I promised I would updated the Source to Infection Pathway for all HAI - it is now as it will appear in the book chapter 2 Figure 2.1

What we actually want to know... If you don't know that's fine, say so, but stop with the prolonged, intense close contact scenarios.

Still writing the book on IPC. Been through every single IPC guideline involving hands - I can find no evidence that handwashing / hand hygiene is the single most important way to prevent HAI. More soon.

@drtomlinsonep.bsky.social @evonnetcurran.bsky.social @safedavid3.bsky.social the linked job description is worth a gander. Concerning in this climate, IMO www.alliance-scotland.org.uk/blog/news/he...

V4. So I deleted the numbers and dashed the box around "land on people and surfaces" as this is an interim step before contact or further airborne dispersal.

Very important study and more evidence that #NeuroCovid can contribute to neurodegeneration and cognitive impairment. When they say 'it's all in your head', they might be trying to be dismissive, but are accidentally being very realistic. www.nature.com/articles/s41... #LongCovid #COVID

There was a mis-coloured 'n' apologies. Still calling this v3

Version 3 minor alterations to the last contact box.

The large majority of COVID deaths are attributable to specific clear instances of negligence on the part of medical leaders, made directly against the advice of the world's top scientific experts, and on the basis of an understanding of science that was out of date by nearly a century.

Useful presentation on HCID (England) www.rcp.ac.uk/media/dzujlz...

So this is a test 1 for the book... Firstly, not 'single rooms' but 'isolation rooms'. [would love to specify air quality but that is anon]. I think, repeat think, I have got who needs an Isolation Room to an algorithm of 4 questions... I'll take comments.

Sky News reporting Nottingham Hospitals reporting "critical incidents" Suggest: Need to reduce community infections to reduce demand Need to reduce staff sickness to staff wards Need to reduce HAI to reduce length of stay Need "increased winter capacity" as "winter deficiencies" are not working.

It boggles my mind that in 2026 people are still getting hospital acquired Covid. They’re still having to choose between care and Covid. They’re still having to risk their health to access medical care. We can do better than this. Clean air and respirators save lives!

Grade school health classes should spend more time talking about toilet plumes... www.nature.com/articles/s41...

Patients with gastrointestinal infections - don't forget the sniff swallow for transmission

People continue to be hospitalised and or worse and face further disability because of vaccine restrictions. This lacks empathy from our government. Please support.

I think we should change "Standard Precautions" to Never Event Infection Prevention, preventing all blood borne virus transmission & transmission from already infected people & the environment (water/air) Reasonable - not yet achievable but don't be scared to reach for excellence.

Made 1 change moved no 6 transplant / transfusion to be directly from people. to make more sense.

Just a single slide showing every way any pathogen can transmit and infect in a healthcare environment... One word descriptors wont do...

5. After a bit of digging, I managed to identify what seemed to be the source of the zombie stat. ...via this press release: www.newswise.com/articles/nee... ...I zeroed in on this grant application call: grants.nih.gov/grants/guide...

A thread. 🧵 1. First of all, what is a "zombie stat"? you may ask. Well, it's a statistic or factoid that persists in the literature despite, and possibly even because of, there being no obvious original source of its existence.

What Martin said. Independent SAGE were not cranks, not extremists, not over-reacting. #covidinquiry

Our paper, that we worked hard to produce before the second wave, estimated that 21,000 excess deaths were caused by the 1 week delay in lockdown. The paper was held up & eventually rejected by the Lancet. By the time it came out it could only offer a post mortem. journals.plos.org/plosone/arti...

To “my students and to anyone who might listen, I say: Don’t surrender to AI your ability to read, write and think when others once risked their lives and died for the freedom to do so.” www.huffpost.com/entry/histor...

Our latest blog by @evonnetcurran.bsky.social has just gone live: shh-uk.org/in-pursuit-o.... In the blog she reflects how infection prevention & control guidelines have been used & how IPC professionals need to become experts in error, prevention, detection and correction. Part 2 on Weds.

So hand hygiene cannot be no 1, can we now have a chat about all modes of transmission ? shh-uk.org/hand-hygiene...

