Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Lazarus Long Profile picture
@LazarusLong13
Jul 10, 2024 • 21 tweets • 10 min read • Read on X
Scrolly
This study is HUGE FOR YOU!

Why? Every hospital, dental, and nursing home corporation around the world use studies designed by the Mark Loeb Group to keep N95s off of your HCW.

As they bend over you in a mask so baggy you can see their toothy smile.

Let me ask you...

/1
Would pulling on an N95 protect you more from airborne anthrax than if you pulled on a medical mask (MM)? From only 3 feet away?

In fact, IT IS AGAINST the proper use of respirators.

OSHA would have you KICKED off the job site.

But when Loeb did it in 2022? The $$$ 🎉🎉🎉
But - once this preprint is published? I do not see how Loeb (2022) is not RETRACTED.🔥🔥🔥

That study compared surgical masks to N95s. It said that surgical (medical) masks are as good as N95s in protection from Covid.

That they are not inferior, aka noninferior, to N95s.
And this stone-cold evisceration of the Loeb group who richly deserve it?

Is a thing of savage beauty.

Starting with - how do you not get infected 3 feet away from some feverish (febrile) C0Vid infected?

(Plus, the 58% asymptomatic transmissions? )
Image
Image
But Loeb's group said, "No way, man. Our people were rolling strapped! From the parking lot to the parking lot." (Universal masking***).

Now, this is where it gets good.

Someone👇 confirmed with a Loeb study member that the N95 group could use medical masks in hallways.
Post-hoc assertions that the trial was carried out with all subjects in the N95 arm wearing their PPE continuously are unsupported by evidence: The claim is not supported by prospectively registered information;(65–67) The claim is not consistent with the initial study protocol;(64) The study ended March 29th, 2022, yet the modified statistical analysis plan dated February 17th, 2022 and the modified protocol dated March 1st 2022(64) both specify that subgroup analyses would include sites with and without universal masking; Despite being fundamental to the interpretation of the trial result...
Dr. Lynora Saxinger MD FRCPC Infectious Diseases @AntibioticDoc · Dec 2, 2022 **So it’s all gotten a bit leggy but if you are entering here I did confirm and need to clarify continuous masking didn’t have to be assigned mask so N95 group could use medical masks in hallways etc so is not a “all shift” N95 which is what I’d understood from a studymember
And the people in medical masks could wear N95s anytime they wanted.

Got it? This supposedly very methodological study has people switching anytime they wanted. Participants in the MM arm were allowed to wear N95 at any time based on point of care risk assessment.(58) Considering that the most COVID-cautious participants would have had both the greatest motivation to report and seek treatment for suspected infection; and to take advantage of the opportunity to wear N95 if assigned to the MM arm, it would be expected that these factors would interact to further artefactually reduce cases recorded in the MM arm.
And their OWN PLAN said they would have sites with and without universal masking.

Until they changed it after the fact.

AFTER THE FACT! Can we trust them? Surely they have no incentive to lie like rugs, right?

No UNREPORTED conflicts of interests like 7 million dead.

The claim is not consistent with the initial study protocol;(64) The study ended March 29th, 2022, yet the modified statistical analysis plan dated February 17th, 2022 and the modified protocol dated March 1st 2022(64) both specify that subgroup analyses would include sites with and without universal masking;
As noted above, the trial was explicitly designed around an inappropriate intermittent-use protocol – a fatal flaw from which unregistered protocol modifications and coincidental universal use are claimed to have salvaged it. Retroactive insertion into the registry with back-dating to the beginning of the trial (a repudiation of the purpose of trial registration) does not provide the evidence such claims require.
Unreported conflicts of interest As discussed above, COVID is known to be substantially airborne, transmitted in infectious bioaerosols.(3) Anticipated in the earliest days of the pandemic, this danger was overlooked by policy makers at great cost(2) - a “…very big mistake” where better decisions “…would have saved an enormous number of lives”.(116) Seven million deaths have now been officially attributed directly to COVID, with the real total estimated at 27 million(117) and possibly much higher,(118) and millions more suffer long-term impacts from Post Covid Condition (PCC).(119–123) Any ...
No conflicts of interest at all, like 16 study members running IPC at their hospital. No pressure from needing to be proved right. No pressure to keep costs low as N95s are spendy!

