We get between 5 and 20 doses per day for 50 patients, politicians and bureaucrats call even for those doses to be given to their relatives and friends. For every 5 who get remdesivir, there are 50 relatives and leaders demanding for their patient. Making it impossible for us.
There is no logic to the allotment. Absolutely arbitrary. 40 bed hospital gets nine doses, 50 bed 5 doses, 100 bed 10 doses and 20 bed also 5 doses. On top of it, if hospital asks relative to procure, officials instigate them by showing the circular of allotment of nominal doses.
As if it was not enough to be managing high volumes of seriously ill patients, we now have to spend additional precious hours explaining to angry relatives and politicians why their patient cannot be given one dose out of the pathetic allotment given by collector to our hospital.
Several hospitals have pointed this out, that it is better not to give any remdesivir at all than give one tenth the requirements and instigate riot like situations in COVID hospitals that are already pushed to the limits. But who is listening to us?
Companies are making around 40 lakh doses per month, enough for every moderate-severe COVID patient in India. But the injections are not reaching where they are needed most and companies don’t have stock. Black marketing continues. Who is responsible? Where are the medicines?

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More from @amitsurg

30 Mar
New President of the Indian Medical Association wants to use secular hospitals and medical colleges to convert medical students, doctors and patients to Christianity.
Quite self explanatory, isn’t it. Opposition to Ayurveda because people will learn Sanskrit and then everything will be Hindutva.
This is the immediately following paragraph. As per the President of the IMA, the fight against Ayurveda is actually fight against Hindutva and Sanskrit and fasting protest was inspired from Christian concept of suffering.
Read 5 tweets
4 Jan
Since several months, @BharatBiotech has been in advanced negotiations with ten countries that have expressed interest in their vaccine. Some of the efforts seem to now be fructifying into deals. Short thread.
Last month, envoys of over 64 countries visited the Bharat Biotech facility at Hyderabad.
Brazil’s private clinics are already seeking permission for purchase of five million doses of the vaccine.
Read 5 tweets
3 Jan
Why is Mr Poonawala thanking Gates Foundation? No, this isn’t a conspiracy theory. 🙂
A sizeable grant from Gates Foundation ensures that SSI, a key supplier of low cost vaccines across the world, doesn’t go bankrupt if the vaccine fails in trials. Short thread.
Bill Gates Foundation has been working with SSI since several years. The foundation has periodically given grants to SSI for supply of millions of doses of vaccine at very low cost.
Initial grant of 150 million USD to SSI for producing COVID vaccine was increased to 300 million USD for a total procurement of 20 crore doses of the vaccine at USD 3.00 each.
moneycontrol.com/news/business/…
Read 6 tweets
21 Nov 20
Disgusting letter by IMA HQ, invoking purity and turf as defence. What face will IMA have if Ayurvedic surgeons file a case against Modern Medicine practitioners for using surgical instruments and doing anal procedures and plastic surgery flaps described in Sushruta Samhita?
To be sure, there are serious problems associated with handing out MS and MD Degrees by substandard and fraudulent AYUSH medical colleges without giving any actual training in those fields. But IMA’s approach to this serious problem is disgustingly condescending and nauseating.
The late Dr RD Bapat, head of surgery department KEM Hospital Mumbai, made ksharsutra mainstream in general surgery for management of difficult fistula in ano. Proctologists of “modern medicine” do not even perform the courtesy of using its original name. They call it “seton”.
Read 7 tweets
20 Nov 20
Congress claims UIP was started by Rajiv Gandhi. Whereas it was actually started by the Morarji Desai government in 1978. Rajiv Gandhi govt renamed it in 1985 and declared its expansion pan India. But from 1985 to 2005, number of vaccinated children increased by just 2%.
The percentage of fully vaccinated children limped along from 44% in 2005-06 to just under 65% in 2014.
Finally in Dec 2014 it was taken into the fast lane with Mission Indradhanush: Immunisation of 100% children by 2020 is now within striking distance. deccanchronicle.com/lifestyle/heal…
Under Mission Indradhanush, the percentage of vaccinated children is improving at 6.5% per year. By 2018, in just three years it had sharply improved with govt systematically focusing on worst affected districts. In 2019-end an even more intensive Indradhanush 2.0 was launched.
Read 4 tweets
22 Sep 20
Short thread on the Chinese vaccine for COVID19. An irresponsible govt starts vaccinating it’s own people without adequate proof of either safety or efficacy, bypassing phase 3 trials. Then finds out it isn’t generating an adequate response. But the problems are much deeper.
The CanSino COVID vaccine uses the common cold vaccine as vector. But over half the people given the vaccine already had antibodies to common cold virus and hence it is virtually doomed to failure. A second dose won’t solve this.

biopharmadive.com/news/coronavir…
CanSino has decided to brazen it out by claiming that “we should not blindly follow experts” and that “It is unscientific to compare the antibody levels generated by different vaccine candidates, because varied testing methods could distort results”.
aljazeera.com/ajimpact/china…
Read 8 tweets

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