Wonderful opportunity to hear the great and the good discussing evidence underlying SARS-CoV-2 transmission & optimal mitigation: the most immediately pressing topics for humanity.
@kprather88 @DFisman and Prof John Conly
#COVIDisAirborne
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@kprather88 summary:

Short and long-range inhalation of aerosols is the dominant route for transmission, with extensive & rigorous supportive data.

& #39;Droplets don& #39;t shoot out and turn around back& #39; - chorister event
& #39;Droplets don& #39;t do bends& #39; - ferret model proving airborne route
@kprather88 more:

Humans are aerosol generating people!

AGMPs release fewer aerosols [for transmission], yet WHO guidelines suggest HCWs only require N95 masks for AGMPs.

[ed: this dogma needs to die - it& #39;s responsible for the infection &/or death of 1000& #39;s of HCWs globally]
@kprather88: why it is important for @WHO to clearly acknowledge that SARS-CoV-2 is & #39;airborne& #39;
@mvankerkhove @NjbBari3
@DFisman only had 5 minutes but shared his & #39;epiphanies& #39;

& #39;It& #39;s time to let the science speak& #39;

& #39;It& #39;s time to treat [SARS-CoV-2] as predominant airborne spread& #39;

#COVIDisAirborne
Prof John Conly. In case you& #39;ve forgotten: he& #39;s a VIP with respect to global health policy.

So we& #39;d better hope he& #39;s up to speed on the latest science & isn& #39;t trying to hold on to respiratory virus transmission concepts based on dogma, bad science and/or bias, right?
Confession: for me, his presentation started very badly as it was exactly the same opening slides & discussion as in his July 2020 talk.

Best summarised as a masterclass in medical misinformation.

Check out the thread and you& #39;ll see why. https://twitter.com/DRTomlinsonEP/status/1380272045339082755?s=20">https://twitter.com/DRTomlins...
Summary: Does anyone else think these two slides alone provide evidence indicating that Prof Conly is importantly biased against airborne transmission of SARS-CoV-2? He& #39;s omitted a vast body of data supporting airborne.

Does anyone have any idea what his true motivations are?
Amazingly, Prof John Conly admitted that airborne transmission of SARS-CoV-2 can occur, but that "it& #39;s situational".

I seem to recall similar statements from @angie_rasmussen and/or @SaskiaPopescu on this platform in recent weeks.

Is this a clear enough public health message?
More:

Face touching getting a mention here: maybe SARS-CoV-2 neuronal infection creates disinhibition of face touching behaviour?

It& #39;s possible I guess. But direct aerosol-bound viral binding of alveolar type II pneumocyte ACE2 receptors with TMPRSS2 is so much easier, right?
Last slide: nice attempt to suggest the airborne transmission & #39;world of science& #39; [my words] is lacking rigour.

This tactic is a great ploy for politicians campaigning or aggressive advertising against competitor brands but has absolutely NO ROLE in scientific discourse.
Notable absences from Prof Conly& #39;s talk:

No attempt to explain how superspreading occurs with his & #39;transmission model& #39; limiting airborne spread to & #39;situational& #39;.

Nothing to counter the animal models which prove airborne transmission.

No apology to HCWs for @WHO PPE policy.
Closing Qs: 10 mins.

JC: accepted airborne transmission can occur but that it is & #39;situational& #39;.

JC: regarding aerosol transmission, & #39;I would like to see much higher levels of scientific evidence including some basic science.& #39;

MUCH higher: what& #39;s his definition of & #39;much& #39;?
Fantastic exchange on the Q of why in early 2020, WHO did not use the precautionary principle & treat SARS-CoV-2 as an airborne transmitted virus.

@DFisman & #39;It& #39;s time to treat as predominant airborne spread& #39;

Conly: & #39;I couldn& #39;t disagree more& #39;

Reasons given? Next tweet...
Conly: & #39;you need to consider the harms of N95 masks& #39;

- Acne
- Eczema
- Conjunctivitis
- CO2 retention
- Low O2 saturations in pregnant women

In this order. Honest.

Q for HCWs: given the choice, would you risk death/long covid/onward transmissions with FRSM, or https://abs.twimg.com/emoji/v2/... draggable="false" alt="đź–•" title="Stinke-Finger" aria-label="Emoji: Stinke-Finger"> with N95?
So there you have it.

In a nutshell:

@kprather88 & #39;Once we acknowledge it is airborne we can fix it.& #39;
@DFisman & #39;It& #39;s time to treat as predominant airborne spread.& #39;
Prof John Conly & #39;Airborne transmission can occur: it& #39;s situational.& #39;

#COVIDisAirborne @lisa_iannattone
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