None like testifying at a trial to deny nurses N95s. With 5 study members.
Sixteen of the authors as well as two of the three members of the Data Safety and Monitoring Board (DSMB) hold Medical Director of Infection Control (MDIC) or similar positions at their respective institutions (Table 1). Of these, nine (including the DSMB Chair) are located in the province of Ontario, where in 2021 the Ontario Nurses’ Association requested judicial review of hospital infection control policies they asserted were dangerously inadequate in failing to provide for universal use of N95 respirators.(100,127) Similar positions regarding SARS-CoV-2 mitigations had been taken nation...
Endorsed shortly before the end of data collection for the Loeb trial in Canada, the affidavit also included the statement: “…our experience at my hospital and other healthcare facilities throughout Canada where use of medical mask and eye protection alone to care for an unmasked patient with unrecognized COVID- 19, has not resulted in transmission to healthcare workers.”(127) It is unclear how the members of the DSMB reconciled endorsing this statement as accurate with the then-current trial data they were responsible for being aware of, showing multiple infections in healthcare workers we...
None like running THE group that the WORLD listened to for a year of death. Or being a member. Senior author Dr. Conly chairs the WHO Infection Prevention and Control Research and Development Expert Group for COVID-19 (WHO-C19-EG – of which Dr. Loeb was also a member),(131) upon whose advice the WHO’s position on COVID prevention was largely based in the first year of the pandemic.(132) This group had publicly argued against the need to adopt “…the precautionary principle with consequent use of particulate respirators instead of medical masks as a component of PPE for routine care of COVID- 19 patients…” in August 2020,(125) despite previously receiving direct warnings to the contrar...
No, when the study was abruptly moved from Canada to Egypt, Israel, Pakistan, just as clear evidence was emerging that N95s were better than MM? Nothing suspicious.

And Egypt ending up being the location for finding surgical masks are the same as N95s?
When the study was terminated at all sites in the prospectively registered countries, the results showed clear evidence of a result opposite to the primary published finding, showing medical masks very likely provided substantially reduced protection against a pathogen with potential to cause death or serious harm.
The reported finding of noninferiority is entirely an artefact of the data from sites in Egypt, and cannot be obtained without them even if we were to accept all other alterations to the trial as legitimate.
Nothing against Egypt, it's just where serious issues with women being forced to work, men in N95s, bad ventilation, public transportation in the middle of the first Omicron wave, all caused that effect.

Although... The omission of site information from the published information and the trial registry is particularly relevant in Egypt, as only one of the six sites was equipped with an HVAC system (in contrast to 100% of sites elsewhere, per Supplement Table 11),(58) with the other five provided only with “…a combination of air conditioning and outdoor air”. Without further information this could mean simply openable windows and some recirculating air conditioners, which would tend to encourage closing of the windows while providing essentially no air cleaning – the worst combination possible in the pre...
The actual data collected was sketch AF. "Perfectly excluded" is not a good phrase to hear about your study.

You been busted, son! Is a rough translation. The pattern observed in the data reported by Loeb and colleagues appears highly unlikely (p<0.006) to occur naturally in data collected as described in the publication.
Nothing like a few changes to a study👇. Between 16 IPC directors, you'd think they'd kick all kinds of study a$$, instead of needing midstream changes.

There is more, but I am tired of reading about the Canadian IPC Mafia.

They are very bad people who did a very bad study. Image
That should be retracted!

They did it! Called for retraction!



/Continued with some thoughts. acpjournals.org/doi/full/10.73…
Image
Actual care exposure time to patients in Egypt was about double (very important, not mentioned)?

It has all the outbreaks (mentioned in the study)
Image
Image
One factor everyone seems to have missed? Maybe I just didn't see it?

Extended use AND re-use of the N95s does not seem to have been factored in.

Fit failure is a huge issue.👇

Loeb does a self-own on this in commenting on his own study.
healthresearch.healthsci.mcmaster.ca/surgical-masks…



Image
Image
Image
Image
Universal masking was not fully explained in the study.

Parking lot to parking lot?

UM in Egypt, Pakistan, Canada - might be all different.

For example, Japan, this hospital had universal masking, but not in break rooms. Led to infections.
ncbi.nlm.nih.gov/pmc/articles/P…
Image
Pakistani where PATIENTS did not adhere to universal masking (UM), despite beng requird to.

Obviously, patients are aerosol src. Also, the antimaskers at the Loeb group included ACH at the various places. THAT IS NOT MEASURED ACH. There is a
researchgate.net/profile/Saerah…
huge difference - if you ask someone actually experienced with aerosols.

Changing rooms in hospitals - we have no idea of the Egypt set up.


We do know Egyptian HCWs are pretty good at masking up at work. Not in public.
journals.lww.com/joem/fulltext/…
ijic.info/article/view/2…

Image
Image
Loeb (2022), truly one of the worst studies ever. Giving Walach a run for his money.
My apologies, I forgot to link to the top of the thread for your convenience!

Thank you for getting to here and now knowing how the latest masking RCT is fatally flawed.

The other two main ones are also flawed in the main same way. 3 feet.

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Lazarus Long

Lazarus Long Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @LazarusLong13

Lazarus Long Profile picture
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 ...
weekly.chinacdc.cn/en/article/doi…

govt.chinadaily.com.cn/s/202102/20/WS… Image
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
Lazarus Long Profile picture
Sep 6
Remember THAT scene from Outbreak with Dustin Hoffman - "It's Airborne." ?

SARS-COV-2 is airborne via HVAC. Just like TB is - but it is way more contagious.

Still no panic, right? We know how to be safe.

Motel 6, or AirBNB - no shared HVAC, is best.

But HOW do we know?

🧵
A recent study in South Africa used Syrian Hamsters to duplicate the study that finally convinced everyone that TB was airborne.

The TB study is interesting because the military vets in VA hospitals were getting infected disproportionately.

