I hope many of the hesitant adults will eventually decide to get the vaccine, as the risk-benefit relation becomes clearer. As far as I know, the only group about which there is some doubt are teenage boys, who may be at a higher risk of myocarditis from the vaccine than of serious illness with Covid. I thought I had posted a link to that article a few days ago, but evidently I didn't, so here it is; sorry for the delay.
In the meantime, hopefully better ventilation will become more common, as more parents, teachers, and employees ask for it. I found the second article really helpful in its specifics.
Boys more at risk from Pfizer jab side-effect than Covid, suggests study
US researchers say teenagers are more likely to get vaccine-related myocarditis than end up in hospital with Covid ...
Healthy boys may be more likely to be admitted to hospital with a rare side-effect of the Pfizer/BioNTech Covid vaccine that causes inflammation of the heart than with Covid itself, US researchers claim.
Their analysis of medical data suggests that boys aged 12 to 15, with no underlying medical conditions, are four to six times more likely to be diagnosed with vaccine-related myocarditis than ending up in hospital with Covid over a four-month period.
Most children who experienced the rare side-effect had symptoms within days of the second shot of Pfizer/BioNTech vaccine, though a similar side-effect is seen with the Moderna jab. About 86% of the boys affected required some hospital care, the authors said.
Saul Faust, professor of paediatric immunology and infectious diseases at the University of Southampton, who was not involved in the work, said the findings appeared to justify the cautious approach taken on teenage vaccines by the UK’s Joint Committee on Vaccines and Immunisation.
The JCVI did not recommend vaccinating healthy 12 to 15-year-olds, but referred the matter to the UK’s chief medical officers who are expected to make a final decision next week. Children aged 12 to 15 who are particularly vulnerable to Covid, or who live with an at-risk person, are eligible for the shots.
In the latest study, which has yet to be peer reviewed, Dr Tracy Høeg at the University of California and colleagues analysed adverse reactions to Covid vaccines in US children aged 12 to 17 during the first six months of 2021.
( https://www.medrxiv.org/content/10.1101/2021.... )
They estimate the rate of myocarditis after two shots of Pfizer/BioNTech vaccine to be 162.2 cases per million for healthy boys aged 12 to 15 and 94 cases per million for healthy boys aged 16 to 17. The equivalent rates for girls were 13.4 and 13 cases per million, respectively. At current US infection rates, the risk of a healthy adolescent being taken to hospital with Covid in the next 120 days is about 44 per million, they said.
6 Questions to Ask About Covid and Air Quality at Work
Ventilation improvements, adding portable air cleaners and simply opening windows can lower the risk of infection in the office. ...
The more time we spend indoors with other people, the more likely we are to breathe each other’s exhaled air — and germs. The vast majority of scientists now agree that the coronavirus is airborne, and infectious droplets can linger in the air, float around the room or build up in spaces with poor air flow, like conference rooms. Early in the pandemic, a coronavirus outbreak on the 11th floor of an office building in South Korea
( https://wwwnc.cdc.gov/eid/article/26/8/20-127... )
showed how just one infectious person can increase the risk for everyone in a workplace. Out of 216 people on the floor, 94 were infected. Most of the infected worked in rows of desks grouped on one side of the office.
Even before Covid-19, it was clear that indoor air quality could affect workers’ health. A well known Harvard study of more than 3,000 workers
( https://pubmed.ncbi.nlm.nih.gov/11089326/ )
showed that sick leave increased by 53 percent among employees in poorly ventilated areas. ...
In addition to asking questions about ventilation, you should ask about vaccination policies, staggered workdays to reduce capacity, Covid testing plans, mask requirements and how the building is monitoring outside workers, like delivery people and cleaning crews.
And while some of the technical details around air quality can be confusing, you don’t have to be a ventilation expert to figure out what extra precautions your employer has taken to keep you safer during the pandemic. Asking about efforts to improve indoor air quality can help you make decisions about how much time you might spend there, whether to mask up or buy a portable air cleaner or whether to change your work schedule or work from home, if it’s an option. ...
Here are six questions you can ask your human resources or facilities office ... The questions are also useful for asking about air quality improvements at gyms, in classrooms and even in restaurants and other public spaces. ... most buildings won’t implement all of these changes, but even one or two of them can make a difference.
What improvements have you made to the ventilation system? ...
Improving their MERV ratings
The filters used in ventilation systems have what’s known as a MERV rating (MERV stands for Minimum Efficiency Reporting Values). The higher the rating, the better the filter is at trapping specific types of particles.
