Lazarus Long Profile picture
Nov 3, 2023 24 tweets 7 min read Read on X
The HICPAC Public Comments threaded.

I tried to do a quick synopsis. I will add more tomorrow. Please tag folks you recognize.

I apologize in advance for some very butchered spelling of names and brevity.

The value is not in my words - but theirs. Image
Here is the HICPAC schedule, so keep in mind that we still need to comment on their draft after tomorrow.

And without further adieu.... Image
Mary Germanus, @PeoplesCDC

Many HCWs refuse to mask, and continue to expose people. Are HICPAC and CDC prioritizing profits over our health?

Dr. Rosalie A Bright, retired federal epidemiologist. Nails almost every single point that I personally would have made.

Maria Castro has been avoiding healthcare because of current practices. HICPAC and CDC should be serving the public. They are not . They should be educating about the risks of Covid. They are not.

No places are requiring masking for vaccinations.
Zenei Triunfo-Cortez, nurse, President (if I heard that correctly) of @NationalNurses.

The CDC did not have the draft available before this meeting so there was no perspective from: Frontline nurses, immunocompromised, aerosol scientists, engineers, etc.
Eric Berg, Deputy Chief of Health for Cal OSHA. Very interesting sharing of Aerosol Law that is more protective and trumps CDC's recommendations. But many employers use CDC to skirt the law.

Cal OSHA recommended elastomerics for the PPE shortage.

Don Ford - our brains are vulnerable to SARS2, and it is respirators that protect the most against it.

(My apologies, you spoke very quickly, and I am tired).
Chloe Humbert - why do HCP say they are following CDC's guidelines in not actually masking up? Is the high-faluting HICPAC simply about saving money for the corporations - and has no patient advocates?

The HICPAC is Koch's Brownstone Institute.

Naomi Baryam, @TheWHN

It's no longer 2007, with a pandemic 80 years ago. We are in the middle of a pandemic. HICPAC needs more diverse voices.

@joaquinlife- calling for respirators, improve ventilation, bring back reporting of hospital acquired infections. By def, every patient is vulnerable.

Pharmaceuticals are not enough.

Megan Cunningham, mother of an immunocompromised child. SC2 is not the last pandemic. More are coming.

Having to beg for HCWs to mask up, who still refuse.

Jay Herzmurg (sorry!) - nurse, registered Industrial Hygenist,

IPC tends to just listen to itself. But physics is physics, and the laws of physics apply to healthcare. But, it's like talking to a TV.

Dr. Sharif, (also sorry!) nephrologist and physician.partnering with National Nurses United. HICPAC did not discuss LongCovid at all. Surgical masks can be as low as 8% IPE, but is being recommended as part of the Standard Transmission.

Lisa Foreman, nurse practitioner.
Half of all HCWs go to work with symptomatic Covid. Overall, over half of all transmission is with no symptoms.

Massive amount of preventive healthcare has been missed due to no masking in healthcare.

Danielle Pack, patient from Michigan. Caught Covid at a Dr office while seeking postpartum care.

HICPAC should be strengthening IPC as we are in the middle of a pandemic.

She has a great demand list! Eg. A few minutes of public comment at the END?

And let me add - I appreciated EVERY SINGLE COMMENTER. THEY ALL brought their A-game..
Christine Braille. Her son is immunocompromised and has LongCovid. Infected by his home infusion nurse who refused to mask properly.

Covid is airborne, definitively, and without question.

"We got to see the disease transmitting smiles of the Drs..."

Wow ...that is a must listen. Just wow.

Last one coming up.....
Dr. Andrew Wang, doctorate and masters in public health, of @PeoplesCDC.

Showed graciousness towards the HICPAC members, and urged more protection than less.

@PeoplesCDC My final take-away - we cannot go quiet into the night.

The 1918 pandemic, and many other pandemics are noted for the silence afterwards.

We must make our mark. Loudly and proudly.

We are still here. We deserve better from the hospital corporations, and the droplet
@PeoplesCDC dogmatists that still run the bulk of IPC.

They are wrong, but revolutions in thought take time and effort.

In the meantime, contact your local representatives and ask them why an illegal committee is setting policy minus key input.

Tweet at them.
usa.gov/elected-offici…
@PeoplesCDC Call them the next day.

Email them the 3rd day.

