Dr Evonne T Curran NursD 💙🇺🇦 @EvonneTCurran Twitter profile

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Dr Evonne T Curran NursD 💙🇺🇦

5 years

So, it's not often you're having tea when you spot a Nobel laureate. A delightful. gentlemen. Peter Ware Higgs, theoretical physicist.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

So is this correct? The planes are not airborne because covid is airborne...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

At the dentist an alarm rings. Dentist: is that your alarm? Me: Oh yes, that's my CO2 alarm. It's over 1500 Dentist: we have bad air? Me: yes Dentist: is that why I am always tired? Puts the ventilation on (it was put in for covid) Wanted to say could be the CO2 could be long C

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

BREAKING: NHS England is to release an IPC Manual at the end of March which says COVID-19 is spread via DROPLETS SARS-CoV-2 is transmitted by aerosols (and droplets) and thus HCWs need RPE and cleaned air. Evidence of droplet-only-resp transmission DOES NOT EXIST.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

Ok you job today is to identify whether the authors have a bias against N95s "We found no evidence that the more expensive, irritating and uncomfortable N95 respirators were superior to simple surgical masks."

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Could someone tell me which scientific papers people are reading which show it will be safe (no harm done) to anyone by the removal of masks in care settings. I cannot find any. Doing it cos others are, is neither sound nor evidenced.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

3 months

There is no respiratory infection for which the most important transmission preventing action is hand washing. None.

Buckinghamshire Disability Service BuDS

@BuDs_UK

3 months

We all know that measles is spread by aerosol: it's an airborne virus. So why does the public-facing NHS advice (below) falsely say that measles is spread by 'coughs and sneezes'? A short 🧵

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Still reading the book. Amongst many brilliant lines and forensic analyses, this... "The idea that the best way to protect yourself from a virus is to get the virus is like using pregnancy as a form of contraception." 👏👏👏👏 @19joho

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

The decision-making was wrong because the situation assessments were wrong. The situation assessments were wrong because the precautions wrong. The precautions were wrong because the guidance wrong. The guidance was wrong because the modes of transmission were just made up.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I don't understand how these measures will keep children safe in schools when they do not address the primary mode of transmission - airborne.

Back to school advice issued amid high levels of flu, COVID-19 and scarlet fever

As pupils and students return to school following the Christmas break, UKHSA is reminding people that winter illnesses continue to circulate at high levels.

www.gov.uk

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Absolutely shocked by the mode of transmission error here in Scotland. Covid is airborne. You cannot control an outbreak with the wrong measures @P_H_S_Official

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

Explosion just went off at the #CovidInquiryUK Words to the effect: We just never considered the vulnerable...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

I met important people today. I made several strong arguments in support of covid being airborne. I hope I did sufficient to change minds. Here are the arguments:🧵

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

8 months

Bet those CO2 monitors and HEPAs look cheap now...

Number of long-term sick hits record high of 2.6 million

The level of illness among the population is costing lives and harming the economy, a new report has warned. An additional 491,433 people were off work due to their health in the three months to...

news.sky.com

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I am at a loss. There is removal of mitigations in hospitals with a nosocomial acquisition of 30%. The C of Practice says - all nosocomial infections should be prevented... Q: what is the goal with regard to the prevention of nosocomial of SARS2?

Health and Social Care Act 2008: code of practice on the prevention and control of infections and...

www.gov.uk

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

To all those who have not stopped trying to reduce airborne transmission using physics, engineering, statistics, contradictions in guidance, connections in data, showing a lack of legal H&S decision-making, ethics, education, truth and proposing safer decision making. Thank you

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

3 months

This is a tragedy we are allowing to unfold in our children

Dr David Berger, aBsuRdiSTe cROnickLeR

@YouAreLobbyLud

3 months

Thorough review of long covid in kids. Just published. Expect the minimisers to keep doubling down as the evidence of significant harm continues to mount. Admitting their role in the harm would lead to personal and professional annihilation.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

For clarity, no one has published any scientific evidence during this pandemic to evidence droplets as a dominant transmission mode. No one.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

10 months

It seems we have prevention programmes for many diseases, e.g. cancer / heart disease. But NONE for an infectious virus which is causing cancer and heart disease.... Could someone wake up public health

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

The best summary of 'COVID is airborne' comes from @trishgreenhalgh A mental model of the 10 reasons its airborne

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

5 months

Airborne viruses predominantly cause infection by inhalation. Not by contact. Clue is in the name, 'airborne'...

