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University of Nebraska Medical Center

The Swiss Cheese Model 5.3

Twitter is a wondrous place to find all kinds of news, information, disinformation, and conspiracy theories on nearly every topic. I jumped into the twitterverse back in 2009 following mostly infectious disease experts, reporters, academics, and the like. One of my long time favorites to follow is Ian Mackay from Australia. Ian posted an infographic on Twitter a few years back based on another infographic created by Prof. James Reason published in BMJ in 2000 depicting a system approach to overcome innate human fallibilities. Ian’s adapted version of the Swiss Cheese Model for Respiratory Defense went viral on Twitter soon after the fall 2020 COVID wave hit.

October 2020 version 1.2

The most recent version 5.3 is below and encompases all respiratory viruses, such as SARS-CoV-2, influenza, respiratory syncytial virus (RSV), human metapneumovirus (MPV), parainfluenza viruses (PIVs), enteroviruses (EVs), parechoviruses (PeVs) rhinoviruses and more.

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