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V4 So, I removed the numbers for clarity and dashed the box around the "land on people and surfaces" as this is an interim step arising from being dispersed in the air and what has to happen before contact transmission.
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Dr Evonne T Curran NursD 💙🇺🇦
20.5K posts
Dr Evonne T Curran NursD 💙🇺🇦
@EvonneTCurran
Hiding, dismissing or ignoring patient safety errors harms patients.
Katılım Mayıs 2012
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Please explain...
World Health Organization (WHO)@WHO
Update on #hantavirus: As of 12 May, 12h00 CEST, a total of 11 cases, including 3 deaths, have been reported. Nine of the 11 cases are confirmed, and the other 2 are probable. All are among passengers or crew on the ship. We expect more cases given the dynamics of spread on a ship and the virus’ incubation period. At the moment, there is no sign that we are seeing the start of a larger outbreak. Passengers and crew are being followed up in their countries, where WHO recommends a 42-day quarantine at home or in a facility starting from day of departure from the ship. WHO Technical Note for the disembarkation & onward management of MV Hondius passengers & crew bit.ly/4u1BT5I
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Absolutely. Erroneous assumptions of safety, proclaimed within in pseudo scientific terminology
'Close contact'
'Prolonged close contact'
'Very close contact'
'Really close contact'
'Very prolonged close contact'
When contact per se may not be involved at all
Ubaka Ogbogu@UbakaOgbogu
We are doing public health by "assumptions" now. Not science but cope and hope with a dash of badabing badabang.
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From a TV show this am, 'prolonged very close contact'
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To go with 'close contact', 'prolonged close contact' and 'very close contact' we now have a new one from the London School of Hygiene and Tropical Medicine (quoting the @WHO), 'really close contact'.
Looking for a citation for any type of contact that presents evidence.
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A winner "prolonged very close contact"
Lara - Covid is Airborne@fillthewhole
Listen til the end. Dr Zoe on @thismorning says you couldn’t get hantavirus from schools because there’s not ‘close prolonged contact’ like there would be on a flight 👀 When are we going to hold these lying doctors accountable? Or are they just thick?
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
This excellent interview really highlights the importance of accurate information around how the Andes Virus spreads.
Importantly, “close prolonged contact” is NOT always necessary for transmission to occur.
With a case fatality rate of ~40%, we can’t afford to get this wrong.
Erin Burnett OutFront@OutFrontCNN
Harvard Professor @j_g_allen says past hantavirus outbreaks did not require “prolonged close contact”: “One person passed it to another person at a birthday party simply by passing by and saying hello.”
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
Version 3.
I've extended the orange-shaded area to cover the full 45 days (WHO number) and indicated each week since the date post-onset of Case 1's symptoms (dpo).
May 10th was a day when 2 people became symptomatic and also tested positive. I've used green
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Close contact (whether 'very' or 'prolonged') is not a mode of transmission. Its a space near a source wherein transmission happens by an unspecified route.
You use it as a Mode of Transmisison & to define people who have been potentially exposed
And as a means of communication
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
UK Government finally admitting live on air repeatedly:
COVID IS AIRBORNE.
Neurological Demon@ConstantineNo1
So hantavirus is different because it isn't transmissible JUST THROUGH THE AIR, unlike COVID, which spreads in the air in a bus or on a train? But the COVID Inquiry was told COVID spreads by droplet and contact? @GOVUK urged caution and to rely on @UKHSA so what's changed now?
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ZXX
I missed this.
So the influenza pandemic preparedness plan (2011) which said we don't know how much is airborne is replaced 2026 March by one which omits the words: aerosol, airborne, droplets, spray on, inhal* mode of transmission
The term used "Respiratory Infection".
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
Filed Under:
Things you didn't know....
.... But most certainty need to absorb
Outbreak Updates@outbreakupdates
The current cluster involves mostly European/North American travelers encountering a pathogen historically studied primarily in South American populations.
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
Many people WANT Public Health to just do their damn jobs, and not get lazy when dealing with a low-probability but high-consequence event such as a hantavirus pandemic.
It would be helpful if ID experts focused on holding PH accountable, instead of being complicit like this.
Neil Stone@DrNeilStone
Many people WANT Hantavirus to be a new pandemic so they can just pivot their grift from Covid to that - whether it's the doom mongers or the anti vaxxers
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A high-reliability approach once admission that the Mode of Transmission (MoT) for SARS2 was airborne would have been this - if we made that horrendous error, we may have made more. We must re-examine thoroughly all (and I mean all) MoTs to confirm there is evidence
They did not
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
Great to see these important guidelines and a systematic outbreak protocol. However, the old 2m rule is not based on data, assumes the droplet vs airborne dichotomy, based on old studies done 50-80 years ago with blunt instruments. And R0 of Andes was 2.21 in the last big outbreak. academic.oup.com/jid/article/22…
Chikwe Ihekweazu@Chikwe_I
Just published: @WHO Technical note for the management of contacts of Andes virus (ANDV) cases from the MV Hondius cruise ship. who.int/publications/m…
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Dr Evonne T Curran NursD 💙🇺🇦 retweetledi
A 2020 study provides biological details supporting airborne transmission of the Andes virus .
It shows that viral particles replicate in lung alveolar cells and macrophages that reach the airways, which then can be exhaled as a "deadly bullet for ANDV transmission."
Maarten De Cock@mdc_martinus
WHO: "Limited human-to-human transmission of Andes virus has been reported in community settings involving close and prolonged contact." So a superspreading event with cases spread across four tables counts as "close and prolonged contact"? 🤨 Source: NEJM 2020 (Epuyén outbreak)
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