Public Health Wales

@PublicHealthW

5 months

#BeatWinterViruses with good handwashing 🧼. Airborne viruses like flu and COVID-19 linger on surfaces we touch daily. Washing your hands with soap and water for at least 30 seconds will eliminate germs before passing them on.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

Cleaning the air and masking are the best ways to prevent transmission of SARS-CoV-2 in hospitals. But we can't be bothered with evidence, so we are going to blame it on you and your hand hygiene. Stop it @NHSuk

NHS

@NHSuk

6 months

Washing your hands with soap and water is one of the easiest ways to protect yourself and others from viruses like norovirus, flu and COVID-19 - and it helps reduce pressures on healthcare services. ➡️

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

10 months

Perhaps if the head of immunisation thinks the UK can stop an airborne virus with hand washing, its time to get another spokesperson. Is this mis-prevention recommendation activity deliberate @UKHSA ? 1:10,000 according to the CDC

UK Health Security Agency

@UKHSA

10 months

Dr Mary Ramsay, Head of Immunisation at the UK Health Security Agency (UKHSA) said on this week's report 🔽

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

3 months

So I have a question @P_H_S_Official If influenza is transmitted 1 day before symptoms, how is it spread via coughs and sneezes that have yet to develop?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

16 days

Update: to include transmission in an empty room 4+hrs post the infectious occupant leaving When you have eliminated the impossible transmission routes, those that remain, however much they don't fit in to your biased paradigm, must be/include the truth. Its airborne Apols to SH

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

11 months

It does not make sense to aim to prevent MRSA bacteraemia, + MDROs, + CDI, & device related infections if the patients get COVID. The more you get COVID the more your chance of long term harm. The mortality is significant. Prevention of SARS-CoV-2 must be primary.

𝚃𝚘𝚖 𝙻𝚊𝚠𝚝𝚘𝚗 💙

@LawtonTri

1 year

Over 83,000 people with hospital-acquired Covid-19 in a year (and likely an underestimate!). Many of these will have died. For reference, c.diff reports are about 5,000 a year. MRSA bacteraemia about 1,000. These are infections that we (rightly) are working hard to prevent. 2/

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

My comments on the Cochrane mask review are up. Apparently when evaluating studies to find out if masks work you don't need to define transmission modes, or whether the mask was capable (by design and as worn) to prevent transmission...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

3 years

The Coroner, looked at the crowded assembly, directed all the windows to be opened. This caused commotion. The Coroner said that with the influenza about again an unventilated room was a death-trap. Whose Body. Dorothy L. Sayers. Ch VI 1923 @CathNoakes

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

Correct. If only you said it was airborne from the start....

World Health Organization (WHO)

@WHO

7 months

@WorldHealthSmt @DrTedros @Karl_Lauterbach @AlsisiOfficial "One of the great tragedies of #COVID19 is that none of this had to be that way. We cannot let the painful lessons of the pandemic go to waste. That is why WHO has developed a plan for a more equitable, inclusive and coherent global architecture for health emergency

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

Today I wrote to the UK's CNOs. I made 9 points in support of the argument that airborne diseases necessitate airborne precautions. The points made were as follows: 1) Droplet precautions applied globally have failed to contain this pandemic and prevent nosocomial infections

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 months

So I have a question.... Why if you cannot diagnose COVID without a test And COVID is a notifiable disease Is it possible to have a standing instruction not to test for COVID? h/t @DRTomlinsonEP

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I wrote a paper that pointed out over the past 30 years through 5 versions of guidance authors had removed all recognition that MRSA was disseminated by the air. It's been - 'air-brushed' Paper rejected yesterday. So to answer your question, I'm lost.

