(1) Test only symptomatics. Random tests of all will create shortages and drive down positivity

Now that we have approved most vaccines, make these available at all institutions which already are used to cold chain. Chemists. Sub centers. Maternity Homes. And so on.
(2) If they are good for one temp sensitive vaccine they are good for the Covid one as well.

(3) Focus more on beds with Oxygen and steroids. Down prioritize vague stuff like plasma etc.

(4) Enforce masks. Penalize crowds. Easier said than done but we need this urgently
(5) Don't be afraid of data transparency. Honest dashboards will help appropriate behavior

(7) Use IT to clearly inform people on where beds, O2, tests, vaccines are available. Will rationalise crowds and ease access.

(8) Unpopular one for the last....
(9) Don't shy away from widespread use of Antigen tests. It detects those with high viral loads. That way, you diagnose & isolate the most infectious ones quickly. Way rapid & point of care test. But as recommended, retest the negatives on rtPCR. Will free up rtPCR capacity.
(10) What did I miss?

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More from @parija_d

11 Apr
The approaches to Covid vaccines in India and the US. A thread … (Source: The Ken)
(1) May 2020, the US government made a plan - to support 7vaccine candidates simultaneously to speed up trials and the approval process and to promote ways to manufacture them at scale (Operation Warp Speed) - conceived as a partnership between the US govt and private companies.
(2) The rationale was that a vaccine would emerge faster was if pharma companies were given lots of money to fund their research. How much money? ~ over $11 billion. Given out to eight of the biggest pharmaceutical companies in the world.
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26 Mar
(1) Traditionally, politics has always been about power. Money, yes – but the whole thing has always been about power. Money was always a spin off – a by product if you will. So how does one go about achieving power. A thread …
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25 Mar
(1) Does linking dietary practices to religion make sense? The dilemma of eating meat – a short thread …
(2) Why this concept abstaining from non-veg food on certain days of the week. Devout Hindus won’t eat non-veg (or even onion & garlic for that matter) as all tamasik food is prohibited. The religion itself is based on Satya and Ahimsa.
(3) But why then do we find mention of meat consumption in our scriptures? Ok – will try and explain what I think, but please understand that, this is purely conjecture from here on. Let’s dive in ...
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(2) Food first. Principles are simple. Eat less than you think you should. DO NOT eat unless hungry. The need for the mandatory 2/3/4 meals based on the time of the day is a myth. Trust your body, not the clock. NEVER eat to your fill. Try not eating anything for 12-18 hours.
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Setting: the interiors of Simlipal forest reserve. Miles and miles of dense jungles. No electricity. Scattered populace. Bang in the middle if this, stumbled upon this quaint health center at Gudgudua.
Managed in a PPP Mode by an NGO, SPAR. 24*7 Electricity generated by solar panels. Spic and span. No less than a corporate setup. Right in the heart of the jungle. Miles from civilization. Don't trust me? See these...
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3 Mar
(1) Truly exciting news coming in on the efficacy of the indigenous Covaxin. If the trend holds, this can be a better vaccine than the famed Pfizer and Moderna ones with 90-95% efficacy? How? Read on...
(2) The Phase III protocol in a nutshell: The plan was to enroll 25,800 participants in the study. Divided in to a vaccinated and a placebo group of ~ 13,000 each. Test all to ensure Covid-ve at baseline. Give 2 doses a month apart (vaccine as well as placebo). And then wait..
(3) Wait till 130 patients are tested Covid +ve on rt-PCR. Then compare the positives in both groups to arrive at an efficacy %. With me so far? Grossly dumbed down. But that's the gist of it. So what happened next?
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