1/ "SARS-CoV-2 is AIRBORNE" (100% agree)

"If public health doesn't say this clearly, it is MISINFORMATION" (92%)

From large DELPHI study w/ panel of 386 academic, health, NGO, govt experts in COVID-19 from 112 countries published in @NaturePortfolio

nature.com/articles/s4158…
2/ Led by @JVLazarus of @ISGLOBALorg (Spain) along with @jabarocas, @RBaptistaLeite, @SusanMichie, @ProfAbdoolKarim, @LawrenceGostin, @carolin51299534, @CarlosdelRio7, yours truly & many others not on Twitter

Excruciating process to get unbiased & representative #CovidConsensus
3/ Many recommendations on different areas, on which there was significant agreement among all the experts (grouped in areas of prevention, communication, vaccines, treatments, inequities, health systems):

4/ Nearly 400 individual experts from 110+ countries were asked to:

- help revise statements (several rounds)
- then in the final round, to vote whether they agree or not

[Individual experts abstained from voting on areas where they had no expertise]

nature.com/articles/s4158…
5/ I didn't know most of the experts. Since airborne transmission has been controversial, and e.g. @WHO never talks about it clearly, I expected wide disagreemnt.

So I was pretty shocked that 100% agree that SARS-CoV-2 is an airborne virus

nature.com/articles/s4158…
6/ And even more surprised 92% agreed that when Public Health Orgs. "contribute to the dissemination of FALSE INFORMATION when their communications do not reflect current scientific understanding that transmission of SARS-CoV-2 is primarily airborne"

@WHO @CDCgov: that means YOU
7/ This goes to show how divorced @WHO, @CDCgov are from current scientific #COVIDConsensus.

Their continued downplaying of airborne transmission is doing a lot of harm, and if corresponds to interests OTHER than Public Health

My guess at those here:

8/ And a much more articulate summary of the reasons why @CDCgov has mostly abandoned public health goals for the pandemic in this talk by @jfeldman_epi:

Recording here: utmb.hosted.panopto.com/Panopto/Pages/…
9/ Note that the @TheLancet Commission reached pretty much the same conclusions independently:

[That commission is a different group of experts that reached consensus in a different way]

@WHO @CDCgov @sanidadgob are really FAR from the expert consensus

10/ If you haven't seen it yet, what is the evidence that convinces 100% of the experts in this @Nature study that #COVIDisAirborne?

See for example this article in @TheLancet:
11/ For even more evidence about how we know that SARS-CoV-2 (and all or almost all respiratory viruses) are airborne, see also this @ScienceMagazine paper:

12/ For evidence on COVID-19 superspreading (of major importance for spread) being dominantly airborne, see this paper:

13/ For the historical reasons that made this denial and resistance of #COVIDisAirborne possible by @WHO, @CDCgov @sanidadgob et al., see this recent paper:

14/ For some misguided & wasteful things that many Govts around world have done to "fight" COVID transmission, under the misinformation (as the expert consensus of 386 experts on @nature today concludes) of @WHO and @CDCgov has caused:



#COVIDHallofShame
14/ Note that even @Twitter (which is not exactly fast or efficient at fighting misinformation) has said that @WHO comms in early pandemic are now KNOWN TO BE WRONG.

Really embarrassing for, @WHO, which has said NOTHING

15/ Este mismo hilo en español / castellano:

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More from @jljcolorado

Nov 3
1/ "SARS-COV-2 es de transmisión AÉREA" (100% de expertos)

"Si Salud Pública no lo dice claramente, dan FALSA INFORMACIÓN" (92%)

De un gran estudio DELPHI con 386 expertos de COVID-19 (de salud, académicos, ONGs, y gobiernos) de 112 países, en @Nature

nature.com/articles/s4158…
2/ Liderado por @JVLazarus de @ISGLOBALorg (España)
con @jabarocas, @RBaptistaLeite, @SusanMichie,
@ProfAbdoolKarim, @LawrenceGostin, @carolin51299534, @CarlosdelRio7, un servidor y muchos no en Twitter

Un proceso minucioso para extraer consenso representativo

#COVIDConsensus
3/ Muchas recomendaciones de consenso para terminar con la amenaza de COVID-19 a la Salud Pública (de prevención, comunicación, vacunas, tratamientos, desigualdades, y sistemas de salud)

Image
Read 14 tweets
Oct 31
1/ Is DROPLET transmission ever important for ANY disease?