Lazarus Long

@LazarusLong13

1 year

Because MRSA is airborne. And looking at the other HAIs? An awful lot of other airborne pathogens lie at their root. But anywho....

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

"Prevention of SARS-CoV-2 transmission to patients with cancer should be prioritized to minimize impact on cancer treatments and maximize quality of life for individuals with cancer during the ongoing pandemic..."

SARS-CoV-2 Spike Protein Antibody Response and Infection Severity in Patients With Cancer

This cross-sectional study uses results from the National COVID Cancer Antibody Survey to evaluate whether spike protein antibody vaccine response following COVID-19 vaccination is associated with...

jamanetwork.com

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 months

There never was evidence for droplets The @WHO said it was droplets & those charged with guidance said it was droplets & still do so. Its airborne 'The NHS sold out its staff': Doctors whose lives were devastated by long COVID to sue health service

'The NHS sold out its staff': Doctors whose lives were devastated by long COVID to sue health...

Doctors have told Sky News they have been off work for more than two years, suffering severely reduced mobility and frightening symptoms such as auditory hallucinations and tremors.

news.sky.com

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

5 months

Why would you continue to put the workforce in a surgical mask which is not designed to prevent transmission by inhalation as a defence against a disease which is transmitted via the air and enters to infect via inhalation?

Dana Parish

@danaparish

5 months

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

So if its very dangerous for some, why are you not protecting them with masks in healthcare ?

NHS England

@NHSEngland

7 months

For some, flu or COVID-19 can be very dangerous and even life-threatening. Flu and COVID-19 vaccines reduce the risk of serious illness in colder months. Find out if you’re eligible and book now at or on the NHS App.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 months

Please elaborate on your plans to stop a driving force for community transmission of SARS-CoV-2 - school classrooms. If the classrooms could be better ventilated, children would not be infected so many times and they would not spread it to fellow pupils.

Department for Education

@educationgovuk

4 months

Time in the classroom is important and even small moments in a school day make a real difference to children's lives. Increases in persistent absence have been reported as a post-pandemic challenge in schools around the world. 1/5 🧵 Here’s how we're improving school attendance

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

I have now written to the Nursing and Midwifery Council to ask for an opinion as to whether the @UKHSA Is forcing HCWs to break the Code of Practice, specifically section 4 and 19. @CNOEngland @profalexmcmahon @CNOWales

Managing healthcare staff with symptoms of a respiratory infection or a positive COVID-19 test...

www.gov.uk

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

11 days

I am so bitterly disappointed in the @WHO . Enough.

Maarten De Cock

@mdc_martinus

11 days

Can someone ask @mvankerkhove to explain why @WHO Geneva Campus in spring 2020 modified their ventilation system with increased air supply, better air filtering and no recycling of air? Was it so she could safely spread this message?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

11 months

"COVID has not gone away..." Then why have you stopped the precautions? Dept of Health #CovidInquiry

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

8 months

So are we all to get infected to prevent getting infection...?

Karam Bales

@karamballes

8 months

She just told #r4today most the population will get a boost to their immunity when they come into contact with the new variant...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

Just in case people still think it's masks or lock downs It was and is the virus...

tern

@1goodtern

1 year

Did you know that the CDC says that Covid infection has an effect on the immune system? And that it's likely to increase the risk of fungal infections? Can I say a polite *fork you* to everyone who told me that Covid doesn't affect the immune system?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

Oh hang on CV people should ask visitors to - keep their distance - test pre visit - wear a mask But go to health care, share spaces with positive patients, and no masking and just put up with it Fails the DIMS test - it does not make sense Fails ethics

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 months

Thread is 140 posts long. Most important thread you'll read - possibly. It's full of science and critical thinking and it's why droplets are NOT the driver of this pandemic but aerosols. Mandatory for all in IPC. HNY.

