#TotalTriage is failing patients w/ skin cancers which are often picked up by chance, when examining someone’s back, abdomen, limbs.
The normalisation of management without examination will lead to many more skin cancer diagnoses being delayed or missed.
Just as we are unlocking cautiously you want to risk the lives of more individuals by removing one of the few mitigations in secondary schools?
We know that #COVIDisAirborne & that we have several #VariantsOfConcern here already.
Have you seen this chart #PrimeMinister?
V few <40s will be vaccinated by May 17th & while their individual risk of serious disease or dying is low, their risk of #LongCovid is MODERATE!
Many parents & teaching staff are <40.
The numbers of #NHS & teaching staff w/ it already are horrendous. Why put more ppl at risk?
2) Wondering how this particular bit of advice ⬇️ will play out in schools & early years settings after #Easter?
Crowded poorly ventilated classrooms w/ up to 30 kids from different households are the very essence of HIGH RISK spaces. Dining rooms/PE halls could even be worse!
3) If I’ve understood it correctly anywhere in the RED AREAS needs extra attention?
INDOORS ✅
HIGH OCCUPANCY ✅
SILENT, SPEAKING, SHOUTING, SINGING, PHYSICAL EXERTION ✅
POORLY VENTILATED ✅
& NO FACE COVERINGS ⬆️ THE RISK
1) Y’day I saw a patient who wanted this story told.
The 40+ yr old X was diagnosed w/ #Covid19 on 24th Dec.
X’s teenage daughter was sent home from school to isolate during the last week of term after a friend developed #Covid.
X was previously fit & well, on no medication.
2) X spent 2 weeks in January in hospital, followed by a month in bed at home.
By March X started to improve a bit but due to overwhelming symptoms of breathlessness on exertion, fatigue & “brain fog” was able to do very little.
3) X could not work & a referral to the #LongCovid clinic followed.
Over recent days X became more breathless & incapacitated which eventually resulted in hospital admission.
1) Cases in schools have ⬆️ since schools fully opened on 8th Mar.
Everyone knew they would. #SAGE predicted it.
UK schools remain NON #CovidSecure & 1000s of kids are isolating AGAIN.
Some clinicians are turning a blind eye & have joined the #antimask campaign.
The Easter holidays give us some time & space to act, but while funding & political will are lacking, the school community remains very exposed to an #airborne🦠 that can cause severe illness, death & long term morbidity.
IT IS NOT TOO LATE TO IMPROVE MITIGATIONS & SAVE LIVES!
1)Sally, w/ respect, why aren’t British children able to tolerate what children around the world are doing during a pandemic, WITHOUT COMPLAINT?
This virus can kill & cause long term debilitating illness.
It has caused devastation across the globe physically & economically.
2) Why wouldn’t we say -
“This is a difficult situation for us all.
We all want to come out of lockdown w/out causing more illness, death & effects on the economy.
To do this safely EVERYONE MUST HELP REDUCE TRANSMISSION.
We hope you want to be part of this.”
3) This is what I’d say to my children if they were still at school...
“Just for a few hrs a day, to let you all be in school together, PLEASE JUST #WearAMask & accept it’s not 100% comfortable but #MasksSaveLives & YOU can be part of the solution.”