'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/

โ€ข โ€ข โ€ข

Missing some Tweet in this thread? You can try to force a refresh
ใ€€

Keep Current with Dr Joe Pajak CSci ๐Ÿ‡ช๐Ÿ‡บ ๐ŸŒฌCovid is airborne

Dr Joe Pajak CSci ๐Ÿ‡ช๐Ÿ‡บ ๐ŸŒฌCovid is airborne Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @JoePajak

May 9
Latest @Join_ZOE 5 May 2023
๐Ÿฆ 1,022,039 currently predicted to have symptomatic COVID in the UK
โœ๏ธWave, after wave, of infections, means more illness, hospitalisations, deaths, and impact of #LongCOVID.
๐—œ๐—บ๐—ฝ๐—ฟ๐—ผ๐˜ƒ๐—ฒ ๐—ถ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜๐—ถ๐—ผ๐—ป ๐—ฝ๐—ฟ๐—ฒ๐˜ƒ๐—ฒ๐—ป๐˜๐—ถ๐—ผ๐—ป ๐—ฎ๐—ป๐—ฑ ๐—ฐ๐—ผ๐—ป๐˜๐—ฟ๐—ผ๐—น. Image
'Variation' is key to the #SARSCoV2 'waves', observes @MackayIM ๐Ÿ‡ฆ๐Ÿ‡บ
'Each peak of a โ€˜waveโ€™ (a new epidemic).'
โ”Likely that new COVID-19 waves, and hospitalisations, are driven and dominated by a genetically different variant of the virus called #SARSCoV2.
'๐—ฉ๐—ถ๐—ฟ๐˜‚๐˜€๐—ฒ๐˜€ adapting to the situation, through selection and expansion of ๐˜ƒ๐—ฎ๐—ฟ๐—ถ๐—ฎ๐—ป๐˜๐˜€' - in response to our immune systemโ€™s pressure on their evolution - has been the one constant driver of every wave in ๐Ÿ‡ฆ๐Ÿ‡บ, and probably everywhere...' @MackayIM
Read 4 tweets
May 7
'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/mayโ€ฆ
Can't flick a switch and declare the pandemic over, especially one so damaging and of such scale.๐Ÿ’ฏ@SGriffin_Lab
Whether labelled global pandemic or not, many countries experiencing significant waves of infection, thousands dying every week.๐Ÿ’ฏ@SusanMichie
theguardian.com/world/2023/mayโ€ฆ
'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

theguardian.com/world/2023/mayโ€ฆ
Read 6 tweets
May 7
#SARSCoV2 'waves':
'Viruses changing their โ€˜lookโ€™ through selection and expansion of variants in response to our immune systemโ€™s pressure on their evolution has been the one constant driver of every wave in ๐Ÿ‡ฆ๐Ÿ‡บ, and probably everywhere, so far.' @MackayIM
virologydownunder.com/variation-is-kโ€ฆ Image
'Variation is key to the #SARSCoV2 'waves':
'Each peak of a โ€˜waveโ€™ (new epidemic) of COVID-19 hospitalisations has been driven and dominated by a genetically different variant of the virus called #SARSCoV2.' @MackayIM ๐Ÿ‡ฆ๐Ÿ‡บ

virologydownunder.com/variation-is-kโ€ฆ
'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 ๐Ÿ‡ฆ๐Ÿ‡บ Image
Read 13 tweets
Apr 1
๐Ÿฆ 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
#COVID reinfection can be problematic: doi.org/10.1038/s41591โ€ฆ @NatureMedicine 'Each subsequent COVID infection increases risk of developing chronic health issues like diabetes, and organ failure...' @zalaly @BCBowe @Biostayan @AmerMedicalAssn @tweetrambod
ama-assn.org/delivering-carโ€ฆ
'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
Read 11 tweets
Mar 31
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€™

ons.gov.uk/peoplepopulatiโ€ฆ
โ€˜Prevalence 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€™

ons.gov.uk/peoplepopulatiโ€ฆ
โ€˜Estimated 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 werenโ€™t explained by something else) as of 5 Mar 2023.โ€™
HT: @ONS
Read 4 tweets
Mar 15
'Doctors have a role in tackling air pollution: hereโ€™s how some are rising to the challenge.'
@WanderingSal @bmj_latest

1/n

bmj.com/content/380/bmโ€ฆ
'UKโ€™s air quality is a public health problem, particularly for childrenโ€™s respiratory health.
Outdoor exposure to air pollution contributes to 26โ€‰000 to 38โ€‰000 deaths a year in the UK'.
@WanderingSal @bmj_latest #AirPollution
#RespiratoryHealth

2/n

bmj.com/content/380/bmโ€ฆ
'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

3/n

bmj.com/content/380/bmโ€ฆ
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(