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

Sep 18
1/ Comisión de @TheLancet (Revista Médica más prestigiosa) explica el FALLO TREMEBUNDO de la OMS @WHO y gobiernos (e.g. @sanidadgob) sobre TRANSMISIÓN de COVID-19

NEGAR y RESISTIRSE A ACEPTAR la transmisión importante o dominante POR EL AIRE ("Airborne")

thelancet.com/journals/lance…
2/ @TheLancet Comission: "Fallos múltiples incluyen retrasos costosos en aceptar la vía de transmisión crucial por el aire [transmisión aérea, "airborne"] de SARS-COV-2, y en poner en práctica medidas para reducir la transmisión del virus"

[Mi comentario: ¡esto continúa hoy!]
3/ @TheLancet Commission: "La OMS @WHO actuó con demasiada cautela y lentitud en [...] respaldar el uso generalizado de mascarillas [barbijos, tapabocas] como equipo de protección, y en reconocer la transmisión aérea del virus"

thelancet.com/journals/lance…
Read 27 tweets
Sep 15
1/ From @TheLancet (most prestigious medical journal) Commission

"Multiple failures include costly delays in acknowledging the crucial airborne exposure pathway of SARS-CoV-2 & in implementing appropriate measures at to slow the spread of the virus"

thelancet.com/journals/lance…
2/ "@WHO acted too cautiously and too slowly on several important matters: "... to endorse the public use of face masks as protective gear, and to recognise the airborne transmission of the virus"

thelancet.com/journals/lance…
3/ In the uncertainty during COVID-19 outbreak, @WHO—repeatedly erred on the side of reserve rather than boldness. Initially, there were basic uncertainties [...] although over time the scientific community confirmed that considerable asymptomatic airborne transmission occurs"
Read 19 tweets
Sep 9
1/ ¿POR QUÉ LOS GOBIERNOS y grandes empresas PREFIEREN IGNORAR las medidas de PROTECCIÓN COVID-19?

Este resumen de una conferencia de un profesor de Harvard (@jfeldman_epi, 22-Sep, 1 pm hora de Nueva York - recomiendo mucho) me parece espectacular en como lo resume. Lo traduzco.
2/ [Describe la situación en EEUU, pero es similar en otros países (adaptado a las estructuras de poder de cada país occidental)]

""Estados Unidos ha experimentado una de las tasas de mortalidad acumulada más altas de Covid-19 en el Norte Global...
"3/ Esta conferencia argumentará que los fallos en la respuesta de EEUU a la pandemia fueron impulsadas principalmente por élites económicas que usaron su influencia para socavar las protecciones de salud pública."
Read 9 tweets
Aug 24
1/ What are the REASONS for early DENIAL & continuing RESISTANCE & obfuscation by @WHO, @CDCGov & Other Public Health to the fact that #COVIDisAirborne?

We just published a paper on the contribution of history. Which is important, but NOT most important

onlinelibrary.wiley.com/doi/10.1111/in…
2/ Yesterday I wrote a 133 tweet thread explaining our recent paper and most of the history.

Some people think it is too long to read, and that it doesn't do justice to the main reason. So this (hopefully shorter) thread tries to address that.

3/ IMHO, the reasons for the denial, resistance and obfuscation of #COVIDisAirborne by @WHO @CDCgov etc. are:

(a) Politics and economics. Droplets and surfaces are VERY convenient to those in power. All the responsibility is on the individual.

telegraph.co.uk/global-health/…
Read 50 tweets
Aug 23
1/ What were the historical reasons for the resistance to recognizing airborne transmission during the COVID-19 pandemic?

Our peer-reviewed open-access paper is now published:

onlinelibrary.wiley.com/doi/10.1111/in… Image
2/ Soon after COVID-19 pandemic started, it was clear to many scientists (inc. those who understand aerosols) that AIRBORNE trans. was an important contributor

E.g. as soon as we talked to the Skagit choir, it was obvious that was airborne-dominated:

doi.org/10.1111/ina.12…
3/ However, major public health organizations such as @WHO and @CDCgov were in complete denial, saying that airborne transmission was MISINFORMATION!

(Disgracefully, @WHO has not deleted this tweet or clearly stated that it was an ENORMOUS error)

Image
Read 143 tweets
Jul 22
1/ HOW TO IMPROVE COVID SAFETY AT A CONFERENCE

I have been at the @TellurideSci workshop on organic aerosols this week. Being an artist was conference it wasn't too hard to convince people to do it pretty safely.

We made 2 Corsi-Rosenthal boxes for the 2 meeting rooms.
2/ The venue had also a Corsi box in the corridor, and a HEPA filter in every room.

As is frequently the case, one of the HEPAs was off and the other was a half power. We turned both to max.
3/ All the windows are open. It can be a little hot in the afternoon, but we just ignore it.
Read 6 tweets

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