'๐ฉ๐ฒ๐ป๐๐ถ๐น๐ฎ๐๐ถ๐ผ๐ป* is an important line of defence for infection control in the healthcare environment.' @NHSEngland
โ๏ธ1,077,993 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/applโฆ
โ๏ธImportant notice for healthcare settings:
'Application of #HEPA filter devices for air cleaning in healthcare spaces: guidance and standards.'
โ๏ธVentilation* is an important line of defence for infection control in the healthcare environment. @NHSEngland england.nhs.uk/long-read/applโฆ
The current focus on #๐ฉ๐ฒ๐ป๐๐ถ๐น๐ฎ๐๐ถ๐ผ๐ป highlighted areas of ๐ต๐ถ๐ด๐ต ๐ฟ๐ถ๐๐ธ due to ๐ฝ๐ผ๐ผ๐ฟ๐น๐ ๐ฝ๐ฒ๐ฟ๐ณ๐ผ๐ฟ๐บ๐ถ๐ป๐ด and ๐ถ๐ป๐ฎ๐ฑ๐ฒ๐พ๐๐ฎ๐๐ฒ ๐๐ฒ๐ป๐๐ถ๐น๐ฎ๐๐ถ๐ผ๐ป in ๐ต๐ผ๐๐ฝ๐ถ๐๐ฎ๐น๐ and other ๐ต๐ฒ๐ฎ๐น๐๐ต๐ฐ๐ฎ๐ฟ๐ฒ ๐๐ฒ๐๐๐ถ๐ป๐ด๐. @NHSEngland england.nhs.uk/long-read/applโฆ
โ๏ธThe 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.
โ๏ธImportant to bring these facilities up to the minimum specification of current standards. @NHSEngland
#InfectionControl
'๐ฉ๐ฒ๐ป๐๐ถ๐น๐ฎ๐๐ถ๐ผ๐ป is the process by which โfreshโ 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
#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.' @NHSEnglandengland.nhs.uk/publication/spโฆ
'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
'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
#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
#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
#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
Latest @Join_ZOE 5 May 2023
๐ฆ 1,022,039 currently predicted to have symptomatic COVID in the UK
โ๏ธWave, after wave, of infections, means more illness, hospitalisations, deaths, and impact of #LongCOVID.
๐๐บ๐ฝ๐ฟ๐ผ๐๐ฒ ๐ถ๐ป๐ณ๐ฒ๐ฐ๐๐ถ๐ผ๐ป ๐ฝ๐ฟ๐ฒ๐๐ฒ๐ป๐๐ถ๐ผ๐ป ๐ฎ๐ป๐ฑ ๐ฐ๐ผ๐ป๐๐ฟ๐ผ๐น.
'Variation' is key to the #SARSCoV2 'waves', observes @MackayIM ๐ฆ๐บ
'Each peak of a โwaveโ (a new epidemic).'
โLikely that new COVID-19 waves, and hospitalisations, are driven and dominated by a genetically different variant of the virus called #SARSCoV2.
'๐ฉ๐ถ๐ฟ๐๐๐ฒ๐ adapting to the situation, through selection and expansion of ๐๐ฎ๐ฟ๐ถ๐ฎ๐ป๐๐' - in response to our immune systemโs pressure on their evolution - has been the one constant driver of every wave in ๐ฆ๐บ, and probably everywhere...' @MackayIM
'COVID-19 #PHEIC 'officially' over but the #pandemic will be with us for many years. Nor is it clear that govts have learned sufficiently from the outbreak to be ready to fight off new emerging microbes that could trigger worse calamities.' @RobinMcKie theguardian.com/world/2023/mayโฆ
Can't flick a switch and declare the pandemic over, especially one so damaging and of such scale.๐ฏ@SGriffin_Lab
Whether labelled global pandemic or not, many countries experiencing significant waves of infection, thousands dying every week.๐ฏ@SusanMichie theguardian.com/world/2023/mayโฆ
'This bittersweet [@WHO] announcement seems more a white flag than a cause for celebration. While there has been profound progress, this decision reflects the political reality of Covid more clearly than the medical situation.' @DrBenNeuman@TAMU_Biology
#SARSCoV2 'waves':
'Viruses changing their โlookโ through selection and expansion of variants in response to our immune systemโs pressure on their evolution has been the one constant driver of every wave in ๐ฆ๐บ, and probably everywhere, so far.' @MackayIM virologydownunder.com/variation-is-kโฆ
'Variation is key to the #SARSCoV2 'waves':
'Each peak of a โwaveโ (new epidemic) of COVID-19 hospitalisations has been driven and dominated by a genetically different variant of the virus called #SARSCoV2.' @MackayIM ๐ฆ๐บ
'COVID-19 hospitalisation & ICU peaks & troughs (= 'down to' 1,200 admissions) by month, Mar '20 to 14 Apr '23:
Predominating variants indicated at peaks. Every peak = a new variant, as one would expect, given epidemics = first & foremost driven by pathogen novelty.' @MackayIM ๐ฆ๐บ
๐ฆ 1,483,797 People are currently predicted to have symptomatic COVID in the UK; from @Join_ZOE Health Study reports.
Updated 1 April, 5am. @ONS should still be providing its weekly reports, without an 'early warning' system, we are unprepared for what lies ahead. #COVIDisAirborne
'Study of 5,819,264 people, [443,588 with a first infection, 40,947 with reinfection...] compared to those with no reinfection, those who had reinfection exhibited increased risks of all-cause mortality, hospitalization & several prespecified outcomes'. @zalaly@BCBowe@Biostayan
โ#LongCOVID is an emerging phenomenon that is not yet fully understood. These are Experimental Statistics. Estimates currently under development, and may change as scientific understanding of long COVID improves. @ONS advise caution when using the data.โ
โPrevalence of ongoing symptoms following coronavirus (COVID-19) infection: 30 Mar 2023.
Estimates of the prevalence of self-reported long COVID and associated activity limitation, using UK @ONS Infection Survey data covering the 4 weeks to 5 Mar 2023.โ
โEstimated 1.9 million people living in private households in the UK experiencing self-reported #LongCOVID (symptoms continuing for >4 weeks after first confirmed or suspected coronavirus (COVID-19) infection that werenโt explained by something else) as of 5 Mar 2023.โ
HT: @ONS
'UKโs air quality is a public health problem, particularly for childrenโs respiratory health.
Outdoor exposure to air pollution contributes to 26โ000 to 38โ000 deaths a year in the UK'. @WanderingSal@bmj_latest#AirPollution #RespiratoryHealth
'Outdoor exposure to air pollution contributes to 26,000 to 38,000 deaths a year in the UK - and has been shown to increase the risks of heart disease, heart attacks, cancer, and strokes.' @WanderingSal@bmj_latest@asthmalunguk #AirPollution