sobre "Transmisión de enfermedades por el aire: cómo funciona, por qué se malentendió, y cómo reducirla"

como parte de la presentación del libro de ventilación de @aireamos

2/ Las diapositivas se pueden bajar de este enlace.

(Son de una charla más larga así que tienen más detalles, pero están todas las de la presentación de @Aireamos)

drive.google.com/file/d/1Bs0RRG…
@aireamos 3/ Miguel Ángel Campano @MA_Campano y @Aireamos han sido los motores del libro de ventilación:

Read 4 tweets

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