Totally hear you — OCD makes the ‘what if I touched something?’ alarm go off at max volume.
But here’s the thing most people don’t want to accept:
We already have the equivalent of the study you’re asking for… it’s just written across 6 years of global epidemiology, physics, and basic biology.
If handwashing mattered more than breathing shared air, the pandemic would’ve ended in March 2020.
Soap would’ve been the miracle cure.
We wouldn’t have seen superspreading in choir practice, gyms, buses, classrooms, offices, airplanes, restaurants…
We’d see it in bathrooms and kitchens instead.
But we didn’t.
Because it’s airborne.
Fomites are the background noise.
Air is the lead singer.
And honestly?
If my life depended on avoiding infection for one hour in public, I’d pick:
P100 on my face > washing my hands 100 times.
Every. Single. Time.
Not because handwashing is useless — it’s great for norovirus, HFMD, food poisoning —
but SARS-2 is a breath-based pathogen.
You’d have to be Buddy the Elf licking an entire escalator railing to match the viral dose you get from 2–3 minutes of shared indoor air.
So no, you’re not crazy for wanting clarity.
What’s crazy is that public health STILL pretends the air isn’t the highway and hands are somehow the interstate detour.
It’s airborne.
It’s always been airborne.
And the sooner we admit that, the sooner people with OCD stop being misled into fighting the wrong enemy.
• • •
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“Survival of the fittest” never meant the strongest bodies.
Darwin argued that mental faculties, judgment, habit, and behavioral flexibility evolved under selection just as surely as muscle or bone.
Fitness meant adapting to changing conditions, not denying they exist.
/1 🧵
From The Descent of Man, Vol. I, Chapter III:
“The development of the intellectual faculties has been of the highest importance to man.”
Darwin, C. (1871). The descent of man, and selection in relation to sex (Vol. 1, p. 98). London: John Murray.
/2 🧵
Same work, same chapter:
“No doubt the intellectual powers are of the highest importance to man in enabling him to invent and use language, to make weapons, tools, traps, &c., whereby he has long since become the most dominant of all living creatures.”
Citation:
Darwin, C. (1871). The descent of man, and selection in relation to sex (Vol. 1, p. 109). London: John Murray.
After years of advocating for clean air and protecting kids during an ONGOING PANDEMIC, my daughter’s high school is trying to ban masks.
My kid is a freshman.
Illinois Section 2A tennis champion and state qualifier.
Healthy. Driven. Focused.
All As.
And her school wants to take away her right to protect herself from a virus known to cause brain damage, vascular injury, immune dysfunction, and Long Covid.
Let that sink in.
On January 26, @Unit4Schools plans to enforce a #MaskBan.
This is not about politics.
This is about bodily autonomy.
This is about disability discrimination.
This is about children’s rights.
If you think this ends quietly, you are mistaken.
@ACLU
@Liesl4CleanAir
@luckytran
📄 Receipts + documentation:
👇
Share this. Screenshot it. Tag people.
Because kids deserve clean air in school.
No student should need a doctor’s note or a diagnosis to protect their lungs, brain, and immune system during an ongoing airborne pandemic.
Wearing a respirator is not a “special accommodation.”
It is a basic human right.
Clean air is not a privilege.
Protection is not a medical exemption.
And prevention should never require permission.
Making masking “medical only” has serious implications.
FERPA places strict limits on who may access medical or disability-related information—and for what purpose.
Policies that require students to justify protective behavior with medical documentation risk coerced disclosure of private health information, especially if enforcement involves non-medical staff or law enforcement.
That is not neutral policy.
That is a privacy and civil rights problem.
This was the beginning of the doc that no longer seems to be available. If you want to write & inform them of the science & consequences of airborne pathogens, impact on children, efficacy of respirators & the importance of clean air as a human right, contact: gardnemo@u4sd.org
🧵 Another Year in Review: What Still Hasn’t Happened for Long COVID
Another year has passed.
Not a breakthrough year.
Not a reckoning year.
A stalling year.
Another year where Long COVID exists everywhere in lived reality and almost nowhere in systems that matter.
We’ve had a flood of papers on biomarkers.
Promising headlines.
