[HN Gopher] A paradigm shift to combat indoor respiratory infection
       ___________________________________________________________________
        
       A paradigm shift to combat indoor respiratory infection
        
       Author : edward
       Score  : 136 points
       Date   : 2021-05-14 06:36 UTC (16 hours ago)
        
 (HTM) web link (drive.google.com)
 (TXT) w3m dump (drive.google.com)
        
       | breck wrote:
       | What a good read. Shame on the authors for putting such an
       | important article behind a paywall. Thanks someone for
       | filesharing it.
       | 
       | #AbolishCopyrights #AbolishPatents #EndIntellectualStupidity
        
       | N5Air wrote:
       | At https://n5air.com/ we are formulating a quantitative "VIRUS
       | INFECTION THRESHOLD" theory while fully recognizing it may
       | already exist. Any leads? Also, is there a way to share its
       | outline in a PDF file? Lev
        
       | renaudg wrote:
       | Here's a fascinating Twitter thread about the history of aerosol
       | transmission denial in the medical community, going back to the
       | early 20th century :
       | 
       | https://twitter.com/jljcolorado/status/1391111720526024708?s...
       | (It's 100 tweets long, here's a more readable version :
       | https://threadreaderapp.com/thread/1391111720526024708.html)
       | 
       | The tl;dr is that 20th century health authorities went too far in
       | their rejection of the 19th century "miasma" theory of disease
       | transmission, and now the pendulum is swinging back again.
        
       | prof-dr-ir wrote:
       | From the article: "It is not known exactly what fraction of
       | infections could be prevented if all building and transport
       | ventilation systems on the planet were ideal (in terms of
       | controlling airborne infections), or the cost of design and
       | retrofitting to make them ideal."
       | 
       | I think this is the key question. Surely better ventilation would
       | have prevented some infections in the covid pandemic. But how
       | many? And to decide that we need not just manifestos by civil
       | engineers (like this article) but convincing research results,
       | probably in collaboration with people who actually know some
       | things about viruses as well. And without it, could organizations
       | like the WHO or CDC have plausibly recommended building upgrades?
        
         | CoastalCoder wrote:
         | I agree. Changing the building codes' ventilation requirements
         | will cost time and money. And the resulting designs are
         | potentially louder, bulkier, and less energy-efficient.
         | 
         | Hopefully we'll make those changes if and only if doing so
         | brings significant health benefits.
        
         | radu_floricica wrote:
         | It's the theoretical key question. The practical one is more
         | like "how's the cost benefit curve looking like, especially in
         | the beginning?".
         | 
         | My personal completely unscientific musings on the topic ended
         | with buying and cutting up a couple of vacuum cleaner hepa
         | filters, thus obtaining a shocking quantity of filter cloth,
         | which then can simply be taped over the standard AC mesh
         | filter. AFAIK, "hepa" ACs don't even cover the full surface -
         | they just have a patch of hepa, which just ensures the air
         | inside gets circulated through it eventually - being
         | recirculated, there's not that much of a hurry. I'd recommend
         | low-end filters, you don't want to remove virus particles but
         | much larger clusters of virus+saliva.
         | 
         | So personally I'm guessing a rather high impact for very low
         | cost / low effort changes.
        
         | zargon wrote:
         | The WHO and CDC have had their head in the sand for 60 years
         | when it comes to airborne pathogens. They have only
         | acknowledged aerosol transmission of covid in the last couple
         | weeks. It was physicists who had to figure out why they were
         | domatically denying reality. https://www.wired.com/story/the-
         | teeny-tiny-scientific-screwu...
        
           | SideburnsOfDoom wrote:
           | This seems closely related, actually:
           | 
           | Wired: EARLY ONE MORNING, Linsey Marr...
           | 
           | OP article: A paradigm shift to combat indoor respiratory
           | infection ... Linsey C. Marr (in the author list)
           | 
           | Wired: . At one point, Lidia Morawska,
           | 
           | OP Article: Lidia Morawska (first listed author)
        
           | renaudg wrote:
           | Here's a fascinating Twitter thread about the history of
           | aerosol transmission denial, going back to the early 20th
           | century :
           | 
           | https://twitter.com/jljcolorado/status/1391111720526024708?s.
           | ..
           | 
           | It's 100 tweets long, may be more readable here :
           | https://threadreaderapp.com/thread/1391111720526024708.html
        
             | [deleted]
        
           | ddxxdd wrote:
           | Apparently the CDC has yet to catch up to 19th century
           | physics.
           | 
           | The physics of small particles moving in the air ("Brownian
           | motion") was completely figured out by Einstein back in 1905.
           | 
           | Given a virus' size and weight, it should be trivial for a
           | physics graduate student to simulate how long it will be
           | airborne.
        
             | Izkata wrote:
             | Per that Wired article, it was intentionally ignored when
             | the first virus-related research came up in the 1940s
             | because it was too close to the discredited miasma theory.
             | 
             | > Given a virus' size and weight, it should be trivial for
             | a physics graduate student to simulate how long it will be
             | airborne.
             | 
             | This is also in the article, known research from decades
             | ago. Social distancing is in fact based on a
             | misunderstanding and conflation of a few things in that
             | early research.
        
             | sandworm101 wrote:
             | >> Given a virus' size and weight, it should be trivial for
             | a physics graduate student to simulate how long it will be
             | airborne.
             | 
             | How long it remains airborne is beside the point. Does that
             | physics grad know how long/if the virus can survive once it
             | dries up? Do they know how long it will survive exposure to
             | light? Do then know whether the virus can cling to dust
             | particles?
             | 
             | Even brownian motion is only half the story. Does the
             | physics grad understand airflow in office spaces? Do they
             | understand how fast air moves when a person coughs? How
             | much turbulence is caused by opening an office door? Plenty
             | of things can stay airborne for extended periods because of
             | aerodynamics without regard to brownian motion
             | (snow/rain/dust/salt etc). That physics grad better come
             | with minors in aerodynamics, kinesiology, microbiology ...
             | even some basic meteorology would be helpful.
        
