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We're in the stretch of the pandemic that we all feared.
Vaccines look good, and logistics will get ironed out soon (follow @juliettekayyem on this and stay on big picture)
In the meantime, it's time for serious layered defense/ hierarchy of controls/swiss cheese
THREAD
Vaccines look good, and logistics will get ironed out soon (follow @juliettekayyem on this and stay on big picture)
In the meantime, it's time for serious layered defense/ hierarchy of controls/swiss cheese
THREAD
The hierarchy of controls is a framework from the field of occupational health.
I wrote about it here as it applies to Covid-19 with my book co-author John Macomber from Harvard Business School ( @cleantechcities) https://hbr.org/2020/04/what-makes-an-office-building-healthy
I wrote about it here as it applies to Covid-19 with my book co-author John Macomber from Harvard Business School ( @cleantechcities) https://hbr.org/2020/04/what-makes-an-office-building-healthy
It helps organize your approach to controls - to make sense of all of the info coming at you.
If you want to understand the hierarchy in 30 seconds, I talked about it with @DonLemon back in April https://twitter.com/j_g_allen/status/1252262065152163843?s=20
If you want to understand the hierarchy in 30 seconds, I talked about it with @DonLemon back in April https://twitter.com/j_g_allen/status/1252262065152163843?s=20
ELIMINATE THE HAZARD.
Stay home if sick. Stay home if you are able to. Keep circles very small.
Buy yourself and your community time. Do your part to stay out of this wave.
Stay home if sick. Stay home if you are able to. Keep circles very small.
Buy yourself and your community time. Do your part to stay out of this wave.
SUBSTITUTION.
Bring back only the minimum needed to run the organization. I also put screening in this bin. Daily attestation, daily quick test/rapid tests. Paid sick leave to reduce financial pressure to come in.
Bring back only the minimum needed to run the organization. I also put screening in this bin. Daily attestation, daily quick test/rapid tests. Paid sick leave to reduce financial pressure to come in.
ENGINEERING CONTROLS.
This is the big one. These are #HealthyBuilding strategies like enhanced ventilation and filtration.
Here's what we recommend for school classrooms, but it works for other similar-sized spaces. Get 4-6 air changes per hour (ACH) thru any combo of the 3
This is the big one. These are #HealthyBuilding strategies like enhanced ventilation and filtration.
Here's what we recommend for school classrooms, but it works for other similar-sized spaces. Get 4-6 air changes per hour (ACH) thru any combo of the 3
ADMINISTRATIVE CONTROLS
de-densify building, spread people out, manage flows of people into and out of spaces
de-densify building, spread people out, manage flows of people into and out of spaces
PPE
The other big one - personal protective equipment. Universal masking is a MUST. And get yourself a good 2- or 3-layer mask that fits well - above bridge of nose, around chin, flush against face at edges. (See @linseymarr for links to mask testing.) https://www.nytimes.com/interactive/2020/10/30/science/wear-mask-covid-particles-ul.html
The other big one - personal protective equipment. Universal masking is a MUST. And get yourself a good 2- or 3-layer mask that fits well - above bridge of nose, around chin, flush against face at edges. (See @linseymarr for links to mask testing.) https://www.nytimes.com/interactive/2020/10/30/science/wear-mask-covid-particles-ul.html
No one strategy is sufficient in and of itself. But we know that when these controls are in place exposure can be greatly reduced.
And just like no one strategy is sufficient, no one entity is solely responsible
It takes a **Culture of Health, Safety, and Shared Responsbility**
And just like no one strategy is sufficient, no one entity is solely responsible
It takes a **Culture of Health, Safety, and Shared Responsbility**
FOR THE ARTS. (We have put together guidance for different locations)
Visit our 'Roadmap to Recovery and Resilience for Theater' https://americanrepertorytheater.org/roadmap-for-recovery-and-resilience-for-theater/
Visit our 'Roadmap to Recovery and Resilience for Theater' https://americanrepertorytheater.org/roadmap-for-recovery-and-resilience-for-theater/
FOR AIRPLANES AND AIRPORTS.
Visit our 2013 National Academies report (airlines, you're ventilating while at the gate by now, right? RIGHT?)
http://www.trb.org/Publications/Blurbs/169466.aspx
Visit our 2013 National Academies report (airlines, you're ventilating while at the gate by now, right? RIGHT?)
http://www.trb.org/Publications/Blurbs/169466.aspx
FOR SCHOOLS
Tools for sizing a portable air cleaner (w/ @ShellyMBoulder)
Complete strategies for your school
5-step guide for assessing ventilation
More! https://schools.forhealth.org/
Tools for sizing a portable air cleaner (w/ @ShellyMBoulder)
Complete strategies for your school
5-step guide for assessing ventilation
More! https://schools.forhealth.org/
FOR TRAVEL IN CARS.
Check out this op-ed with two of the greats in IAQ world, @CorsIAQ and Jack Spengler.
Wear a mask and roll down your window 3 inches in a car (probably dated myself by saying 'roll down'...) https://www.usatoday.com/story/opinion/2020/04/22/coronavirus-car-protect-yourself-column/5166146002/
Check out this op-ed with two of the greats in IAQ world, @CorsIAQ and Jack Spengler.
Wear a mask and roll down your window 3 inches in a car (probably dated myself by saying 'roll down'...) https://www.usatoday.com/story/opinion/2020/04/22/coronavirus-car-protect-yourself-column/5166146002/
FOR YOUR HOME
Some tips I gave for Thanksgiving that apply to ANY TIME someone outside your 'bubble' is in your house. Most important to know - your home doesn't get a lot of air exchange. Open windows!
Some tips I gave for Thanksgiving that apply to ANY TIME someone outside your 'bubble' is in your house. Most important to know - your home doesn't get a lot of air exchange. Open windows!
The guidance is really the same no matter where - we know what works
"A set of controls must be used to limit how much within-school transmission is happening. By now, this is well understood: masks, hand-washing and enhanced ventilation and filtration." https://www.washingtonpost.com/opinions/2020/12/30/new-covid-strain-schools/
"A set of controls must be used to limit how much within-school transmission is happening. By now, this is well understood: masks, hand-washing and enhanced ventilation and filtration." https://www.washingtonpost.com/opinions/2020/12/30/new-covid-strain-schools/
Distilled down to its simplest form:
"do what hospitals do"
STRICT
--> Masking
--> Hand-washing
--> Ventilation/filtration
"do what hospitals do"
STRICT
--> Masking
--> Hand-washing
--> Ventilation/filtration
All guidance, op-eds, tools/tips from my Harvard Healthy Buildings program are on our website (you like the new logo?)
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https://forhealth.org/
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https://forhealth.org/
