“A lot of pushback from hospitals etc. who don’t want to confront this issue”? Can you please explain? What’s that suspicion based on?
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Replying to @jakescottMD @peterstaley and
Who gets N95s where.. I keep hearing fights over this from health-care workers. Early on, it was who gets *any* kind of masks anywhere. Now it's who gets N95s when and where. Hospitals in the US tend to have good engineering so likely obscuring the issue a bit; not true globally.
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Replying to @zeynep @peterstaley and
So hospitals pushed back on CDC communication re transmission because of their N95 supply issues?
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Replying to @jakescottMD @peterstaley and
I don't know what happened in the CDC. But I keep hearing these fights within hospitals about what these guidelines touch: droplet versus airborne precautions, which is different than what the guidelines mean for the public.
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Replying to @zeynep @peterstaley and
I respect your opinion, but the implications of this suspicion based on “hearing fights” are serious, IMO, and could reverberate. Also, I think the focus on N95s may be a bit misguided. Is there evidence that they are more protective than surgical masks in non-AGP settings?
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Replying to @jakescottMD @peterstaley and
Those are good questions to investigate! Early on, much of the public health community was telling us only N95s were good enough, and anything else was probably a waste of time. I'm definitely hearing a lot of tensions but you are right that I'm not making a claim about the CDC.
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Replying to @zeynep @jakescottMD and
There was a great study in Norway with providers showing no exposures among HCW with basic PPE. And I am seriously hopeful that it was enough as it has all that I have had access to...and same as partner...with in person care since March :)
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Hi all, Here is the study....https://www.sciencedirect.com/science/article/pii/S0195670120304023 …
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Replying to @sdbaral @jakescottMD and
Confounding issue is some hospitals have excellent engineering controls (as they should) but others don't so it's hard to extrapolate the mask question from a study in a country because we also have places with a lot of HCW infections. Not making a claim but noting a tension.
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Replying to @zeynep @jakescottMD and
Totally--and wasn't disagreeing. It is complex and external validity (ie, generalizability) of most studies these days is limited! But will say that I felt a little more comfortable when this one came out personally. And that's a win I will take these days :)
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zeynep tufekci Retweeted Trisha Greenhalgh
zeynep tufekci added,
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Replying to @zeynep @jakescottMD and
But must say that I have been ducking coughs or doing weird exhalation maneuvers for most of my adult life...so at least feels more normal now :)
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