Al Haddrell Profile picture
Aug 3, 2024 14 tweets 4 min read Read on X
Given the unusually high number of swimmers catching Covid in the Olympics, many have hypothesized as to why. I’ve seen a few people point to some work we published on how environmental factors affect SARS-CoV-2’s aerostability.

Some thoughts🧵:

Context:

When respiratory aerosol is exhaled, the dissolved CO2 in the fluid (in the form of HCO3) leaves the aerosol over the course of a couple of minutes. When the CO2 leaves, the pH of the aerosol reaches >10.3.

The high pH drives viral decay. Image
We have reported that anything that can limit this increase in aerosol pH, such as nitric acid or CO2, slows the airborne viral decay rate. This, in turn, will increase the risk of transmission. Image
The net effect is more impactful over longer time periods. Elevating the CO2 from 500 to 3000 ppm leads to a 10-fold increase in the airborne viral load over 40 minutes. Likewise, increasing nitric acid from 0 to ~50 ppb leads to 2-fold increase. Image
The decay rate of the virus in the aerosol slows over time (left). The reason for this is that the trace acidic vapor in the air (normal air pollution) will slowly neutralize the aerosol. As this happens, the aerosol becomes more and more hospitable for the virus (right). Image
Okay, so what does this have to do with a swimming pool? Well, the swimming pools are disinfected with chlorine. Chlorine vapourwill react with the water in the respiratory aerosol to form acid. This will reduce the aerosol pH. Image
This suggests that the chlorine in the air around the pool will lead to the virus remaining infectious in the air longer, leading to higher transmission risk.
Theory 1: The chlorine above the pool neutralizes the aerosol, leading to the virus remaining infectious in the air longer. Image
Theory 2: The concentration of chlorine above the pool is so high that the pH in the aerosol actually becomesacidic, and the acidity inactivates the virus. Image
Which theory is correct? 1 or 2?

Unfortunately, currently, we simply don’t know. The measurements have yet to be made. I could speculate, but that wouldn’t be all that helpful (if not harmful). Image
A link to the study where we first explore the interplay between air acidity and aerostabilityis here:

royalsocietypublishing.org/doi/10.1098/rs…
It’s also important to note that there are numerous factors that ALL play a role in airborne viral transmission. What is happening in the Olympic pool could be due a factor other than aerostability, or even a combination of multiple factors. We need to make measurements to know. Image
Since there were people discussing this, I thought it would be helpful for people to have a better understanding of the underlying processes that are in play.

If you have any questions, I would be happy to try to answer them.
I suppose? Humidity is known to affect mucosal immunity, perhaps this is something similar(?).

Maybe someone more familiar with this end of things can add some insights… 🙏

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More from @ukhadds

Jun 30
There is no safe level of exposure to Asbestos. For this reason, it has been banned in >60 countries across the globe.

And yet, there is an effort in the US to bring it back. In this article, I discuss why this is happening, and what it all means.

theconversation.com/the-uss-asbest…
This article is a byproduct of a previous thread I wrote about the dangers of asbestos. In it, I explain what to your body after you inhale it. In short, it doesn’t go anywhere, and causes harm for years.

In the article, I discuss the history of asbestos use, how long it took for people to understand how much harm it was causing. I also dicuss how industry spent decades covering those findings up. We are still, to this day, dealing with the consequences of their actions.
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Jun 21
Since there is talk about bringing back ASBESTOS (this is somehow true), I thought it would be useful to describe just some what happens to you when you breath this stuff into your lungs.

In short, it’s terrible.

A 🧵 Image
What is asbestos?

Asbestos is a group of naturally occurring fibrous minerals. There are 6 types: Chrysotile, Amosite, Crocidolite, Tremolite, Actinolite and Anthophyllite.

They have some useful properties (including heat resistance, strength, durability and well insulating) Image
Because of these physical properties, humans have been using asbestos for thousands of years for a variety of purposes. In the 20th century, it began to be used as a building material.

In the 1970s, the health risks associated with asbestos exposure began to be recognized. Image
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Jun 6
We just had an article published in ACS Central Science on the how the pH of exhaled aerosol evolves over time

As we’ve previously reported, respiratory aerosol pH (high pH!) is a driver of SARS-CoV-2 decay. Meaning, understanding the pH dynamics is important for estimating risk Image
This paper is a step in the direction of improving our undertanding of exhaled aerosol pH.

Alright, so here’s a link to the article:

pubs.acs.org/doi/full/10.10…
Apologies up front, this thread is a bit of a long one. There’s a lot of background/context to get through to appreciate why this work has been published in such a high impact journal.

In short controversy.

Enjoy the ride. Image
Read 42 tweets
May 26
Martha asked an interesting question, so I thought I’d try to answer it.

Essentially, the question is how long to wait before one is 95% certain that the room is Covid free, given a certain set of conditions.
Disclaimer at the top: I am not a modeler, I am an experimentalist (that occasionally publishes simple models).

The data used to make these estimates are from experimental studies. The absolute values will not be exact, but the general trends and scales will be accurate.
Let’s go through these conditions one at a time.

First is the ACH. ACH describes the rate in which the air (and aerosol) in a room is removed over time. Shown below is the relationship between ACH and the time taken for 99% of the air in a room to be replaced with fresh air: Image
Read 21 tweets
May 25
The article claiming that SARS-CoV-2 remains infectious in the air for 16 hours has been making the rounds on social media again.

I thought I would take this opportunity to discuss it, what it shows, what it doesn’t, and why I think it shouldn’t be taken seriously.

A 🧵
First off, here’s the article:

wwwnc.cdc.gov/eid/article/26…
The article is short, with only two figures. The key one being Figure 2. In it, the authors claim to show the virus surviving for 16 hours in the air. Image
Read 32 tweets
May 19
We just had an important paper published that compares different technologies used to measure aerosolised microbes.

This resulted from a collaboration between multiple research teams in the USA and the UK. Image
Here’s a link to the article:

tandfonline.com/doi/full/10.10…
Background: Studying how long and why microbes lose viability while in the air is critical in estimating risk, and in designing effective mitigation strategies.

These measurements are extremely challenging. I discussed them in an explainer video:

Read 20 tweets

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