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eliowa's profile
Eli Perencevich, MD MS🧼 😷
Eli Perencevich, MD MS🧼 😷
Eli Perencevich, MD MS 🧼  😷
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@eliowa

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Eli Perencevich, MD MS 🧼  😷Verified account

@eliowa

Dad | ID doc & Epidemiologist | Prof @IntMedatIowa | Director @IC_CADRE | @JAMANetworkOpen | #antibioticsEOL #AntibioticResistance | #BLM | my opinions | he/him

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medicine.uiowa.edu/internalmedici…
Joined December 2009

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    Eli Perencevich, MD MS 🧼  😷‏Verified account @eliowa 29 May 2020

    A nice discussion of infectious dose. Scary aerosols are much smaller and may not carry enough virus to infect you. That’s why we’re not seeing much airborne spread https://www.nytimes.com/2020/05/29/health/coronavirus-transmission-dose.html …pic.twitter.com/nFnzqPniQx

    9:34 PM - 29 May 2020
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    • 173 Likes
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    11 replies 83 retweets 173 likes
      1. New conversation
      2. Vee, MPH/MHA‏ @veebee1010 29 May 2020
        Replying to @eliowa @InfectiousDz

        They were talking about toilet flush aerosol. Singing, talking and heavy breathing (smalllll droplets) are common. Note: many ppl think these are aerosols so just wanted to add this so no one gets the wrong idea.pic.twitter.com/kCQylt4jZq

        2 replies 3 retweets 6 likes
      3. Eli Perencevich, MD MS 🧼  😷‏Verified account @eliowa 30 May 2020
        Replying to @veebee1010 @InfectiousDz

        Of course these droplets would be blocked by a face shield or mask. This is important because community PPE policy will be driven by understanding of risk. We need to focus on source control with face shields and masks

        0 replies 2 retweets 8 likes
      4. End of conversation
      1. New conversation
      2. Mark Sugrue‏ @marksugruek 30 May 2020
        Replying to @eliowa

        Has there been any research done to show whether a low dose infection is more likely to result in an asymptomatic case?

        1 reply 0 retweets 1 like
      3. Eli Perencevich, MD MS 🧼  😷‏Verified account @eliowa 30 May 2020
        Replying to @marksugruek

        In animal models but would be unethical in humans at the moment, so it’s unclear

        1 reply 0 retweets 1 like
      4. Show replies
      1. Anne White‏ @AnneRockwell13 30 May 2020
        Replying to @eliowa

        i agree; its not like the virus has "settled on the landscape";

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Mark Selleck‏ @SkippyRedBlacks 30 May 2020
        Replying to @eliowa

        But if you sit in a restaurant for 1 1/2 hours in that aerosol it’s going to be a problem?

        1 reply 0 retweets 1 like
      3. Eli Perencevich, MD MS 🧼  😷‏Verified account @eliowa 30 May 2020
        Replying to @SkippyRedBlacks

        Restaurant example from China was droplets spread by an air conditioner but indoors for hours no matter where is risky. Open doors and windows and stay outside if you can. If sick person wears a mask or face shield it could have prevented the outbreak - harder to do when eating

        1 reply 2 retweets 3 likes
      4. Show replies
      1. Matt Dubuc‏ @mjd1735 30 May 2020
        Replying to @eliowa @TimLaheyMD

        Excellent. I do note one other factor here, not a major one, is that smaller size aerosols do have a generalized characteristic of deeper penetration into the lower lung.

        0 replies 0 retweets 2 likes
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      1. Claudia T‏ @ClaudiaT10101 30 May 2020
        Replying to @eliowa

        In a preschool classroom where no other students/teacher wear mask/shield, how much protection my child will have if she wears a shield herself? Thank you!

        0 replies 0 retweets 1 like
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      1. New conversation
      2. Matthias‏ @MatthiasMaiwald 31 May 2020
        Replying to @eliowa

        Well, it certainly makes sense that there must be a minimally infectious for this. This applies to all infectious diseases. But how much it is for this one is not known. So, I find the headline of the @nytimes article too speculative. What if it is very low?

        1 reply 0 retweets 0 likes
      3. Eli Perencevich, MD MS 🧼  😷‏Verified account @eliowa 31 May 2020
        Replying to @MatthiasMaiwald @nytimes

        Wouldn’t we see higher household attack rates than 10-15% if this was a low infectious dose airborne transmission pathogen?

        2 replies 0 retweets 1 like
      4. Show replies

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