This Cansion vaccine is intriguing. Like AZ, Sputnik, Janssen, it is an adenovirus vector vaccine. But it is given via inhalation - a little like nasal spray flu vaccines (although those are live attenuated virus vaccines). 1/7
In theory at least, inhaled vaccines may, by virtue of the fact that they act directly on the respiratory mucosa, induce a better mucosal immunity (IgA etc) than system (eg IM) injection.
3/7
John Campbell @Johnincarlisle has an interesting hypothesis (which he makes a reasonable argument for) that IF the AZ and J&J/Janssen vaccines are associated with CVST and related clotting disorders, this may arise when they are inadvertently injected intravenously.
4/7
So he recommends aspirating (drawing back on the syringe plunger to check the tip of the needle isn't in a blood vessel) before injecting the vaccine, as we used to do when I first started giving IM injections and until (when did we change?).
5/7
Of course, if the vaccine is given by inhalation, there will be no possibility of intravenous injection; and if John's hypothesis is correct, no or less risk of these clotting disorders.
6/7
It is good to see references to the frameworks for thinking about screening - very familiar to public health specialists like myself, but less well understood by others, including some in the medical professions.
2/
The conclusion intrigued me because it didn't even attempt to answer the question in the title; and it sat on the fence wrt whether screening for Covid-19 (and any very widespread testing amounts to screening) is a good idea.
3/
Healthcare staff - including those working in @PHE_uk or its successor organisations, and the public health profession has a duty to speak out and challenge the "lock them up [for longer]" view that is so prevalent, particularly in right-wing, populist politics.
0/17
In my >20 year career as a consultant in communicable disease control, prisons have been the setting I've struggled most with.
1/17
As a previous tory home secretary said, "Prisons are an expensive way of making bad people worse".
People have been commenting that the protest shouldn't have happened on Saturday, it risked being a superspreader event and was therefore properly banned due to Coronavirus, and therefore the police had no option to ban it.
This is a non-sequitur.
1/
I would have preferred there not to be a large gathering on Clapham Common right now. The number of new cases of Covid-19 is still too high, and opening schools is likely to push this up considerably.
2/
Vaccination is going well, but the groups most likely to spread Covid-19 have largely not been vaccinated so far. (OTOH, there is increasing evidence that vaccination will decrease transmission, when enough people are fully vaccinated.)
3/
My email to my MP (Chris Grayling) about the Police, Crime, Sentencing and Courts Bill…
1/6
Dear Chris,
I'm sure that, as a former Home Secretary, you will be as concerned as I am about the events of last night.
Of course, the reason why protest is not permitted at present is the Covid-19 regulations, which I broadly support.
2/6
We hope, of course, that within a year or so - possibly even within months - the restrictions necessary for the control of Covid-19 will become a distant memory. However, undue restrictions on protest look like they may continue as a consequence of…
3/6
I was pleased to hear that @theRCN calls for better PPE (specifically, for higher specification masks) were the lead item on the news this morning. This shameful andegregious failure to protect staff will no doubt feature in the eventual public enquiry.
1/8
We, at @TheBMA, have been calling for this for many months now.
There is no "low risk" patient-facing setting. I am horrified whenever I go into a hospital.
2/8
This is me, wearing the sort of mask worn by NHS staff. A "fluid-resistant surgical mask" or FRSM as the guidance calls them. This mask is better-fitting than many I've seen on staff; and I'm wearing it, correctly, properly covering my nose and chin. 3/8