Evonne T Curran
@evonnetcurran.bsky.social
Spent a career in IPC. Now just wanting IPC guidance to acknowledge the evident mode of transmission for SARS-CoV-2 and other respiratory pathogens - airborne.
Without good guidance there is no person safety.
Doctor of Nursing.
Without good guidance there is no person safety.
Doctor of Nursing.
Rapid infection control will only work if it is targeted on how transmission arises.
So off to find how transmission happens
I can't find it...
So off to find how transmission happens
I can't find it...
September 11, 2025 at 10:07 AM
Rapid infection control will only work if it is targeted on how transmission arises.
So off to find how transmission happens
I can't find it...
So off to find how transmission happens
I can't find it...
Critical intelligence here!
It says either HCWs are not following guidance or the guidance is ineffective at preventing transmission and infections.... I am for the latter.
It says either HCWs are not following guidance or the guidance is ineffective at preventing transmission and infections.... I am for the latter.
September 11, 2025 at 10:07 AM
Critical intelligence here!
It says either HCWs are not following guidance or the guidance is ineffective at preventing transmission and infections.... I am for the latter.
It says either HCWs are not following guidance or the guidance is ineffective at preventing transmission and infections.... I am for the latter.
This is a single celled fungi. It has no ability to cause outbreaks - its not a general with complex battle plans ready to invade. IT IS US who provide the perfect niches - the ICU is an agar plate promotes transmission and enables proliferation on invasive devices and various liquids...
September 11, 2025 at 10:07 AM
This is a single celled fungi. It has no ability to cause outbreaks - its not a general with complex battle plans ready to invade. IT IS US who provide the perfect niches - the ICU is an agar plate promotes transmission and enables proliferation on invasive devices and various liquids...
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...
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...
September 11, 2025 at 9:51 AM
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...
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...
Every so often... the idea for an essay arises?
June 10, 2025 at 12:48 PM
Every so often... the idea for an essay arises?
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.
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.
March 27, 2025 at 8:07 AM
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.
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.
The Truly Courageous Blog accepts it will take truly courageous steps to admit errors. But the health of so many is dependent on these courageous steps.
The population, specifically HCWs, cannot afford to be made more sick because decision makers cannot admit their errors.
The population, specifically HCWs, cannot afford to be made more sick because decision makers cannot admit their errors.
March 11, 2025 at 1:55 PM
The Truly Courageous Blog accepts it will take truly courageous steps to admit errors. But the health of so many is dependent on these courageous steps.
The population, specifically HCWs, cannot afford to be made more sick because decision makers cannot admit their errors.
The population, specifically HCWs, cannot afford to be made more sick because decision makers cannot admit their errors.
No 5 in the Truly Courageous Blog
Last for just now. Don't make a decision based on whether or not you like the outcome...
More soon.
Last for just now. Don't make a decision based on whether or not you like the outcome...
More soon.
March 11, 2025 at 1:49 PM
No 5 in the Truly Courageous Blog
Last for just now. Don't make a decision based on whether or not you like the outcome...
More soon.
Last for just now. Don't make a decision based on whether or not you like the outcome...
More soon.
Step 4 in the Truly Courageous blog
IPC have to answer 'How' questions with mechanistic evidence (ME) to use RCTs would be inappropriate.
Many things in IPC were discovered by ME
How surgical infections happened
The best ventilation for theatres
How pathogens spread.....
IPC have to answer 'How' questions with mechanistic evidence (ME) to use RCTs would be inappropriate.
Many things in IPC were discovered by ME
How surgical infections happened
The best ventilation for theatres
How pathogens spread.....
March 11, 2025 at 1:41 PM
Step 4 in the Truly Courageous blog
IPC have to answer 'How' questions with mechanistic evidence (ME) to use RCTs would be inappropriate.
Many things in IPC were discovered by ME
How surgical infections happened
The best ventilation for theatres
How pathogens spread.....
IPC have to answer 'How' questions with mechanistic evidence (ME) to use RCTs would be inappropriate.
Many things in IPC were discovered by ME
How surgical infections happened
The best ventilation for theatres
How pathogens spread.....