               | Enginerrrd wrote:
               | As an civil / environmental engineer, I can assure you
               | that particle size and average settling time is
               | INCREDIBLY important to consider and will cover basically
               | all of your supposed edge cases to the point of being
               | statistically irrelevant. You would handle those edge
               | cases by simply including a safety factor in the required
               | residence time of the average particle within the system
               | considered (or equivalently, you'd specify a certain log
               | removal of pathogens). The end result of all your edge
               | cases that you seem to think are so important is
               | something like: "Ok, 1 in 100,000 may still get sick with
               | this design. Good enough."
               | 
               | You can make the same arguments for drinking water, and
               | yet, as long as you follow the rules, it is unbelievably
               | safe, despite the fact that no one gave a shit about
               | turbulence along the baffles in the treatment tank.
        
             | techdragon wrote:
             | The thing about medicine is they like to test. Theory and
             | simulation are nice but it's just not medicine and
             | therefore not suitable for a doctor to tell to someone as
             | "medical advice" with all of the _legal burden of
             | malpractice_ that the term entails. "What if I'm wrong?" is
             | a question that keeps good doctors awake at night and bad
             | doctors have forgotten to ask themselves... when this kind
             | of question weighs on you, it's natural human behaviour to
             | become more cautious, to become risk averse and question
             | the validity of newly presented information due to the
             | potential that regardless of if their current understanding
             | is wrong, there's no inherent guarantee that the new
             | information is any less wrong.
             | 
             | And so medicine is understandably a slow moving science,
             | and the practice of medicine moves even slower as it
             | represents the slow filtration of the cutting edge of
             | medicine the science, through a complex web of human
             | interaction. Which with a dash of "social capital" theory,
             | makes it easy to see why we have unfortunately often
             | ignored sound advice like this. The mistaken assumptions of
             | people viewing a person who's expertise bridges two
             | disparate fields, as being unable to understand things as
             | deeply, clearly or fully, as the people dedicated to just
             | one of those fields.
        
               | svantana wrote:
               | I can see your point, but isn't the WHO tweeting "FACT:
               | #COVID19 is NOT airborne." an example of the opposite?
               | They made a hard assertion without any clear proof to
               | back it up.
        
               | taxicabjesus wrote:
               | Hmm? interesting. Here's the offending tweet:
               | FACT: #COVID19 is NOT airborne.               The
               | #coronavirus is mainly transmitted through droplets
               | generated when an infected person coughs, sneezes or
               | speaks.            To protect yourself:       -keep 1m
               | distance from others       -disinfect surfaces frequently
               | -wash/rub your hands       -avoid touching your Eyes Nose
               | Mouth
               | 
               | - https://twitter.com/who/status/1243972193169616898
               | 
               | The WHO gave a lot of bad advice. Some say that it was
               | intentionally misleading. Promoting ventilation as a
               | reasonable treatment for the initial stages of covid-19
               | was the worst possible advice to give front-line medical
               | practitioners who didn't know what they were dealing
               | with.
               | 
               | We now know that the fecal-aerosol route of transmission
               | is very important. Forbes has a recent piece about the
               | fecal-oral/aerosol route: https://www.forbes.com/sites/wi
               | lliamhaseltine/2021/03/22/pre... Another tweet by ...
               | someone was about how the masks effectively aerosolize
               | droplets.
               | 
               | Keeping bathrooms open but requiring face coverings was
               | an exercise in futility.
               | 
               | In the case of COVID-19, the WHO seems to have
               | implemented #PrasadsLaw [0]. "Prasad's Law: Medical goods
               | and services that concentrate wealth can be paid for;
               | medical goods and services that disperse wealth are
               | "unaffordable.""
               | 
               | [0] https://news.ycombinator.com/item?id=21728864
        
               | rhodozelia wrote:
               | Farts are deadly now?
        
           | loopz wrote:
           | Good to expose such expert arrogance.
        
           | jxramos wrote:
           | that's fascinating, are CDC and WHO officials even practicing
           | physicians? Would that have helped any?
        
           | newsbinator wrote:
           | > EARLY ONE MORNING, Linsey Marr tiptoed to her dining room
           | table, slipped on a headset, and fired up Zoom. On her
           | computer screen, dozens of familiar faces began to appear.
           | She also saw a few people she didn't know
           | 
           | It's really hard for me to read a WIRED article for
           | information.
           | 
           | I mean I realize that's not what it's there for but it takes
           | forever to get into the content of the article.
        
             | [deleted]
        
             | inanutshellus wrote:
             | Wait, is this a Wired link? The URL seems to go to
             | drive.google.com and... that weirded me out so I didn't
             | click on it but figured I'd check out the comments to see
             | what folk had learnt.
        
               | [deleted]
        
             | 0xffff2 wrote:
             | I refuse to click on Wired links anymore. The signal to
             | noise ratio is way to low to ever be worth it.
        
               | newsbinator wrote:
               | Could someone here please make a Wired auto-summarizer
               | that cuts out the stuff about what the subject of the
               | article had for breakfast that day and retains the
               | insights?
        
             | c7DJTLrn wrote:
             | Nails on chalkboard.
        
             | vishnugupta wrote:
             | > When the call ended, Marr sat back heavily, feeling an
             | old frustration coiling tighter in her body. She itched to
             | go for a run, to pound it out footfall by footfall into the
             | pavement
        
               | bsenftner wrote:
               | This style of writing is so present tense
               | sensationalized, I cease to believe what is written
               | simply because all this fictionalized present tense prose
               | they dress the article up is 100% made up - so how is one
               | to take the "facts" seriously?
        
             | weaksauce wrote:
             | The short of it is that there was some early research done
             | in TB transmission and they found that the nose was really
             | good at blocking particles larger than 5 microns but it
             | showed that 100 micron particles would be suspended in the
             | air as an aerosol and there was subsequent research that
             | used the 5 microns as gospel for aerosol cutoff even though
             | particles greater than that could be considered aerosol and
             | that cutoff stuck.
        
             | bellyfullofbac wrote:
             | Hear hear. Maybe Wired should talk about the coffee she's
             | sipping, made from beans harvested on the south coast of
             | Java, where there is a legend of a queen who drowned...
        
