🇪🇺 Dr Joe Pajak CSci FRSC Profile picture
𝙋𝙝𝘿⚛️Physical Chemistry. NHS FT hospital governor. 🌬#SARSCoV2 is airborne: improve infection prevention and control. Émigré: https://t.co/JpqePs5w6C
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Jun 23 5 tweets 2 min read
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-… '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/10.110…
Jun 21 8 tweets 4 min read
'Difficult to think of a disease, injury or infection that doesn’t involve some kind of immune response: findings change the way we could control this response.'🧑‍🔬@LabListon @CamPathology et al @Cambridge_Uni @ImmunolCellBiol 1/n
➡️
cell.com/immunity/fullt…
cam.ac.uk/research/news/… 'Most symptoms of infections such as COVID are not from the virus itself, but from the body’s immune system attacking the virus.'🧑‍🔬@LabListon @CamPathology et al @Cambridge_Uni @ImmunolCellBiol 2/n
➡️
cell.com/immunity/fullt…
cam.ac.uk/research/news/…
Jun 10 6 tweets 3 min read
🌬️'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/27756…
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/n…
Feb 29 4 tweets 2 min read
#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/sta…
Dec 3, 2023 5 tweets 2 min read
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-new… Pneumonia:

‘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)…’

Further information via nhs.uk/conditions/pne…
Image
Nov 28, 2023 5 tweets 2 min read
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 🫁&🫀diseases, & cancer, exacerbate asthma, increase absenteeism. @JohnsHopkinsSPH
publichealth.jhu.edu/2023/regulatin… '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/regulatin…
May 9, 2023 19 tweets 22 min read
'𝗩𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻* is an important line of defence for infection control in the healthcare environment.' @NHSEngland
✍️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/appl… Image ✍️Important notice for healthcare settings:
'Application of #HEPA filter devices for air cleaning in healthcare spaces: guidance and standards.'
✍️Ventilation* is an important line of defence for infection control in the healthcare environment. @NHSEngland
england.nhs.uk/long-read/appl… Image
May 9, 2023 4 tweets 4 min read
Latest @Join_ZOE 5 May 2023
🦠1,022,039 currently predicted to have symptomatic COVID in the UK
✍️Wave, after wave, of infections, means more illness, hospitalisations, deaths, and impact of #LongCOVID.
𝗜𝗺𝗽𝗿𝗼𝘃𝗲 𝗶𝗻𝗳𝗲𝗰𝘁𝗶𝗼𝗻 𝗽𝗿𝗲𝘃𝗲𝗻𝘁𝗶𝗼𝗻 𝗮𝗻𝗱 𝗰𝗼𝗻𝘁𝗿𝗼𝗹. Image 'Variation' is key to the #SARSCoV2 'waves', observes @MackayIM 🇦🇺
'Each peak of a ‘wave’ (a new epidemic).'
❔Likely that new COVID-19 waves, and hospitalisations, are driven and dominated by a genetically different variant of the virus called #SARSCoV2.
May 7, 2023 6 tweets 6 min read
'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/may… Can't flick a switch and declare the pandemic over, especially one so damaging and of such scale.💯@SGriffin_Lab
Whether labelled global pandemic or not, many countries experiencing significant waves of infection, thousands dying every week.💯@SusanMichie
theguardian.com/world/2023/may…
May 7, 2023 13 tweets 9 min read
#SARSCoV2 'waves':
'Viruses changing their ‘look’ through selection and expansion of variants in response to our immune system’s pressure on their evolution has been the one constant driver of every wave in 🇦🇺, and probably everywhere, so far.' @MackayIM
virologydownunder.com/variation-is-k… Image 'Variation is key to the #SARSCoV2 'waves':
'Each peak of a ‘wave’ (new epidemic) of COVID-19 hospitalisations has been driven and dominated by a genetically different variant of the virus called #SARSCoV2.' @MackayIM 🇦🇺

virologydownunder.com/variation-is-k…
Apr 1, 2023 11 tweets 13 min read
🦠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/s41591… @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-car…
Mar 31, 2023 4 tweets 4 min read
#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.’

ons.gov.uk/peoplepopulati… ‘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.’

ons.gov.uk/peoplepopulati…
Mar 15, 2023 7 tweets 10 min read
'Doctors have a role in tackling air pollution: here’s how some are rising to the challenge.'
@WanderingSal @bmj_latest

1/n

bmj.com/content/380/bm… 'UK’s air quality is a public health problem, particularly for children’s respiratory health.
Outdoor exposure to air pollution contributes to 26 000 to 38 000 deaths a year in the UK'.
@WanderingSal @bmj_latest #AirPollution
#RespiratoryHealth

2/n

bmj.com/content/380/bm…
Mar 11, 2023 4 tweets 2 min read
'Daughter of a Jewish refugee, who came to the UK from Hungary in the 1930s, has delivered a letter to @GaryLineker's home – thanking him for his stance on immigration policy.'