Colorful heat maps.
Elegant omics.
And yet, most of these studies are not predictive.
They are descriptive.
They characterize who showed up to a study, often late, often filtered, often already narrowed by survival, access, and persistence.
Correlation dressed up as foresight.
Classification mistaken for causation.
A thousand papers telling us what Long COVID looks like and almost none telling us what to do about it.
We are still confusing signal detection with clinical utility.
We are still publishing “may suggest,” “could indicate,” “associated with,” while patients are deciding whether to shower or eat on any given day.
Drug trials are happening. Slowly.
Painfully slowly.
And many of them quietly exclude the people who have been sick the longest.
First-wavers.
Those infected before vaccines, before variants were named and sequenced.
The people whose biology has been marinating in viral persistence, immune dysregulation, endothelial damage, autonomic chaos for years.
They are “too complex.”
“Too heterogeneous.”
“Too confounded.”
In other words: inconvenient.
So trials skew toward those with shorter duration illness, cleaner timelines, fewer comorbidities, better documentation.
Which makes the results easier to publish.
And less representative of reality.
We’ve seen the dog-and-pony shows.
High-profile initiatives.
Big announcements.
Task forces.
Centers.
Logos.
Dust kicked up.
Cameras rolling.
Then silence.
Websites that stop updating.
Emails that stop getting answered.
Clinics quietly closing or narrowing scope.
Patients being told, again, that there’s “nothing more we can do.”
1/5 🧵
🎙️ Just delivered “Herd Immunity to BS: Building Resilience to Misinformation in the AI Age.”
Small crowd.
Big topic.
Essential conversation.
Finally got a photo with Dr. Rachel Hoopsick — one of the sharpest voices in our field.
My talk covered:
• How exercise really affects immunity
• Why misinformation spreads faster than pathogens
• What Long COVID + chronic disease data actually show
• Why clean air > hand sanitizer
• And how to build your “immune system” for nonsense in the age of AI
Dropping the full script below — and I’ll be sharing my Living Library next: a public archive of all the receipts, references, and evidence showing how we got here.
If you’re tired of spin, vibes, and post-pandemic amnesia… Stay tuned.
👇 Script:
2/5
🎙️ “Herd Immunity to BS”
Full Presentation Script (≈45–50 min talk + Q&A)
🎬 ACT 1 – Framing & Exercise + Immunity (≈15 min)
[TITLE SCREEN]
Before we begin, I want to prepare you for something. Some of what I’m about to say may sound provocative — maybe even shocking.
My goal isn’t to alarm you, but to wake something up in you: your curiosity, your skepticism, your desire for truth, and your instinct to protect yourself and others with knowledge.
I hope that’s why you’re here — in this graduate program, in the College of Applied Health Sciences, in the Department of Health and Kinesiology.
We live in an era of herd immunity to facts.
Emotionally charged claims in algorithmic feeds often travel farther and faster than sober updates and corrections. Every one of us has been exposed.
So if at any point today you feel that internal tuning-fork buzz of disbelief — good. That’s your critical-thinking reflex firing.
I’ll be talking about exercise, immunity, chronic disease, misinformation — and yes, about COVID — the Voldemort of this era.
The pandemic isn’t over. By definition it remains global, unpredictable, and ongoing until transmission stops — not when our attention span does.
Emergency declarations ended. Attention spans ended. But the pandemic never did.
The result? A Stranger Things-style rip in the world. We live in the Upside Down.
Today, I’m going to try to flip your world upright.
(Click “Begin Interactive Presentation.”)
[FOUNDATION → Definitions / About / Lab Intro]
Many of you know me for behavior-change and digital-health research.
Since 2020, I’ve also become an unwilling science translator — summarizing hundreds of studies on COVID’s long-term effects because I couldn’t stand the gap between what we know and what people are told.
I’ve used AI not as a gimmick but as a public-health amplifier — turning complexity into clarity.
And what I’ve learned is that the biggest health crisis we face isn’t just viral. It’s informational.
[FOUNDATION → Understanding Information Disorders]
The Council of Europe calls these information disorders — systemic disturbances in the information ecosystem.
