๐Ÿ‡ช๐Ÿ‡บ Dr Joe Pajak CSci FRSC Profile picture
May 9, 2023 โ€ข 19 tweets โ€ข 22 min read โ€ข Read on X
'๐—ฉ๐—ฒ๐—ป๐˜๐—ถ๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป* is an important line of defence for infection control in the healthcare environment.' @NHSEngland
โœ๏ธ1,077,993 people currently predicted to have symptomatic COVID in the UK: report @Join_ZOE 9 May 2023.
Healthcare settings to note:
england.nhs.uk/long-read/applโ€ฆ Image
โœ๏ธImportant notice for healthcare settings:
'Application of #HEPA filter devices for air cleaning in healthcare spaces: guidance and standards.'
โœ๏ธVentilation* is an important line of defence for infection control in the healthcare environment. @NHSEngland
england.nhs.uk/long-read/applโ€ฆ Image
The current focus on #๐—ฉ๐—ฒ๐—ป๐˜๐—ถ๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป highlighted areas of ๐—ต๐—ถ๐—ด๐—ต ๐—ฟ๐—ถ๐˜€๐—ธ due to ๐—ฝ๐—ผ๐—ผ๐—ฟ๐—น๐˜† ๐—ฝ๐—ฒ๐—ฟ๐—ณ๐—ผ๐—ฟ๐—บ๐—ถ๐—ป๐—ด and ๐—ถ๐—ป๐—ฎ๐—ฑ๐—ฒ๐—พ๐˜‚๐—ฎ๐˜๐—ฒ ๐˜ƒ๐—ฒ๐—ป๐˜๐—ถ๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป in ๐—ต๐—ผ๐˜€๐—ฝ๐—ถ๐˜๐—ฎ๐—น๐˜€ and other ๐—ต๐—ฒ๐—ฎ๐—น๐˜๐—ต๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐˜€๐—ฒ๐˜๐˜๐—ถ๐—ป๐—ด๐˜€. @NHSEngland
england.nhs.uk/long-read/applโ€ฆ Image
โœ๏ธThe high risk may be due to change of room use, age, condition of air handling plant, lack of maintenance, challenges with effective use of natural ventilation or other.
โœ๏ธImportant to bring these facilities up to the minimum specification of current standards.
@NHSEngland Image
#Ventilation #InfectionControl
โœ๏ธ'It is [therefore] important to bring hospitals and other healthcare settings up to the minimum specification of current standards, particularly recognising the challenges of COVID-19 and other infections.' @NHSEngland
england.nhs.uk/long-read/applโ€ฆ Image
#Ventilation #InfectionControl
'Local HEPA filter-based air cleaners are one option for improving and supplementing ventilation. Installation of a high efficiency particulate air filter air cleaner can reduce the risk of airborne transmission.' @NHSEngland england.nhs.uk/long-read/applโ€ฆ
#Ventilation #InfectionControl
'Guidance = interim specification to set the basic standard required for #HEPA filter devices to be utilised in healthcare and patient-related settings - primarily aimed at portable and semi fixed devices.' @NHSEngland england.nhs.uk/long-read/applโ€ฆ Image
#InfectionControl
'๐—ฉ๐—ฒ๐—ป๐˜๐—ถ๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป is the process by which โ€˜freshโ€™ air is intentionally provided to a space and stale air is removed - achieved by mechanical systems using ducts and fans, or natural ventilation most commonly provided through opening windows.' @NHSEngland Image
#InfectionControl
'Ventilation is an important feature in the control of airborne infection. However, the emergence of #SARSCoV2 as a highly contagious virus has demanded new and innovative solutions to safeguard patients, staff and visitors.' @NHSEngland england.nhs.uk/publication/spโ€ฆ Image
'Ventilation is an important feature in the control of airborne infection.'
Quote: 'The COVID-19 #pandemic has shown that greater attention must be paid to the improvement and maintenance of #ventilation in #healthcare settings.' @NHSEngland Image
'The focus on ventilation has also highlighted areas of high risk due to poorly performing and inadequate ventilation, particularly in older hospitals and other healthcare settings such as primary care and dental suites, which increase risks of nosocomial infections.' @NHSEngland Image
#Ventilation #InfectionControl
'Weather conditions, external noise and air pollution and restricted window openings for safety affect the ability to open windows and means that #ventilation in some settings can fall below recommended rates.' @NHSEngland Image
#Ventilation #InfectionControl #AirborneViruses
'Local #HEPA filter air cleaners are one option for improving and supplementing ventilation. The correct installation and operation of a HEPA filter air cleaner can reduce the risk of #airborne transmission.' @NHSEngland Image
#InfectionControl
'Healthcare trusts are under pressure to improve #ventilation and in the meantime are considering options including filter-based air cleaning. This standard will assist trusts in selecting and implementing good quality, reliable equipment.' @NHSEngland Image
#InfectionControl #Healthcare #Ventilation
'There is substantial evidence from laboratory studies and real-world settings that filtration is an effective technology for reducing #airborne #pathogens within room air and #HVAC systems.' @NHSEngland england.nhs.uk/long-read/applโ€ฆ Image
#InfectionControl #Healthcare #Ventilation
'A number of research studies have been carried out which indicate that measured levels of microorganisms in air are greatly reduced by air filters.' @NHSEngland #HEPA
E.g. William G. Lindsley et al
cdc.gov/mmwr/volumes/7โ€ฆ
#PortableAirCleaners
#InfectionControl
#Ventilation
'What is already known about this topic?
Ventilation systems can be supplemented with portable high efficiency particulate air (#HEPA) cleaners to reduce the number of airborne infectious particles.' William G. Lindsley et al Image
Important research: 'Removal of #Airborne Severe Acute Respiratory Syndrome Coronavirus 2 and Other Microbial Bioaerosols by Air Filtration'. @NCBI
'Application of #HEPA devices in healthcare settings: @andymoz78 et al.' @CUH_NHS
pubmed.ncbi.nlm.nih.gov/34718446/