Step 3 in the Truly Courageous blog
Acknowledge where risk is highest for HCWs.
IPC guidance considers high-risk = AGPs
The highest risk is to people caring for infectious, symptomatic people in close range.
For goodness sake give the most exposed RPE.
Acknowledge where risk is highest for HCWs.
IPC guidance considers high-risk = AGPs
The highest risk is to people caring for infectious, symptomatic people in close range.
For goodness sake give the most exposed RPE.
March 11, 2025 at 1:35 PM
Step 3 in the Truly Courageous blog
Acknowledge where risk is highest for HCWs.
IPC guidance considers high-risk = AGPs
The highest risk is to people caring for infectious, symptomatic people in close range.
For goodness sake give the most exposed RPE.
Acknowledge where risk is highest for HCWs.
IPC guidance considers high-risk = AGPs
The highest risk is to people caring for infectious, symptomatic people in close range.
For goodness sake give the most exposed RPE.
Step 2 in the Truly Courageous blog
Admit AGPs did not & do not turn droplet or sprayed on transmission to mucous membranes into airborne (inhaled infections)
The whole of 2 NIPCMs (England & Scotland) is written based on this nonsense. Droplets unless AGPs is make-believe.
Admit AGPs did not & do not turn droplet or sprayed on transmission to mucous membranes into airborne (inhaled infections)
The whole of 2 NIPCMs (England & Scotland) is written based on this nonsense. Droplets unless AGPs is make-believe.
March 11, 2025 at 1:26 PM
Step 2 in the Truly Courageous blog
Admit AGPs did not & do not turn droplet or sprayed on transmission to mucous membranes into airborne (inhaled infections)
The whole of 2 NIPCMs (England & Scotland) is written based on this nonsense. Droplets unless AGPs is make-believe.
Admit AGPs did not & do not turn droplet or sprayed on transmission to mucous membranes into airborne (inhaled infections)
The whole of 2 NIPCMs (England & Scotland) is written based on this nonsense. Droplets unless AGPs is make-believe.
So here is the blog in bits for @alitwy.bsky.social found at shh-uk.org/enough-of-th...
🙋♀️🙋🙋♂️
Truly Courageous Step 1 for decision-makers
Admit its airborne
🙋♀️🙋🙋♂️
Truly Courageous Step 1 for decision-makers
Admit its airborne
March 11, 2025 at 1:16 PM
So here is the blog in bits for @alitwy.bsky.social found at shh-uk.org/enough-of-th...
🙋♀️🙋🙋♂️
Truly Courageous Step 1 for decision-makers
Admit its airborne
🙋♀️🙋🙋♂️
Truly Courageous Step 1 for decision-makers
Admit its airborne
IPC guidance needs answers to HOW questions before intervention effectiveness Qs, i.e., HOW TRANSMISSION HAPPENS
1) How does MRSA, or SARS2, or CDI transmit?
The answer will/must/can only involve mechanistic evidence.
This is why IPC guidance was & is wrong
There were/are no HOW Qs#
1) How does MRSA, or SARS2, or CDI transmit?
The answer will/must/can only involve mechanistic evidence.
This is why IPC guidance was & is wrong
There were/are no HOW Qs#
March 3, 2025 at 7:32 AM
IPC guidance needs answers to HOW questions before intervention effectiveness Qs, i.e., HOW TRANSMISSION HAPPENS
1) How does MRSA, or SARS2, or CDI transmit?
The answer will/must/can only involve mechanistic evidence.
This is why IPC guidance was & is wrong
There were/are no HOW Qs#
1) How does MRSA, or SARS2, or CDI transmit?
The answer will/must/can only involve mechanistic evidence.
This is why IPC guidance was & is wrong
There were/are no HOW Qs#
Finally please tell me you are not recommending they hose down vehicles, because I cannot think of a better way to spread it to humans
January 27, 2025 at 5:01 PM
Finally please tell me you are not recommending they hose down vehicles, because I cannot think of a better way to spread it to humans
From @ukhsa.bsky.social and their robust systems
January 27, 2025 at 5:01 PM
From @ukhsa.bsky.social and their robust systems
And from the NHS its not airborne
January 27, 2025 at 5:01 PM
And from the NHS its not airborne
ECDC seems to have written in code. But there is only one way down that respiratory tract - inhalation
January 27, 2025 at 5:01 PM
ECDC seems to have written in code. But there is only one way down that respiratory tract - inhalation
Well for the HSE its just direct contact...
