So, here's an opinion piece from @WSJopinion.

"A Global Covid Vaccine Heist"

A thread.

wsj.com/articles/a-glo…

1/n
Some background: Many LMIC member nations, including India, South Africa, are bidding the @wto to waive certain Patent Protections on the @pfizer and @moderna_tx vaccines so that they can manufacture the generic versions of the vaccines on their own for wider distribution.

2/n
This is what @WSJ @WSJopinion has to say about it:

"It’s not clear developing countries even have the ability to manufacture large-scale, complex technologies like Moderna’s mRNA vaccine or Eli Lilly’s monoclonal antibody cocktail—let alone distribute them."

3/n
As @realtahiramin points out in his thread, while WSJ is basking in some unfounded superiority complex, concerned more with "Proprietary Knowledge"; here's a look at what India, as a "developing LMIC nation" has achieved in and contributed to science and tech.

4/n
1. Shantha Biotechnics produced cheaper recombinant vaccines ($1/dose) - at a time when @Merck and @GSK had the monopoly in vaccine tech ($23/dose) - which eventually facilitated low-cost mass vaccination through @UNICEFIndia.



5/n
2. Tamiflu - India rapidly amassed generic stockpiles of the @GileadSciences drug Tamiflu during the Avian Flu crisis.



6/n
India has steadily been rising the ranks, becoming a major driving force in Global Pharma and Biotech.

India is the world's largest provider of generic medicines, with a projected Pharma market value of $76.7 bn by 2024.

Source: @CPhIWW bit.ly/3o3m9gr
7/n
The 2019 @CPhIWW Global Pharma Index Report projects substantial growth in competitiveness and market potential for India.

India is the only LMIC member nation to feature in the list of top global pharma players USA, UK, Canada, etc.

pmlive.com/pharma_intelli…

8/n
But WSJ seems to believe that none of the LMIC nations, including India, have the intellectual know-how or the infrastructure to match tech giants like the USA and Europe.

Maybe they need a history lesson to jog their memory and remind them of India's prowess across fields.

9/n
➡️Maths/Physics

> Aryabhata - Zero, Value of Pi
> SN Bose - The Bose-Einstein statistics Bose-Einstein Condensate
> CV Raman - The Raman Effect - 1st Asian to win a Nobel Prize in any field of science.
> S. Ramanujan - Mathematical analysis, Number Theory, Infinite Series

10/n
➡️NUCLEAR PROGRAM

Despite opposition from all quarters of the world, India, under the leadership of Homi J Bhabha, independently developed a comprehensive nuclear program and conducted nuclear tests at Pokhran twice:
1974 (Operation Smiling Buddha)
1998 (Operation Shakti)

11/n
➡️Space Program

>Chandrayaan-1 - $54 million
>Mangalyaan - $73 million
>Chandrayaan-2 - $141 million

All of this with indigenous tech and innovation; and at a fraction of the costs of other international space missions. Hollywood movies cost more than ISRO's missions.

12/n
➡️ The White Revolution/Operation Flood

>Led by Dr. Kurien from Anand, a small town in rural Gujarat, 1970
>Turned India from a milk deficient country to the largest producer of milk in the world
>Employment for millions of rural men and women

nddb.coop/about/genesis/…

13/n
1998 World Bank report - "of the Rs 200 crore the World Bank invested in Operation Flood, the net return on India's rural economy was a massive Rs 24,000 crore each year over a period of 10 years to which no other dairy programme has ever matched."

drkurien.com/white_revoluti…

14/n
➡️The Green Revolution

>Agricultural revolution in India in the 1960s led by MS Swaminathan
>Turned India from an importer of agricultural products to an independent self-sufficient producer
>Use of HYV seeds, mechanized agriculture, better fertilizers, irrigation systems.

15/n
>The Green Revolution in India was led by Dr. MS Swaminathan.
>It is a matter of great pride for the nation that his daughter, Dr. Soumya Swaminathan @doctorsoumya is currently the Chief Scientist at WHO.

16/n
More revolutions?

➡️Blue - India - World’s second-largest producer of fish with exports worth >INR 47,000 crore
➡️Pink - The Indian poultry industry is worth >$700 billion
➡️Golden - India is the 2nd-largest producer of vegetables and fruits in the world, after China.

17/n
Bored?

Alright, fine. Let's come back to Healthcare.

Healthcare in LMIC nations thrives on central health programmes and initiatives to reach the target of Universal Health Coverage, along with boosting innovative and adaptive technologies.

18/n
Apart from Pharma and Biotech, India is seeing exemplary growth in the Medical Devices sector, with the 4th largest market in Asia and amongst the top 20 in the world.

investindia.gov.in/sector/medical…

19/n
➡️AYUSHMAN BHARAT/PM-JAY

>World’s largest government-financed health insurance scheme for a nation of 1.38 billion people.
>Nearly 23,000 enlisted hospitals and >1 crore admissions under the scheme till now.

pmjay.gov.in/about/pmjay

20/n
➡️UIP and Pulse Polio

>India's immunization program took off as EPI in 1978, with a limited, urban reach
>1985 - UIP, wider reach, indigenous vaccine production
>1995 - Pulse Polio Immunization started
>2014 - India declared Polio-free
>2016 - India started the use of IPV.

