amberSuperMario

joined 4 months ago
[–] amberSuperMario@lemmy.ml 1 points 2 months ago

It’s always reassuring to hear more evidence, anecdotal or otherwise, that the N95s work. There’s definitely still at least some risk though, my roommate is currently recovering from Covid themselves despite not going out often and always masking when they do. I believe it’s the only time they’ve been infected, so the masks have made a difference for sure, but still. We’ve thankfully been able to isolate and avoid giving it to each other at least.

Our behavior is still pretty limited by others behavior though, too. For instance, I can’t go drinking or out to eat with friends because I won’t take my mask off. At work it can be very difficult for me to even eat lunch safely because of this. Swimming is another thing, or concerts, I used to like going to punk and metal shows, but with how rowdy they are and how much close contact and heavy breathing there is, it’s just far too risky even with my mask on. Lots of things like these add up. I also feel it’s really unfair to those who are unable to mask, like for instance there’s a lot of homeless people in my city who definitely cannot remain masked all the time or even close, shouldn’t we be taking precautions to protect them, or people like them who can’t protect themselves?

[–] amberSuperMario@lemmy.ml 1 points 2 months ago

Oh, okay, I think I misinterpreted what you said before, but rereading it now I understand.

[–] amberSuperMario@lemmy.ml 1 points 2 months ago (2 children)

This is somewhat misleading. Here’s a section from near the beginning of a scientific review I linked in my reply to @ChuckEffingNorris@lemmy.ml:

To reduce spread of respiratory diseases, we need to understand the mechanisms of spread. There is strong and consistent evidence that respiratory pathogens including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), respiratory syncytial virus (RSV), influenza, tuberculosis, and other coronaviruses such as MERS and SARS-1, are transmitted predominantly via aerosols. Infected individuals, whether symptomatic or not, continuously shed particles containing pathogens, which remain viable for several hours and can travel long distances. [Emphasis mine.] SARS-CoV-2 is shed mainly from deep in the lungs, not the upper respiratory tract, and the viral load is higher in small aerosols (generated in the lower airways) than in larger droplets (generated in upper airways). Whereas large respiratory droplets emitted when people cough or sneeze fall quickly by force of gravity without much evaporation, those below 100 µm in diameter become (bio)aerosols. Even particles tens of microns in diameter at release will shrink almost immediately by evaporation to the point that under typical conditions they can remain airborne for many minutes. In contrast with droplet transmission, which is generally assumed to occur via a single ballistic hit, the risk of airborne transmission increases incrementally with the amount of time the lung lining is exposed to pathogen-laden air, in other words, with time spent indoors inhaling contaminated air.

Respiratory infections may theoretically also be transmitted by droplets, by direct contact, and possibly by fomites (objects that have been contaminated by droplets), but the dominant route is via respiratory aerosols. The multiple streams of evidence to support this claim for SARS-CoV-2 include the patterning of spread (mostly indoors and especially during mass indoor activities involving singing, shouting, or heavy breathing), direct isolation of viable virus from the air and in air ducts in ventilation systems, transmission between cages of animals connected by air ducts, the high rate of asymptomatic transmission (i.e., passing on the virus when not coughing or sneezing), and transmission in quarantine hotels when individuals in different rooms shared corridor air but did not meet or touch any common surface.

[–] amberSuperMario@lemmy.ml 2 points 2 months ago

Masks and respirators for prevention of respiratory infections: a state of the science review

I recommend giving this a read when you have the time, it should hopefully answer any questions you have and better than I can.

