Reminder, folks: the COVID19 pandemic is NOT over, it's just that the big commercial landlords decided it was hurting their business rents so leaned hard on the politicians and media to SAY that it's over.

Right now China is in the FO phase of FAFO, and involuntarily providing an amplifier for a new extra-virulent strain that'll make an end run around our half-assed vaccines AGAIN.

Stay safe in 2023!

I will add that masking/distancing/vaccination is all good, but what we REALLY need is forced PM2.5 air filtration in all public spaces. Schools, hospitals, universities, shops, restaurants, cinemas: on trains, buses, planes, and passenger ships. And ESPECIALLY schools and hospitals. These premises have always been viral disease amplifiers, but filtration stops it spreading at source.
@cstross
IIRC, PM2.5 won't catch SARS-CoV-2 but HEPA/MERV 12+ will..

@windrunner @cstross they're not really the same thing - pm2.5 is particulate matter between 1 and 3 microns. MERV is an efficacy rating that incorporates the amounts of pm10, pm2.5, and pm1 removed from air.

MERV 13 for example has to catch 90% of pm10, 85% of pm2.5, and 50% of pm1.

@cstross What happened with the ultraviolet light that was supposed to kill airborne Covid whilst being harmless to humans? That could be handy right now. (Or even the non-harmless varieties, bathing the interiors of air recirculation ducts.)
@acb @cstross Far-UVC is promising, but expensive right now. Hopefully as it's adopted the price will come down a lot.

@acb @cstross There's some positive early results!

BUT, and this is a great big BUT, do please stop thinking of single solutions. Survivability Onion needs multiple layers; policy failure after policy failure with SARS-CoV-2 has a root cause of "this one thing will fix it".

We need to apply all the things, and keep them applied.

This isn't the last plague.

@graydon @acb @cstross Most definitely NOT going to be the last plague we have to cope with as a species. The measures we adopt now can help cut down the severity of the ones coming for us next if we're sufficiently careful as well as lucky.

@DEWLine @graydon @acb @cstross

You're not wrong, but the future people have to be willing, too. The "Fresh Air Movement" of 1918/1919 obviously hasn't had the effect in 2020 that they were hoping for.

@BE @DEWLine @graydon @acb @cstross
Fresh air is funny. Right now in the crystal clear crisp cold Northeast, if you check the air quality measure it's risky, because of the particulate matter from all the heating combustion. We've gotten way better at making it invisible and not smoky though

@gzuckier @DEWLine @graydon @acb @cstross

Sure, there's lots of variables. Time matters, too. My PMs are in the "dangerous" levels most of the time when I'm cooking dinner, but, they're only present for a short period of time. Ventilation works best with filtration.

@DEWLine @graydon @acb @cstross
Article in the NYTimes today about 6 recent epidemics that got stopped in their tracks, by the much reviled health-care systems of third world countries, no less. The most recent ebola outbreak in the DRC, for instance, which was stopped with only 11 deaths because they learned from the previous outbreak.
But because these outbreaks get stopped, they don't get as much press.

@acb @cstross I know. I was excited about UV air cleaning as well. LED technology means photons are cheap now, right? (You know where this is headed by now …)

The kind of (high-energy photons) UVC which is effective at neutralizing viral particles is a bit … inconvenient. You can’t just use cheap UV LED technology, for instance: most of the efficient LEDs can only emit lower-energy UVB and UVA.

This means the best / most efficient light sources for UVC are generally vapor-arc lamps, with all the high voltage, glass tubes, and toxic fillings those imply. Plus, arc lamps have a limited service life - like measured in a few thousands of hours - which adds further complications to installing them in ventilation ducts.

So, redux: Powering an arc lamp is less efficient, hotter, and more physically hazardous than powering an LED. And UVC LED tech is still very much not mass-market-ready yet.

