Serious question:

Who owns (which specialty) owns covid, its complications, its prevention, its treatment, its long-term sequalae?

Who is doing / leading on the guideline, surveillance, prevention, treatment, and complications?

The answers are absent in the NIPCM.

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More from @EvonneTCurran

Nov 17
I continue to be disappointed in the guidance provided by national and international authorities to prevent transmission in healthcare settings...
Today its the CDC and influenza
🧵
I never like a guideline on a topic that says go somewhere else. Here the CDC has deferred to a new document. Image
The page indicates that for "different types of flu" there are different instructions. If true, this means transmission of "seasonal flu" is less important and will not get full protection... Best get that vaccine because the hosp is not applying full prevention precautions Image
Read 7 tweets
Nov 16
Since the nonsense yesterday when a public health body erroneously stated that 80% of infections diseases are spread by contact....
I promised a thread....
Lets start with the @WHO Hand hygiene guideline
@LazarusLong13
In Section 9 of WHO HH guideline the relationship of HCAI and hospital pathogens is revealed
2 assertions are made
A) Semmelweis used an antiseptic and it reduced puerperal fever.
B) Substantial evidence for hand antisepsis reducing HCAI is contained in citations 58, 179, 180 Image
Assertion A
Semmelweis did not use nor recommend an antiseptic. He recommended and used a disinfectant. Excerpt from his univ web site.
The procedure reduced PF but was intolerable & burnt HCWs' skin.
NB IS knew it was coming from the PM room and should have stopped PM visits Image
Read 12 tweets
Aug 17
Lets have some fun... How is norovirus spread?
Ok No 1 its airborne in Scotland... exhaled and inhaled! Image
Correction in the community in Scotland its airborne but in hospitals - its contact...

Q why would you only list "main routes" do you not need to defend against them all... Image
In America touching alone is going to do it... Image
Read 11 tweets
May 12
When you make a Whopper of a mistake, e.g., "airborne infections are spread by sprayed on droplets", those in charge of PH guidance should have immediately identified whether other similar errors in MoTs are present.
Consider this.
An outbreak of cryptosporidium...
1/x Image
As @UKHSA tell us (as well as all PH agencies)... its contact
Default to contact is what is accepted for most MoTs.
Now if they are wrong - then all advice on prevention is at least incomplete. So, is there evidence of airborne?
2/x Image
Well lookie here....
There appears at the least the plausibility - lets look inside
3/x Image
Read 10 tweets
May 1
Thoughts from yesterday's @KnowlexUK conference
Its not 2020. It is more akin to when harms from, the likes of "passive smoke", "lack of seat belts" & "asbestos" became undeniable - although not visible to all.

There are significant, persistent and undeniable harms.
1/6
So where are we now, and where do we ?need to be to negate the harms
[starter for 10]

2/6 Image
We will never get to where we need to be in one leap or by 1 action.
What is needed first?
Diagnose the problem and acknowledge the risks
3/6 Image
Read 7 tweets
Apr 21
No exaggeration here - this is a major article. Forget your CERN collider, here is a method for obtaining mechanistic evidence of far-afield airborne transmission. It was undertaken in a facility designed to study TB.
1/10 Image
The authors state that there should be evidence of the transmission route to inform guidance.
Could not agree more. If only...

"Unambiguous demonstration of transmission routes is important."
Yes, Yes, Yes
By the way this wont come from RCTs!
2/10 Image
For all the implausibility of other routes, and the evidence during outbreak settings there were laggards...
3/10 Image
Read 10 tweets

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