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

London
Joined January 2011
#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 sciencedirect.com/science/ar…
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Patrick Howlett retweeted
Podcast: The troubling rise of artificial stone silicosis, with Dr. Johanna Feary ▶️ Apple: podcasts.apple.com/us/podcas… ▶️ Spotify: open.spotify.com/episode/2yB… ▶️ Web: thoraxbmj.podbean.com/e/sili… @KateDiomede @jofeary @TweetPaddy Paper here: thorax.bmj.com/content/79/10…
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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 💩
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Soooo much better over there
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Patrick Howlett retweeted
Daily reminder
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Patrick Howlett retweeted
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 💩
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Patrick Howlett retweeted
Relationship between cumulative silica exposure and silicosis: a systematic review and dose-response meta-analysis @TweetPaddy thorax.bmj.com/content/early…
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Patrick Howlett retweeted
Artificial stone silicosis arrives in the UK: a tragic case of history repeating thorax.bmj.com/content/early…
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Patrick Howlett retweeted
Artificial stone silicosis: a UK case series @lungsatwork @RobinaCoker1 thorax.bmj.com/content/early…
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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 🗞️ theguardian.com/society/arti…
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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)
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
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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 thorax.bmj.com/content/early… @ImperialNHLI @ImperialMed @jofeary
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**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 (thorax.bmj.com/content/early…)
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**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
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