               | andi999 wrote:
               | I need more detail... what happened to the queens
               | relatives.
        
               | K0balt wrote:
               | Forget the relatives, where did those BUTONS on her shoes
               | come from!
        
               | tengbretson wrote:
               | The important thing was that she had an onion on her
               | belt, which was the style at the time.
               | 
               | Now, to take the ferry cost a nickel, and in those days,
               | nickels had pictures of bumblebees on 'em. Give me five
               | bees for a quarter, you'd say.
        
             | wffurr wrote:
             | Writers with frustrated literary ambitions...
        
             | Reason077 wrote:
             | > _" it takes forever to get into the content of the
             | article."_
             | 
             | I've found this is the style of American long-format
             | journalism in general. Just look at something like The New
             | Yorker: not to dispute the quality of their writing, but
             | the word counts certainly skew high. Articles in comparable
             | British publications tend to be a lot more succinct.
        
               | e17 wrote:
               | I agree, and if you consider Private Eye in particular,
               | they make the New Yorker or The Atlantic look like the
               | Proust. Having said that, the British periodical
               | landscape is sorely lacking a good centrist/apolitical
               | current affairs publication in the American style.
        
               | auxym wrote:
               | The Economist? Or do you consider that too right leaning?
        
               | malandrew wrote:
               | The Economist hasn't been right leaning for at least half
               | a decade or longer now.
        
               | renewiltord wrote:
               | This is actually because of a cargo cult fetishization of
               | longer texts. As most people moved to rapid consumption
               | of many disjoint sound bites, knowledgeable people read
               | more than headlines. Those who then wished to emulate
               | these decided that anything long is meaningful leading to
               | a fetishization of "long form" prose.
               | 
               | You'll see a pretty high correlation between fans of
               | "long form", readers of The Atlantic and The New Yorker,
               | and political inclination around being perceived as
               | erudite.
               | 
               | It's one of those cargo cult mixed with a measure
               | becoming a target.
        
               | MaxBarraclough wrote:
               | > Articles in comparable British publications tend to be
               | a lot more succinct.
               | 
               | Here's a counterexample literary trainwreck from the BBC.
               | Have a go at wading through this horror show. It appears
               | to have been written deliberately to withhold the topic
               | of the article from the reader, for as long as possible.
               | The wholly uninformative title is just the beginning.
               | Those with the necessary patience will eventually realise
               | that the title is also plainly untrue.
               | 
               | https://www.bbc.co.uk/news/world-australia-49012771
        
               | Angostura wrote:
               | Again, this is a feature story, not a news story.
        
               | SamBam wrote:
               | I love The New Yorker. I actually read several pages of
               | it every night to my wife to help her fall asleep. And
               | that's not actually a joke about it being boring.
               | (Currently reading about the evidence for UFOs, it's
               | highly interesting.)
               | 
               | However, almost every article follows such a predictable
               | format: Introductory section, full of all the interesting
               | and tantalizing details, and stuff you actually want to
               | find out about. Then section two: we jump back to the
               | main subject's childhood, what clothes they were wearing
               | when the journalist met up with them, how softly they
               | speak. About two pages of biographical content. Section
               | 3: we jump to the background of the story we're actually
               | going to tell. Explain how it fits into the history of
               | some movement or scientific question or whatever. The
               | "point" of the article gets buried somewhere in sections
               | 4 or 5, in between riffing on other people's dead ends
               | and more biographical content.
        
               | dorfsmay wrote:
               | I know this is going to sound crazy, but give it a try
               | sometime.
               | 
               | When I lose track while reading an article, or find
               | difficult to understand it, I stop and reading it bottom
               | up, one paragraph at a time. First the last paragraph,
               | then the one before that, etc...
               | 
               | This cuts through directly to the conclusion, then the
               | detailed explanations form particular to general (which
               | works better for me) and I can skip the "excitement build
               | up" at the top of the article.
        
               | vishnugupta wrote:
               | I second this.
               | 
               | I applied it to this[1] super long winded article in New
               | Yorker to get the gist of the article. This article is
               | littered with these passages and it's super frustrating.
               | In the end from my view point it's a shallow piece with
               | very little new insights. FWIW the article didn't age
               | well as India is being ravaged by the 2nd wave.
               | 
               | [1] https://www.newyorker.com/magazine/2021/03/01/why-
               | does-the-p...
        
               | saurik wrote:
               | The New Yorker is a magazine, not a newspaper: it doesn't
               | exist to quickly present information every day, but to
               | provide entertaining writing once a month; reading it
               | backwards to try to get to the point as fast as possible
               | sounds as silly as doing the same to a movie or a book.
        
               | throwawayboise wrote:
               | Sounds like the recommended way to read a research paper:
               | (1) read the abstract; (2) if you're still interested,
               | read the conclusion; (3) if you're still interested, read
               | the body of the paper.
        
               | pbronez wrote:
               | man... this is exactly the opposite of how news articles
               | are supposed to be written.
               | 
               | Good news articles should tell you everything in the
               | headline. Then tell you everything again in the first
               | body sentence. Then tell you everything again in the
               | first paragraph. and the first page. And so on.
               | 
               | It's supposed to be a fractal that unfolds additional
               | detail as you press forward, while ensuring that even a
               | casual reader comes away with a mostly complete and
               | accurate understanding of the issue.
               | 
               | More of THAT please.
        
               | yboris wrote:
               | I suspect that doing the opposite helps trap people on
               | the page, resulting in more money going to advertisers.
               | If all the info is at the top, who will scroll lower (and
               | see more ads)?
        
               | TeMPOraL wrote:
               | Yeah, it's called "inverted pyramid", and it's supposed
               | to be the gold standard of journalistic writing. IIRC
               | it's being taught as part of vocational education.
               | 
               | And yet, news media are the _last_ place you 're likely
               | to find articles written in this style. Somehow, they
               | manage to deliver the _exact opposite_ of what they
               | should be. A fractal of confusion, recursively unfolding
               | noise.
               | 
               | (It's as if they were making a lot of money on maximizing
               | the time a reader is engaged with any given article. It's
               | as if - and I know this sounds crazy - the articles were
               | there just to hold the user down, while they're being
               | exposed to _something else_...)
        
