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Lazarus Long Profile picture
@LazarusLong13
Jun 14, 2024 • 21 tweets • 10 min read • Read on X
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It will be a miracle if H5N1 does not go full explosive pandemic.

I actually spent a chunk of time trying to figure out how to get OSHA involved.

🧵 on what THEY know, and TRANSMISSION.

tinalexander.github.io/notes/2024/06
So, the USDA wants you to not be worried. They EXPECTED numbers to go up.

But they forgot to tell their boss, @SecVilsack, who says it will be isolated and burn out, because they have biosecurity plans available, and understand how it's transmitted.

agriculture.com/usda-aims-to-i…


We do see it as kind of a naive population where we see those numbers go up that’s expected. That’s not necessarily alarming in the sense of we understand how this disease spreads. However, to get really further ahead in this space. Again, it goes back to the biosecurity we’re really wanting all industries all to really up their biosecurity, have those enhanced biosecurity plans. We do have through our funding mechanisms, again, options for unaffected, as well as affected herds to both be able to increase biosecurity plans on site to one, keep disease out of their herds. And two, to keep d...
“We are trying to essentially corner the virus” within infected herds so it eventually dissipates, he said during a teleconference.
The USDA’s strategy against bird flu in dairy cattle is to identify infected herds and wait for the virus to die out within the herds, said Agriculture Secretary Tom Vilsack on Monday. “I’m confident we have a good understanding of the virus and how it is being transferred,” he added.
He said that on June 4th, and when there were 80 herds, 9 states.

Now, there are 97 herds, 12 states.

Their preventive measures have been in place since May 1.

THEIR PREVENTIVE MEASURES ARE NOT WORKING.

Why? We have to know HOW it is transmitted.

A reporter asks the task force - obviously, you think contaminated clothes are the source.

Here's a good synopsis of the Michigan report they mention. That synopsis mentions that it would be good to implement the Secure Supply Biosecurity Plan.
. michiganfarmnews.com/usda-releases-…

I saw in the Michigan report, it talked about shared workers being that only transmission link between dairy and poultry. I mean, have you looked into the possibility that infected workers were the vector? Or is there a reason that you think contaminated clothing is more likely? Thanks.
Image
USDA APHIS replies that they know that shared clothing is a risk factor.

Got that - just a risk factor. We'll come back to that because I went digging.

@USDA_APHIS then goes on to state that they DEPEND ON PUBLIC HEALTH TO TELL THEM IF PEOPLE ARE INFECTED. I saw in the Michigan report, it talked about shared workers being that only transmission link between dairy and poultry. I mean, have you looked into the possibility that infected workers were the vector? Or is there a reason that you think contaminated clothing is more likely? Thanks. Kammy Johnson, APHIS [00:20:22] That’s a great question. And thank you for bringing that up. When we look at those genetic sequences, we do see that there are relationships and between those viruses, and we are relying on our public health colleagues to tell us and have some indicator on whether or not pe...
45 people have been tested. Total.
Across 12 states and 97 farms.

So, the USDA is telling us not to worry because they are depending on public health to test people to let us know if it is spreading in people.

Who are not being tested.

cdc.gov/bird-flu/h5-mo…
Image
Not coincidentally, did you know that 10% of poultry workers test positive for H5N1?

Per @NIOSH, in DHHS (NIOSH) Publication Number 2008–128



"Protecting Poultry Workers from Avian
Influenza (Bird Flu)"

In which they recommend respirators or PAPR. cdc.gov/niosh/docs/200…

Image
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Which brings us back to the vaunted @USDA_APHIS Secure Supply "No respirators required" plan from 2017 👇.


Image
Did you notice that @USDA_APHIS actually did NOT ANSWER if infected workers were the reason for the spread? Image
They just focused on the clothes.

But speaking of clothes - is it because your pants leg sneaks up into your nose?
No. It's because virus contaminated aerosols (dust, respiratory, fecal, milk - all possibilities) land on your clothes.

As you move, or wind hits them, they resuspend into the air., and they get inhaled.

This is why Secure Supply has Tyvek coveralls.

NIOSH also has Tyvek Image
coveralls. But NIOSH ALSO HAS RESPIRATORS, AND has a full on donning and doffing procedure. It is deliberately designed to lower the risk of inhaling those aerosols as you take off the overalls, gloves, boot coverings.

Remove clothes, coverings with respie and goggles on. Image
Then remove goggles and respirator. Wash hands. Image
Shower. Image
And that is just for clothes.

Respirators are also so workers don't inhale the aerosols straight from the dust, cow breath, dried fecal particles, milk aerosols.
When we turn to the vaunted Secure Supply BIOSECURITY website for dairy producers, not a respirator in site.

More examples....



PDF for

The ONLY time respirator is mentioned is in reference to spraying disinfectants. Once. securemilksupply.org/milk-producers…
securemilksupply.org/Assets/SMS_Enh…

Image
Image
securemilksupply.org/Assets/DAIRY_E…
Image
So, I am really at a loss as to get someone to change that Secure Supply website done in 2017 in light of the airborne aerosols of H5N1.

@CorsIAQ, I couldn't help notice that UC Davis was one of the contributors.

Any chance you can gt that dept to reach out?

Cheers either way!
Image
Image
@CorsIAQ Almost forgot - an assumption that @USDA_APHIS is making.

That public health will be able to have some indicator if people have been infected.

There is no such guarantee. There will be asymptomatics. Presymptomatics. Symptoms like SARS2.

onlinelibrary.wiley.com/doi/full/10.11…


Image
Image
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I was wrong. I said 97.

104 herds infected.

From 36 on May 1st which is when all of their current mitigations were all in place.

At what point, @Alexander_Tin @HelenBranswell, for the USDA and CDC, do they say the current strategy is not working?

Is this considered success @SecVilsack ?

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More from @LazarusLong13

Lazarus Long Profile picture
Nov 22
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
Lazarus Long Profile picture
Nov 13
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
Lazarus Long Profile picture
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
Lazarus Long Profile picture
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
Lazarus Long Profile picture
Oct 9
I remember why I got going on this run of dental care threads.

I got a root canal, and then a cleaning. The hygienist told me that masks cause dental problems. I didn't say anything, but that's complete horse...puckies.

#CovidAwareSoReducing - Plaque/ Toothbrush edition.
It upset me, to be frank, and when I get fired up, I act. Since she is very nice, albeit uneducated on masking, I let it go - with her.

But I decided to figure out what I was doing wrong.
And it was everything.

I was brushing and flossing losing 1-2 microns of enamel
after brushing/ flossing, immediately after eating.

I was nursing sweet Monster/ Starbucks/ my own sweet coffee drinks ALL DAY LONG. A bubbling vat of acid in my mouth.

I was doing the Dr. Ellie Phillips system - but just missing the boat on the importance of replacing sugar
Read 27 tweets
Lazarus Long Profile picture
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

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