@acb @cstross
Anything that would fry virus would fry human skin.
And UV ing spaces when humans aren't there isn't worth it because the virus inactivates pretty quickly after it's floating around in the open air.
It's like Trump's internal UV disinfectant idea, only on your skin

@gzuckier @acb @cstross

Far UVC is a different wavelength than traditional germicidal UV. 222nm is safe for humans, but lethal to coronaviruses.

https://www.nature.com/articles/s41598-020-67211-2

Far-UVC light (222 nm) efficiently and safely inactivates airborne human coronaviruses - Scientific Reports

A direct approach to limit airborne viral transmissions is to inactivate them within a short time of their production. Germicidal ultraviolet light, typically at 254 nm, is effective in this context but, used directly, can be a health hazard to skin and eyes. By contrast, far-UVC light (207–222 nm) efficiently kills pathogens potentially without harm to exposed human tissues. We previously demonstrated that 222-nm far-UVC light efficiently kills airborne influenza virus and we extend those studies to explore far-UVC efficacy against airborne human coronaviruses alpha HCoV-229E and beta HCoV-OC43. Low doses of 1.7 and 1.2 mJ/cm2 inactivated 99.9% of aerosolized coronavirus 229E and OC43, respectively. As all human coronaviruses have similar genomic sizes, far-UVC light would be expected to show similar inactivation efficiency against other human coronaviruses including SARS-CoV-2. Based on the beta-HCoV-OC43 results, continuous far-UVC exposure in occupied public locations at the current regulatory exposure limit (~3 mJ/cm2/hour) would result in ~90% viral inactivation in ~8 minutes, 95% in ~11 minutes, 99% in ~16 minutes and 99.9% inactivation in ~25 minutes. Thus while staying within current regulatory dose limits, low-dose-rate far-UVC exposure can potentially safely provide a major reduction in the ambient level of airborne coronaviruses in occupied public locations.

Nature
@cstross This is an "and" recommendation, not a "but" recommendation. I would *love* to see this added to everything else we ought to be doing!
@cstross
Air filtration might be a good idea in its own right, but it will not help much with diseases spread by tiny droplets like Covid-19 does.

Also, I don't think pressure from retailers alone is behind the reduced emphasis on Covid-19. The 70+% vaccination rates, the vaccine effectiveness (China's vacc excepted), and improved treatments reduced the danger. That in addition to economic concerns would account for it. Its not over. But it is becoming endemic and is at a level that it is reasonable to say that it no longer requires intervention from the government. It's always a balance between freedom and safety and the exact position of the fulcrum is never 100% clear.
@cstross @snerkrabbledauber covid is airborne. We are also finding out that many respiratory viruses are airborne and not spread by fomites as we previously thought. (All goes back to TB research)
@snerkrabbledauber "no longer requires intervention from the government" is a great way to ignore the screaming labour shortage that has largely resulted from the end of free movement with the EU *and* about 2-5% of the workforce becoming long-term disabled.
@snerkrabbledauber @cstross the droplet theory is dead; it’s airborne. HEPA filters remove viruses from the air.
@maco @snerkrabbledauber @cstross where can I read more about this. I am angry that we did not get HEPA filters in public transportation ages ago and some compartmentalization. So I am curious if this really helps.

@snerkrabbledauber @cstross HEPA filters absolutely do block SARS-CoV-2 transmission.

"Airborne precautions" is the traditional term of art. It works. I'd be cranking up the rate of air changes per hour, but people are developing careful factual standards for this.

Every time you catch COVID, your brain shrinks, your immune system gets dysregulated, your cells get aged, and you suffer vascular assault. The assumption of indefinite survivability is intensely questionable.

@snerkrabbledauber
Please listen to anyone whose PhD thesis deals with the behavior of aerosols—or anyone who specializes in the study or treatment of aerosol-borne viruses.

They have been vocally advocating the use of MERV-13 filters, improved ventilation, and N95-or-better pretty much since the start of the pandemic.

They have been largely ignored, although that is finally starting to change (e.g. u.s. federal building requirements now require the use of MERV-13 filters.)

