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
The link @hildabast provided is to the trials page. A previous paper is here: thelancet.com/journals/lance…

2/7
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
Whether this jokey/serious exchange on Twitter (@wyomingwormboy's question and @VirusesImmunity's response)
undermines John's hypothesis, I'm not sure.
7/7
@wyomingwormboy @VirusesImmunity Aargh! First tweet should have said CanSino. Not Cansion.
@wyomingwormboy @VirusesImmunity AND I forgot to include the link to @Johnincarlisle 's video in which he makes the argument for aspiration prior to vaccination.

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More from @petermbenglish

11 Apr
Intriguing conclusion to this generally excellent article on screening for Covid-19.

thelancet.com/journals/lanep…
1/
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/
Read 6 tweets
11 Apr
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".

I've tweeted about this before. or threadreaderapp.com/thread/1373255…
2/17
Read 19 tweets
20 Mar
It's sad to hear both PM Johnson and LotO Starmer colluding with the idea that the answer to problems is longer prison sentences.

Prisons only help when people who are dangerous and cannot otherwise be prevented from harming others are sent there.
1/14
Prison is worse than useless for anything other than keeping us safe from too-dangerous-not-to-be-there people.

Prisons are unhealthy - the risk of Covid-19 in prisons demonstrates this.
2/14
People don't come out of prison reformed or changed for the better. Some come out older (and therefore changed); many come out worse.

People not already addicted get addicted.
3/14
Read 15 tweets
15 Mar
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/
Read 17 tweets
14 Mar
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
Read 6 tweets
7 Mar
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
Read 9 tweets

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