January 27, 2025 at 5:01 PM
Well for the HSE its just direct contact...
From Canada
Or is inhaled
Or is inhaled
January 27, 2025 at 5:01 PM
From Canada
Or is inhaled
Or is inhaled
This is a serious thread.
@UKHSA say they have robust systems for avian influenza prevention. However something is awry. It appears that in Europe (mainland), the US and Canada, airborne transmission is accepted. But not in the UK. First the CDC "or is inhaled"
@UKHSA say they have robust systems for avian influenza prevention. However something is awry. It appears that in Europe (mainland), the US and Canada, airborne transmission is accepted. But not in the UK. First the CDC "or is inhaled"
January 27, 2025 at 5:01 PM
This is a serious thread.
@UKHSA say they have robust systems for avian influenza prevention. However something is awry. It appears that in Europe (mainland), the US and Canada, airborne transmission is accepted. But not in the UK. First the CDC "or is inhaled"
@UKHSA say they have robust systems for avian influenza prevention. However something is awry. It appears that in Europe (mainland), the US and Canada, airborne transmission is accepted. But not in the UK. First the CDC "or is inhaled"
No No No. Semmelweis did not propose "simple hand washing". His procedure burned the skin.
Stop blaming the HCWs for not following him - it was akin to paint stripper & would NEVER be allowed today
4-yrs before OWH had recommended no PMs & women attending in labour semmelweis.hu/english/abou...
Stop blaming the HCWs for not following him - it was akin to paint stripper & would NEVER be allowed today
4-yrs before OWH had recommended no PMs & women attending in labour semmelweis.hu/english/abou...
January 27, 2025 at 8:35 AM
No No No. Semmelweis did not propose "simple hand washing". His procedure burned the skin.
Stop blaming the HCWs for not following him - it was akin to paint stripper & would NEVER be allowed today
4-yrs before OWH had recommended no PMs & women attending in labour semmelweis.hu/english/abou...
Stop blaming the HCWs for not following him - it was akin to paint stripper & would NEVER be allowed today
4-yrs before OWH had recommended no PMs & women attending in labour semmelweis.hu/english/abou...
Bagshawe et al 1978
Love this paper / series
Never mind the single most important means to prevent infection... - this. pubmed.ncbi.nlm.nih.gov/698615/
Love this paper / series
Never mind the single most important means to prevent infection... - this. pubmed.ncbi.nlm.nih.gov/698615/
January 27, 2025 at 6:26 AM
Bagshawe et al 1978
Love this paper / series
Never mind the single most important means to prevent infection... - this. pubmed.ncbi.nlm.nih.gov/698615/
Love this paper / series
Never mind the single most important means to prevent infection... - this. pubmed.ncbi.nlm.nih.gov/698615/
So in chapter 3.... Standard Precautions...
I have separated out the environment must have / consist of... and just put the HCWs actions for the basics of safety for all to prevent HCAIs, not just reduce the risk from recognised and unrecognised sources....
Ok its draft 1 - but it is on 1 page
I have separated out the environment must have / consist of... and just put the HCWs actions for the basics of safety for all to prevent HCAIs, not just reduce the risk from recognised and unrecognised sources....
Ok its draft 1 - but it is on 1 page
January 18, 2025 at 3:48 PM
So in chapter 3.... Standard Precautions...
I have separated out the environment must have / consist of... and just put the HCWs actions for the basics of safety for all to prevent HCAIs, not just reduce the risk from recognised and unrecognised sources....
Ok its draft 1 - but it is on 1 page
I have separated out the environment must have / consist of... and just put the HCWs actions for the basics of safety for all to prevent HCAIs, not just reduce the risk from recognised and unrecognised sources....
Ok its draft 1 - but it is on 1 page