               | rcoveson wrote:
               | > Yeah, it's called "inverted pyramid"...
               | 
               | Narrow (succinct) at the top and broad (detailed) at the
               | bottom seems like a normal pyramid to me.
               | 
               | An "inverted pyramid" would be like one of those poems
               | that describes fine details first and only in the last
               | sentence reveals what it's been describing.
               | 
               | I don't doubt that it's actually called that, but it
               | seems backwards to me.
        
               | Angostura wrote:
               | Yeh, it's simply called pyramid structure.
        
               | Angostura wrote:
               | Its 'pyramid structure', not inverted. It was used in
               | newspapers for two reasons.
               | 
               | The first is because, yes it allows busy readers to
               | access the most salient facts first. But secondly, and
               | perhaps more importantly from the point of print
               | newspaper production, it allowed subs to always cut from
               | the bottom, without having to read the whole piece
               | carefully...
               | 
               | Newspapers would go through several editions throughout
               | the night as new stories came in or existing stories were
               | expanded. What started life as a front page lead might
               | find itself moved to page three and progressively
               | shortened, possibly down to a 1 sentence news-in-brief
               | NIB.
               | 
               | The pyramid style let subs always fit a story into the
               | available space, simply by cutting everything
               | progressively from the bottom.
               | 
               | This story in Wired is _not_ a news story and is not
               | written as a news story. It is a feature story and its
               | construction follows different rules.
               | 
               | It's a very good feature story, in my opinion.
        
               | saurik wrote:
               | Wired is a magazine, not a newspaper: it doesn't exist to
               | quickly present information every day, but to provide
               | entertaining writing once a month; insisting it use an
               | inverted pyramid is as strange as arguing that if only
               | movies and books just led with the resolution, it would
               | save you a lot of time.
        
               | jerf wrote:
               | "this is exactly the opposite of how news articles are
               | supposed to be written."
               | 
               | I'm not accusing you of doing this on purpose, but
               | there's a certain amount of equivocation in the phrase
               | "news article" there. Yes, that's a style that is
               | recommended for factual news articles in a newspaper
               | context, but that's not the only form of "news article".
               | 
               | Call this a "news essay" instead and give it its own
               | style and it might make more sense. It's been around for
               | a long time. Could call it the 20th-century equivalent of
               | clickbait and probably not be far off.
               | 
               | "There's an exciting revolutionary change to physics
               | coming... but first, the full life story of the thesis
               | advisor's influential father... keep reading...."
               | 
               | Arguably it's more a form of entertainment than
               | information.
        
               | hobs wrote:
               | Sure, but most of the content they are writing is neither
               | entertaining or engaging, its long and wandering and I
               | couldn't care less.
               | 
               | No novel is allowed to lollygag around the point its
               | trying to achieve in the way these articles flagrantly
               | waste your time.
               | 
               | It's like someone misunderstood that the act of moving
               | your eyes along the page is not interesting in and of
               | itself.
        
               | PaulDavisThe1st wrote:
               | >No novel is allowed to lollygag around the point its
               | trying to achieve in the way these articles flagrantly
               | waste your time.
               | 
               | With barely less than a second's though: Watership Down,
               | a hugely popular novel in the 1970s, spends untold
               | amounts of text/paper immersed in detailed descriptions
               | of the flora that the characters are moving through or
               | eating.
               | 
               | Why not just say "I don't enjoy this style of writing",
               | rather than trying to come up with some supposedly
               | objective metrics for how other people should write?
        
               | [deleted]
        
             | SideburnsOfDoom wrote:
             | I have read both now, and IMHO there's more actual content
             | about scientific matters in the Wired piece.
        
         | heisenbit wrote:
         | A considerable number of deaths could be prevented. There are
         | models that show that masks helped to curb spread of flu so
         | well that excess deaths due to Covid in some places became
         | negative.
        
         | ur-whale wrote:
         | There is a "law of unintended effects" question as well: if we
         | were to live - and presumably grow up - in such a sanitized
         | environment, what would happen to our immune system.
         | 
         | There's a sizeable chance it would be extremely weak and that'd
         | we'd be incapable of resisting many disease on our own and
         | therefore would become completely dependent on the air cleaning
         | infrastructure.
        
           | f6v wrote:
           | You still eat fresh fruits and vegetables, touch the surfaces
           | on your way to work etc. There're countless pathogens
           | everywhere. So I guess we would be fine?
           | 
           | You're right that our immune system didn't evolve to be in a
           | sterile environment. But we also weren't meant to be that
           | close to that many humans.
        
             | ur-whale wrote:
             | >So I guess we would be fine?
             | 
             | Can you catch airborne respiratory diseases from eating
             | fruit?
             | 
             | What I'm saying is: we run the risk of never being able to
             | go outside again if we eliminate all airborne pathogens.
        
               | falseprofit wrote:
               | Are you suggesting that bringing more air from outdoors
               | into our indoors environments will cause us to lose our
               | ability to tolerate outdoors air?
        
               | f6v wrote:
               | > Can you catch airborne respiratory diseases from eating
               | fruit?
               | 
               | I'm willing to speculate that exposing our immune system
               | to surface pathogens helps deal with airborne pathogens.
        
               | Enginerrrd wrote:
               | Not to worry, people will still have children, and I
               | assure you, they'll still go out into the world and lick
               | the doorknobs/each other and get you sick so you can
               | bring it to work.
        
         | daniellarusso wrote:
         | This is the Ben Franklin / John Adams debate when they shared a
         | small room together overnight with one window.
         | 
         | "When Adams explained that he didn't want to catch an illness
         | from the cold night air, Franklin countered that the air in
         | their room was even worse."
         | 
         | https://www.mentalfloss.com/article/54169/time-ben-franklin-...
        
           | Joker_vD wrote:
           | Miasma theory rears its ugly head once again: https://en.wiki
           | pedia.org/wiki/Miasma_theory#Contagionism_ver...
           | 
           | The night air is dangerous, close those windows before you go
           | to sleep!
        
