We now know *for sure* mass transmission is possible indoors even without coughing/sneezing (pre/asymptomatic). We should all wear masks. I'm not yet seeing many cases of outdoors/surfaces but we should STILL be careful while we wait for studies. Absence of evidence isn't proof.
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Another fascinating study. (Caution: preprint). There was one asymptomatic case in the second of two buses (59 and 67 passengers) to an outdoor worship event. Infections in bus one: zero; bus two: 23. Seven close contacts out of 172 at event also infected. https://www.researchgate.net/publication/340418430_Airborne_transmission_of_COVID-19_epidemiologic_evidence_from_two_outbreak_investigations/link/5e87b59ba6fdcca789f10d66/download …pic.twitter.com/wtYbQyM3s1
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This doesn't rule out other methods but seems clear that sharing an air pocket with a large number of people at length (the bus ride was 100 minutes) in a poorly-ventilated, indoors environment where people talk is a significant risk. The superspreader is the person and the room.
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Not necessarily. Taiwan and Hong Kong have their very dense and heavily-used public transportation systems open (never closed them) and they are registering zero cases per day now. But everyone wears masks on public transit. https://twitter.com/slaughterdotcom/status/1255614534846500865 …
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So where is our contact tracing study for meatpacking plants? Is it the workplace or crowded living conditions of vulnerable workers like in Singapore? Both? We don’t have factory outbreaks reported elsewhere so what’s different? (Need data, not guesses).https://twitter.com/crampell/status/1256052475020312576 …
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Adding to my thread on “maybe it’s the unventilated, air-conditioned room that’s the superspreader” research.https://twitter.com/aiims1742/status/1262113685331488771 …
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Arkansas: two people with COVID attended church events and infected *at least* 32 out of 92 (not everyone was tested because of guidelines at the time) leading to four deaths. The attack rate was as high as 35 cases out of 45 people for one of the events. https://www.cdc.gov/mmwr/volumes/69/wr/mm6920e2.htm?s_cid=mm6920e2_w …pic.twitter.com/42mkL70eDT
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New superspreader study from Hong Kong. They find 20% of infections are responsible for 80% of transmissions and a (k) of 0.45. Usual suspects: bars, restaurants and a wedding. Fourth new paper on SSE. (Authors
@bencowling88 ,@gmleunghku et al.). https://www.researchsquare.com/article/rs-29548/v1 …pic.twitter.com/ESvHKiJfPK
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