“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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There are always going to be confounding issues and I acknowledge that it’s hard to generalize hospital-based studies to the public, and to under-resourced settings. As a frontline HCW who is also involved in ensuring that HCWs in my hospital are safe, I don’t take this lightly.
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Of course. But there were so many hospitals who wouldn't let nurses wear surgical masks even when examining unmasked patients early on in the pandemic. (I mean, why not? Baffling). We didn't start this off right.
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