Wardle & Derakhshan (2017) describe three types:
Misinformation: false but not meant to harm
Disinformation: false and intended to deceive
Malinformation: true facts used to harm
Think of it as a public-cognitive imbalance, not a clinical disorder.
Across 57 studies, prevalence of health misinformation ranged from <1 % to ~87 %, depending on platform and topic (Wang 2019; Suárez-Lledó 2021).
Reviews of YouTube content show 20–30 % of videos about emerging infectious diseases contain misleading information.
And in the classic Science paper by Vosoughi et al. (2018) — using political data, not health — falsehoods were 70 % more likely to be retweeted, and truth took six times longer to reach the same number of people.
Platform analyses since then show ≈ 89 % of engagement concentrated in the top 1 % of false-post activity (Pierri 2023; Ceylan 2023).
⚠️ Real-World Consequences
• Roughly 40–44 million Americans have experienced Long COVID (CDC Pulse 2024; Heun-Johnson 2025).
• Preventable deaths and chronic illness burdens followed delayed treatment and policy minimization.
• Healthcare systems remain strained by preventable illness and burnout.
[FOUNDATION → Health Misinformation / PA Misinfo (JMIR Findings)]
Our lab’s JMIR Infodemiology study analyzed physical-activity misinformation online.
Even in a field built on evidence, we recycle myths like folklore — and sometimes we teach them.
3/5
Take the phrase: “Exercise boosts the immune system.”
It sounds right, it feels right, it’s in textbooks — but it’s wrong, or dangerously oversimplified.
Exercise doesn’t boost immunity; it tunes it.
Too little, and it’s off-key. Too much, and the string snaps.
The right dose keeps the immune response balanced and resilient — but it doesn’t prevent infection.
That’s why even elite athletes have been sidelined by SARS-CoV-2: myocarditis, brain fog, dysautonomia.
[FOUNDATION → Reality Check / PA Guidelines]
Here’s a reality check: less than half of kinesiology majors can correctly state the adult PA guidelines.
Even experts in our field don’t always practice what they preach.
We say we’re interdisciplinary, but we live in silos.
We can’t fix public health if we ignore the physics of airborne spread or the psychology of misinformation.
[FOUNDATION → Disunderstanding / Herd Immunity Concept]
“Disunderstanding” means the confident misunderstanding that spreads faster than facts.
Our field is full of it. We tell people to wash their hands for an airborne virus and pretend clean air is optional.
Ignaz Semmelweis was ostracized for telling doctors to wash hands between patients.
Today we ostracize scientists who remind us pathogens move through air.
History doesn’t repeat — it rhymes, and the rhyme scheme is ignorance.
Before we talk about behavior change or digital health, we have to repair our relationship with truth.
We’ve trained our bodies better than our bullshit detectors. But we can retrain them.
That’s what today is about — rebuilding immunity to misinformation in the AI age.
🧵 In science and medicine, honesty about one’s credentials isn’t just good ethics — it’s essential to public trust.
The line between “student,” “medical doctor,” and “researcher” exists for a reason: people rely on these labels to decide whose advice could affect their health.
Imagine someone trained as a veterinarian speaking about human cardiology and letting others call them “doctor.”
They are a doctor — but of animals. The training, licensure, and legal responsibilities are completely different. Titles mean something because lives depend on them.
For instance, in Ireland’s Royal College of Surgeons (RCSI), there are two main paths to becoming a physician:
•Undergraduate entry: a 5–6 year program starting right after secondary school.
•Graduate Entry Programme (GEP): a 4-year fast-track route, but only for people who already hold a bachelor’s degree.
So if someone graduated high school in, say, 2008, they couldn’t possibly have “finished” the medical program by 2010 unless time travel was part of the curriculum. You probably shouldn’t call yourself a “Jr Doctor” either eh?
“Calling SARS-CoV-2 ‘Airborne AIDS’ is biologically imprecise but epidemiologically instructive — it conveys that repeated infections can progressively undermine immune competence across large populations.”
“Multiple studies now demonstrate persistent T-cell dysregulation, exhaustion, and reduced proliferative capacity months after infection — changes that mirror key features of chronic HIV infection.”