Prof. Jose-Luis Jimenez

@jljcolorado

2 years

1/ What were the historical reasons for the resistance to recognizing airborne transmission during the COVID-19 pandemic? Our peer-reviewed open-access paper is now published:

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

Great. Can we start with the pandemic. The mental models for transmission have been done by world experts in aerosols (not IPC). Here is of @trishgreenhalgh 's evidence on the virus being airborne.

Hugo Sax

@hugo__sax

6 months

How about discussing infection prevention and control ( #ipc ) knowledge integration as a human factors and ergonomics ( #hfe ) challenge? What are the #mentalmodels needed? @WHO @allegranzib @jonotter @eliowa @ermiratartari @AysePGurses @CelineGardiol @julesstorr @a_stewardson

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Yes, Yes, Yes, Yes, Yes, Yes Standard precautions should include 'safe ventilation' to minimise far-afield airborne transmission in health and social care settings. Of course that would involve changing the guidance from droplets - lets go for it.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

7 slides showing that neither CDC nor WHO presented evidence for the existence of droplet transmission You may have seen this from the WHO most pandemic refs refer to it - note lack of evidence (its not in 5), and in the def or aerosols it says 'its not yet clear'

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

10 months

I can understand governments. I cannot understand @UKHSA , those in public health, those who write national IPC guidelines, or those who write IPC society guidelines. Speak, write, act - this is an airborne virus and airborne mitigations are needed to prevent transmission

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

10 months

In awe of @SalWitcher in the @HMcArdleHT piece Herald. People know nosocomial transmission happens. Yet, in the face of high HAI the action - stop the data. Stopping data wont stop transmission. Admit airborne, povide IAQ, resps & keep people safe. Show the data. Prep 4 winter

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 month

And here it is Appx 5. They could not agree that short-range airborne = airborne precautions because it would cost money. NOT because they don't need RPE, but because Legal, Logistic, Operational, Financial and global implications re equity & access.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

They have withdrawn masks in Scotland's Healthcare system and referred 'concerned staff' to complete a risk assessment. Lets fill out their risk assessment...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

I don't remember voting for living with any virus that is a) killing people (of all ages) b) transmitting in hospitals & care settings with lethal consequences c) resulting in so much long term sick d) harming children and their long term health prospects @UKHSA

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

9 months

There is no point trying to prevent some but not all HAIs. None. There is no point, honesty, or reality in doing QI unless you do COVD prevention. Why aren't infection prevention societies screaming? I resigned. I can't be part of an organisation allowing this.

Dr David Berger, aBsuRdiSTe cROnickLeR

@YouAreLobbyLud

9 months

Upcoming life support training. What is so striking is the effort and care we put into this, while ignoring everything we have learned about the dangers of infectious disease transmission from healthcare workers to critically ill patients. Odd, isn't it?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Here is my suggestion. Put it down. Pick up the phone to some aerosols scientists. Get them in the room, and start again. Deference to experts and expertise - IPC are not experts on aerosol physics or transmission.

Maria Van Kerkhove

@mvankerkhove

1 year

🆕 @WHO Respiratory Pathogens Pandemic Preparedness Guidance Through technical consultations with countries and partners, @WHO has led the development of the draft Respiratory Pathogens: Pandemic Preparedness Guidance👇 Draft for input (deadline 18 Dec)

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

Everyone who said it was droplets because CDC/WHO said it was (including me) and who now believes droplet only resp transmission does not exist, what have you done about it? Who have you told? Only by all sharing that we are working with a nonexistent paradigm can we change it.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 months

Is my child's school too ill for my child?

Dormouse Jessup

@JessupDormouse

4 months

Perhaps parents are (or should be) instead asking "Is the school too ill for my child"?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 years

Hands - wash them Face - cover it Distance - keep it (2m) Windows - open them Crowds - avoid them Surfaces - clean them How hard is that.....

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

So SARS-CoV-2 is in the air of Covid wards (infrequently in ICU air) but absent when the filters are turned on. Tell me how it's spread by droplet-only-respiratory-transmission @UKHSA @NHSNSS

The Removal of Airborne Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Other...

