{"id":81,"date":"2010-12-24T08:18:01","date_gmt":"2010-12-23T22:18:01","guid":{"rendered":"http:\/\/blog.dbohs.com\/?p=81"},"modified":"2011-02-10T15:02:52","modified_gmt":"2011-02-10T05:02:52","slug":"do-tall-people-avoid-the-flu","status":"publish","type":"post","link":"https:\/\/blog.dbohs.com\/?p=81","title":{"rendered":"Do tall people avoid the flu?"},"content":{"rendered":"<p>It is surprising how little basic research appears to have been done on routes of infection of contagious diseases.\u00a0It is generally acknowledged that the major routes are:<\/p>\n<ul>\n<li>Droplets<\/li>\n<li>Aerosols<\/li>\n<li>Surfaces<\/li>\n<\/ul>\n<p style=\"margin-bottom: 0cm;\">The relative importance of each route makes a huge difference to how contagion is controlled and getting it wrong can actually make things worse.<\/p>\n<p style=\"margin-bottom: 0cm;\">If the main route is <strong>droplet transmission<\/strong>, then simple separation distance would help. There is some evidence for this and often a <strong>one meter<\/strong> distance is recommended.  Direct physical barriers like plastic screens would help as would the use of (surgical ) masks worn by the infected person.  Also putting hour hand in front of your mouth when coughing would help  &#8211; a bit like a baseball mitt.<\/p>\n<p style=\"margin-bottom: 0cm; text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-84 aligncenter\" title=\"sneeze\" src=\"http:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/2008\/12\/sneeze-300x197.jpg\" alt=\"sneeze\" width=\"300\" height=\"197\" srcset=\"https:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/2008\/12\/sneeze-300x197.jpg 300w, https:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/2008\/12\/sneeze.jpg 443w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p style=\"margin-bottom: 0cm;\">The classic picture above is actually quite misleading<!--more-->, as the natural action with sneezing is for the head to initially tip back, but actually tilt forward during the sneeze. Most of the large droplets are directed towards the floor.<\/p>\n<p style=\"margin-bottom: 0cm; text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-739\" title=\"sneeze graphic 2\" src=\"http:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/sneeze-graphic-2-300x201.jpg\" alt=\"\" width=\"240\" height=\"161\" srcset=\"https:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/sneeze-graphic-2-300x201.jpg 300w, https:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/sneeze-graphic-2.jpg 550w\" sizes=\"auto, (max-width: 240px) 100vw, 240px\" \/><\/p>\n<p style=\"margin-bottom: 0cm;\"><strong>However, reducing contagion by one route can increase it by another, particularly with droplets.<\/strong><\/p>\n<p style=\"margin-bottom: 0cm;\">A hand in front of the mouth reduces droplet transmission, but now you have a contaminated hand \u2013 touching surfaces and contaminating other objects like money, door handles , switches, and documents. <strong> Elbow coughing<\/strong> is better, but its real importance is unknown.<\/p>\n<p style=\"margin-bottom: 0cm; text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-83 aligncenter\" title=\"Elbow coughing\" src=\"http:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/2008\/12\/covercgh-hcp-view.gif\" alt=\"Elbow coughing\" width=\"267\" height=\"346\" srcset=\"https:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/2008\/12\/covercgh-hcp-view.gif 334w, https:\/\/blog.dbohs.com\/wordpress\/wp-content\/uploads\/2008\/12\/covercgh-hcp-view-231x300.gif 231w\" sizes=\"auto, (max-width: 267px) 100vw, 267px\" \/><\/p>\n<p style=\"margin-bottom: 0cm;\">If aerosols are also important, then a sneeze barrier may reduce the contamination of the person behind the barrier to droplets, but air flowing over, under or around the barrier tends to curl towards the person, increasing the hazard.<\/p>\n<p style=\"margin-bottom: 0cm;\">\n<p style=\"margin-bottom: 0cm;\">Also, if droplets are more important than aerosols, then <strong>height <\/strong>should confer some protection to taller people, and things like <strong>high heels <\/strong>and <strong>elevated work surfaces<\/strong> should give some protection for people dealing with potentially infected people. The effect is doubled if tall people are less affected, since short infected people would tend to infect short people, but the tallest infected people would tend to infect everyone.<\/p>\n<p style=\"margin-bottom: 0cm;\">\n<p style=\"margin-bottom: 0cm;\">\n<p style=\"margin-bottom: 0cm;\">\n<p style=\"margin-bottom: 0cm;\">\n","protected":false},"excerpt":{"rendered":"<p>Most health authorities consider droplet transmission to be important with influenza. If this is true, then height and high heels should give some protection.<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[73,17,25],"tags":[90,138,78,84,253,259,74],"class_list":["post-81","post","type-post","status-publish","format-standard","category-infection-control","category-myths","category-respiratory-protection","tag-bird-flu","tag-flu","tag-influenza","tag-influenza-a","tag-myths","tag-respiratory-protection","tag-swine-flu","czr-hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.9 - aioseo.com -->\n\t<meta name=\"description\" content=\"Most health authorities consider droplet transmission to be important with influenza. 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