An assumed droplet and contact mode of transmission leads to prevention policies that center on handwashing and surface cleansing, maintaining 2-m physical distancing, wearing medical masks (whose waterproof backing is designed to stop droplets) within that 2-m distance (especially when attending an infected patient), using physical barriers (e.g., plastic screens) and providing health-care workers with higher-grade respiratory protection only when undertaking AGMPs. However, if the virus is transmitted significantly by the airborne route, different prevention policies are needed, oriented to controlling air quality in indoor spaces (e.g., ventilation and filtration), reducing indoor crowding and time spent indoors, wearing masks whenever indoors, careful attention to mask quality (to maximize filtration) and fit (to avoid air passing through gaps), taking particular care during indoor activities that generate aerosols (e.g., speaking, singing, coughing, and exercising), and providing respirator-grade facial protection to all staff who work directly with patients (not just those doing AGMPs)

This is why I specified N95 respirators in my first comment. If you are unfamiliar, N95 is a NIOSH air filtration rating, which is used to describe the ability of a respirator to protect the wearer from airborne solid and liquid particulates. The review I linked goes into more details on this as well. I recommended N95 or better specifically because Covid is the illness I’m most concerned with avoiding, and the evidence suggests that they provide meaningful protection over lower grade respirators or surgical masks. Another quote from the link above that stood out to me:

The certification of surgical masks for particle/bacterial filtering efficiency (P/BFE) does not reflect equivalence to respirators as the filtration is typically compromised by poor face seal. The ASTM F2100-21 P/BFE certification, for example, requires at least 95% filtration against 0.1-µm particles and at least 98% against aerosolized Staphylococcus aureus, but this is on a sample of the mask clamped in a fixture, not on a representative face. In terms of filtering aerosols, N95 respirators outperform surgical masks between 8- and 12-fold. The effectiveness of certified surgical mask material against transmission when used as a filter was demonstrated in a hamster SARS-CoV-2 model. Infected hamsters were separated from non-infected ones by a partition made of surgical mask material; when the partition was in place, transmission of SARS-CoV-2 was reduced by 75%.

In addition to protecting the wearer, respirators provide very effective source control by dramatically limiting the amount of respiratory aerosols emitted by infectious individuals. In one study, risk of infection was reduced approximately 74-fold when infected, and susceptible individuals both wore well-fitting FFP respirators compared to when both wore surgical masks.

As for one-way masking, well, it is unfortunately significantly less effective (from what I understand), and is a big part of why I’m so concerned by others not masking. I simply cannot avoid being around others all the time, and their lack of effort is directly endangering me and my wife. If it really all came down to personal choice, I wouldn’t care if people wanted to risk their health. Still, while I don’t have any studies or anything to link you at the moment specifically on the effectiveness of one-way masking, all I know is that I mask and don’t get sick, and they don’t mask and do get sick. It’s anecdotal, sure, and I’m certain the mask is not the only thing affecting this, but as far as I can see it’s the largest difference in our behavior. I’ve heard as well that wearing a respirator will reduce viral load should you be infected despite the filter, and so your sickness will be less severe, but I don’t have any evidence on hand for this.

[–] amberSuperMario@lemmy.ml 3 points 2 months ago (2 children)

I would like everyone to wear them until the pandemic is over, at least. After that we can reassess the situation, and preferably during flu season. To me it seems cruel to not mask for that seeing as it would greatly reduce the number of preventable flu deaths.

I think if all, or more realistically enough, of us were masking, that would eliminate the social stigma surrounding it. Personally, I don’t receive much pushback about my mask aside from the occasional staring anyways. What’s far more ostracizing to her, I, and several other people I know, is the fact that all of the social gatherings and hobbies we used to participate in are no longer accessible to us because not a single one is taking any acceptable precautions. In fact, I can think of exactly two social events I wanted to participate in this year that still “required” masks, and neither actually enforced the rule. This is sadly not a new problem for disabled people either. Many, if not most, are alienated from society and forced away from any participation in social activities due to a blatant disregard towards making those activities actually accessible to them. I cannot stress enough how painful this is for those people on the receiving end of this ableism. So, frankly, I have little sympathy for those who fear ostracism from choosing to wear a mask. If they really care about people being ostracized, they should do what they can to make their social circles safe for everyone, not just those without disabilities.

[–] amberSuperMario@lemmy.ml 9 points 2 months ago (6 children)

We’d rather not take risks. Plus, we’d like to not accidentally contribute to the spread of disease ourselves if we can help it.