When you accept bad things as normal and irreducible, you fail to achieve brilliance.

So lets do a thread on www.ecdc.europa.eu/sites/defaul...

Taking the data from a systematic review and using a Pareto. It can be seen preventing Bloodstream infections is C. auris control. I see not national/international guideline that includes preventing BSI. Secondly it is also airborne distributed and we are not recommending air cleaning either...

1. 'Overall, our findings raise compelling questions about the potential role of SARS-CoV-2 infection in accelerating or triggering neurodegenerative diseases linked to protein amyloidosis'. An example of such a disease is Parkinson's Disease (PD). pubs.acs.org/doi/10.1021/...

Thanks to @evonnetcurran.bsky.social for another great blog. I look forward to the day when those responsible for infection prevention and control acknowledge that covid is airborne and ensure guidelines are updated to reflect this. Read more about the changes needed: shh-uk.org/shh-uk-posit...

🚨 Want to deliver the NHS 10-Year Plan? Start with Covid protections. 🦠 Less infection = less pressure = better outcomes. 📖 Read our latest blog by our chair @alitwy.bsky.social: shh-uk.org/how-covid-pr... #SafeAir4All #CovidIsAirborne #NHS

Me again. Calling for IPC epistemic responsibility shh-uk.org/a-call-for-i...

Every so often... the idea for an essay arises?

Read about @shh-uk.bsky.social’s #SaferAir4All campaign and how you can join in here: shh-uk.org/making-the-i...

This is about people and people safety. We can do better when we are honest about the issues we face.

179 experts. 28 countries. 1 message: Long COVID is real, multi-systemic, and devastating. It affects over 400 million people. And we're not prepared. New global consensus just dropped. link.springer.com/content/pdf/10… 🧵

Persistence of dysfunctional immune response 12 months after SARS-CoV-2 infection and their relationship with pulmonary sequelae and long COVID - Respiratory Research

The admissions officer we saw at the hospital last week 'felt' that Covid vaccines are unsafe & cause Long Covid, welfare recipients are mostly lazy. Nothing to do with her catching Covid while suffering from COPD. Or welfare statistics that prove most people are in genuine need. 🤷‍♀️

This seems really important: The Australasian College of Infection Prevention and Control is advocating for the use of N95 respirators in healthcare settings. Canada? UK? US CDC? WHO? your turn. www.acipc.org.au/wp-content/u...

Patients being admitted to hospital in Texas with symptoms indicative of vitamin A toxicity- RFK jr has been promoting vitamin a and nutrition over and above vaccines to manage the measles outbreak in USA 🧪

Can we stop with the Semmelweis nonsense. He should have copied the midwives and not taken his students to the PM room (every day). The recommendation for a disinfectant akin - that burned the skin - was never a sustainable solution.

Disability advocates have been screaming for years that letting Covid spread unchecked would be devastating to the economy. It’s a mass disabling event. We can’t ignore it forever. The cost of clean air and respirators would be far less than the cost of disabling millions of people:

Watch Dr Joffe. No holds barred. ‘Twas perfect! 👌

If you’re interested in a crash course from the beginning in chronic issues with COVID I recommend this excellent interview with David Putrino. Perhaps the least well understood consequence is the damage every infection likely causes everyone, symptomatic or not. www.cbc.ca/player/play/...

Well done France! UK next please!

The 15th of March is LC Awareness Day! I acknowledge people everywhere impacted by LC, & am very grateful for the leadership of those with LC who's awareness raising is the single most important factor in finding solutions - @sickandtiredaus.bsky.social @plumskyjam.bsky.social & many others.

NEW 🧵 Is human intelligence starting to decline? Recent results from major international tests show that the average person’s capacity to process information, use reasoning and solve novel problems has been falling since around the mid 2010s What should we make of this? www.ft.com/content/a801...

Today, 15th March, is #LongCOVIDAwarenessDay We stand with the millions who suffer in silence. The cost of inaction is too great. Never let a good crisis go to waste—now is the time to demand a #longCOVID moonshot research project to find effective treatments. www.nature.com/articles/d41...