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

Dec 21, 2025
Oh, we are cooked. Just cooked.

"Brain Mitochondrial dysfunction, known for ~20 years is finally recognized as a central upstream driver of Alzheimer’s disease (AD), not just a downstream effect."

And SARS2's targeting of mitochondria is well-known.

Even in the brain.
/1 We identified dysregulation of mitochondrial and synaptic pathways in deep-layer excitatory neurons and upregulation of neuroinflammation in glia, consistent across both mRNA and protein. Remarkably, these alterations overlapped substantially with changes in age-related neurodegenerative diseases, including Parkinson’s disease and Alzheimer’s disease. Our work, combining multiple experimental and analytical methods, demonstrates the brain-wide impact of severe acute/subacute COVID-19, involving both cortical and subcortical regions, shedding light on potential therapeutic targets within pat...
@LauraMiers, in case you don't have it.

nature.com/articles/s4358…
@LauraMiers This is yet another reason why I N95.

Read 6 tweets
Dec 17, 2025
@neiljshaw - — a few tips on your excellent article from a clean air advocate

"Consider Wearing a Mask" ?

No, "It is incredibly important to wear a well-fitting mask such as a N95, KN95, or KF94, for the best protection."

You two are doing Image
public health with this article.

Public health is best done with simple clear instructions.

No:
"These masks act as a barrier, reducing the spread of respiratory droplets when people talk, sneeze or cough."

Yes:
"These masks act as a HEPA air cleaner for the face,
cleaning the air of respiratory aerosols when people breathe, talk, sneeze or cough."

The barrier carries the idea of an immovable wall. Unable to be penetrated by things like oxygen and CO2 - which feeds antimaskers.

As an who debunks antimaskers, it is
Read 9 tweets
Dec 11, 2025
As an anonymous clean air advocate, I've put a bit of thought into how to present, well, my expertise.

If someone were to say, "How do I know you know what you are talking about? Are you a doctor, or a virologist?"

To which, I would say...."No, but that's a good thing.
/1
I have focused on aerosol and masking science. Because it is those fields that give us the most information on how airborne particles, aerosols, get from Person A to Person B.

My expertise is derived from the great studies of Dr. Lindsay Marr, MacArthur recipient. Dr. Prather,
double National Academy member, Dr Milton, inventor of the Gesundheit, aerosol scientist and medical doctor; Dr Coleman whose group found that duckbill N95s captured 98% of emitted respiratory aerosols, and more excellent individual aerosol scientists.
Read 17 tweets
Nov 22, 2025
I am not a fan of nasal sprays to stop The 'Vid, but I respect you having it as a layer in the Swiss cheese package.

But, some people have said they got bloody noses.

While at the ER yesterday, I picked up a pretty good at home technique. Let our $1,000 lay-out
Image
save you money.

Use tongue depressors to make a nose pinch clamp.

Leave it on for 30 minutes. Still a problem? Two sprays of Afrin, and re-apply nose pinch clamp. Wait 30 minutes.

Still a problem? Cotton balls sprayed with Afrin, clamp, 30 minutes

aliem.com/trick-of-trade…Image
Image
Image
Afrin- in generic form is $3.32 at Walmart.

Also, put a ice compress at the back of the neck, while doing the above.

"Cooling the nape of the neck is said to induce reflex constriction of the mucosal vessels of the nose"

✅ I agree with the authors.

pubmed.ncbi.nlm.nih.gov/1568881/Image
Image
Read 6 tweets
Nov 13, 2025
A study demonstrated 100% PERFECT protection against SARS2 w/ readily available KF94s

✅ 181 HCWs
✅ 1 got SARS2 antibodies, but an epi investigation -> the infection happened elsewhere.
😡 The final checkpoint was March 2021. N95s only became freely available 1 month later
/1 FDA: N95 masks, now plentiful, should no longer be reused  By MARTHA MENDOZA and JULIET LINDERMAN  (Associated Press)  April 23, 2021 12:44 p.m.  Medical providers may soon return to using one medical N95 mask per patient, a practice that was suspended during the pandemic due to deadly supply shortages
What is described in the tweets
in the USA.

Korean study:
jkms.org/DOIx.php?id=10…

This is in comparison to a Swiss study during the same rough time-frame. A study which did NOT show the same excellent results, but dismal results. Why?

The Swiss had the same sort of fit testing,

pubmed.ncbi.nlm.nih.gov/35123572/ Results: We enrolled 3259 participants from nine healthcare institutions, whereof 716 (22%) preferentially used FFP2. Among these, 81/716 (11%) reported a SARS-CoV-2-positive swab, compared to 352/2543 (14%) surgical mask users; seroconversion was documented in 85/656 (13%) FFP2 and 426/2255 (19%) surgical mask users. Adjusted for baseline characteristics, COVID-19 exposure, and risk behaviour, FFP2 use was non-significantly associated with decreased risk for SARS-CoV-2-positive swab (adjusted hazard ratio [aHR] 0.8, 95% CI 0.6-1.0) and seroconversion (adjusted odds ratio [aOR] 0.7, 95% CI ...
PPE monitoring.

What was the big difference?

Are N95s/FFP2s inferior to KF94s?

No, it was supply - and other reasons.
Read 10 tweets
Nov 5, 2025
@tomhanks has just been savaged by people screaming masks don't work.

All hospitals have fiduciary responsibilities to not waste money.

Here is a light sampling of hospitals mandating masks because they work.

Proving that not only do masks work, but mask mandates work.

Thread
Health PEI
Start/End: October 14, 2025 , How many hospitals: 7, employee count: 4,967,

Public hospital,

City: Various (e.g., Charlottetown, Summerside), Province: Prince Edward Island, Country: Canada, full url: princeedwardisland.ca/en/news/health…
Horizon Health Network
Start/End: September 3, 2025 How many hospitals: 12, employee count: 15,000, public or private:

Public hospital.

City: Various (e.g., Saint John, Fredericton),
Province: New Brunswick,
Country: Canada horizonnb.ca/coronavirus-co…
Read 62 tweets

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