[–] amberSuperMario@lemmy.ml 3 points 2 months ago* (last edited 2 months ago)

I do not have kids, and I don’t know about all of my coworkers, but I know the overwhelming majority of them do not have kids either.

[–] amberSuperMario@lemmy.ml 63 points 2 months ago (30 children)

Mask. N95 or better. My wife and I never stopped, and she never gets sick despite being immunocompromised. I work in a place where illness is common due to the environment and I’ve been sick once in the last year, meanwhile all of my coworkers come in sick like twice a month. Apparently they’d rather be sick and miserable all the time than wear a mildly uncomfortable thing on their face.

[–] amberSuperMario@lemmy.ml 3 points 2 months ago

Nah, not yet at least, I’m just borrowing a Hexbear emoji. If you view the source on a comment using a non-unicode emoji, you can see that it’s actually just an embedded image, which you can then copy and paste to use in comments from any instance. It’s a little unwieldy, but if you know the name of the emoji you want to use it’s usually pretty easy to find what you are looking for.

[–] amberSuperMario@lemmy.ml 6 points 2 months ago

By “neat and easy” I mean, “The root of all evil is capitalism and we solve that with revolution”.

This is exactly why they are responding to you as they are. This is not an accurate summary of the marxist position. You’ve built up a strawman to knock down to justify calling us cultish.

Some basic questions that marxists are concerned with:

  • Why is a revolution necessary to begin with?

  • Who is exploited, and who is the exploiter?

  • What material conditions are necessary for a revolution to be possible?

  • How do you organize society post-revolution?

  • How do you prevent those who oppose the liberation of the proletariat from taking over your post-revolutionary society and destroying it?

  • How do we learn from the successes and the failures of history so that we don’t repeat the same mistakes?

If you don’t understand the marxist position on these questions, yet continue to criticize us, then of course you will come to nonsense conclusions and just piss people off. You’ve made up a guy to represent us and then mock them.

 

Summary from the linked post:

This week will be a little bit different. This is an open letter to hospital and clinic administrators, as well as any healthcare organization. Feel free to share widely, particularly to any administrators you may know.

Executive Summary

The US is starting the next pandemic wave. Most of the population has not received boosters in the past four months and are not taking mitigation measures. Data from other countries suggests that this will be a challenging wave, particularly as school starts which is a known source of community spread.

Globally, these new variants have led to the cancellation of elective surgeries due to the infected patient volumes as well as ER diversions and patients held in the ER for days with no beds available on nursing units.

Wastewater COVID concentrations in the US are at the highest they have been during this time of year since the start of the pandemic. Both COVID ED and outpatient visits are climbing across the US.

Most of the population thinks of COVID as a respiratory disease, when in fact it is a vascular disease with an acute respiratory phase, but that has chronic sequelae in almost every organ system and repeat infections significantly increase the risk of chronic disease. It is driving increases in infectious disease due to immune system dysregulation. This can be seen in increase rates of pertussis, RSV, tuberculosis, and even is thought to be a contributing factor to the rise in dengue, among other diseases.

There are secondary impacts as well, such as increased MVAs, major increases in long-term disability, major increases in sickness among HCWs, and the failure of businesses.

The threat of a H5N1 pandemic continues to climb and could become far worse than what was seen with COVID.

Administrators should take measures to reduce infections among employees, visitors, and the community and serve as leadership examples to other health providers and organizations across their communities.

I recommend several strategies to reduce sickness and decrease costs.

  • Stockpile N95s.
  • Purchase more PAPRs.
  • Review and monitor supply shortages.
  • Mandate respiratory protection during pandemics and the normal cold/flu season.
  • Test all patients on admission for COVID, and H5N1 if it begins to rapidly spread.
 

cross-posted from: https://hexbear.net/post/3060668

This is a really good like State of the Covid letter, of where we're at right now. It ain't great, obviously. This guy is an epidemiologist with a background in hospital infection control and emergency management.

view more: next ›