21/n
➡️Rotavirus Vaccine

>RotaTeqÔ (@Merck) cost - Rs 900/dose - 3 doses
>RotarixÔ (@GSK) cost - Rs 1000/dose - 2 doses

> India's @BharatBiotech developed ROTAVAC from a local strain isolated at AIIMS, New Delhi at Rs 54/dose - total 3 doses @ Rs 162.

bit.ly/3fXwFTH

22/n
Even as the world was coming to measure with COVID, India was the first nation to broadcast an emergency message during the lockdown via caller-tunes (a service still ongoing). It ensured that the correct message reached every person owning a phone.

bit.ly/36gZPto

23/n
It might interest @WSJ to know that India is also developing its own COVID vaccines despite an apparent resource crunch - and initial results for both candidates are fairly positive.

> @ZydusUniverse 's ZyCoV-D vaccine
> @BharatBiotech 's COVAXIN

thehindu.com/news/national/…

24/n
@WSJopinion has labeled this proposal as theft of intellectual property and questioned the abilities of the developing nations.

It's time the @WSJ gets a wake-up call and comes out of its delusional bubble of scientific superiority and sees the real world for what it is.

25/25

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More from @HaryaxPathak

25 Nov
Hey #MedTwitter

As promised, taking this thread further, I'll highlight a few more aspects about #COVID19.

A) TRANSMISSION and SPECIFIC PRECAUTIONS
B) WHAT IS SUPER-SPREADING?
C) WHAT IS R0?

1/n
A) TRANSMISSION and SPECIFIC PRECAUTIONS

So, what are the various mechanisms of COVID-19 transmission?

As defined by the @CDCgov, these are the 3 mechanisms of COVID-19 spread:

➡️Fomites (least important)
➡️Droplet Spread
➡️Aerosol

cdc.gov/coronavirus/20…

2/n
➡️Fomites

Fomites are objects or materials which are likely to carry infection, such as clothes, utensils, and furniture.

They were thought to transmit COVID19 as well, but @CDCgov has said that COVID transmission through fomites is minimal.

3/n
Read 28 tweets
23 Nov
#COVID19India - A thread for the Layman.

I'll attempt to keep it as simple and concise as possible.

A) Precautions
B) Testing
C) Vaccines
D) ?? Herd Immunity ??
E) ❌ MISINFORMATION/MYTHS/CONSPIRACIES ❌

1/n
A) PRECAUTIONS

The second wave of COVID is here, as states have started entering into lockdowns once more. Adequate precautions are the only way to protect yourself from infection.

➡️MASKS - Any mask will do as long as it covers both your MOUTH and NOSE.

2/n
➡️DISTANCING - Maintain a minimum distance of 2 metres from each other. Avoid unnecessary contact.

With rapidly rising cases, basic preventive measures like Masking and Distancing are as important as Breathing, Eating, Drinking, and Sleeping.

3/n
Read 23 tweets
22 Nov
Indian Context - If I were to simplify it,

Those who run the country read the papers they have paid.

Those who think they should run the country read the other ones.

Those who own the country print the papers read by the ones running the country.

Those who wish they owned the country print the papers read by the ones who wished they ran the country.

All of their wives only feature in the respective papers, they don't read anything.

Those who should actually be running the country wish there was a paper worth reading.
And finally, those who should actually be owning the country wish there was a paper worth printing.
Read 4 tweets
20 Nov
So, I had this CRAZZY idea for combating the #DelhiPollution problem.

Interested?

And the answer is:

Celebrate Uttarayan in Delhi - bigger and better than ever.
Yes. Uttarayan.

Charcoal and Activated Carbon can adsorb/absorb fumes, odour, pollutants, etc. Such filters are readily available for indoor use.

Manufacture kites laden with Charcoal or Activated Carbon.
The entire population of Delhi flies these Charcoal or Activated Carbon kites on the 2 days of Uttarayan and Vasi Uttarayan.

Lo and behold, smog cleared, pollution under control.

Celebrate the festival in a grand manner and reap the benefits.
Read 6 tweets
16 Sep
#COVID19India

India is seeing this triad of somewhat contradictory symptoms, and that too, ironically, in the same set of people.

I will call this the EMU triad.

Exaggeration.
Misinformation.
Understatement.

/1
EXAGGERATION.

Initially we did see an exaggerated response. There was a certain amount of fear and panic (which has absolutely disappeared now).

But even now, there's still an exaggerated reaction. The paralyzing social stigma surrounding the infection.

/2
There have been a multitude of reports from all over India. Reports of isolation, harassment and discrimination towards an individual or a family that tested positive for COVID.

It's nothing but a sign of the society becoming hopelessly apathetic towards human suffering.

/3
Read 11 tweets
12 Sep
India's #COVID19 Story - A look at the numbers:-

While our "esteemed" media houses are engaged in a war with the entertainment industry and governments (State and Central), COVID-19 seems to be taking a step back in their list of priorities.

#COVID19India
/1
Sure, there are a few reports that say we had a failed lockdown, or that India is the worst faring country in terms of cases or deaths.

Are we really?

Comparing absolute numbers is the easiest, but they never show what the real picture looks like.

#COVID19India
/2
Let's take a look at few gross numbers regarding India first.

Total Cases: 4.6 million
Total Deaths: 77k
Daily New Cases: 97k

These are the few numbers any media house will show you and say that India is the worst performing country.

#COVID19India
/3
Read 14 tweets

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