             | goldenkey wrote:
             | Miasma was a perfectly good theory and if anything, is
             | obviously true innately. Bad smelling air from urine, shit,
             | festering corpses and the like, was often laden with
             | viruses, bacteria, and noxious chemical fumes. Sure, plenty
             | of diseases are not airborne but air that smells like shit
             | isn't exactly a boon to be inhaling. There is a non zero
             | chance of getting sick from noxious air.
        
               | Joker_vD wrote:
               | Yes, it's "obviously true" because of the confounding
               | factors: bad air tends to go hand in hand with dirty
               | water, contaminated food, and infection-carrying insects.
               | 
               | Neither cholera, malaria, typhoid nor plague are
               | airborne, and yet their causes were ascribed to miasmata.
        
               | goldenkey wrote:
               | Right but the metabolites produced by the bacteria are
               | harmful in their own right. And let's be clear, there are
               | many airborne contagions like the common cold that
               | haven't been indexed through the centuries. It isn't a
               | good idea to inhale shit air for days on end, just like
               | it isn't a good idea to inhale car fumes for days on end.
               | 
               | https://en.wikipedia.org/wiki/Volatile_organic_compound
        
               | nradov wrote:
               | Nonsense. The pathogens in urine, shit, and corpses are
               | almost never airborne. And the fumes are only toxic in
               | extremely high concentrations. The chance of getting sick
               | is effectively zero.
        
               | goldenkey wrote:
               | Nonsense. The risk is nonzero. Turbid air takes a toll
               | both physically and mentally, and can lead to
               | inflammation and weakening of the body's defenses. Your
               | definition of sick is quite narrow.
               | 
               | https://en.wikipedia.org/wiki/Volatile_organic_compound
        
               | nradov wrote:
               | No you're just making things up. The link you posted
               | doesn't support your statement.
        
           | yosito wrote:
           | This reminds me of an argument I had with a friend in
           | October. When the weather got cold, I only wanted to
           | socialize with our small group of friends outside because the
           | open air was safer, but she only wanted to socialize inside
           | because she thought being outside in the cold would make her
           | catch COVID.
        
         | londons_explore wrote:
         | I would put money on COVID not happening at all if all
         | buildings had 10 air refreshes per hour, and that air either
         | coming from the outdoors or going through a HEPA filter.
         | 
         | I would guess an analysis of workplace COVID rates would see a
         | strong correlation between workplaces with and without
         | filtration in their AC systems.
        
           | sjg007 wrote:
           | Well the spanish flu happened and they did not have HVACs
           | back then and all the windows leaked.
        
             | x3iv130f wrote:
             | Spanish Flu is a really bad name for this disease.
             | 
             | From what we know it started in Kansas. It should be called
             | 1918 Flu Pandemic.
        
               | dragonwriter wrote:
               | It's called Spanish Flu because Spain was the first
               | country not to cover it up to avoid adverse morale
               | effects and revealing potential weakness because of WWI.
        
           | hasmanean wrote:
           | There's a saying, earthquakes don't kill people--buildings
           | kill people when they collapse.
           | 
           | In the open air on a grassland, covid won't kill a
           | population. The design of our hermetically sealed buildings
           | is what's killing us.
           | 
           | Back in the 1970s the air outside was full of lead and smog,
           | so the safest thing too was completely seal all office
           | buildings.
           | 
           | Today the air inside probably contains more hydrocarbons
           | (from volatile organic compounds offgassing from carpets and
           | furniture) so the best thing to do is vent air to the outside
           | and keep the windows open (assuming you live in a mild
           | climate)
           | 
           | Of course, that flies in the face of all efforts to make
           | things green...which involve better insulation, sealing
           | windows against leaks, more air filtration systems and etc.
           | 
           | Here in Canada the temperature drops like 5 or 10 degrees
           | when you walk into a forest. I've stepped into a traditional
           | mud hut and experienced a similar cooling effect. The common
           | denominator is that both environments have a high surface
           | area compared to say concrete. This acts as an efficient
           | radiator so that when water to evaporates it removes heat. In
           | low humidity climates this is one way to reduce cooling
           | demands. Beyond that if we cool micro zones or interstate
           | cooling into clothing itself through hoses or something that
           | might be the next step in efficiency...until it gives birth
           | to the next problem.
        
             | ddxxdd wrote:
             | >Of course, that flies in the face of all efforts to make
             | things green...which involve better insulation, sealing
             | windows against leaks, more air filtration systems and etc.
             | 
             | If anyone has a half-hour of time to waste, you can look
             | into the science of "countercurrent heat exchangers".
             | 
             | It's fascinating to see how 2 pipes of air current switch
             | temperatures when they're in contact and moving in opposite
             | directions.
             | 
             | So if you want to be green AND have fresh air constantly
             | circulating through a building, then forcing the warm
             | inside air to pass by the cold outside air as they
             | leave/enter the building can lead to somewhere around 95%
             | energy recovery.
             | 
             | Add in a humidifier to the incoming air, and you'll have a
             | comfortable room with humidity that will attach to airborne
             | droplets, prevent evaporative release of a raw airborne
             | virus, and help pull the droplet down to the ground via
             | gravity.
        
               | londons_explore wrote:
               | Wikipedia claims "Heat recovery systems typically recover
               | about 60-95% of the heat in exhaust air".
               | 
               | But even recovering 95% of heat isn't exactly great. If
               | you live in Canada and have a 2600 sq ft house with 8 ft
               | ceilings and 10 changes of air per hour, and the indoors
               | is 70F and outdoors is 0F, thats 2600 _8_ 10 cubic feet
               | of air/ per hour, or 12000 BTU/hr. That means you are
               | more than doubling your heating costs compared to sealing
               | the building and just having conductive losses through
               | the walls.
               | 
               | This is true for most climates - even the best energy
               | recovery systems still double heating/cooling costs
               | compared to having barely any fresh air.
        