Abstract. Airborne severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was detected in a coronavirus disease 19 (COVID-19) ward before activation

academic.oup.com

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

It's neither a cold nor the flu. It's not being prevented in hospitals, or schools on national instructions. There are no treatments yet. For you today @jasonleitch

The long-term health outcomes, pathophysiological mechanisms and multidisciplinary management of...

Signal Transduction and Targeted Therapy - The long-term health outcomes, pathophysiological mechanisms and multidisciplinary management of long COVID

www.nature.com

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

One priority risk for the world is this: The people who made this level of error are still in position to do it again.

Maarten De Cock

@mdc_martinus

7 months

🧵February 7, 2020. @DrMikeRyan on the cruise ship outbreak : “Let’s be careful not to overreact..Remember, in SARS..this disease isn’t airborne..[😳]there was a great scare that this was airborne..It didn't turn out to be so.. a cruise ship is a very particular environment.”

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I promised a review @19joho “This book is fundamentally about the obligations doctors [and nurses] have when communicating with the public [and colleagues] about a deadly virus.”

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 month

Am laughing now... "The term 'through the air' is similar to waterborne, and bloodborne ..." It would be more similar if they called it 'airborne' ....

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

The CMO/CNO letter on removal of masks in Scotland was examined. The case from the CMO/CNO is shown in blue. The CMO/CNO's situational awareness assessment omitted the harms from the decision (and the benefits of the status quo) summarised here.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

Well lets start by reducing staff and patient exposure to an airborne pathogen by applying airborne precautions. BBC News - NHS struggling to open extra winter beds and fill staffing gaps

NHS struggling to open extra winter beds and fill staffing gaps

Hospitals in England warn a lack of funds means they must scale back on extra beds and recruitment.

www.bbc.co.uk

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

I think Dr Berger's question is critical for all in IPC. Because if you don't prevent the most significant preventable infection what is the point of IPC.

Dr David Berger, aBsuRdiSTe cROnickLeR

@YouAreLobbyLud

6 months

Are infection control professionals still worth having?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 years

To be Clear. Evidence based guidelines are for following. Opinion pieces from renowned scientists are for considering. Individual single papers are for noting. Tweets themselves are not evidence of anything.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

9 months

Well, that is inevitable when you apply droplet precautions to try to stop an airborne virus.

Helen McArdle

@HMcArdleHT

9 months

Covid is continuing to cause more disruption to the health service than all other infectious diseases combined (norovirus, flu, RSV etc) when in comes to sheer numbers of ward closures. That's a major headache for NHS capacity and recovery

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Let's take a look at where we are: We have normalised a pathogen that's breaking the NHS with cases. We are advocating - droplet precautions for an airborne virus. - airborne for AGPs which fails the DIMS test HAI covid is through the roof. Anyone for the engineers taking over?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

9 months

I think it is wrong to label @UKHSA 'experts' when they fail so appallingly on infection prevention and control. This is an airborne virus. Wash your hands all you like but don't expect the outcome to be sufficient to prevent cvd. Masks, ventilation yes.

Stephen Griffin

@SGriffin_Lab

9 months

"UKHSA experts recommend regular handwashing and staying away from others where possible if you have symptoms of a respiratory illness." Yes, by all means, wash hands, the second part is spot-on... but there's something missing 🙄😷😷😷😷😷😷😷😷😷😷😷😷

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

11 months

"Meanwhile, those inactive because of long-term sickness increased to a record high." ONS Everyone repeatedly getting COVID & increasingly becoming long term sick is not a viable economic strategy not a viable economic strategy not a viable economic strategy or an ethical one.

