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Sakkaf Ahmed Aftab Profile picture
@ahmedaftab68
Sep 5, 2020 • 8 tweets • 12 min read • Read on X
1-Please consider all risk mitigating factors including risk of airborne transmission of virus at UK educational institutions as opening them is fraught with danger of virus outbreaks👇

@KailashChandOBE @doctorshaib @CNagpaul @DrNighatArif

nbcnews.com/health/health-… via @NBCNews
2-Evidence regarding airborne transmission keeps increasing every day👇

I hope UK authorities will follow the science&start talking about importance of 'ventilation' more soon

@anilkjain61 @raj_psyc @docjon55 @BMJLeader @darshnasoni @AbdulRazaq_PH

jamanetwork.com/journals/jamai…
3- It is very likely that SARS CoV-2 (COVID-19 virus) like its predecessor SARS CoV-1 may spread through airborne route👇

@inzyrashid @DPH_MAshton @drhfidler @BeingMo @helenamckeown @helenbevan @BMA_Consultants @YorksHumberBMA @trentconsultant @DrOKaneAgain @Smithkjj @SamiaLtf Image
4- Super spreader events easy to explain with aerosol transmission harder with droplet transmission (which requires prolonged close contact)👇

@DrUmeshPrabhu @Azeem_Majeed @ParagSinghal09 @AmaraSophia @sabina_hafesji @HumiHG @kj_hackett @svig2 Image
5-Risk mitigation against COVID 19 spread in addition to
#socialdistancing
#facecoverings
#handhygiene
must include
#roomventilation
Ventilation as a risk mitigation will become increasingly important as indoor activities⬆️in winter
@kamleshkhunti @petermbenglish @andrewleedr
6- UK authorities have remained behind the curve in following science during this pandemic
-delayed adequate HCWs PPE
-delayed lockdown
-delayed widespread testing
-delayed face coverings
-delayed track&trace
Please now follow science & pay attention to airborne spread ......
7- Airborne transmission route of COVID-19 maybe the main route of transmission in close encounters as well 👇
This should be taken into account when forming guidance for #socialdistancing & PPE for frontline workers

@PHE_uk @ADPHUK @TheBAMEGP @blacksurgeons @blmdh1 @BWDDPH Image
7-Failure to acknowledge the importance of airborne transmission will result in avoidable local outbreaks

When epidemic is over & retrospective data demonstrates the importance of airborne transmission it will be too late

@Dr2NisreenAlwan @PeaPeaspot @drtimallison @ahmedhankir

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More from @ahmedaftab68

Sakkaf Ahmed Aftab Profile picture
Dec 12, 2021
My colleague, my friend Nicola-a scrub nurse took her own life last week

She scrubbed for me in OT earlier this month

She was such a bubbly personality- no one had any idea what was going on in her mind

Its a fact we (doctors,nurses & other HCWs) are hesitant to seek help

1/4
Pandemic has affected ALL including us ie health care workers

as drs,nurses its our passion,infact duty to help others but please remember we can only help others if we are ourselves OK

take time out for yourselves

seek help if you r struggling

@TheBMA 24/7 line👇

contd..2/4
Please don't hesitate to reach out if you are struggling

there are a lot out there to help eg

DocHealth 02073836533
-confidential
-not for profit
-pschotherapeutic consultation service
-supported by @TheBMA @TheRMBF
3/4
 @trishgreenhalgh @Sandyboots2020 @DrNeenaJha @doctorshaib
Read 4 tweets
Sakkaf Ahmed Aftab Profile picture
May 1, 2021
May I request authors of #SewellReport who have claimed #NHS as a success story in race issues to read this thread

Recent survey of Primary in Humberside region shows very disturbing findings discrimination in NHS of 2021 /1

@rcgp @KailashChandOBE @CNagpaul @riddell_marcus
Is it acceptable that in #NHS of 2021 ability to train in ones chosen career is affected by ones ethnicity, culture and #racism #discrimination ? /2

@rcpsglasgow @RCPLondon @rcpsych @RCOphthPres @terry_moran1 @AntonEmmanuel2 @Prerana_Issar @MichaelMarmot @NHS_RobW @NHS_RHO
How can we allow🤔 in 2021 a trainee to be told by a senior trainer

'we do not accept people who are not from around here' /3

@NHS_HealthEdEng @anilkjain61 @PeaPeaspot @adamson0901 @shekhawatgp @NLaGNHS_Doctors @northlincsccg @surashsurash @Halima_Begum @Manuel_Cavazza
Read 7 tweets
Sakkaf Ahmed Aftab Profile picture
Nov 18, 2020
1-Virus spreads through air especially indoor in areas of low ventialtion
Have a look at this thread if you want to know how you can check if ventialtion in an area is adequate.
Its really easy!

