🆕: Oxford Textbook of Medicine

#COVID19: FFP3 only for AGPs☣️

In 🇬🇧 alone, 1,500 HCWs have died & >120,000 have #LongCovid thanks to this deadly @PHE_uk guidance.

The OTM: 'Recognised around the world as the trusted & ultimate reference to the whole of medicine.'

True/false?
Link to chapter providing dangerous misinformation on SARS-CoV-2 transmission characteristics in healthcare settings, below.

I am hoping for an urgent revision in line with suggestions I made in an email to one of the editors, 28th April 2021.

Thank you
oxfordmedicine.com/fileasset/Upda…
@NDMOxford 👆

1. Intubation is not an AGP: now published in a peer reviewed journal.

The methods are suitably rigorous - i.e. these data reflect the unbiased, observable nature of reality.

2. Proof, from 1966, that coughing releases infectious respiratory viral aerosols in sufficient quantities to result in important environmental air contamination & infection risk VIA INHALATION.

Who knew?

End.

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More from @DRTomlinsonEP

10 Sep
'Proof' that 100%* of SARS-CoV-2 transmission is via the airborne [aerosol inhalation] route

@mjb302 I blame you!
@microlabdoc @hughes_eilir @Linzofm87 @huwwaters

[*to the nearest integer: obvs only ~1:10,000 fomite / contact from @CDCgov]

Pic h/t @Don_Milton

/n
1. 85% of viral RNA is in <5 micron diameter particles, which are released during normal physiological processes.

👉 Base airborne vs large droplet transmission route probability

5.6 : 1

Kudos @drkristenkc @Don_Milton & team.
2. SA of nasal mucosa with ACE2 & TMPRSS2 receptors vs total lung parenchyma.

Sinuses? I'll be generous

Say, 20 x 20cm = 0.04m*2

Lung parenchyma: ~91 v 118 m*2, F v M (mean 100)

👉 Airborne vs large droplet probability now

5.6 x 2,500 = 14,000 : 1

pubmed.ncbi.nlm.nih.gov/1626135/
Read 7 tweets
9 Aug
‘…ask yourself if the authors are truly trying to inform their readers or if they are instead trying to advance a narrative that would be undermined if they fully enumerated how COVID-19 has harmed children.’
/1
Is UK Paediatrics #SoMe governance dead? When will its leaders act against medics pushing misinformation narratives?

‘Doctors writing about COVID-19 and children have an obligation to inform their readers of essential facts.’ @jeremyphoward 👏👏

You know who, @dgurdasani1 💙
Read 4 tweets
11 Jun
The language (tending towards hyperbole - my interpretation) here is not that of a scientist, but we’re none of us free from this, I guess!
@dgurdasani1 like you I’m concerned about this PHE-derived narrative, particularly when conclusions defy physical laws.
/1 Image
Physical laws in a mo:

‘Antibody seroprevalence rates in students & staff were generally similar to regional community rates, both at the start & end of the Autumn term, albeit with wide confidence intervals.’

Looks like ‘direction’ of infection from students over time, no?
/2 Image
Physical laws:

1. Is there any difference in SARS-CoV-2 viral load comparing children & adults?

Answer: No

nature.com/articles/s4159…
Read 7 tweets
14 May
Email: 20/12/20
Dear [INSERT MP]
I am writing to request your help towards highlighting the need for urgent revisions to the current PHE UK Covid-19 infection prevention & control (IP&C) personal protective equipment (PPE) policy for all “front line” health & social care staff.
To-date, three UK-based reports demonstrate significantly greater risk of SARS-CoV-2 infection and/or death in non-ICU UK patient-facing healthcare workers (HCWs):

The most recent (28th October) is from the BMJ (doi.org/10.1136/bmj.m3…), with data on 158,445 Scottish HCWs...
...(1st Mar – 6th June 2020) indicating that: "patient facing HCWs compared with non-patient facing HCWs, were at higher risk [of SARS-CoV-2 infection] (HR 3.30, 2.13-5.13)...after sub-division of patient facing HCWs into…front door, ICU, non-ICU aerosol generating settings...
Read 29 tweets
14 May
“What we have got to do is work out some balance which actually keeps [Covid] at a low level, minimises deaths as best we can but in a way that the population tolerates..,” @CMO_England 1/4/21

137 HCW deaths since 08/20

HCWs tolerate FFP3 but only ICU teams get them: why?
'Dynamic CO-CIN report to SAGE and NERVTAG
Includes patients admitted after 01 August 2020
There are 104666 patients included in CO-CIN. Of these, 21177 patient(s) have died & 18043 required ICU. 62747 have been discharged home.'
@trishgreenhalgh
Read 6 tweets
13 May
Panel suggests WHO should have more power to stop pandemics independent.co.uk/news/world/ame…
Necessarily abbreviated! 👆

Full quote: As a healthcare worker, my overwhelming impression of the response of WHO teams to the SARS-CoV-2 pandemic is that they failed on the most fundamental aspect: i.e. truthfully describing its transmission characteristics.
/1
Through actively & persistently denying that SARS-CoV-2 transmission occurred via the airborne route, WHO teams have *amplified* the pandemic, caused huge waste in surface cleaning measures & allowed nation states' IPAC policies for HCWs & their population to remain...
/2
Read 5 tweets

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