@cstross @snerkrabbledauber there’s been numerous studies showing air filtration reducing infection rates. I suppose because of either the specific filter or because most virus coasts on droplets big enough to be caught.
@cstross the government should do something.
@cstross which is why most governments have done absolutely zero about in the previous two years. Zilch. Nada. Wahlou.
@cstross I feel like asking to rebuild basically every public building in the nation is almost as heavy a lift as asking a Karen antivaxxer to wear a mask for 30min in Target, emotionally speaking
@hammancheez @cstross ……….. or worse, wearing a mask in the Sitting Room of a clinic specializing in injecting botulinum into her body.
@hammancheez @cstross I know this wasn’t your intention, but all the evidence everywhere shows that mask compliance is much greater amongst women than amongst men (and particularly, amongst white women than amongst white men). When you pick an imaginary ‘white lady’ as your typical public health resister, you’re reinforcing a patriarchal narrative about women’s lower intelligence, whether you meant to or not.
@bohemiancoast
I don't know you but that's the kind of factiness I need in my timeline!   
@hammancheez @cstross
@hammancheez @bohemiancoast The fetishization of "Freedom" over social responsibility in the past century has done us all a monstrous disservice. (I suspect anti-Soviet propaganda after 1917 has been instrumental in spreading this. As has the selfish libertarianism of the hyper-rich.)
@bohemiancoast
As a shopowner, I will say that the competition between white women and white men for UberKaren designation is fierce. I do agree we need a general genderfree term that encompasses the behavior...but "Entitled White Ubertwit" does not roll off the tounge as well as might be hoped.
@hammancheez @cstross
@GeoWend @bohemiancoast @cstross Karen has transcended gender, all those men are Karens
@hammancheez
Agreed...but I try to not use it as much...because I know a few folk that bear that name, and it is not their fault.
@bohemiancoast @cstross
@GeoWend @bohemiancoast @hammancheez @cstross "Honkie" seems reasonable and is easy to recognize.

@davidfetter
Sadly, I feel it would bring in the hatred of the 70s... which weakens its use today.

Though it does get me thinking of calling them Uptight Geese?

@bohemiancoast @hammancheez @cstross

@GeoWend @bohemiancoast @hammancheez @cstross you'd be assuming that this hatred was unjustified, which I would not.
@GeoWend Fair. I’m also not thrilled by the use of the term ‘Karen’; again, it’s less common to see baggage of this kind attached to male names.
@bohemiancoast
Agreed. I do understand where it came from, and why it took off outside of misogynist lines (white males tend to go full direct agressive, not go for "appeal to authority to get another in trouble")...but the gender targeting is a problem.
@bohemiancoast aaand now there's a whole lot of (mostly, it seems?) guys talking about how "Karen transcends gender, those guys are all Karens" with a big ole dose of missing-the-point. I think you're 100% correct and I'm saving your phrasing to use in the future.
@hammancheez @cstross as heavy a lift as, say, building indoor plumbing was once the role of disease-spread in sewage was understood? Yeah, it's a big job. Doesn't mean it isn't essential. #AirIsTheNewPoop 💩
@cstross I've spent loads of time in hospital this year and all the wards have these big filter blocks, and often they're not on. (Which you can tell because 1: the plug isn't in and 2: they're covered in blue LEDs which keep me awake at night if the machine is working. And even if they're on, they're often crammed in some corner because the wards were built in the 1960s and are weird shapes. And then we have corridor patients. tl;dr it's hard work.

@DanBC @cstross "...the wards were built in the 1960s..."

You ain't wrong about a lot of long-term care facilities I know of in #Ottawa!

Starting to wonder about the practicality of converting schools built in #Canada between, say, 1970 and 2010 to LTC facilities now.

@cstross
The Victorians were onto something with the sash window.

@mfinch And the relics of the 1918-22 flu pandemic are with us today in the legacy of heaters/radiators bolted to walls beneath windows that open—it's wasteful b/c glass is a poor insulator, BUT it allows ventilation while preventing cold drafts—fresh air was considered necessary during the flu pandemic (it helps) and cold climates need heat, so you warm the air as it's drawn in.

We can do better today, but the past holds lessons.

@cstross
Do we hit a conflict as the building industry is pushed to more stringent air quality tightness for energy efficiency reasons.

@mfinch @cstross This happened in NZ. Houses that were not airtight and had an open fire did not have mould issues as the fire drew in air constantly.

Once things got sealed up indoor humidity starts to be a major issue so there is a big push to remember to manually ventilate and control moisture sources as well as finished heating properly.

@abartlet @cstross
If no effective ventilation then germs simply circulate and indoor humidity as you say becomes problematic. Mechanical ventilation could address though making buildings tighter to save energy and then using energy to ventilate seems a bit odd.
@cstross @mfinch I researched this actually when installing radiators and even if not for the fresh air you want the windows to draw the air to the radiators as otherwise one side of the room will be hot and the other cold as the is only natural convention to move the air.

