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

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

4- Now there is increasing evidence that airborne transmission of COVID-19 virus occurs. Please see following👇thread

@BrennanSurgeon @NikkiKF @drpshukla @BMJLeader @raj_psyc @fernandof1974 @Vish_Sharm @blmdh1 @MunchkinDr @RealAndreT @globalhlthtwit
5- Does current UK PPE guidance provides appropriate protection to HCWs from airborne transmission of COVID-19 virus ?

The answer is - NO

@Dr2NisreenAlwan @ProfKevinFenton @ADPHUK @drtimallison @devisridhar @trishgreenhalgh @KailashChandOBE @docjon55 @surashsurash @ArunBaksi
6- WHO in its guidance👇makes it clear PPE recommended for UK HCWs to see COVID-19 pts in absence of aerosol generating procedures does not provide adequate protection against airborne transmission
@aakochhar @DrIainKennedy @ashwin_endo @NadiaBukhariUCL

7- Current UK PPE guidance recommends 'Medical Masks' for HCWs when they are examining COVID pts, their performance characteristics are tested according to a set of standardized test methods👇that aim to balance high filtration, adequate breathability

8-Medical Masks filter up to 3 micrometre droplets across the crosssection of the masks

but do not provide a seal around the wearers face therefore do not provide full protection against airborne transmission

@appne_official @APPSUK @blacksurgeons @IsabelStrawMD @monikaplaha
9- Respirators(N95,FFP2,FFP3 masks)provide filtration across entire surface,outer edges of the respirator seal around wearer’s face, result in protection against airborne transmission of virus

@AskJeevesWij @ShafiAhmed5 @BAPIOUK @NickyHay4Blog @ParagSinghal09 @Squeaksthoughts
10-Systematic review funded by WHO concludes:

‘For health-care workers&administrators,our findings suggest N95 respirators more strongly associated with protection from viral transmission than surgical masks’

@nurseboothroyd @DrStephenFM @peter_levy

11-Our HCWs need properPPE based on evidence

6th biggest economy in world can afford to spend £500million on #eatouttohelpout we can surely afford to provide'Respirators'to our HCWsto give them adequate protection from airborne transmission

@ghanchif @Duaharminder @ahmedhankir
-Hopefully we have learnt our lesson

-Hopefully we will not fail at risk HCWs again

- Our representative organisations @TheBMA @theRCN must make sure appropraite PPE which protects against airborne transmission is provided to HCWs

@darshnasoni @doctor_oxford @HumiHG
We must not let history repeat itself

"To err is human, to repent divine, to persist devilish"

We must protect all of our vulnerable HCWs
@Prerana_Issar @helenbevan @BoEscritt @SeacoleG @BeingMo @AndrewLotery @NHSBME @rogerkline @RCOphthPres @CMO_England @gmenon1423

15 Police officers have died in the line of duty since 2010

625 HCWs have died since March 2020- we must at the very least give them PPE which gives them appropriate protection

@rcpsglasgow @RCPLondon @rcpsych @RCoANews @JackieDocjt @parthaskar @AmaraSophia @inzyrashid

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More from @ahmedaftab68

3 Oct
2- do you agree that Public messaging should also include
-importance of ventialtion
in addition to
-social distancing
-hand hygiene
-face covering

@trishgreenhalgh @KailashChandOBE @docjon55
@surashsurash @BrennanSurgeon @NikkiKF @drpshukla @BMJLeader @raj_psyc
Read 13 tweets
27 Sep
1-To keep schools open,economy going we need fit for purpose #TrackAndTrace

Spent 5 minutes this morning analysing track&trace data from 3-9 Sept

Was amazed at the extent of failure of current track&trace

Read through this thread to see what I mean

2-#SercoTestAndTrace proudly declares 73.8% of known contacts reached between 3-9 Sept

Does this means that maybe 26.2% of potential contacts not reached & hence not isolating?

Not really....... read on

@anilkjain61 @DrUmeshPrabhu @DrOKaneAgain @trentconsultant @helenbevan
3-#NHSTestAndTrace doesn't mention out of 18371+cases b/w 3-9 Sept it got close contact details from only 10653 cases

73.8% contacts it reached is infact 73.8% close contacts of 58% not all positive cases b/w 3-9 Sept

42% +cases close contacts it did not even tried to reach
Read 11 tweets
24 Sep
1-#ARM2020 voted overwhelmingly👇BMA should disengage itself from DDRB.This thread is about the reasons why I proposed this motion at #ARM2020

@KailashChandOBE @CNagpaul @helenamckeown @drhfidler @trentconsultant @DrOKaneAgain @ShafiAhmed5

medscape.com/viewarticle/93… via @medscape
2-DDRB has overseen real-terms pay erosion of all doctors over the last decade
-Consultants over 30%
-Other hospital based drs 22%
-Contractor GPs 26.8%
-Salaried GPs 24.5%

@aakochhar @H3MADRI @ParagSinghal09 @mathew_satheesh @inzyrashid @darshnasoni @bmj_latest @TheDA_UK
3- Recent pay award for NHS doctors is just not acceptable
-Giving consultants pay rise equating to just £20 per week in take-home pay for some is indeed unacceptable
-GPs and junior doctors not getting any pay rise is just scandalous!

@DrSarahHal @MunchkinDr @TheBAMEGP
Read 14 tweets
20 Sep
1-Atlast penny has dropped!
CDC has accepted virus can spread by airborne route
'It is possible that COVID-19 may spread through the droplets and airborne particles that are formed when a person who has COVID-19 coughs, sneezes, sings, talks, or breathes'
2-Now hopefully authorities will give due attention to ventilation which can be crucial in reducing indoor spread & reducing the risk of 2nd wave

@doctorshaib @KailashChandOBE @raj_psyc @Dr2NisreenAlwan @petermbenglish @anilkjain61 @DrUmeshPrabhu @svig2 @Prerana_Issar @DrHNaqvi
3- @CNagpaul @DavidGWrigley @helenamckeown now @TheBMA must lobby NHSE NIHP to change PPE guidance to take into account airborne transmission of virus
@TheBMA should now supprt enhanced PPE as a risk mitigation factor for at risk HCWs which has been present at @NHSNLaG since May
Read 5 tweets
17 Sep
1-Thx🙏#ARM2020 for overwhelmingly passing 👇motion

All HCWs deserve a fair settlement!

Consultants getting£20 weekly payrise after30% real-terms pay erosion over last decade is unacceptable

GPs,Juinior drs& nurses not getting any is just 'Scandalous'
2-Absolutely right #ARM2020 decided to walk away from DDRB which has overseen 24-31% real-terms pay erosion of drs over last decade
@CNagpaul @helenamckeown @DrLatifaPatel @KailashChandOBE @DrOKaneAgain @Vish_Sharm @trentconsultant @DrUmeshPrabhu @anilkjain61 @PeaPeaspot
3- After all the sacrifices made, nurses like GPs& junior drs not getting any payrise is indeed incomprehensible

How ungrateful one can be!

@theRCN @DrSarahHal @AskJeevesWij @enamhaque31 @Jingstar @fernandof1974 @DrIainKennedy @doctorshaib @RCOphthPres @YorksHumberBMA @blmdh1
Read 4 tweets
5 Sep
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

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
Read 8 tweets

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