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More from @JoePajak

Jun 23
Research shows that people in public-facing roles are infected more often and more likely to develop long COVID - hence persistent shortages in such jobs, including teachers, prison officers, health & child care workers. @SalvMattera @yaneerbaryam @TheWHN
whn.global/with-millions-โ€ฆ
'Occupational differences in the prevalence and severity of long-COVID: Analysis of the @ONS COVID-19 Infection Survey'.
'Highlights sectors and occupations where further research is needed to understand the occupational factors resulting in long-COVID.'

medrxiv.org/content/10.110โ€ฆ
@ONS 'Public facing industries, including teaching and education, social care, healthcare, civil service, retail & transport industries & occupations had highest odds ratios for long-COVID.'
Occupational differences: analysis of @ONS COVID-19 Infection Survey:
medrxiv.org/content/10.110โ€ฆ
Read 5 tweets
Jun 21
'Difficult to think of a disease, injury or infection that doesnโ€™t involve some kind of immune response: findings change the way we could control this response.'๐Ÿง‘โ€๐Ÿ”ฌ@LabListon @CamPathology et al @Cambridge_Uni @ImmunolCellBiol 1/n
โžก๏ธ
cell.com/immunity/fulltโ€ฆ
cam.ac.uk/research/news/โ€ฆ
'Most symptoms of infections such as COVID are not from the virus itself, but from the bodyโ€™s immune system attacking the virus.'๐Ÿง‘โ€๐Ÿ”ฌ@LabListon @CamPathology et al @Cambridge_Uni @ImmunolCellBiol 2/n
โžก๏ธ
cell.com/immunity/fulltโ€ฆ
cam.ac.uk/research/news/โ€ฆ
'Once the virus is past its peak, regulatory T cells should switch off the bodyโ€™s immune response, in some people the process isnโ€™t very efficient & can result in ongoing problems.'๐Ÿง‘โ€๐Ÿ”ฌ@LabListon et al @CamPathology @Cambridge_Uni 3/n
@CellPressNews
โžก๏ธcell.com/immunity/fulltโ€ฆ
Read 8 tweets
Jun 10
๐ŸŒฌ๏ธ'Children with long Covid may experience new or worsening mental health conditions or psychiatric symptoms, which can lead to behavioral problems at school, changes to eating or sleeping, and other signs associated with pediatric depression or anxiety.'
nap.nationalacademies.org/resource/27756โ€ฆ
Image
Consensus Study Report: Highlights
'Long COVID, one of many terms commonly used to refer to persistent new or worsening health effects following acute infection, manifests as hundreds of symptoms in many different body systems.'
Via @theNASEM June 5, 2024
nationalacademies.org/news/2024/06/nโ€ฆ
'Long COVID, one of many terms commonly used to refer to persistent new or worsening health effects following acute #SARSCoV2 infection, manifests as hundreds of symptoms in many different body systems.' @pvolberding @zalaly @MVGutierrezMD @hopealuko @swulfie et al., @theNASEM. Image
