Thread by @HShewade

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Thread 🧵
India COVID19 vaccination, what we did and what we should have done?

Now that we have seen this post👇, do not how LOW is our coverage(%) of 2nd dose(fully vaccinated) among elderly / >45y

https://twitter.com/HShewade/status/1385309722736304132

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Therefore with these levels of LOW coverage, we cannot expect any dent in the hospitalisations and deaths

We missed a window of opportunity during Feb/Mar

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Had we at least achieved 89-90% of 1st dose coverage along >45, we could have expected significant impact on hospitalisations and deaths. We could have done this through campaign mode vaccination using our public health vaccination system through apriori microplanning.

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This includes
1. Ensuring around 40 crore doses are available for >45y
2. a priori training, estimating dose requirement and preparing strategy, PHC by PHC
3. Providing those vaccines to state / district / PHC as per the microplan
4. PHCs implementing their microplan

5/n

If vaccine stocks was an issue, we could have used sectoral approach. This could have been done at least in cities and districts where cases and deaths were high or rapidly increasing or predicted to increase. Then in other cities and districts.

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We did not have sufficient vaccines and spread out thin and did not miss out on Propaganda without realising how flawed our CoWin dependent strategy was.

Many experts had called it out. I did so on 2 March (including writing to Health Min, GoI)