
@DLapthornei
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Passionate about public health. CEV. Retired Regional Director of Public Health. Trolls blocked. Also find me @lapdevon over on https://nitter.cf/t.co/rcIITsHAZX
South West, England
Joined May 2011
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Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
IPC are not transmission experts
There I said it
Hand contact is not the single most important mode of transmission
NIPCM England - droplets!!!
NIPCM Scotland - "through the air" correct but how does it enter to infect
The term you are afraid of is Airborne - inhaled-to-infect
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
However, IPC guidance in healthcare settings should be addressing a fundamentally different question:
ππ»How to prevent avoidable transmission within a setting containing large numbers of people, including patients who are clinically vulnerable to severe & prolonged consequences.
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
Healthcare workers are the canaries in the coal mine as theyβre exposed to COVID infections most frequently through their workplace.
A recent report revealed that 40% of healthcare workers worldwide infected with SARS-CoV-2 go on to develop Long COVID.
bmj.com/content/394/bmj-2026β¦
Invivyd and the SPEAR Study Group Announce Initiation of βFLINTLOCKβ Phase 2 Study of VYD2311, a Monoclonal Antibody for the Potential Treatment of Long COVID or Post-Vaccination Syndrome investors.invivyd.com/news-rβ¦
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
AGPs had to go but, the risk to any HCW being in close proximity to an infectious patient for a long period, with unknown room air quality e.g., providing prolonged can was/is not recognised as a significant risk and should have been/be.
Significant errors remain in the guidance
Published today
A reflection regarding Scotlandβs decision to abandon AGP (aerosol generating procedures) as a concept
About time
And the rest of the UK & more widely should follow suit!
@_andyshrimp @BJAJournals
sciencedirect.com/science/arβ¦
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
π¨Our NEW upgraded website is live - and our new style CVF newsletter launches today!
Explore our resources on cheaper private vaccines, clean air, and schools, plus reports and our Covid Inquiry work.
Visit, subscribe & share:
clinicallyvulnerable.org/?frβ¦
#ClinicallyVulnerable
Covid in England
SARS-CoV-2 Laboratory-Identified Cases notified to UKHSA under the NOIDS Health Protection Regulations - W41
Weekly data, often published prior to the UKHSA Covid Cases signal, gives an early indication of the trend in prevalence.
(UKHSA data, @gwladwr chart)
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
The Covid Inquiry M3 report recommended that:
βThe concept of AGPs ought to be AVOIDED in future iterations of IPC guidanceβ.
But, to be clear, this is NOT because AGPs are LOWER risk than previously thoughtβ¦
β¦itβs because natural coughing is HIGHER risk!
/1
Replying to @_CatintheHat
For this very reason, the Covid Inquiry concluded in their report:
βThe concept of AGPs ought to be AVOIDED in future iterations of IPC guidanceβ.
But, to be clear, this is NOT because AGPs are LOWER risk than previously thoughtβ¦
β¦itβs because coughing is HIGHER risk.
/6
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
Replying to @SFotonium
Thanks guys! πππ
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
We are proud to announce the official publication of our foundational paper in the prestigious journal Building and Environment!
π "A unified framework for global indoor air quality: transitioning from guidelines to actionable open regulatory standards"
goaqs.org/2026/10/13/go-iaqsβ¦
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
A mode of transmission should contain the source, how the pathogen is dispersed, and how it enters to infect. So for the SARS-CoV-2 virus it is...
Released during any respiratory activity, including breathing, dispersed through the air and inhaled to infect.
So bitterly disappointed in @P_H_S_Official
This is a 2026 leaflet FYI
Covid is the disease
SARS-COV-2 is the virus
The only way for entry to infect you have is hands. According to cdc a 10,000 to 1 event
It is exhaled by those infected and inhaled to infect by someone else.
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
π¨ FIVE FUNDAMENTAL IPC MISTAKES.
The COVID Inquiry exposed serious failures in infection prevention & control which had devastating consequences for healthcare workers & patients.
This 7-page analysis from Dr @alitwy & @EvonneTCurran is a must read.
shh-uk.org/five-ipc-mistakesβ¦
π¨ FIVE IPC MISTAKES. DEVASTATING CONSEQUENCES.
The UK Covid-19 Inquiry exposed serious failings in infection prevention and control (IPC) during the pandemic.
β Failure to apply the precautionary principle
β Misunderstanding how respiratory infections spread
β Inadequate respiratory protection
β Inconsistent and unclear guidance
β Failures in expertise, accountability and oversight
Healthcare workers paid a devastating price.
β οΈ Have we learnt the lessons?
Read the analysis by @EvonneTCurran and me:
shh-uk.org/five-ipc-mistakesβ¦
#SafeAir4All #CovidInquiry #InfectionPrevention #LongCovid #HealthcareWorkers
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
Replying to @Sunny_Rae1 @DeanEggitt
Sadly most of the NHS have zero interest in protecting anyone including themselves from SARS-2. Or another airborne virus. I cannot fathom it.
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
Replying to @DeanEggitt
Have you read Raina McIntyres recent publication? SARS-2 found in 80% of A&E air samples, despite meeting standard ventilation requirements. NHS Wales data shows a significant %SARS2 in pts is hospital acquired. We really need to clean the air and have mask mandates in A&E
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
I'd do this, but the last 7 years make very boring reading.
Not a cough, not a sniffle, not a sore throat, nothing.
Masks work.
Hi everyone,
@UKHSA are inviting people to join Flu Survey. Anyone can participate.
It covers covid, flu, and other respiratory disease. Your data will contribute to the weekly reports and the dashboard.
flusurvey.net/
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
TO CONCLUDE:
Hereβs the flow chart one last time β¬οΈ
When the respiratory illness is still unknown, staff are told to don a surgical mask which WONβT protect against airborne transmission.
Thatβs not a precautionary approach. Itβs a failure to protect staff until itβs too late.
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
And what about patients?
Some patients may be unable to wear a mask themselves on admission to hospital due to their condition or treatment.
As a bare minimum, why is there no equivalent right for patients to opt for a higher level of protection from staff caring for them?
/26
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
Surely adequate protection shouldnβt depend on an individual worker feeling confident enough to go against the norm?
Where the exposure risk warrants a respirator, IPC guidance should make that protection the expected practiceβ¦
β¦NOT leave it up to staff to make a choice.
/25
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
Staff opting to upgrade their protection may worry about how their colleagues will perceive them, about being seen as challenging the norm or implicitly questioning the adequacy of their colleaguesβ precautions.
This is a heavy burden to place on staff, day-in, day-out.
/24
Deb: π¬οΈπ·π¦ π COVID is airborne π¬οΈ retweeted
And a choice on paper isnβt always a choice in practice.
Healthcare workers operate within professional hierarchies & workplace norms.
A junior/temporary staff member may prefer to wear a respirator but feel uncomfortable doing so if everyone else is using a surgical mask.
/23


























