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Sakkaf Ahmed Aftab Profile picture
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15 Nov, 7 tweets, 18 min read
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
4- Prof Milton's answer continues- talks about appropriate masks

@TheBAMEGP @BeingMo @H3MADRI @meenalsworld @Azeem_Majeed @DrDaisyBennett @AmaraSophia @surashsurash @goldstone_tony @Vish_Sharm @Sajay70 @DrShahidLatif @hinajshahid @shaziaparv @ejazkhushnud @zranja @TayyebT
5- Now overwhelming evidence of airborne transmission being the predominant method this virus spreads

see the following thread👇



@drtariq_ie @docmaltese @pav_akhtar @shahnaz_mh @shaziaparv @SABOURETCardio @sanjaybhagani @G4rg @Aaliya_UK @aakochhar
6- Everyday HCWs are putting their lives at risk to take care of all of us.They at the very least deserve appropriate evidence based PPE

See👇thread what is needed to protect them


@DavidGWrigley @DavidRoseUK @AbdulRazaq_PH @BWDDPH @darshnasoni @raj_psyc
7-Our representative orgs @TheBMA @theRCN must advocate for PPE guidance change
We must not let👇happen again
@AskJeevesWij @MunchkinDr @DrSimonHodes @mikejkemp @smileywalshey @peter_levy @BMAYorkshireJDC @DrSakel @HennaAnwar @doc_hnaqvi @Manuel_Cavazza

amnesty.org.uk/press-releases…

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More from @ahmedaftab68

Sakkaf Ahmed Aftab Profile picture
18 Nov
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
16 Nov
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
18 Oct
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
Sakkaf Ahmed Aftab Profile picture
3 Oct
1- Dear public health colleagues @petermbenglish @doctorshaib @DPH_MAshton @BWDDPH @AbdulRazaq_PH @felly500 @Smithkjj @FurberA @andrewleedr @ADMBriggs @Dr2NisreenAlwan
@ProfKevinFenton @ADPHUK @drtimallison @devisridhar do you agree with me that ......
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
3- because there is now increasing evidence of airborne transmission of COVID19 virus like 👇

@chrischirp @DrOKaneAgain @trentconsultant @mikejkemp @anilkjain61 @thomasdolphin @smileywalshey @Vish_Sharm @blmdh1 @MunchkinDr @aakochhar @DrIainKennedy

cdc.gov/mmwr/volumes/6…
Read 13 tweets
Sakkaf Ahmed Aftab Profile picture
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

@KailashChandOBE
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
Sakkaf Ahmed Aftab Profile picture
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

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