Sakkaf Ahmed Aftab Profile picture
Oct 3, 2020 13 tweets 22 min read Read on X
2- do you agree that Public messaging should also include
-importance of ventialtion
in addition to
-social distancing
-hand hygiene
-face covering

because...
@trishgreenhalgh @KailashChandOBE @docjon55
@surashsurash @BrennanSurgeon @NikkiKF @drpshukla @BMJLeader @raj_psyc
6- If you still are not convinced by the above evidence than see 👇 study

where viable (infectious) SARS-CoV-2 was present in aerosols within the hospital room of COVID-19 patients
in the absence of health-care aerosol-generating procedures

@CNagpaul

ijidonline.com/article/S1201-…
7-The air transmission issue should be taken seriously now, during the course of the epidemic.

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

@DrUmeshPrabhu @BrennanSurgeon @PeaPeaspot @terry_moran1
8- See below the death rate in Japan compared with other countries including UK

What is the reason for this stark difference 🤔- do we know

maybe the reason is

read on.....

@JaneRockHouse @ainajkhan @inzyrashid @BINA_UK @monikaplaha @BeingMo @AmaraSophia @darshnasoni Image
9- see 👇public health messaging in Japan

do we notice the difference from UK public messaging?

what is the number one thing public is reminded to do in Japan?

@ParagSinghal09 @ghanchif @DrTedros @The_Eye_Doctor @RCOphthPres @drmamalkera @meenalsworld @UPSIGN_Network @eveosh Image
10- the number one thing public is reminded to do in Japan is
'avoid closed spaces with poor ventilation'

see 👇 another public messaging in Japan. Note the date March 1 2020 public is being told to
'Avoid gathering in groups with poor ventilation'

@MrTimLane @BMA_Consultants Image
11- We in UK have been behind the curve all through this Pandemic

but now please 🙏 accept the fact of airborne transmission & add importance of 'ventilation' to public messaging

@The_Eye_Doctor @AliRacaniere @drtariq_ie @jsbamrah @SimonTavabie @ahmedhankir @kamleshkhunti
12- I am just a simple eye doc so if any of my more learned colleagues think my interpretation of evdience is wrong please correct me

however if you think I am right

than please tell me why still in UK I am not hearing imp of 'ventilation' in any of public health messaging

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More from @ahmedaftab68

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
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
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
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
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
Read 7 tweets
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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