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Mike Hoerger, PhD MSCR MBA Profile picture
@michael_hoerger
May 17 • 7 tweets • 4 min read Twitter logo Read on Twitter
#ASHRAE has released draft guidelines for how to reduce the spread of #airborne infectious illness (like COV1D) in schools, hospitals, and other places.

It's open for public comment until May 26. This thread will give you background info and how to comment.
🧵
1/ ASHRAE Standard 241P Advis...
Joey Fox linked to the #ASHRAE indoor air cleaning draft guidance and also provided a helpful summary thread.


2/
I found this #ASHRAE air cleaning guideline summary page particularly helpful.


3/
Note that the #CDC co-released its own guidelines for indoor air quality, which are similar to #ASHRAE but somewhat simpler.
cdc.gov/coronavirus/20…

4/
To comment on the #ASHRAE guidelines by May 26, go to this web page and make an account (free, easy).
osr.ashrae.org/default.aspx

5/
After you have an account set up, go back to the same web page. Scroll down to the bottom (currently) or do a find search for "241P."

Click the blue "Comment" link to the left. Then, it's an easy step-by-step process.

osr.ashrae.org/default.aspx

6/ 14-Day Public Review Period...
This is my supportive feedback to #ASHRAE with practical behavioral science suggestions.

Scroll above in the thread if you wish to comment too.

7/ Behavioral Science – Feedba...

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More from @michael_hoerger

Mike Hoerger, PhD MSCR MBA Profile picture
Apr 19
Public Comments at the #CDC ACIP happening live now.

Absolutely heartbreaking. The first person, near in tears, talking of the lack of precautions for newborns. Now, a mother in 3rd trimester talking about lack of eligibility for recent booster.

video.ibm.com/channel/VWBXKB…
3rd speaker: Had to miss some work with mRNA vaccines. No issue with Novavax. Asking for greater flexibility on the frequency of vaccination and allowing anyone to get Novavax as a booster
4th speaker (lawyer): Calling for greater compassion in allowing international travelers to enter the U.S. Requests a testing requirement (or option) as opposed to vaccine requirement, which can create substantial delays.
Read 10 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Apr 17
As more #hospitals drop universal #masking requirements, I see many patients, family members, and medical staff who are rightly concerned.

🧵This thread has my best advice for protecting yourself from #COVID in high-risk settings.

1/10 Images from various threads...
Big Picture - Top 10 Tips if you're new to thinking about the importance of #mask quality, size, and fit in high-risk settings

2/10
#FitTesting is not always needed but becomes extremely valuable if the following apply:
▫️ Prolonged time period
▫️ Others are unmasked
▫️ Indoor air quality is bad or not tested personally

3/10
Read 10 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Jan 17
"Surviving the COVID-19 #Pandemic: Things I Have Learned (So Far)"

A pandemic mitigation primer geared toward my students.

Full video (40 mins):
vimeo.com/showcase/10115…

Refs in the PPT notes:
psychmike.com/Hoerger_pandem…

Video segments in thread🧵 Picture of video segments
1. Introduction

COVID cases and deaths were surging in New Orleans right when I launched a project working with people who are seriously ill.

Thus, I began studying COVID mitigation.
vimeo.com/789390581
2. COVID is NOT "A Cold or the Flu"

It is among the most serious illnesses.

COVID has caused life expectancy to plummet. Ppl are getting disabled. 1.5 million Americans can't work. Vascular dysregulation is concerning. Effects are cumulative.

vimeo.com/789392012
Read 11 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Dec 23, 2022
In an Invited Editorial in @JAMAOnc today, my colleagues & I call for health systems to develop “Comprehensive #Pandemic Support Programs” for their most vulnerable patients.

These are our Top 10 Tips!

THREAD 🧵
jamanetwork.com/journals/jamao… JAMA Oncology article, "Variability in COVID-19 Vaccine
Tip #1: Health systems should explain to all patients that #COVIDisAirborne and is best avoided through multi-layered mitigation. Swiss Cheese model of COVID mitigation
Tip #2: Health systems should prioritize getting the most vulnerable patients vaccinated & boosted.

Offer #vaccines on-site w/the SAFEST options.

Vulnerable patients want highly-ventilated or outdoor options & high-quality (e.g., N95) masks for safety. Make it happen. Vaccination given while clinician wears an N95 outdoors
Read 15 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Dec 17, 2022
THREAD: 19 Tips for a DIY mask fit test to reduce your risk of #COVID19.

H/t @amandalhu & @__philipn__

What did I miss? Assorted fit-testing pictures
Fit-testing Tip #1: Keep it Simple.

Get a nebulizer (usually $30-40) & some 3M FT-32 Bitrex solution ($24). The FT-32 fit-test solution (right) goes in the nebulizer. J
Fit-testing Tip #2: Taste the Failure.

Use the nebulizer to spray the bitrex solution (barely visible). Breathe through your mouth. If you taste it, there’s a mask leak.

"It’s not rocket science," as @CorsIAQ likes to say.
Read 21 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Dec 15, 2022
Our #pandemic global strategy:
"If I paint a rosy picture, will you promise not to cry?"

ascopubs.org/doi/full/10.12…
1/5 Image
Written a decade ago, the article was about how clinicians too often falsely reassured patients w/terminal #cancer that treatment was working just fine.

There are many parallels b/w cancer cancer, the pandemic, & climate change.

Mortality salience elicits #denial.
2/5 ImageImage
Don't believe me?

Look back at the 1960s. Only 12% of patients were even told they had #cancer.

Society will tolerate BS for a long time to avoid immediate discomfort. So too w/the pandemic. Hardly a mask in sight & reinfections mount.

jamanetwork.com/journals/jama/…
3/5 Image
Read 5 tweets

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