1- Dear public health colleagues @petermbenglish @doctorshaib @DPH_MAshton @BWDDPH @AbdulRazaq_PH @felly500 @Smithkjj @FurberA @andrewleedr @ADMBriggs @Dr2NisreenAlwan
@ProfKevinFenton @ADPHUK @drtimallison @devisridhar do you agree with me that ...... https://twitter.com/FurberA/status/1312281276116799488">https://twitter.com/FurberA/s...
2- do you agree that Public messaging should also include
-importance of ventialtion
in addition to
-social distancing
-hand hygiene
-face covering

because...
@trishgreenhalgh @KailashChandOBE @docjon55
@surashsurash @BrennanSurgeon @NikkiKF @drpshukla @BMJLeader @raj_psyc
3- because there is now increasing evidence of airborne transmission of COVID19 virus like https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten">

@chrischirp @DrOKaneAgain @trentconsultant @mikejkemp @anilkjain61 @thomasdolphin @smileywalshey @Vish_Sharm @blmdh1 @MunchkinDr @aakochhar @DrIainKennedy https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm?s_cid=mm6919e6_w">https://www.cdc.gov/mmwr/volu...
High SARS-CoV-2 Attack Rate Following Exposure at a Choir Practice ...

On March 17, 2020, a member of a Skagit County, Washington, choir informed Skagit County Public Health (SCPH) that several members of the 122-member choir had become ill.

https://www.cdc.gov/mmwr/volumes/69/wr/mm6919e6.htm?s_cid=mm6919e6_w
4- because there is now increasing evidence of airborne transmission of COVID19 virus like https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten">

@ashwin_endo @NickyHay4Blog @ParagSinghal09 @ShafiAhmed5 @BIDAUK @Muslimdoctors @BAPIOUK @appne_official @APPSUK @blacksurgeons @IsabelStrawMD @AskJeevesWij https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2770172">https://jamanetwork.com/journals/...
Community Outbreak Investigation of SARS-CoV-2 Transmission Among Bus Riders in Eastern China

This cohort study examines the potential for airborne spread of COVID-19 through investigation of an outbreak among bus riders in Eastern China.

https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2770172
5- because there is now increasing evidence of airborne transmission of COVID19 virus like https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten">

@Prerana_Issar @helenbevan @BoEscritt @SeacoleG @BeingMo @AndrewLotery @NHSBME @rogerkline @IanAPearce @CMO_England @gmenon1423 @SherazDaya @Duaharminder https://wwwnc.cdc.gov/eid/article/26/11/20-3299_article">https://wwwnc.cdc.gov/eid/artic...
Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 During Long Flight

To assess the role of in-flight transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), we investigated a cluster of cases among...

https://wwwnc.cdc.gov/eid/article/26/11/20-3299_article
6- If you still are not convinced by the above evidence than see https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten"> study

where viable (infectious) SARS-CoV-2 was present in aerosols within the hospital room of COVID-19 patients
in the absence of health-care aerosol-generating procedures

@CNagpaul https://www.ijidonline.com/article/S1201-9712(20)30739-6/fulltext">https://www.ijidonline.com/article/S...
Viable SARS-CoV-2 in the air of a hospital room with COVID-19 patients

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), genus Betacoronavirus, subgenus Sarbecovirus, family Coronaviridae, is a positive-polarity single-stranded RNA virus that probably...

https://www.ijidonline.com/article/S1201-9712(20)30739-6/fulltext
7-The air transmission issue should be taken seriously now, during the course of the epidemic.

When the epidemic is over and retrospective data demonstrates the importance of airborne transmission it will be too late

@DrUmeshPrabhu @BrennanSurgeon @PeaPeaspot @terry_moran1
8- See below the death rate in Japan compared with other countries including UK

What is the reason for this stark difference https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤔" title="Denkendes Gesicht" aria-label="Emoji: Denkendes Gesicht">- do we know

maybe the reason is

read on.....

@JaneRockHouse @ainajkhan @inzyrashid @BINA_UK @monikaplaha @BeingMo @AmaraSophia @darshnasoni
9- see https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten">public health messaging in Japan

do we notice the difference from UK public messaging?

what is the number one thing public is reminded to do in Japan?

@ParagSinghal09 @ghanchif @DrTedros @The_Eye_Doctor @RCOphthPres @drmamalkera @meenalsworld @UPSIGN_Network @eveosh
10- the number one thing public is reminded to do in Japan is
& #39;avoid closed spaces with poor ventilation& #39;

see https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇" title="Rückhand Zeigefinger nach unten" aria-label="Emoji: Rückhand Zeigefinger nach unten"> another public messaging in Japan. Note the date March 1 2020 public is being told to
& #39;Avoid gathering in groups with poor ventilation& #39;

@MrTimLane @BMA_Consultants
11- We in UK have been behind the curve all through this Pandemic

but now please https://abs.twimg.com/emoji/v2/... draggable="false" alt="🙏" title="Folded hands" aria-label="Emoji: Folded hands"> accept the fact of airborne transmission & add importance of & #39;ventilation& #39; to public messaging

@The_Eye_Doctor @AliRacaniere @drtariq_ie @jsbamrah @SimonTavabie @ahmedhankir @kamleshkhunti
12- I am just a simple eye doc so if any of my more learned colleagues think my interpretation of evdience is wrong please correct me

however if you think I am right

than please tell me why still in UK I am not hearing imp of & #39;ventilation& #39; in any of public health messaging
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