One of the things we do in infection prev/epi is community-based education. From the beginning, convos about the use of “airborne” were about the meaning & how we explain it in the context of a novel ID. This is why the @CDCgov has taken such care to discuss situational arbne. 1/
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I think the issue is that we focused on singular comms and not the additive nature of risk reduction.
@samhorwich’s point is spot on too. In an effort to make the comms easy, it can be very specific and fails to explain the reasoning behind it. -
Having 20% of the population actively rebelling against comms and actions that prevent transmission makes the job much harder.
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I understand that and I agree that communication has failed. However, that is different from making recommendations. Both CDC and WHO have recommended ventilation for months, but this is not being presented to the public in a way that is actionable.
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Businesses and schools are going down a checklist, in many cases one that was made in early Summer. If something checked, an org is doing "what they can." If "maintain 10 feet of distance" or "keep CO2 <600ppm" were on those lists it would have helped.
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Airborne precautions are different from droplet precautions. The CDC (and WHO) treated this as a flu-type transmission for far too long.
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The WHO and CDC have different PPE recommendations for HCW. CDC recommends N95. WHO (+ NIH and IDSA) say N95 only for AGP.
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Focus on disinfection over ventilation & creating outdoor tent-like structures may be more result of liability issues than communication fail: They have to comply even with dumb regs (excess disinfection) & as long as they technically comply w/ regs they can get creative (tents).
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Probably some restaurant etc owners who are willing to take reasonable measures against CV think current regs go too far given actual risk. They would reopen indoors w/ some ventilation/filtration improvements but regs say no. So they get creative bc they think risk is acceptable
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