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Peter English #FBPE Profile picture
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25 Oct, 5 tweets, 2 min read
I had my third Covid-19 vaccine on 15 October.

It has not yet appeared on my #NHSApp.

When I do a lateral flow test, it appears within hours.

What's going on?
OK... The Covid Certificate bit links to your Covid records.

As the third dose is not "essential" in the UK, it does not appear in this section of the app.

When I checked my "GP records" section, it gives the date of my third dose, but not previous doses…
It says "15 October 2021. Immunisation course to maintain protection against SARS-CoV-2". There is no mention there of the previous doses, the brand or batch number.

However, as @ellywrightart kindly pointed out, all three doses, with full details, appear under "Acute medicines"
Not very intuitive, but all there if you know where to look…
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More from @petermbenglish

Peter English #FBPE Profile picture
27 Oct
1/ The BMA @TheBMA has responded to the Police, Crime, Sentencing and Courts Bill.

NOT IN MY NAME!

I fully agree with the BMA parliamentary brief re confidentiality; but not re increasing sentences.
2/ Apparently @TheBMA “supports the Bill’s intention to increase sentencing for those convicted of abusing an emergency worker”.

Prison is an extremely expensive way of making bad people worse. We should be calling for decreases in prison time, not increases.
3/ The problem is NOT the sentences people receive.

The problem is NOT the lack of offences in law under which to prosecute them.

The problem IS the failure to investigate and prosecute cases.
Read 5 tweets
Peter English #FBPE Profile picture
26 Oct
1/ (Second attempt to publish this thread: for some reason a glitch meant that only the first few tweets were published on my last attempt.)

Thanks for putting this list together, Edwin @uk_domain_names - very interesting.

2/ I am a little uncertain what to make about this huge twitter storm about sewage.

tl;dr - it is a hazard; but it's a very low level of risk to health or to the environment.

There are more important things to worry about.
3/ Until I retired in January, I have been a consultant in communicable disease control since Feb 1998. Part of this job has always involved liaising with water companies over incidents etc., and with emergency planning bodies including local authorities.
Read 29 tweets
Peter English #FBPE Profile picture
26 Oct
1/ Thanks for putting this list together, Edwin @uk_domain_names - very interesting.

I am a little uncertain what to make about this huge twitter storm about sewage.

tl;dr - it is a hazard; but it's a very low level of risk to health or to the environment.
2/ There are more important things to worry about.
3/ Until I retired in January, I have been a consultant in communicable disease control since Feb 1998. Part of this job has always involved liaising with water companies over incidents etc., and with emergency planning bodies including local authorities.
Read 4 tweets
Peter English #FBPE Profile picture
25 Oct
Hi, @DJNichol!

There's no law saying that you must be vaccinated against hepatitis B if you're a healthcare worker. Not per se.

But there is a duty or care to patients; and the risk of liability if you infect them through failure to get vaccinated.
1/5
There is a duty on the individual, and on the body employing them; so it may be that the employer will make it a requirement (at least for HCWs undertaking Exposure-prone procedures).

And there's a professional duty under GMP for doctors (and likely equivalent for others)…
2/5
So you risk losing your registration/license to practice if you don't get vaccinated against Hepatitis B and do a job which involves undertaking EPPs.
3/5
Read 5 tweets
Peter English #FBPE Profile picture
24 Oct
1/ Yesterday my friends @DrSelvarajah posed the question "When did #PublicHealth become a political and populist tool?".

My friend @awoodall suggested that now I've retired I might be able to answer.
2/ (My responses will refer primarily to public health in England.)

tl:dr version: public health is funded by public money. Politicians control public money; and use this control to bully publicly funded public health bodies not to disagree with ministers.
3/ This has always been so, but, since the turn of the millennium (if not before) government has progressively brought public health bodies closer to government, allowing closer ministerial control.

I was a GP in the 1990s before training in public health.
Read 100 tweets
Peter English #FBPE Profile picture
16 Oct
1/ It's hard to know the real reason for the decision to give 12-15-year-olds only a single dose of because the details of the discussion are not available. Hence the campaign for greater JCVI transparency.

@DrRCoull @cv_cev twitter.com/DrRCoull/statu…
2/ The purported reason for the decision, IIRC, is a concern about adverse reactions to the vaccine.

Myocarditis, in particular, seems to occur in an extremely small proportion of vaccine recipients.
3/ Post-vaccination cases seem to have a minor illness and make a full recovery, although some people are concerned there could be long term consequences.

Myocarditis is far more common after Covid-19 disease than after vaccination.
Read 9 tweets

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