               | ddxxdd wrote:
               | 10 air changes per hour is a lot; I believe the current
               | recommendations for average climates is 3.
               | 
               | And we're looking at the margins; 1 air change per hour
               | can do wonders for preventing the spread of disease and
               | improving air quality, compared to 0 air changes per
               | hour.
               | 
               | Nevertheless, I redid your math, and found that your
               | hypothetical home has 26,728 more BTUs of energy in its
               | air, compared to the outside air[-1][0][1], and that the
               | recommended furnace for such a climate should be 160,000
               | BTU/hr [2].
               | 
               | Using those numbers as a base, I find that, with an
               | efficiency of 95%, it would require 120 (that's one
               | hundred and twenty) air changes per hour to double
               | heating costs.
               | 
               | With 60% efficiency, it would require 15 air changes per
               | hour to double heating costs.
               | 
               | And it only takes a few air changes per hour to increase
               | comfort and prevent illness.
               | 
               | [-1] I suddenly realized that the google search links
               | that I used for these calculations are messy and
               | unwieldy, so I'll summarize my calculations: (2600 ft^2)
               | * (8 ft) represent the volume of the house; (1.225 kg /
               | m^3) represents the density of air, (1.005 kJ/(kg *
               | Kelvin)) represents the specific heat of air, (70 *
               | (5/9)) represents the temperature difference you gave me,
               | in Kelvin. Multiplying everything together, and letting
               | Google automatically take care of unit conversions, gives
               | me 28.2 MegaJoules of energy in the house.
               | 
               | [0] https://www.google.com/search?q=%282600+ft%5E2%29*%28
               | 8+ft%29...
               | 
               | [1] https://www.google.com/search?q=convert+28199142.9+jo
               | ules+to...
               | 
               | [2] https://www.pickhvac.com/calculator/heating-btu/
        
               | londons_explore wrote:
               | My first calculation using entirely imperial units didn't
               | go well... I think I'll stick to metric!
        
               | ddxxdd wrote:
               | It's unavoidable when discussing residential heating.
               | Just use google for automatic unit conversions, and be
               | grateful that we didn't need to invoke the cumbersome
               | unit of "R-value" to measure insulation!
        
               | graeme wrote:
               | Something must be off with your math. I've tested opening
               | a window a crack in my building in montreal. The co2 gets
               | low even with two people present. Heating costs did not
               | double.
               | 
               | Or maybe I had less than ten air changes?
        
               | richardw wrote:
               | It can't be that hard to focus on the rooms with people
               | in them, reduce the other rooms to eg one change an hour.
        
               | Enginerrrd wrote:
               | This is already done when calculating ventilation rates.
               | It won't matter much because the majority of space in an
               | occupied building is going to be classified as, well,
               | occupied.
        
               | Scoundreller wrote:
               | I always wonder how much I save by blocking off the vents
               | in under-occupied rooms. They end up sitting a few
               | degrees cooler in winter.
        
               | rightbyte wrote:
               | > It's fascinating to see how 2 pipes of air current
               | switch temperatures when they're in contact and moving in
               | opposite directions.
               | 
               | Shouldn't the air ideally move in the same direction?
        
               | ddxxdd wrote:
               | Nope, because they will both end up at the same
               | temperature, namely, the average temperature halfway
               | between the two previous temperatures.
               | 
               | In a countercurrent heat exchanger, the hot air will get
               | colder and colder until it is at the same temperature as
               | the cold air, and the cold air will get hotter and hotter
               | until it is the same temperature as the hot air.
               | 
               | This is because the hot air is not warming up the same
               | air molecules that it relies on to cool down, and the
               | cold air is not cooling down the same air molecules that
               | it relies on to warm up. Each current of air gives up a
               | part of their heat/coldness, becomes colder/hotter, and
               | then moves towards a section of pipe that's even
               | colder/hotter than the previous section of pipe.
               | 
               | A picture is worth a thousand words, although it takes
               | some staring and studying before the concept finally
               | clicks: https://en.wikipedia.org/wiki/Countercurrent_exch
               | ange#/media...
        
               | rightbyte wrote:
               | Ah ye thank you makes sense.
        
               | [deleted]
        
               | mrow84 wrote:
               | There is a diagram illustrating why not in the wikipedia
               | article:
               | https://en.wikipedia.org/wiki/Countercurrent_exchange
        
               | infogulch wrote:
               | > "countercurrent heat exchangers"
               | 
               | Very interesting! The concept makes a lot of sense, and I
               | was able to find some companies online that produce such
               | a thing, often under the phrase "counterflow heat
               | exchanger".
               | 
               | Frustratingly there's little details online for actual
               | pricing, but you can find the bare exchange units on ebay
               | for $200-300.
        
             | legulere wrote:
             | With a controlled ventilation system you have better indoor
             | air than with leaky old houses and it's also more energy
             | efficient.
        
           | loopz wrote:
           | The highest infection rates are still short range though.
           | This, combined with being a new virus would still be similar
           | to today.
        
             | londons_explore wrote:
             | Short range could be explained by airflow rates in most
             | buildings being near nil. Someone talks in one spot, and
             | pathogens hang around that spot in the air for many
             | minutes.
             | 
             | With say 10 air changes per hour (injecting at the ceiling
             | and extraction at the floor), and a 3m high building, you
             | can expect airflow downwards at about 1 cm per second. That
             | means there is perhaps only a 30 second window for a
             | particular pathogen to hit someone else's nose before being
             | pulled to below face level.
             | 
             | It's not nil, but I think that would lower transmission
             | rates by a sufficient factor for COVID (and many other
             | diseases) to become extinct.
        
           | a9h74j wrote:
           | People talk all the time about air changes per hour. Even a
           | recent Nature.com article only discussed this metric.
           | However, if you look at suppliers of heat recovery
           | ventilation units, a different metric is liters/sec/person.
           | About 10 liter/sec/person seems to be pretty good for
           | commercial spaces. For home environments people can adapt to
           | smells a little better, so the requirements can be lower.
           | 
           | Also: heat recovery percentages don't always include the
           | energy required for forced air movement through the
           | exchanger.
        