Absolutely!

standard.co.uk/news/uk/refuge… In October 1939, Poland’s western territories were incorporated into the 3rd Reich. Oświęcim, with neighbouring settlements, became part of Bielsko District in the Katowice Division of the Silesia Province. Some of my family here imprisoned in Auschwitz.
lekcja.auschwitz.org/2019_wysiedlen…
Mar 10, 2023 7 tweets 6 min read
Coronavirus (COVID-19) Infection Survey, UK: 10 March 2023, @ONS.
Estimated number testing positive for #COVID19 [UK🇬🇧] was 1,552,700, according to latest @ONS Infection Survey, report on 10 March 2023 [for week ending 28 Feb 2023].
🚨UK govt plans to 'pause' these vital reports. Coronavirus (COVID-19) Infection Survey, UK: 10 Mar 2023, @ONS.
'In week ending 28 Feb 2023, % testing positive increased in the N. East & W. Midlands. In the E. Midlands, E. of England, and London % testing positive increased in 2 weeks up to 28 Feb 2023...' Others: 'uncertain'.
Mar 9, 2023 6 tweets 4 min read
Meanwhile, latest England Covid data were published this evening.
🏥6,288 Covid-19 patients were admitted in the last 7 days (28 Feb-6 Mar 2023).
📈Up 377 or 6.4% from the previous 7 days (21 Feb-28 Feb 2023).
📈1,039 of these patients were admitted on 6 Mar highest since 29 Dec. Image Source of this data and chart:
England Summary
'The official UK government website for data and insights on coronavirus (COVID-19).'
Last updated on Thu, 9 Mar 2023 at 5:57pm.

coronavirus.data.gov.uk
Mar 7, 2023 4 tweets 4 min read
#Covid UK latest:
🦠1,233,947 predicted current symptomatic #Covid infections @Join_ZOE.
🦠1,504,600 @ONS w/ending 21 Feb 2023
🏥Each new wave means a further wave of hospitalisations, then a wave of deaths. NHS at breaking point, those becoming unwell diverting vital services... Image #SARSCoV2 variants in analysed sequences.
Source: @OurWorldInData: UK
'The number of analysed sequences in the preceding two weeks that correspond to each variant group. This number may not reflect the complete breakdown of cases since only a fraction of all cases are sequenced.' Image
Feb 22, 2023 12 tweets 5 min read
The pandemic IS NOT over.
#SARSCoV2 continues to evolve.
What happens next?
Might the virus lose its lethal character, will it remain a serious threat - maybe evolve to become more lethal?
Ignoring the science, the evidence, the impact of peaks & troughs, would be a mistake.
1/n Bear with me, this looks like it could provide some ground-breaking detail, on an issue remarkably ignored and/or avoided by so many:
'Aerosol experts provide an account of the rejection of #aerosol science by the @WHO'. 🙏Pooja Toshniwal Paharia
2/n
news-medical.net/news/20230215/…
Feb 21, 2023 12 tweets 5 min read
'We have an irrational relationship with the air we breathe - expecting governments to tightly regulate food and water safety and to process our waste. But, perhaps because it's invisible, we don’t think about [the vital importance] of what we breathe'.⬇️
theage.com.au/national/impro… Those 'most focused on the risks the air poses to our health do things very differently' [to the majority]. Taking it seriously because it’s one of the few things we can do, and one of the most neglected as a public health tool'. @CrabbBrendan
@liammannix
theage.com.au/national/how-s…
Jan 18, 2023 16 tweets 9 min read
'Purified Air were tasked to incorporate filtration solutions into the existing #HVAC system of the Houses of Parliament to improve the indoor air quality of the building'.
HT:
purifiedair.com/case-studies/t… Purified Air 'achieved this by installing Electrostatic Precipitators (ESP) within the existing Air Handling Units. ESPs vastly improved upon indoor air quality, ensuring that airborne viruses and bacteria were kept to an absolute minimum within the space'.purifiedair.com/about-us/
Oct 23, 2022 9 tweets 7 min read
With worsening Emergency Department and ambulance waits, NHS England reported 'to have called on trusts to speed up the discharge of patients, with more than 10,000 patients who should be discharged stuck in hospital each day.' @Rebeccasmt @Independent
1/n
independent.co.uk/news/health/ho… 'Hospitals across the country have begun using a model in which patients are being moved out of A&E every 2 hours regardless of the amount of space available on trust wards'.
@Rebeccasmt @Independent
2/n
independent.co.uk/news/health/ho…