You can have a much bigger impact than you think!
@PeoplesCDC This @DrJudyStone article is a great starting point that lays out the issue cogently.

forbes.com/sites/judyston…

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More from @LazarusLong13

Aug 12
Someone in the 7 Oaks School of Ontario IPC, like @zchagla, @DocDominik, @HotaSusy, @BogochIsaac @skepticalIDdoc has gone anonymous.

Remember - that group personally signed affidavits saying surgical masks are good enough to de-N95 nurses, who went on to die ....
At greater numbers than the population.

Who were sentenced to lives of LongCovid.

It all started in March of 2020, when the 7 Oaks School of Ontario IPC signed a nasty, but quiet, little petition to deny airborne precautions. Image
Then they signed those nasty little affidavits,with two fingers crossed I am presuming, in April of 2021.

Deliberately to demask the nurses. Image
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Read 12 tweets
Aug 5
Guess what?

In the next pandemic, these "RCT or STFU" worshippers plan on sacrificing you on the alter of RCTs.

This is Dr. Atle Fretheim 👇 talking about how they attempted to get masks randomized from his government.

And thankfully, shot down.
/+

Image
But they have figure out "this one weird trick!"

They are working on getting pre-approval from the WHO for what is called their "Master Protocols 👇," to then help smooth the way with their local government.

This is not an idle thing. Atle specifically used air filtration 👇@kprather88 @jljcolorado, as his example of a desired subject to give half of the class clean air in the beginning of a pandemic.

When we are MOST trying to stop the spread!

Read 14 tweets
Jul 27
AVERAGE CO2 in the dead space below an N95? 1-3% - or 10,000 to 30,000 ppm. Scary?

No. You see that's the average.

Humans have focused on average or peak exhalations/waveforms.

We haven't studied the LOW POINT with capnography.

We have done it with simulations. Image
There are no published experimental (human) capnography studies inside N95 dead space that show the CO₂ dropping down as low as ~0.4% within a single exhalation. Human trials typically measure peak or average values rather than full breath waveforms.
As you can see, the amount of CO2 in the N95 goes down.

Why? Because the air around us has so much less CO2. When we inhale, it mixes with that high CO2.

Dilution and diffusion both at play.
journals.plos.org/plosone/articl…Image
As all of us who has ever worn a mask/N95, which is most of the world, knows, we don't suffer the effects of inhaling 30,000 ppm all day.

Lets look at this a different way.

What if we were in a room with huge CO2? That's what antimaskers are implying is going on.
Read 11 tweets
Jul 27
How NOT to Science. A time travel thread and magic.

This is Helmut Traindl - the engineer who devised the procedure behind Walach CO2 study that was retracted after 16 days:
jamanetwork.com/journals/jamap…

Then, republished by Dr. Domingo just 6 months later.
sciencedirect.com/science/articl… Image
@RetractionWatch had an interesting write-up on how it was republished by Dr. Domingo.

It rings of plausible deniability. Except it smells vaguely of bad faith.

retractionwatch.com/2022/08/01/one…Image
Turns out that @TecnATox was founded, and is directed by Dr. Domingo.

You'll be hearing from me, Dr. Domingo - and a rather lot more people, once I get done writing all of this up.

You see, I found the pilot video.

Read 14 tweets
Jul 26
We need you - no matter where you live, to comment positive constructive thoughts on why having universal respirators are good. The Canadian standard being commented on is based on the precautionary principle.

Here's how you sign up and comment. Please put your own flavors on
Go here:


Click register.

Fill in your info.

It sends you a link. publicreview.csa.ca/Account/Login?…Image
Image
Once logged in, search for Z94.4 . Image
Read 10 tweets
Jul 24
So, in your apartment or hotel, we saw below how its heated facade, or front, could drive your downstairs neighbor cough into your lungs.

Let's step inside your living room now, and step forward in time to winter.

What happens if your sick neighbor is seated in that living /1
room?

Where is the worst place for them to be seated if you have your heat coming from a heat register up on the wall?

Next to your cold window.

The cold air cools your sick neighbor's exhaled infectious air, and drives it to the ground.

Where it sidles along until Image
Image
you and your family's bodies' thermal plumes pick up that air, and lifts it up to your faces to be breathed in.

Or....to put this in another way....if you go to a coffee shop as I like to do, and you see someone coughing next to a cold window? Do not dawdle.

Leave.
Read 7 tweets

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