#Oxford AstraZeneca #vaccine Phase 3 trial EARLY results: What it means for India?
➡️ Efficacy of 62% and 90% in different dosages (early non peer reviewed results).
➡️ Early results of ongoing trials on adults in UK, Brazil and South Africa.
➡️ Stores at 2 to 8 deg C.
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➡️ Serum Institute of India (SII), Pune - One of the manufacturing partners of vaccine, will make it available in India after approvals.
➡️ Phase 3 trials in progress in India.
➡️ SII already started manufacturing the vaccine, targeting 100 million doses by Jan 2021.
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➡️ Emergency use approval based on early trial results will be for limited use of vaccine for vulnerable population - criteria being drawn up by govt.
➡️ Use for general population after more detailed trial results come in.
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➡️ Current trials limited to adults. Approval for use on those below 18 will happen after further testing.
➡️ 2 shots of vaccine required, 28 days apart.
➡️ Uses viral vector technology - weakened adenovirus containing Covid19 spike gene that triggers an immune response.
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➡️ SII CEO hinted at pricing at 250 INR/shot for govt. procurement and 1000 INR/shot for private players. Pricing is only indicative and not final.
➡️ Considering that it can be stored at 2-8C temperature, existing vaccination infrastructure can be leveraged.
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➡️ Oxford vaccine holds promise for India considering its lower price, standard storage requirement, in-country production capability, proven vaccine platform etc.
➡️ These are still early results and detailed Phase 3 results will give more details.
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➡️ Emergency use approval might be provided based on early results, but will be available for priority group. Availability for general population to start after more detailed results come in.
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Other vaccines to note:
➡️ Covaxin by Bharath Biotech/ICMR, under Phase 3 trials.
➡️ Sputnik V with 92% efficacy as per Russia, also under Phase 3 trials in India.
➡️ Covovax by Novovax in partnership with SII.
➡️ Moderna and Pfizer - No clarity on purchase agreement.
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In short:
📣 Positive news for India, but remember that vaccination of the larger population will be a time consuming process. We will have to continue depending on masks, safe distancing, hand hygiene and most importantly avoiding crowds for the next many months.
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We've shared Covid19 stories of our volunteers earlier.
In this thread, we take you through the Covid experience of a senior citizen - the mother of one of our volunteers in Hyderabad.
✅An insightful read into the ups and downs of the recovery and post recovery journey.
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1. Why did she decide to get tested? She had a fever for 2 days. Considering that she visited a hospital setting in the prior week, prompted us to eliminate any risks and get tested immediately.
2. What test was taken?
A RT PCR test and the result came in 36 hrs.
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3. What happened after the test results came? We immediately room quarantined her and contacted the GHMC helpline to know the next steps. They gave contacts of govt. doctors for consultation and also sent a Covid19 kit that was delivered the next day.
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.
State data quality matrix - Sept. '20: 4 months after we last published the data elements published by states in their Covid19 daily bulletins, we take a look at the state of data as of Sept.
Refer attached images for the matrix and ensuing thread for a brief commentary.
➡️ Change in phase of pandemic, leads to changes in reporting: Details like demographics, contact details of patients have been dropped by states that used to publish it as cases increased. Other data points like bed availability, test type breakdown etc. have been added.
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➡️ Need for a minimum national reporting standard: Still, wide variance is seen in data points reported by states. 6 months in, some states do not report critical category like breakdown by districts. Calls for a national reporting standard of minimum required data fields.
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"Initially I thought it was a normal fever, but then the symptoms intensified and I had to be hospitalised" - A thread on the Covid19 experiences of a 19 year old volunteer from Gwalior in our team.
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What symptoms did you have?
Initially I had mild fever and thought it was a regular fever. Slowly I got other symptoms like dry cough and body weakness.
When did you decide to get tested?
I started getting high fever with other symptoms. Decided to get tested after that.
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Why did you get hospitalized instead of home treatment?
My parents wanted me to stay at home and recuperate, but given my medical condition at the time of testing +ve, my doctor recommended to get hospitalized.
How many days were you hospitalized?
13 days (23/08 - 04/09)
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KA follows the unique practice of including a patient number in their bulletin. Earlier, KA used to publish individual new cases with patient no. which was useful to trace contacts from a case as well as follow through the entire patient lifecycle.
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As cases increased, KA dropped publishing individual new cases in the bulletins but continues to publish the patient numbers for recoveries and deaths. While this is non-consequential to a lay person, this unique patient identifier was very useful to analysts.
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How was the unique identifier useful?
* Helped calculate exact recovery characteristics based on demographic parameters. For eg. is duration for recovery dependent on age or symptoms?
* Helped draw a map of contact cases by interlinking primary and secondary contacts.
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