         | clairity wrote:
         | yes, and while it might have helped at the margin, it's frankly
         | naive to think that we'd have largely avoided this pandemic had
         | we just had better indoor air circulation. it's an analytical
         | solution (so irresistable to engineers, mathematicians, and
         | physicists!) to a complicated and stochastic set of behavioral
         | patterns, that people want to be close to each other indoors
         | for highly complex and very substantive social reasons (not to
         | mention the intricate contraints the virus faces to transmit).
         | transmission happens closely face-to-face indoors, and in light
         | of that, folks aren't going to want to sit together for very
         | long in an airstream strong enough and comprehensive enough to
         | deflect and capture potential virus particles everywhere just
         | to chat and enjoy each other's company for a bit.
         | 
         | while most mask usage in practice has been completely useless
         | (like double-masking or wearing them outside), the one place
         | where masks make real sense is between two faces close to each
         | other emitting exhaust indoors. if we had just relentlessly
         | kept to this one crucial scenario in our mask messaging (and
         | simply distancing everywhere else inside), we'd have had much
         | better and more targeted mitigation, with dramatically fewer
         | downsides to our social and economic lives. and to boot, that
         | avoids trying to make extraordinarily costly upgrades to every
         | hvac system in the world for marginal benefit.
        
       | [deleted]
        
       | colechristensen wrote:
       | It seems overly complicated.
       | 
       | Just raise the air exchange per person and or per volume by a
       | significant factor and mandate a very fine particulate filter.
       | You could do many measurements and lots of theory but nobody is
       | going to engineer their buildings like cleanrooms anyway so the
       | results of a lot of science wouldn't be so good regardless.
        
         | f6v wrote:
         | Now, who's gonna pay for that?
        
           | bsenftner wrote:
           | I bet it's the minimum wage workers, not receiving any bump
           | above minimum wage, as well as the lower tier of non-minimum
           | wage workers being reclassified to be minimum wage. You know
           | those least able to afford it will pay for it.
        
         | disabled wrote:
         | > Just raise the air exchange per person and or per volume by a
         | significant factor and mandate a very fine particulate filter.
         | 
         | An alternative in the meantime is to use a PAPR (powered air
         | purifying respirator), which are more efficient, last much
         | longer (device and filter), and are much more comfortable than
         | N95 masks. I use an Optrel Swiss Air and cover the valves of
         | the mask with a hoodie style balaclava.
         | 
         | It would be a good time to get one, as it is believed that it
         | is only a matter of time before SARS-CoV-2 mutates into a
         | variant that is capable of evading the vaccines.
         | 
         | Also, the US CDC advice may not have been such a good idea.
         | Look at these calculations:
         | 
         | https://twitter.com/DrEricDing/status/1393090966928637952?s=...
         | 
         | Singapore has a comparable vaccination rate to the US and is
         | going into lockdown to prevent further spread. They used Pfizer
         | and Moderna vaccines. Just some food for thought:
         | 
         | https://twitter.com/andrewkimmel/status/1393086704349630464?...
        
           | nradov wrote:
           | It's sad to see people fall victim to mysophobia
           | (germaphobia) and related obsessive mental disorders. They
           | can be more harmful to overall health than actual viruses.
           | 
           | https://www.webmd.com/mental-health/features/cleanliness-
           | rul...
        
             | orhmeh09 wrote:
             | You are using concern trolling tactics to accuse someone
             | else of mental disorder for taking an interest in safety
             | precautions during an uncontrolled global pandemic. This is
             | not only rude, it is also dangerous. Please stop.
        
           | dalyons wrote:
           | . Singapore is at 31% one shot(from your link), US is at 47
           | and rising. Of course you would still be able to get spikes
           | in cases at only 31%, that's expected.
           | 
           | The mRNA vaccines are stupendously effective at stopping all
           | variants thus far. Not sure what evidence aside from fear
           | point to covid being able to mutate past them.
           | 
           | We good, and it's ok to accept that and have hope, not
           | everything has to be fear-for-the-worst
        
             | orhmeh09 wrote:
             | Is 45-47% efficacy at preventing infection against B.1.351
             | & P.1 "stupendously effective at stopping all variants?"
             | http://www.healthdata.org/covid/covid-19-vaccine-efficacy-
             | su...
        
               | dalyons wrote:
               | I may be reading it wrong, but from your link it says 76%
               | and 79% (pzifer & moderna) disease prevention against
               | 351&p1. Which is still great. Note that's just infection,
               | the data shows the vaxxes have near 100% chance of
               | preventing you from having more than mild/moderate
               | symptoms. So yeah, stupendously effective, and we
               | shouldn't be panicking about variants.
        
           | makomk wrote:
           | Wasn't Singapore supposed to be one of the few success
           | stories for eliminating Covid-19 without using vaccination,
           | one of the countries that supposedly proved Western countries
           | like the US could've avoided the need for economy-destroying
           | lockdowns if only their governments were competent? Not to
           | mention that they were and still are one of the most
           | aggressive about mandating mask wearing, and were pointed to
           | as a demonstration of how effective that was as well. The
           | idea that Singapore going into lockdown proves the US CDC was
           | wrong to advise vaccinated people don't need to wear masks
           | seems extremely dubious.
        
           | esyir wrote:
           | We're locking down because of a single cluster. Slightly more
           | lenient than the first, but our government is probably just
           | being a bit paranoid here. With the vaccines round the corner
           | though, that's not necessarily a bad thing.
        
         | londons_explore wrote:
         | I'd like to see "air quality inspection" be part of a fire
         | safety inspection.
         | 
         | Just have the inspector crack out a CO2 and PM2.5 meter during
         | the inspection. Set legal limits and have a fee for exceeding
         | them. Make it apply to existing buildings too, so building
         | owners can choose to trade off increased HVAC costs Vs reducing
         | the fee Vs costs of retrofitting better ventilation.
         | 
         | Obviously the measured numbers vary a lot day to day, so if a
         | building owner isn't happy with values measured on the day, let
         | them take an average over a week or something.
        