Office for National Statistics (ONS)

@ONS

11 months

Headline indicators for the UK labour market for February to April show: ▪️ employment was 76.0% ▪️ unemployment was 3.8% ▪️ economic inactivity was 21.0% ➡️

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

5 months

Reality check Just another winter virus ❌ Herd immunity ❌ Only over 65s need vaccine ❌ Droplet spread ❌ No requirement for airborne precautions in schools /hospitals❌ It will be fine next year❌ Need to regularly get infected ❌ Stop listening to the people getting it wrong

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I'll be honest, I ran out of markers. Outstanding book. Full review to follow.. @19joho

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

So not immunity debt or mask wearing then It was exposure to covid ....preventing covid and covid associated diseases, including RSV lets prevent that damage on the immune and respiratory system... for you today @jasonleitch

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 months

Its not just the @WHO have admitted AIRBORNE they have dumped droplets So 'probably droplets' must be dumped as well....😉

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

Yesterday at Inq - was hard hitting Its clear now... We followed the guidance wont do. We followed the WHO wont do. Wake up call: its still airborne, its still transmitting, its still causing serious harms and its still killing. & IPC still have guidance saying - droplets.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

Unsafe for people... Unacceptable for those who must comply with a Code of Practice

Stephen Griffin

@SGriffin_Lab

7 months

Lancashire Teaching Hospitals. Sent to all staff yesterday, staff not to test unless on Ribbelsdale (inpatient oncology) or ward 25 (renal). No-one else should test, incl outpatient oncology clinic, cancer treatment centre, and dialysis. I despair... @ShaunLintern @PMGallagher1

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 months

To be clear, it spread from the driver to the riders of the bus. It spread backwards on the bus. Airborne then. No AGPs were undertaken on the bus. Ergo, you don't need an AGP for airborne transmission in hospitals.

COVID Safety For Schools

@CovidSafetyEd

2 months

Buses can be one of the highest risk settings for spread of COVID. Here's why: 👇

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

1 It is illogical in the UK guidance to write that SARS-CoV-2 is spread via droplets, and droplet precautions are required, because the definitions used for airborne fits within the definition of droplets! There is no evidence for droplet only respiratory transmission.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

3 months

This is an outstanding thread on norovirus transmission. Faecal oral route for norovirus is a misnomer. Perhaps one for your podcasts @emrsa15 If its in the air - and it is in the air - we have to rethink prevention Source-to-infection pathway might look like this...

Lazarus Long

@LazarusLong13

1 year

#NorovirusIsAirborne . #Norovirus is airborne. 🧵 As always fomites and droplets are not ruled out.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

9 months

We don't have to keep infecting people in our hospitals and care settings with a vasculopathic, cardiopathic and neuropathic virus. There is a plan 'B' If you are a decision-maker and going with plan A, please provide evidence of safety - I cant find it. PPS if you pay staff...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

How can the biggest cause of death be - we don't have a clue....

tern

@1goodtern

1 year

Oh my word, you've probably seen this already, but this is the ONS breakdown of excess deaths in the UK... The top killer in March was... wait for it... "symptoms, signs and ill-defined conditions", which would be hilarious if it wasn't excess deaths we're talking about. 😮

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I read it This pandemic is spread via AIRBORNE TRANSMISSION Preparedness for another via AIRBORNE TRANSMISSION MUST involve Aerosol scientists Indoor Air Quality RPE This WHO doc omits all of the above It will not prepare the planet for the next one

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

7 months

So very disappointed to read this response. It begins with the statement below... I'll be honest I cant find any evidence that there is continuous reviews of the evidence but lets take a look. Where are they published; how are they done?

Clinically Vulnerable Families 💙💜💗

@cv_cev

7 months

What is the difference between a 'restriction' and a 'protection'? Today, the government responded to Clinically Vulnerable Families' petition.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 months

Come on @guardian get a grip. The evidence is not hard to find. It was not the lockdowns what did it. It was the virus that damaged the brains, immune systems and other organs, and caused repeated infections virus leading to long covid... Don't go all daily mail on cvd.

tern

@1goodtern

2 months

🚨🚨Hands down the worst piece of minimisation of the long term health effects of Covid infections I've yet seen from @guardian and @hannahdev . Genuinely awful. Please tell them how bad this is.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

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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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 months

So 20yrs post SARS1 4yrs into SARS2 We now have great definitions of airborne transmission & a risk assessment for IAQ How do we get to the bit where we have and monitor indoor air quality and prevent inhalation transmission in hospitals.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

As the author this is difficult to comprehend. It's all referenced to published peer reviewed scientific literature. The ref to the WHO preparedness doc and the absence of physics therein is there for all to see. My LinkedIn account will be deleted.