@CNagpaul @helenamckeown @KailashChandOBE @sarahedderwick @anilkjain61 @doctorshaib
2-Every time you exhale CO2 is exhaled in air. You can use CO2 levels to see if room is filling with potentially infectious exhalations
CO2 level lets you estimate if enough fresh outside air is getting in

@raj_psyc @docjon55 @petermbenglish @NikkiKF @drpshukla @TheBAMEGP
3-Last year in Taiwan tuberculosis outbreak at Taipei University was found out to be due to underventilated rooms. Rooms had CO2 levels⬇️3000 ppm.When air circulation was improved with CO2 levels⬇️600 ppm outbreak completely stopped

onlinelibrary.wiley.com/doi/full/10.11…
Read 10 tweets
Sakkaf Ahmed Aftab Profile picture
Nov 16, 2020
1-@parthaskar thankyou for raising this. May I first share some evidence & than I will try to address what @TheBMA is doing in this regard

@CNagpaul @dr_emmacoombe @DrOKaneAgain @anilkjain61 @helenamckeown @drhfidler @smileywalshey @DrAnneCarson @blmdh1 @YorksHumberBMA
2- I did a survey of 1071 BAME doctors in June 👇.

itv.com/news/calendar/…

Results of the survey showed very worrying findings

It does appear that IMG & BAME doctors who studied medicine in UK Universities face similar challenges in NHS
@drpshukla @terry_moran1 @Prerana_Issar
3- BAME NHS doctors when asked if they ever felt pressurised to work without adequate PPE

UK Uni BAME drs 60% said YES
IMG BAME drs 64% said YES

@NikkiKF @PeaPeaspot @BeingMo @AlisonGeorge10 @documi @MudholkarDr @drtariq_ie @DrSakel @pav_akhtar @nagina_j @DrKhan_do ImageImage
Read 10 tweets
Sakkaf Ahmed Aftab Profile picture
Nov 15, 2020
1-Heard about another colleague ending up in ICU today

626 HCWs deaths & we still haven't learnt our lesson

HCWs must now have appropriate PPE against airborne transmission

Please find time to see the videos in this thread&please spread the message

@CNagpaul @KailashChandOBE
2- Saw a webinar by Prof Donald Milton (a world authority on aerosols) of Institute for Applied Environmental Health Maryland

👇video of question to him

@petermbenglish @doctorshaib @BrennanSurgeon @NikkiKF @AliRacaniere @helenamckeown @drhfidler @anilkjain61 @sarahedderwick
3-Video of Prof Milton's answer
@DrOKaneAgain @trentconsultant @blmdh1 @thephilosophyf1 @YorksHumberBMA @BMA_Consultants @bmj_latest @NHSBME @NHSEngland @RCOphthPres @appne_official @BIDAUK @MelaninMedics @MontioMorgan @eveosh @ghanchif @ParagSinghal09 @ShafiAhmed5 @kamleshkhunti
Read 7 tweets
Sakkaf Ahmed Aftab Profile picture
Oct 18, 2020
1- Please read this thread if you want to know what must be done to protect health care workers who are taking care of all of us during this Pandemic

@CNagpaul @helenamckeown @DavidGWrigley @terry_moran1 @NHS_RobW @TheBMA @TheDA_UK @Muslimdoctors @drneilpease @JeremyFarrar
2- Remember 625 HCWs lost their lives during the first wave - highest rate among developed countries

@petermbenglish @doctorshaib @DPH_MAshton @BWDDPH @AbdulRazaq_PH @felly500 @Smithkjj @FurberA @andrewleedr @ADMBriggs @DrZeshanQureshi @MontioMorgan

amnesty.org.uk/press-releases…
3- Remember disproportionate effect of COVID-19 on BAME HCWs&slowness of NHSorganisations in taking practical risk mitigating steps to protect them

@chrischirp @DrOKaneAgain @trentconsultant @mikejkemp @anilkjain61 @thomasdolphin @smileywalshey @AudioQ

bma.org.uk/news-and-opini…
Read 15 tweets

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