@cstross @jdaviescoates on the very remote chance anyone here has the ability to influence such places, a company I know that sets this up and does the air quality monitoring is https://www.futuredecisions.net/covidcontrol.html

My guess is that no one ever wants their building occupants to ever know the actual ventilation / filteration levels of their buildings, tho.

Future Decisions

@cstross

But DO we need them? There was a wildly cited paper recommending HEPA filters, but this was based on lab results, ie, theoretical.

Here in #Ontario, the province promised all school rooms would have a filtre, but my repeated asking if this was done was never answered. One teacher did confirm their school had them, but I'm unable to find any follow up studies to see if these had any measurable impact.

Do you know of any such studies?

@pluralistic

@teledyn @cstross @pluralistic "A MERV 13 filter must remove at least 50% of particles between 0.3 and 1 μm, 85% from 1 – 3 μm and 90% from 3 – 10 μm."

By ANSI/ASHRAE standard

"The virus is 0.1 μm (micrometers), but it is NOT naked in the air. The typical respiratory aerosol that contains viruses and is generated when talking is ~3 μm.

And in any case all filters work well at 0.1 μm, because brownian motion helps a lot for filters to capture small aerosol."

Most anything you'd like to know about this can be found here:

https://docs.google.com/document/d/1fB5pysccOHvxphpTmCG_TGdytavMmc1cUumn8m0pwzo/edit

Written by a great group of professors.

FAQs on Protecting Yourself from Aerosol Transmission

FAQs on Protecting Yourself from COVID-19 Aerosol Transmission Shortcut to this page: https://tinyurl.com/FAQ-aerosols Version: 1.88, 13-Aug-2021 Click here to jump over the scientific & historical details and go straight to the recommendations, Click here for automatic translation into many l...

Google Docs

@BE

The only part I'm (still) looking for is "Did it work?" 😏

Specifically in schools, but any will do.

@cstross @pluralistic

@cstross @pluralistic @teledyn

Ok, so clearly I’m misunderstanding you then. Of course it filters out viruses. That’s not, scientifically speaking, a question. It’s just physics.

“HEPA filters are no less than 99.97% efficient at capturing human-generated viral particles associated with SARS-CoV-2.” - The CDC

@BE

I'm not sure how to be more clear. I have no doubts the specs of the machine, but when deployed it is not on lab conditions, it is in a institutional space, and as we all know, theory and practice are different things.

It would seem a simple matter, especially as these, if they were given to all schools, were not deployed at the same time. So was it 5% of a solution, 45%, 0.05%...

But clearly you don't much care, so I'll drop it and keep looking for the followup.

@cstross @pluralistic

@pluralistic @teledyn @cstross

I’m not going to lie, I’m trying to understand what you’re asking and I’m still not getting it. Not trying to be obtuse.

I think what you’re asking for is a case study in a school? That would be unethical to set up the way you want, if I’m understanding. You’d give some schools/classrooms HEPA filters, others none, send in sick people and see how many kids got sick in each case?

It’s not something that needs to be done. They suck in air and filter it. You can measure what goes in, how much airflow, and what goes out after filtration. Measure your room and decide how many air changes per amount of time you want in the room. It’s nothing new. Every air conditioner has filters and stand-alone HEPA filters have been around for 75 years.

I’m sorry if I’m still not getting you. Feel free to move on without further discussion if you’d like.

@teledyn @cstross @pluralistic

Here's hospital data:

https://www.medrxiv.org/content/10.1101/2021.09.16.21263684v1

But you're not going to find the type of "real world" study I believe you're looking for. It's just not ethical to infect a control group of kids.

@BE

I believe I mentioned that filtres were not rolled out instantaneously, thus control groups. This is, in fact, how mask effacy was confirmed. No privacy risks.

But privacy raises another curio. Here in Ontario we were not given local "heat maps" during the pandemic because, they say, our density is so small, one could figure out individuals from the aggregate stat. Thus the maps put a big dot over Hearst, as if the risk was the same whether Toronto or Gravenhurst.

@cstross @pluralistic