Dr Alison Twycross RN

@alitwy

1 year

@LCKNIreland @EvonneTCurran @LinkedIn And this is their response.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

10 months

Dear @ukhsa measles is airborne and hand hygiene is woefully inadequate.

David R Tomlinson 🇺🇦💙

@DRTomlinsonEP

10 months

Measles transmission is airborne, yet the best @UKHSA teams can come up with is this What about letting in some fresh air? What about face mask (preferably respirator) use? Why is the UK health security agency so weak on public health messaging towards cleaner air? @SMHopkins

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 months

why are we doing this to people?

Imperial NHS 💙

@ImperialNHS

3 months

A new study has shown that Covid‐19 may have a small, but lasting impact on people’s cognitive and memory abilities, potentially for a year or more after infection ➡️ @NHSEngland @imperialcollege @ImperialBRC [1/4]

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

I talk about covid because hosp acq covid levels are obscene and the IPC guidance is based on a misinterpretation of evidence. Covid is airborne and we need IAQ in hosps, HCWs need respirators, to prevent covid being acq in hospitals by both patients and staff.

Conor Browne

@brownecfm

1 year

1/ Hi Meaghan - I talk a lot about Covid because I genuinely believe that letting a novel coronavirus that has the potential to cause significant long-term health problems in some of those infected rip through society using only a vaccine strategy to mitigate is a bad idea.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

"Covid Risk Patient Placement" The placement of a patient in a multi-bedded area where patients or staff therein are likely to be infectious or incubating SARS-CoV-2 This is against the CQC fundamental safety standard: you must not put patients at risk of harm...

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

Can we agree what the shared mental model of this pandemic looks like?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

I think its beyond time that journals and societies are brave and start reporting the... - what we got wrong - how we got it wrong - how we are going to make sure that never happens again or are we expected to believe in unevidenced droplets forever?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Stunning piece. Read and share.

Up the line to death: covid-19 has revealed a mortal betrayal of the world’s healthcare workers -...

The covid-19 pandemic is taking a harsh toll on healthcare workers. In the Mirror newspaper on 20 January 2021: “52,000 NHS staff are off sick with covid.” [1] Over 850 [...]More...

blogs.bmj.com

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

2 years

Who do I work for re COVID? No one. I am doing it as I recommend all outbreak work is done for: patient, HCW and visitor safety. I could not stand by when COVID is clearly airborne, droplets as a mode of transmission is unsupported by evidence, & many are not allowed to say so.

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

Why test people from China if its just a cold and we are letting it rip anyway? If its to stop pressure on the NHS - NEWS - the pressure on the NHS is already huge - so why not try to stop that Does the pressure on the NHS from infections & diseases indicate - this is not a cold?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

4 months

Nonsense. Let's make seatbelt use an individual risk assessment. What about pilots using checklists? Can they do a risk assessment also.

WHO/Europe

@WHO_Europe

4 months

@hans_kluge In this context, we all need to use our own judgement when taking steps to protect ourselves, and others around us, based on an individual assessment of risk. @hans_kluge

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 year

So on the advice of @ukhsa this... Q how many people will get C19 because of this change? Q what does 'predominately immunocomp' mean? Q would you consider your relative in a hospital ward safe? Q Why did people changed with maintaining safety ok this?

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

1 month

Ok so I have a question. Are you really telling me that these cited papers provide evidence for 'direct deposition' (and not airborne) Because you know I will look up each and every one ....

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Dr Evonne T Curran NursD 💙🇺🇦

@EvonneTCurran

6 months

Its not that people got it wrong - everyone got something wrong. Its that its been 5 years and no one has put it right. In that time no one has produced evidence other than that which confirms SARS-CoV-2 is airborne. And everyone knows.

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