Patrick Howlett

He/him | MRC Clinical Research Fellow at @imperialcollege | Occupational lung disease and infection | Decarbonising health | ❤️🚴‍♂️🏔️ | Tweets are my own ...

[Clinical Medicine (ClinMed) @Clin_Med]

#hotoffthepress

Occupational lung disease: what the general physician needs to know 👀

Occupational exposures: a common and preventable cause of lung disease. 1/6 cases of COPD and asthma worldwide are related to work

@tweetpaddy @lungsatwork @jofeary

https://t.co/98wp2DAvJX

[ThoraxBMJ @ThoraxBMJ]

Podcast: The troubling rise of artificial stone silicosis, with Dr. Johanna Feary
▶️ Apple: https://t.co/6yFrxkEdbL
▶️ Spotify: https://t.co/MeqTSuPeEl
▶️ Web: https://t.co/o79qDqQV7I @KateDiomede @jofeary @TweetPaddy
Paper here: https://t.co/GM5Ve5vIxV

[Patrick Howlett @TweetPaddy]

Soooo much better over there

[Patrick Howlett @TweetPaddy]

For those who haven’t yet realised.

The science is much better where the sky is bluer… it’s reminiscent of Twitter 5 years - all joy of the high seas without having to negotiate floating 💩

[Patrick Howlett @TweetPaddy]

Daily reminder

[Patrick Howlett @TweetPaddy]

Daily reminder

[Patrick Howlett @TweetPaddy]

For those who haven’t yet realised.

The science is much better where the sky is bluer… it’s reminiscent of Twitter 5 years - all joy of the high seas without having to negotiate floating 💩

[The Caravan @thecaravanindia]

Choking to Death: Silica dust from India’s industries is killing its workers

Read our latest cover story by @akhileshhpandey:
https://t.co/QALdrhMvo7

[Tom Yates @tomayates]

NEW PAPER!

In this month's @WHOBulletin, a group of us from @UKAPTB have a paper calling for a platform trial to evaluate new drug resistant TB (DRTB) treatment regimens

https://t.co/B5mce2sgsB

Here is a short thread outlining some of our key arguments

[1/n]

[Patrick Howlett @TweetPaddy]

In the same week as a Doctor gets struck off for blocking traffic the Starbucks CEO starts to commute by private jet …

https://t.co/BwRMG2zoId.

https://t.co/5ZjOXQLI0K

[ThoraxBMJ @ThoraxBMJ]

Relationship between cumulative silica exposure and silicosis: a systematic review and dose-response meta-analysis @TweetPaddy
https://t.co/OpaZHZHIwb

[ThoraxBMJ @ThoraxBMJ]

Artificial stone silicosis arrives in the UK: a tragic case of history repeating
https://t.co/IivTYBGqqV

[ThoraxBMJ @ThoraxBMJ]

Artificial stone silicosis: a UK case series @lungsatwork @RobinaCoker1
https://t.co/slLa0LDfvl

[Imperial College London @imperialcollege]

Research from Dr Patrick Howlett (@TweetPaddy) and Dr Jo Feary (@jofeary) calling for a reduction to occupational silica dust limits for miners and workers, and identifying the danger presented from artificial stone highlighted in today’s media coverage including @guardian 🗞️

https://t.co/Nr6MLFtxVB

[Patrick Howlett @TweetPaddy]

Paper link here: https://t.co/LlRsox5vug

[Patrick Howlett @TweetPaddy]

Slightly longer 🧵 ...

Lots of policy globally based on narrative reviews + gov papers using opaque methods. We aimed for full transparency + up-to-date techniques (e.g. dose response meta-analysis)

[Patrick Howlett @TweetPaddy]

Our @ThoraxBMJ meta-analysis of cumulative silica exposure + silicosis risk out today!

TLDR; current UK permissible limits => high risks of silicosis esp in miners ⛏️. Halving limits would significantly reduce risk

@ImperialNHLI @ImperialMed @The_MRC @jofeary @lungsatwork

[Patrick Howlett @TweetPaddy]

Our @ThoraxBMJ meta-analysis of cumulative silica exposure + silicosis risk out today! TLDR; current UK permissible limits => high risks of silicosis esp in miners ⛏️. Halving limits would significantly reduce risk

https://t.co/LlRsox5vug

@ImperialNHLI
@ImperialMed
@jofeary

[Patrick Howlett @TweetPaddy]

**FINALLY**

We believe enough evidence to support reduction in UK permissible limits, to bring in line with US + other European countries.

Thanks to Jeffery Gan (@ImperialMed med studient!), Prof Lesosky and @jofeary for hard work

[Patrick Howlett @TweetPaddy]

**IMPORTANT CAVEAT**

Only 2 non-miners studies. There is likely huge heterogeneity in industry and dose-response relationship. See other article published today of devastating artificial stone silicosis in UK setting (https://t.co/T1RMvpN0rw)