           | cam_l wrote:
           | Agree and love the idea about testing.. there are no other
           | inspectors (in oz at least) as incorruptible as fire safety
           | inspectors.
           | 
           | I had the experience a couple of years ago of working in an
           | office with visible smoke from a meat smoker working
           | downstairs. The owner and employer had 'independent' tests
           | done with no issue found. Fuckers.
           | 
           | I do reckon there is a rather disgustingly unequal
           | relationship between people that own or build a building and
           | people that have to deal with sickness from working in a
           | building.
           | 
           | Overwhelmingly, upfront costs for systems which prioritise
           | airchange, occupant health, and energy savings are more
           | expensive to install but cheaper in the long run.
        
         | shalmanese wrote:
         | That has significant costs on the energy efficiency of
         | buildings and would blunt a lot of the progress we're making on
         | combating climate change.
         | 
         | Not saying it shouldn't be done but it should be done in a
         | smart way that balances between tradeoffs.
        
           | lostmsu wrote:
           | Does it? I thought energy expenditure to maintain indoor
           | temperature is mostly due to heating/cooling, not due to
           | moving air to or from heat exchanger. E.g. it is cheap to
           | rotate the air in the building in a closed loop through a
           | filter.
        
             | thrdbndndn wrote:
             | Yeah, I can't see how the operating cost would be much
             | different.
             | 
             | I do think the initial cost to install/upgrade to such
             | system would be substantial, though (as in, existing
             | systems may not have the capacity to ventilate that much.)
        
           | Robin_Message wrote:
           | You can use heat exchangers between outlet and inlet air to
           | mitigate a good portion of the energy cost I believe.
        
         | op00to wrote:
         | If you have air exchange per person, but some people are in an
         | airflow "dead zone", then that doesn't really do you any good.
         | You need to ensure the personal area is actively ventilated,
         | versus the entire space as a whole.
        
         | stevenhuang wrote:
         | Doing that without the ability to quantify the affect is also a
         | nonstarter. How would you know it's even making an appreciable
         | difference, or if a lower factor would perform just as well?
         | 
         | Without the groundwork theory to rely on, you'd be hard pressed
         | to convince new buildings to do something like that on a whim.
         | 
         | > You could do many measurements and lots of theory but nobody
         | is going to engineer their buildings like cleanrooms anyway so
         | the results of a lot of science wouldn't be so good regardless.
         | 
         | This is a very strange and confused sentiment.
        
       | fiachamp wrote:
       | dont need all this complexity to prevent airborne illness from
       | going exponential, just masks + contact tracing. the results have
       | spoken for themselves in asia
        
       | sebmellen wrote:
       | So the idea is to make every room a negative pressure room of
       | sorts? I think this is probably long overdue, but I'm afraid I
       | don't really see the paradigm shift.
       | 
       | Haven't all of these steps been taken on airplanes already, to
       | some extent? From what I see, the "personalized ventilation" idea
       | is substantially similar to what aircraft ventilation does, just
       | adapted for a workspace/building setting.
        
         | skohan wrote:
         | What would be the cost implications of this? I assume we're
         | talking about a massive energy requirement/climate impact to
         | implement this for all public indoor spaces.
        
         | mjevans wrote:
         | It's more important to think about FLOW and also the quality of
         | air exiting an air-handling system. BTW, how often are those
         | ducts cleaned, if ever?
         | 
         | I would personally love a well designed slightly positive
         | pressure dwelling with particle scrubbed inflow and egress
         | (some kind of circulated water system like industrial sites
         | have). Get rid of that pollen and everything else please.
        
           | sebmellen wrote:
           | There's an interesting system called "Phenomenal Aire" that I
           | recently installed. It sort of achieves what you're talking
           | about, but uses a very different mechanism called "Cold
           | Plasma Generation" (caused by dielectric barrier discharge).
           | The air smells noticeably "fresher" though that might just be
           | due to the ozone. It does seem to have a dramatic
           | neutralizing effect on VOCs [0].
           | 
           | Interesting article re: use in meat packing plants [1].
           | 
           | [0]: https://www.sciencedirect.com/science/article/abs/pii/S0
           | 3088...
           | 
           | [1]: https://pubmed.ncbi.nlm.nih.gov/33876887/
        
             | sgerenser wrote:
             | Isn't ozone supposed to be very detrimental to indoor air
             | quality though?
        
               | TheAdamAndChe wrote:
               | It is. It's a strong oxidizer and damages your lungs. It
               | makes the house smell better because it oxidizes volatile
               | organic compounds in the air, but it's horrible for you.
        
               | goldenkey wrote:
               | It's an extremely strong oxidizer. It will poke holes in
               | your lungs. But sure, it'll also oxidize the other crap
               | in your air.
        
       | edward wrote:
       | Also here: https://science.sciencemag.org/content/372/6543/689
        
       | chiefalchemist wrote:
       | Overall air quality is an issue. We "consume" more air than
       | anything else. Every day. All day. Day after day. Pathogens are a
       | concern. But conditions and elements that have negative impact on
       | the lungs - and help prime such tissue for invaders and disease -
       | should be addressed as well.
        
         | x3iv130f wrote:
         | I find it regrettable that the things we eat and drink get so
         | much more attention than the air we breathe in regards to
         | health.
        
           | chiefalchemist wrote:
           | It's funny (not) cause bad air is a known killer. Yet it gets
           | crickets. I'd add noise to that list as well. Something we
           | should be more aware of.
        
       | Huiokko wrote:
       | I thought about something like this for the last 10 years when
       | taking public transport.
       | 
       | It came again into my mind when I heard about tesla's biohazard
       | filter system.
       | 
       | It's just ridiculous how we accept the status quo.
       | 
       | It can't be okay to be sick every year for 5-12 days and covid
       | showed me no I don't have to be sick every year and don't get me
       | wrong, clearly I'm not getting better in fighting this shit of if
       | I have it every fucki g year.
       | 
       | What are long-term effects of being sick every year?
        
       | mhb wrote:
       | Sounds swell. Have we started rebuilding our stockpile of N95
       | masks yet?
        
         | auxym wrote:
         | From industrial suppliers, they are available but about 20X
         | more expensive than pre pandemic. We used to buy boxes of 160
         | count 3M 8210 for 20$ CAD.
        
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