#COVID19vaccines - #IndiaFightsCorona

➡️News/Updates - India
➡️Different Vaccines, Different Mechanisms
➡️Time-frame and Roll-out
➡️What To Expect?
➡️Got Vaccinated. What now?
➡️Adverse Reactions???
➡️Countering Misinformation

A thread.

1/n
➡️News/Updates - #India

> @pfizer has applied for Emergency Approval in India.
> @BharatBiotech COVAXIN - Phase 3 trials.
> @ZydusUniverse ZyCoV-D - Expected to start Phase 3 trials in Dec/Jan

2/n
➡️Different Vaccines, Different Mechanisms

Here's a look at how the major vaccines work -

> Pfizer and Moderna - mRNA
> Oxford/AstraZeneca - Chimpanzee Adenoviral vector
> Bharat Biotech - Inactivated Vaccine
> Zydus Cadila - Plasmid DNA

nature.com/articles/d4158…

3/n
This is a small article from @ReutersGraphics that explains the basic mechanisms of the vaccines under development with the help of graphics. Very easy to understand animations.

graphics.reuters.com/HEALTH-CORONAV…

4/ n
This link from the @CDCgov explains how our immunity works and how the different vaccines work.

It has been explained in a very simple and easy to understand manner.

cdc.gov/coronavirus/20…

5/n
➡️Time-Frame and Roll-Out

The image below shows the normal process of Vaccine Development.

Most of the vaccines for COVID-19 are currently at Steps 3/4 - i.e. undergoing clinical trials or seeking approval.

Usually, it takes a few years to develop a vaccine.

But.....

6/n
Welcome Operation Warp Speed - a mission launched by the USA to accelerate the vaccine development process.

The same approach has also been followed by other nations developing a vaccine.

More about #OperationWarpSpeed here: bit.ly/3mNsxbt via @DeptofDefense

7/n
What does this mean?

From Approval to Roll-out - it usually takes around 1-2 years for mass production and distribution.

With the accelerated development, this process has been shortened to 3-6 months for faster dissemination of the vaccines.

8/n
PM @narendramodi said that COVID vaccines may be ready in the next few weeks.

While that is good news, effectively, it'll still take 2-3 months before Vaccine Administration can begin as vaccine manufacture and supply chain logistics are worked out.

bit.ly/2JTt2SI

9/n
➡️What To Expect?

Once vaccines are approved and the vaccination drive begins - what should you expect?

> Who will get the vaccine first?
> How will vaccine administration work?

10/n
> Who will get the vaccine first?

As per the PM's address -

> Frontline warriors - Healthcare Workers, Law Enforcement Personnel
> High Risk and Elderly People with co-morbidities

> Then - Long term vaccination drives to immunize everyone else.

bit.ly/2JTt2SI

11/n
> How will vaccine administration work?

Most of the vaccines have a 2-dose regimen, 3-4 weeks apart.

Day 0 - First dose
Day 28 - Second dose

Both doses are necessary for complete immunization. A single dose will not impart protection against COVID-19.

12/n
➡️Got Vaccinated. What now?

>FOLLOW MASKING AND SOCIAL DISTANCING.

Why?

>Vaccination doesn't mean immediate protection - it takes 2-3 weeks after the 2nd dose for immunity to develop.

>From Day 0 to Day 60 - you can still get infected - hence precautions are a must.

13/n
Vaccination will give you personal protection. But it doesn't mean the virus has stopped causing infections in others.

Until a majority of the population gets vaccinated, the basic precautionary measures must be followed - irrespective of whether you got vaccinated or not.

14/n
➡️Adverse Reactions???

>It is common for vaccines to cause minor side effects like-

*Fever
*Headache
*Rash at the injection site
*Weakness/Fatigue

It is not a cause for concern - these side effects usually resolve in a few days.

15/n
As of yet, none of the vaccine manufacturers have published a complete Vaccine Information Sheet with dosing info and safety profile - it is expected that more info will follow as vaccines are granted regulatory approval and the Phase 3 clinical trial results are published.

16/n
➡️Countering Misinformation

>Vaccines WILL NOT cause COVID infection - none of the vaccine candidates contain the live virus capable of causing an infection.

>The vaccines will not alter your DNA - the vaccines don't interact with your DNA or cause any changes to it.

17/n
>Conspiracy theorists/anti-vaxxers may attempt to spread misinformation - trust info only from official/verified sources.

18/n
Some facts about COVID-19 vaccines.

bit.ly/3qx3xHr

19/n
FAQs about COVID vaccination from @CDCgov

cdc.gov/coronavirus/20…

20/n
A comprehensive list of myths and facts about COVID-19 from the @WHO.

who.int/emergencies/di…

21/n
To sum up:

>Vaccines are in the final phases of development and might be available in 2-3 months.
>Vaccines are safe - with few expected minor side effects.
>Vaccines will protect you from COVID infection - but only after a window period of 2-3 weeks after the 2nd dose.

22/22
@Chopdasaab Here's one more COVID thread. 😇

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More from @HaryaxPathak

29 Nov
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
Read 28 tweets
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

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