NO EVIDENCE that it is. If someone wants to argue that droplet transmission IS important, this now applies: "Extraordinary Claims Require Extraordinary Evidence"

[Slide for upcoming talk]

doi.org/10.1111/ina.13… Image
2/ Note that @WhiteHouse agrees for COVID-19. Not yet there for other diseases, but politicians are always behind on the science.

3/ Large droplet transmission is defined as projectiles ("sprayborne droplets") per the @CDCgov presentation to the US National Academies of Science, Engineering, and Medicine here:

nationalacademies.org/event/08-26-20… Image
Read 15 tweets
Oct 28
1/ LEY DE MEDIR VENTILACIÓN con CO2 en BÉLGICA

Bélgica aprueba por ley un límite de CO2 de 900 partes-por-millón (ppm)

SE une a leyes con límites de 1000 ppm en Taiwán, Corea del Sur, y Japón.
2/ Este artículo en @elpais y mi hilo sobre el explican para que sirve el CO2 como indicador de la cantidad de aire exhalado en un espacio.

3/ Este artículo científico explica detalles técnicos

TDLR: probabilidad de contagio EN UN SITIO DADO siempre aumenta proporcionalmente al CO2 exhalado

Pero sitios con vocalización y ejercicio, más tiempo, y menos mascarillas son mucho más peligrosos

pubs.acs.org/doi/10.1021/ac…
Read 8 tweets
Oct 26
Alerta de médicos de aumento de muertes repentinas por problemas cardiovasculares, podría ser por COVID-19. Muchos en personas de menos de 50. Existe una relación muy lógica con coronavirus, ya que se ha demostrado que causa problemas cardiovasculares.

antena3.com/noticias/socie…
Sin ir más lejos este estudio resumido por @ScienceMagazine (revista científica más prestigiosa):

Es importante q las autoridades sanitarias clarifiquen esto. Porque si no, dejan espacio a los antivacunas, que se inventan sin evidencia que se deben a las vacunas!

[Vacunas tienen algunos efectos secundarios circulatorios, pero 100 veces menos q COVID: ]
Read 8 tweets
Oct 14
Vinay Prasad in London 1854:

"If you are currently boiling the water in your home, then I am 100% sure that i disagree with you about cholera policy"

"I am also 100% sure you are out of touch with 96% of Londoners who have returned to normal life"

#AntiScience #FlatEarther Image
Vinay Prasad in Vienna 1847:

"If you are a physician currently washing your hands before baby delivery, I am 100% sure that I disagree with you about puerperal fever policy"

"I am also 100% sure you are out of touch with the 96% of physicians who have returned to normal life" Image
Vinay Prasad in the tropics in 1898:

"if you are currently doing what you can to prevent mosquito bites, I am 100% sure that I disagree with you about malaria policy"

"I am also 100% sure you are out of touch with the 96% of tropics inhabitants who have returned to normal life" Image
Read 7 tweets
Oct 6
Shockingly, @Twitter has done what @WHO has REFUSED to do for 2.5 years.

Tell us that the "FACT: COVID-19 is NOT AIRBORNE" message from !WHO "was not proven at the time, and is NOW CONFIRMED FALSE"

Will @WHO please confirm they agree and apologize?

@mvankerkhove? @DrTedros? Image
@WHO called airborne transmission MISINFORMATION in that infamous tweet.

And now, @WHO left it up to @Twitter to alert us that it was actually @WHO that was SPREADING MISINFORMATION ABOUT TRANSMISSION. Image
Read 4 tweets

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