So, they used HVAC ducting to In 1956, tuberculosis was a major global killer, and it disproportionately affected military veterans hospitalized in the Veterans Administration hospital system. Then, as now with COVID-19, epidemiologists held that tuberculosis and other respiratory diseases were spread by large infected droplets through person-to-person contact or contaminated surfaces. But Richard L. Riley, an expert on lung physiology at the then Johns Hopkins School of Hygiene and Public Health, and his mentor, William F. Wells, had identified another possible mode of transmission.
connect a 6 room TB ward to 150 guinea pigs.

Of those 150, only 3 PER MONTH got infected.

Illustrating that TRANSMISSIBILITY is just a CLUE to if something is airborne.

Dr. Riley went on to patent UVC tech, and develop the Wells-Riley equation which is so important in airborne Atop the Baltimore VA Hospital, they constructed an air-tight closed ventilation system that connected a six-room tuberculosis ward to an exposure chamber with 150 guinea pigs. (Among rodent animal models, only guinea pigs could cough and sneeze, making them ideal for studying how respiratory diseases spread.) The guinea pigs were exposed to the infected air over a four-year period. A second group of 150 guinea pigs acted as controls: their air ducts were irradiated with UV-C lamps to kill TB bacilli.
In the test group, an average of three guinea pigs per month contracted TB, while no controls were infected. The experiment not only proved the airborne disease transmission of tuberculosis for the first time, but also quantified how many TB infections could be expected to result from exposure to a given number of patients over a defined interval.
The insights from the Baltimore VA Hospital studies were later used to develop the Wells-Riley equation, which quantifies infection risk and informs strategies to ensure staff and patient safety in contagious clinical environments. The model can also calculate the risks of transmission for airborne infections on planes and trains, in prisons, and in other public and institutional spaces. As chair of the Department of Environmental Medicine from 1960 to 1977, Riley warned that the danger of infection from airborne diseases was increasing as people spent more time indoors and air conditionin...
Read 8 tweets
Lazarus Long Profile picture
Sep 1
Plaque, Stephan's Curve (Imperative) mixed with breakfasts that you can brush immediately after.

It's actually best if you brush immediately up on waking up. This gets the overnight plaque.

It starts forming 4-6 hours after you sleep - your saliva is 20 millititers/hr Dental Plaque on the bristles of a used toothbrush. Yep, that came out of your mouth.
- during the day. At night? Just 3-6 ml.

Saliva washes away the bacteria, it contains bicarbonate, phosphate, and protein buffers that neutralize the acids being pooped out by the bacteria.

It also has the below ingredients. Who knew saliva was so cool?!

Or plaque? Antimicrobial Components Lysozyme: breaks down bacterial cell walls. Lactoferrin: binds iron, starving bacteria. Peroxidases: inhibit bacterial metabolism. Immunoglobulin A (IgA): prevents bacterial adhesion to teeth.
Plauque forming bacteria.
By brushing first thing, fluoridating, and then waiting a 1/2 hour before eating, you just prepped your teeth for their Acid Trip through the day.

Like if you like salsa on your breakfast burrito like I do.

But what is a good breakfast if you have NO TIME to wait for the 60 tripping the light fantastic.
Read 35 tweets
Lazarus Long Profile picture
Aug 27
Ah, it's that time of year again. The pitter patter of children's feet. The laughter of high school students as they flirt with each other.

The coughs of their parents.

Is a Portable Air Cleaner (PAC) on a desk aimed at the wee ones' faces going to protect them? Spicoli from Fast Times at Ridgemont High with a Levoit Air Cleaner pointing at his face braced up with a weight. In the middle of his pizza. Not cool, man, not cool.
TLDR? No. They need to be in a N95 or KF94 purchased from legit distributors, not from Amazon, and eat their food outdoors, spaced far enough away from their friends so as not get infected. Or use @sipmask and protein shakes at lunch in the cafetaria.

You need to teach them
about how it can take as little as one breath of uncleaned-air to get infected (100 virions study on my profile). How it can mess them up in terms of their entire body.

You need to have the "Birds and the Bees and Covid" talk, in other words.

But will a PAC aimed at their
Read 24 tweets
Lazarus Long Profile picture
Aug 23
People often underestimate the power of having someone with the reputation of Wolfgang Leitner, weighing in.

This is truly a significant development.

Personally, I prefer to let the studies do their own talking, but Voice Of Authority bears considerable weight in the real world
Just a few awards Image
An actual Conference Organizer. You underestimate the political savvy and pull this takes - and gives them. Image
Read 7 tweets
Lazarus Long Profile picture
Aug 21
Calley is lying from the very first sentence. The media is not cheering for MAHA to fail. They are cheering for antivaxxers to fail.

We all want to see better food, less chemicals.

But we are not idiots.

The single largest gain in American life expectancy was
between 1900 and 1940, primarily because of improved water & sewer sanitation. Adding 16 years of life expectancy.

And vaccines are a close second - adding 5-10 years a bit later - in the last half of the century.

If we get rid of vaccines? We lose 5 to 26 years, depending
if we lose smallpox and diptheria.

There's another thing. Calley wants us working on the below things.

The Red Arrows point to things that will not mean a thing because of the next tweet. Image
Read 15 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

Send Email!

:(