Noor Bari Profile picture
Nov 8 4 tweets 1 min read
Is it worth investing in ventilation and filtration if you have a population that will not accept mask mandates or will not voluntarily uptake masks?

YES.
No, you won’t be able to stop close range transmission with vent/filtration alone.

You will however be increasing the margin of safety of those that do wear a respirator. That will likely be those that perceive themselves to be at risk.
There may also be a benefit of reducing long range transmission, slowing outbreaks.
Reduced viral load exposure has also been associated with milder disease in animal models. Possible this may hold true for humans as well.

Safer air is worth it.

#CleanAirRevolution

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More from @NjbBari3

Nov 11
#ATAGI

It is very good that you are recommending NPI’s to bridge the gap between vaccinations (chasms) however most people in real life have no idea how to protect themselves properly and will therefore get infected and die anyway.
Have you seen fit testing stations in shopping centres? No.
Have you seen TV adverts showing how to choose and wear a respirator in any level of detail? A fit check?

No.
Read 9 tweets
Nov 10
@BradHazzard
@NSWCHO

We still need to slow down these outbreaks.

That’s all there is to it.

We need automated contact tracing. Supported iso. Mask mandates or heavy public health messaging re masks. We still need those ventilation regulations upgraded.
These problems MUST be attended to.

This is not the time to say “oh stuff it I’m retiring, I can’t be asked…”

We don’t even have the luxury of grieving our losses yet. The pandemic is still on!

(Rt Hon Brad Hazzard)
We need to get back on the line, get back into parliament and seriously debate things so we can pass into law long term protections for humans against SARS.
Read 5 tweets
Nov 10
@1goodtern You wouldn’t believe this, but literally this morning someone has said to me “I just can’t shake this… first a chest infection, and now a urine infection…”

Not even half an hour ago.
@1goodtern Someone else I know (v close) has had three eye infections post COVID.

Another has had a deterioration in their fertility, as compared to their baseline pre and post covid. Measured.
@1goodtern It’s almost as if the stuff in the science papers is real. 👀
Read 7 tweets
Nov 10
From @ama_media

“A conscientious objection is based on sincerely-held beliefs and moral concerns, not self-interest or discrimination.”

To apply this to wearing masks in healthcare @Ahpra implies that wearing a mask is a matter of belief/morality?
I mean… it could be… but when one persons belief could kill another?

Patients are often vulnerable.
There is some actual science behind keeping ones respiratory secretions to oneself. There is a real danger posed by the fervent belief that we must not wear a mask, especially in healthcare.
Read 10 tweets
Nov 9
When I work in hospitals that have a waiting time of 6 hours plus I guarantee you it is *rare* to find someone that has presented for no reason.

Either they had something awful wrong with them, or they thought they had something awful wrong with them and were very scared.
Vast majority of those that thought they had something awful wrong with them, could indeed have had something horrible. Chest pains etc.

I don’t find “should have gone to GP” sitting for 6 hours in ED waiting room very often. Rare actually.
People are dry, in pain, lethargic, etc. wounds that have gone crusty and are more difficult to repair/clean etc.

That’s what is waiting for 6-8 hours. Often with significant pathology. Somethings perforated. Somethings gone blue/black etc.
Read 5 tweets
Nov 8
Prolonged fever is an indication for a proper search for a bacterial secondary infection and a time to think about secondary autoimmune conditions, some of which are lethal (MIS-C/Kawasaki etc.)
As a general rule, for fever, keep kids hydrated with sips of oral rehydration fluid and allow their bodies to cool by removing excess clothing.

Tepid sponging may help.

Keep going back for help for as long as the problem persists. ->
Always have a follow up plan with your doctor, and if things get worse in the mean time don’t be frightened to go back sooner than expected.
Read 15 tweets

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