Before the pandemic, many buildings used MERV 8 filters, which allow for comfort and energy efficiency but aren’t designed for infection control. New industry guidelines advise buildings to upgrade to at least a MERV 13 filter, which traps 85 percent or more of risky particles. ... In some cases, a MERV 11 filter may be the highest grade filter the system can handle.
Disabling demand-controlled ventilation
To save energy, some systems monitor building occupancy based on carbon dioxide levels, which rise when we exhale. When fewer people are in the building, the system reduces the rate of outdoor air. “It’s a way to stop ventilating the space to save money,” said Richard Corsi, incoming dean of the College of Engineering at University of California, Davis. “But after people leave an area, we need to continue to ventilate so we can purge the space of any aerosol particles left in the air.”
Increasing outdoor air
Air quality experts recommend adjusting outdoor air dampers, which are movable plates that can bring in more outside air. This isn’t advised in communities with poor outdoor air quality, such as areas with active wildfires. ...
Can the windows be opened?
Some older buildings and classrooms may not have modern ventilation systems, but simply opening windows can improve air quality. A recent study of infected college students in an isolation dormitory at the University of Oregon found that opening a window could reduce the amount of coronavirus in a room by half.
While opening a window can help, the effect is greater if you can cross ventilate by opening windows on different sides of the room. Open windows aren’t practical during cold weather or in areas with poor outdoor air quality. Adding box fans to windows and turning on exhaust fans in kitchen and bathroom areas can also improve ventilation in homes and in buildings without modern systems. ...
What is the air change rate?
The air changes per hour, or ACH, number is the industry standard to indicate how often the air in a room is replaced by outdoor air. (Cleaning the air with filters can create the equivalent of air change.) While some experts suggest four to six air changes per hour (that’s fresh or clean air every 10 to 15 minutes), many buildings fall short of that standard. It’s recommended that schools have an ACH of at least 3, but many classrooms are closer to 1.5, experts say. Airplanes and newer hospitals may have anywhere from 10 to 20 air changes per hour. Air change rates or their equivalent can be improved by upgrading the overall ventilation system or filters, increasing the amount of outdoor air (by opening windows or ventilation dampers), adding exhaust fans or by adding portable air filters. ...
Are you using portable air cleaners?
Portable air cleaners equipped with HEPA filters can do a surprisingly good job of removing viral particles from the air, but only if the right machine is used for the size of the space. Look for a machine with a clean air delivery rate, or CADR, of at least 300 cubic feet per minute, and read the manufacturer guidance for choosing room size. You may need more than one machine for a larger space. The Association for Home Appliance Manufacturers has a guide for buying air cleaners.
( https://ahamverifide.org/consumer-resources/ )
Adding an air cleaner can partly compensate for a less efficient ventilation system, depending on the size of the room. In some cases, “one of these little portable air cleaners can effectively double the ventilation rate in the classroom,” said Dr. Corsi.
A study in a Melbourne hospital
( https://www.afr.com/policy/health-and-educati... )
recently showed that adding two portable air cleaners to a patient’s room eliminated 99 percent of aerosols in minutes, reportedly raising the protection level equal to about 30 air changes per hour. ...
Who is monitoring air quality?
Carbon dioxide sensors can indicate how well a ventilation system is working. Virus scientists and air quality experts sometimes carry portable CO2 detection devices. Linsey Marr of Virginia Tech, one of the world’s leading experts on viral transmission, has used such a device to check levels at her gym and in grocery stores.
“Carbon dioxide is in our exhaled breath,” said Dr. Marr. “If the levels get high indoors, it means people’s exhaled breath is building up, and that exhaled breath of course could contain virus if someone is infected.”
Howard County public schools, in Maryland, use CO2 sensors in school cafeterias to monitor air quality. If your company isn’t using CO2 monitoring, you can buy your own machine for $100 to $200. In general, you don’t want the CO2 number to rise above 800. In gyms, where people are breathing heavily, Dr. Marr advises leaving or masking up if the number goes above 600.
Does the building rely on unproven technologies?
Many companies are installing what the Environmental Protection Agency calls “emerging technologies,” including one called a needlepoint bipolar ionization system. The system claims to use positive and negative particles to help remove viruses from the air. But many of the world’s leading experts on indoor air quality, including Joseph Allen at Harvard and Shelly Miller at the University of Colorado, Boulder, have questioned the effectiveness of the technology.
( https://www.sciencedirect.com/science/article... )
“There’s a reason you haven’t seen a single indoor air quality expert recommend this technology,” tweeted Dr. Allen.