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Oct 3, 2020 12 tweets 3 min read Read on X
A doctor in our team discusses the long term health impacts of Covid19 in this must read thread.
It is important to understand and acknowledge that one might continue to experience some discomfort even after recovery and priorotise post recovery care. Read on to know more.

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Almost every recovered patient will have a degree of fatigue. Most will start feeling better within 10-15 days of being diagnosed, while a few might take around 2-3months to get back to their old levels of vitality.
Nutrition plays a key role in this recovery.

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Patients should maintain a balanced diet with proteins, carbohydrates, fats and micronutrients. The body needs to replenish them after a prolonged illness. Many will have reduced appetite, but should still maintain a healthy diet. Consider food to be part of treatment.

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Joint and muscle pains are common during recovery. Those with prior autoimmune conditions like rheumatoid arthritis etc should be watchful for flare-ups. Use ice packs/pain medication as needed. Ensure to get persistent joint swelling/pain looked at by a competent doctor

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Any patients who suffer from pre-existing conditions like asthma, type 2 diabetes, heart failure, kidney disease, etc will have a longer road to recovery and should maintain follow-up with their treating physician to monitor for any serious complications.

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Particular attention/care should be taken with the elderly as well. A prolonged illness like Covid-19 can cause frailty in older patients. Mild to moderate physical activity and social interactions should be encouraged, they play a huge role in ensuring their well-being.

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Children and rarely adults may get rashes or other skin manifestations. As they can be a sign of other complications, these kinds of rashes should not be ignored and should immediately be shown to a doctor.

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Many patients may suffer from anxiety, depression or similar conditions. They should be given a supportive environment to express themselves and share their thoughts with other people. Many phone helplines and online support forums also exist for patients seeking such help.

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Exercise plays another key role in assisting recovery. Patients on the path to recovery should start exercising to the best of their ability.
Consider this as physiotherapy, however, and not your regular gym routine. Start out slow, and take small, slow increments.

9/12
Walking, stretching, yoga and isometric exercises should be done by every patient to the best of their capacity.
Any avid gym goers should take things slow and gradually ramp back up to their regular routine.

10/12
The GoI, in consultation with AIIMS and the AYUSH ministry has advised supplements like Ayush Kwath, giloy powder, ashwagandha, amla and chyawanprash. These traditional medicines can provide a boost to immunity and cognition, and may be taken as per the advice of the MoHFW

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As with any other disease, a period of convalescence is required even after discharge from the hospital. It is suggested that patients take things easy for 15 days, relax and let the body recover.

#carebeyonddischarge

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More from @covid19indiaorg

Oct 30, 2021
What will happen to covid19india.org after October 31st? Some pointers:

* There will be no data updates from 1st Nov, 2021 (sigh!).

* The website will be up and available for referencing past data.

* The website/operations are not being handed over to any group.

1/4
* Our team will wind down and we will be limiting our interactions on email and twitter. We will monitor communications occassionally and will try to respond to critical messages.

* With minimal involvement, we are constrained to respond to requests for interviews/talks.

2/4
* Why don't you convert the website to track broader health data?

This is an audacious goal, but our team is not invested into public health. Our work is open sourced. Groups with interest in public health can utilise our code to build broader public health data platforms.

3/4
Read 4 tweets
Jun 15, 2021
Vaccines protect.

Latest data from @PHE_uk on vaccine efficacy (VE) against HOSPITALISATION for the Delta variant.

VE for Covishield against hospitalisation:

✅ After 1 dose: 71%
✅ After 2 doses: 92%

❓Wasn't the reported efficacy lower against Delta? What has changed?

1/4
Vaccine efficacy can be measured against different endpoints. There can be efficacy against hospitalisation, against death, against symptomatic infection etc.

Earlier studies from the UK, had reported VE against SYMPTOMATIC INFECTION.

This is VE against hospitalisation.

2/4
Putting both these studies together:

VE for Covishield towards Delta variant:

✅ After 1 dose:
📌 Against symptomatic infection: 33%
📌 Against hospitalisation: 71%

✅ After 2 doses:
📌Against symptomatic infection: 60%
📌 Against hospitalisation: 92%

3/4
Read 6 tweets
Jun 10, 2021
9th June - A day marked by major reconciliation of deceased cases by a large state.

➡️ Delayed data is better than no data. Reconciliations should be encouraged, not shunned.

➡️ A reminder that the actual cases are very different from what is reported.

1/4 Image
➡️ Our Covid19 data reporting is not standardized across states.

Few states provide details of individual deaths while most states report just cumulative figures. Why this difference?

How long till we have a detailed and common reporting format adopted across states?

2/4
➡️ Given the nature of our 2nd wave, it is expected that reporting of cases, especially deaths would have been missed out.

Few states that publish details of deaths have been reporting backdated data for many weeks and this is expected.

3/4
Read 4 tweets
Jun 4, 2021
On breakthrough infections, vaccines and gap between doses:

A correspondence published in NEJM on 2nd June, details a study on breakthrough infections with a large cohort of 7000+ healthcare workers in a tertiary hospital in India.

nejm.org/doi/full/10.10…

1/n
7000+ received the first dose and 3600+ of them subsequently got the 2nd dose.
Vaccine administered was Covishield.
An additional 5000+ were not vaccinated.

Study period: Jan-Apr 2021.

📌 506 HCWs tested +ve during the study, of which 64% were unvaccinated.

2/n
📌 Of the 7000+ HCWs that got the 1st dose, only 2.6% of them tested positive.
📌 3600+ HCWs got both doses and 2% of them tested positive.
📌 Breakthrough infection, measured as those testing positive 14 days after both doses stood at 1.6%.

3/n
Read 13 tweets
Jun 4, 2021
Have questions on Covid19 recovery?
We answer the most important ones in this master thread. #stayaware

❓Is a #Covid test required to confirm recovery?

If you do not have any symptoms 14 days after confirmation of Covid, a repeat test IS NOT required.

1/n
❓When can I consider myself recovered from Covid?

➡️ 14 days after date of test.
➡️ 3 consecutive days of no symptoms.
➡️ If you had severe symptoms, consult your doctor for discharge criteria.
➡️ No need for a repeat RTPCR test.

2/n
❓Do I need to continue wearing masks inside my home after recovery?

No. One does not generally transmit the virus after Day 10 of infection. After 14 days of room quarantine, there is no need to wear a #mask inside the house.

3/n
Read 15 tweets
Jun 3, 2021
A quick overview of Biological E.'s Covid vaccine:

✅ Vaccine platform: Protein Subunit.
✅ Number of doses: 2 doses
✅ Gap between doses: 28 days*
✅ Current status: Completed Phase 1 and 2 trials. Got approval for Phase 3 trials in April 2021.

*As per clinical trials.

1/n
✅ Partnership: Antigen developed by Texas Children's Hospital for Vaccine Development and Baylor College of Medicine. Adjuvant supplied by Dynavax Technologies (US).

✅ Proven platform used for Hepatitis B vaccine. Novavax vaccine also uses subunit technology.

2/n
✅ What is a protein subunit vaccine?
It consists of specific parts of the SARS-Cov-2 antigen that are synthesized and harvested in a medium like yeast. The proteins themselves elicit weak immune response and they need an adjuvant added to augment the immune response.

3/n
Read 6 tweets

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