Read 6 tweets
Feb 29
#Breathtaking: Since 8 Aug 2023, daily number of hospital beds occupied by people suffering from COVID, in England, hasn't been less than 2,000.
29-weeks where people occupying hospital beds infected with this airborne virus averaged around 3,245.
No wonder the NHS is exhausted! Image
Source: 'COVID-19 Hospital Activity.'
@NHSEngland
england.nhs.uk/statistics/staโ€ฆ
Chart: estimated number of๐Ÿฅpatients, in England, admitted each 24 hours, where patient known to have COVID-19, plus patients diagnosed in hospital with COVID-19 in previous 24 hours [Jun 2023-23 Feb 2024].
๐Ÿค”Approx 95,000; average 355 daily.
Data source: england.nhs.uk/statistics/staโ€ฆ
Image
Read 4 tweets
Dec 3, 2023
Some 'countries neighbouring China have [reportedly] now raised their alert levels to high amid the rapid spread of the mystery strain of 'white lung pneumonia' - aiming to prevent the 'Covid-like' virus from spreading...' Report via @the mirror

mirror.co.uk/news/world-newโ€ฆ
Pneumonia:

โ€˜Pneumonia is usually caused by a bacterial or viral infection.

You can catch it from someone who has it, or you can sometimes get it if you have another infection such as flu or coronavirus (COVID-19)โ€ฆโ€™

Further information via nhs.uk/conditions/pneโ€ฆ
Image
โ€˜The Covid-like pneumonia virus has been a source of chaos in China for weeks; experts now fear a new pandemic could be on the way. Officials in other countries are preparing in case the virus spreads through their population...โ€™ Article @DailyMirror

mirror.co.uk/news/world-newโ€ฆ
Read 5 tweets
Nov 28, 2023
Ventilated, clean air, plays key role preventing spread of COVID & its impact on performance & productivity.
Repeated exposure to poor indoor air quality proven to: lead to ๐Ÿซ&๐Ÿซ€diseases, & cancer, exacerbate asthma, increase absenteeism. @JohnsHopkinsSPH
publichealth.jhu.edu/2023/regulatinโ€ฆ
'Indoor air quality can be polluted by range of sources, including mold, radon, CO2, particulate matter, chemicals in cleaning products, off-gassing from building materials and furnishings, and even outdoor air #pollution.' @ggronvall @JohnsHopkinsSPH
publichealth.jhu.edu/2023/regulatinโ€ฆ
Whatโ€™s ๐œ๐จ๐ง๐ญ๐š๐ฆ๐ข๐ง๐š๐ญ๐ข๐ง๐  our ๐ข๐ง๐๐จ๐จ๐ซ air?
'Many ๐ข๐ง๐Ÿ๐ž๐œ๐ญ๐ข๐จ๐ฎ๐ฌ diseases, including COVID, flu, RSV, and measles, spread through airborne transmission, which occurs much more easily in indoor environments.'
@JohnsHopkinsSPH @JohnsHopkins
publichealth.jhu.edu/2023/regulatinโ€ฆ
Read 5 tweets

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