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

Nov 2
Thread of debunking the myth that "babies should not be masked."

A baby uninfected is better than a baby infected.

If you oppose masking babies, you are immediately for infecting babies.

Let's get to it. A most excellent instruction page on how to mask babies.  Suck it antimaskers.
This solves an equity problem.

Not everyone has the money or technical skill to build a baby buggy PAPR.

Just like not everyone has the money to buy an adult PAPR.

Are you for people on SNAP being able to protect their babies? Or not?

Most can rustle up the money to buy some uber cute baby masks!

This is the link from the baby zine.

These need to be fit tested.

Now, let's get into the good stuff. The "OMG Laz has gone too far! We've got him!"

You better bring your A game.

aliexpress.us/item/325680749…
Read 39 tweets
Oct 22
If you are Covid Aware you have probably been avoiding the dentist. Well, the dental studies have come to you.

This edition? #CovidAwareSoReducingDentalVisits - Water flossing (WF) edition.

Or, as I like to think of it, the Gum Salon.

Thread.
Flossing is necessary for those super tight contact points as you see in the above thread, and is great to remove plaque down 1 mm deep in the gum line (gently).

InterDental Brushes are fantastic and go down 2-3 mm into the gum line to remove plaque.

And WFs in general, are, well, amazing!!

They basically go back and forth with InterDental Brushes on which is better as far as being the top of the food chain for overall cleaning of the space between your teeth.

But.

If you have gum recession, you may have this Image
Read 19 tweets
Oct 8
#CovidAwareSoReducingDentalVisits - less mouth open = less 'vid risk.

I am a GREAT flosser. My family thought we had genetic gum disease.

Below we can see rubber stick on the left, floss on the right, and a InterDental Brush (IDB) in the middle.

See the problem?
/1 Image
A couple more example pics on why I am sick to my stomach thinking of all that money wasted.

We THOUGHT we had great dentists. Not a single one mentioned IDBs, and how the bristles allow all interdental spaces to be reached.

And it gets better!

/2 Image
Image
IDBs actually reach down in between the gum and teeth - 2-3 mm. Floss? Only 1-2 mm.

As plaque grows down into and touches your gums, that's what causes them to get inflamed - and begin to retreat (very simplified).

If you brush that space? Problem solved.

/3 Floss, Interdental Brushes, and Waterpics Use all of them - floss works great for those narrow spaces.  Interdental Brushes (IDB) work great in larger spaces.  Waterpics work great immediately after eating, as you want to wait for an hour eating acidic/sweet just like regular brushing.  It is a mistake to NOT IDB.  Multiple studies indicate IDB is good, including this RCT where IDB was better than flossing (free version - great how to brush) - with people with chronic periodontitis.  Students found IDB to be better.  But IDB is better than rubber picks is better than floss.  IDB way better ...
Read 25 tweets
Oct 7
Covid Aware Teeth

The Calcium Lactate Rinse. Cheap, super easy to do - and it really enhances your fluoride uptake to re-enamel your enamel.

It's just not very well known, despite being very well supported within studies - and very cheap.

Mix 1/8 tsp with 1 oz water. Shake
thoroughly, till the granules disappear. Takes a few or 20 shakes, then just wait. Rinse for 1 minute. Spit out.

Immediately brush with fluoride or fluoride rinse.

There might be a better powder
amazon.com/dp/B0DHXX9LYC?…

1/8 tsp
amazon.com/dp/B0D5LH3K1H?…

pmc.ncbi.nlm.nih.gov/articles/PMC38… Image
I use the same 1 oz shaker as my stannous fluoride rinse comes in.

(That fluoride rinse was $4 cheaper at my dentist than this $24.

My Prevident 5000 ppm actually did not need a prescription - if bought from my dentist, as a couple of side notes.)

amazon.com/3M-ESPE-PerioM…
Read 24 tweets
Sep 18
.On the one hand, we have study after study showing 36% or so rate of LongCovid.

On the other, we have the WHO saying the rate of LongCovid is only 6%.

I got curious. What drugs are the WHO smoking - and can I get some?

🧵. Image
My 36% comes from the latest massive meta:
eatg.org/hiv-news/more-…

But what about that 6%?

Turns out it's this old chestnut from 2022.

And there are such major players on it...so many I can't even screenshot them all.

But I fear no title - and neither

jamanetwork.com/journals/jama/… Image
will you.

The problem with this 6%? There are 200+ symptoms in the LongCovid symptoms constellation.

This study focuses on three clusters.

Which is incredibly vague, which is normal for the WHO.

So, after digging through the f***ing supplement, there are a few symptoms Image
Read 10 tweets
Sep 7
COVID is as transmissible as measles?!

"BUT, BUT, measles can infect up to 90% of people they are in contact with!"

So can COVID.

Time to wake up. The lecturer tried to promote sales of a flax oil product, and many elderly people were lured to attend by the promise of free eggs, Xinhua News Agency reported.  He gave three lectures on Jan 10 and 11 in a Tonghua classroom while not wearing a mask, with each lecture lasting about 2.5 hours. A total of 97 people, most of them retirees, attended the lectures in a classroom whose doors and windows were closed, the China CDC report said. The lecturer went to a pharmacy at noon on Jan 10 due to muscle pain and other symptoms, indicating he was likely at an early stage of the disease then, it ...
So, some will be pushing back - always welcome, albeit this is anticipated.

Rnaught is just an estimate.

The famous measles 12-18 is shown below.

But the R0 of 6-8 has the most estimates.

Free
sci-hub.se/https://doi.or…

Pay
sciencedirect.com/science/articl… Image
Read 8 tweets

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