"Prioritise the elderly & high risks"

Easy to be said,
NOT easy to be done.

Many elderly people are still vaccine-hesitant:their main source of info is "fear-mongering" Whatsapp chain messages.

This is a 🧵on #COVID vaccine's risk & why we should not wait for an IDEAL vaccine.
2/ Many of the high risk patients who we counselled for vaccine still are hesitant & adopted approach of "Tunggu Dulu la"
Despite our best efforts explaining the risks

Remember when Pfizer first came out? Many people went bonkers over the anaphylaxis issue despite reassurances.
3/ When Pfizer came out, people say "oh I wanna wait for AZ/Sinovac/J&J"

Now AZ are in, people are super scared over the risk of VITT (blood clots):they are saying "Let's wait for Pfizer" 🤷🏻‍♀️

J&J also has reports of VITT now.

Sinovac has minimal data on adverse effects for now.
4/ Let's face the cold hard facts:
We are in a WAR (COVID)

🇲🇾in 4th wave.
It won't settle in 2021.
Long term effects eg #LongCovid-little data is known for now.
🌎 "fighting" over vaccine patent & procurement.

& we are still "choosing" which vaccine to be used & who gets it
5/ I understand the concerns over the risks.
BUT it's CALCULATED RISKS.

In a war, u don't get to choose which weapon to be used.
The enemy is in front of u, u are given a revolver;
Will u reject it & say "No, I want a AK-47 A machine gun!"

Sorry, u'll be dead by that time.
6/ Regarding risks of a medication/vaccine:
It's more "apparent" when the disease associated with the medication/vaccine has the "spotlight"
As in COVID.

Bleeding in the 🧠 is known risk of blood thinners & yet many people are still on it: benefits > risks.
Sounds familiar?
7/ When COVID is lower in incidence, everybody start to analyse the adverse events of vaccine.
That's good.
But let's not forget how deep in shit when COVID ran rampant in your country.

Risks of #VITT also vary according to countries. Maybe because of epid/genetical variants.
8/ Regarding #BloodClots (VTE),
U can still get it- without the vaccine.

Blood clots are not rare. We have seen many patients with blood clots (lungs/brain/legs): many of them without apparent reason. Some of them due to immune system attacking the body. Many of them smokers.
9/ Blood clots ➡️serious harm & to the extreme-death. It has efficacious treatment available.

COVID ➡️ serious harm & death. Not 1 treatment has been proven to be 100% effective.

You have to weight which is the greater risk.
Let's not forget how COVID affects the 🌎
10/ Take 🏠 Msg:

🚨Now in 🇲🇾,
The best #COVIDVaccine to save U & your loved ones is the FIRST one being offered to U.

🚨Take it when it's being given. Make an INFORMED choice. Watch out for side effects.

🚨No such thing as an IDEAL vaccine

🚨Nothing in this 🌎 has ZERO risk
@threader_app Please unroll this thread ☺️
*are still hesitant

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More from @syikinyunusMD

5 May
One of the best balanced summary on the Astra Zeneca vaccine & what is at stake. sciencemag.org/news/2021/05/w…
"vaccinating 100,000 people ages 80 and older in an area with high infection rates—886 infections per 100,000 people per month, the level seen in Europe in January—would prevent 1239 hospitalizations and 733 deaths over a period of just 4 months (see tables, below). "
"By contrast, vaccinating 100,000 people age 20 to 29 would lead, on average, to 1.9 cases of the blood clotting disorder. But it would not prevent any deaths from COVID-19, although it would prevent 64 hospitalizations in an area with high infection rates."
Read 6 tweets
9 Jan
Nampak ada yg berminat dgn tweet saya (2019) berkenaan anak saya yg gemar membaca.

Saya kongsikan tips utk galakkan anak membaca; (semoga bermanfaat utk yg lain)

1) Ibu bapa harus membaca & pastikan anak nampak anda membaca.
Anak nampak, anak akan ikut insyaAllah.
2) JANGAN paksa.

Minat membaca tidak boleh dipaksa. Jadikan membaca suatu aktiviti yg digemari.

Saya jadikan waktu membaca sebagai satu waktu "us-time"/aktiviti bersama - anak menghargai bahawa membaca adalah suatu aktiviti kekeluargaan yg menggembirakan.
3) Kenali minat membaca anak anda.

Buku jenaka/adventure/klasik?

Ada kanak2 yg belum cenderung terhadap mana2 topik/genre buku - tidak mengapa.
Dedahkan anak kepada pelbagai genre & beberapa jenis buku.

Layan minat mereka walaupun jenis 📚 itu mungkin bukanlah citarasa anda.
Read 10 tweets
8 Apr 20
Shortage of #PPE is a serious issue.

Let’s take a doctor who does screening - 1 set of PPE (mask, face shield, head cover, isolation gown, plastic apron, shoe cover) can last him for 4 hours - afterwards he needs to rest & change (all drenched in sweat).

8h shift = 2 sets PPE
That is 1 doctor.

If a team - mass screening
Average of 10 person/team
20 sets PPE per 8hours at 1 site

We have ~>100 screening sites.

And 34 hospitals managing SARI & #COVID19 -
they have multiple departments/wards required to wear PPE during rounds/procedures

Can u imagine?
The maths on the number of PPE worn per day for whole 🇲🇾 is mind-blowing.

But that’s what is required for the protection of HCW so that our health system won’t crash.

If multiple HCW gets infected due to not having adequate PPE;
manpower will be down.
Healthcare will collapse.
Read 10 tweets
6 Apr 20
1/ A small effort from IMARET for the HCW.

We aim to produce more of such on other related topics eg HCQ usage, US thorax in #Covid_19 , prophylaxis for HCW etc.

Starting humbly with basics.
Project started cos many HCW said they didn’t have time to digest journals.#MedTwitter
2/ The #IMARETRapidReviewSeries should not be treated as a guideline or a publication equivalent.

It’s meant to present findings from publications in bite-size points so that it can be digested by the HCW in a fast manner.

In pandemic - Time is an Essence.
3/ In war, soldiers need weapons.

Weapons in a pandemic:
PPE
Knowledge

As #Covid_19 is a fluid & dynamic issue -
we need all the information that we can gather in order to boost up our artillery.

If anyone interested to contribute; pls DM me.
Read 6 tweets
22 Mar 20
1/ Buat doktor di 🇲🇾 Malaysia,

Saya menyeru (tidak kira apa jua bidang anda: perubatan/FMS/GP/pembedahan/O&G/ortopedik/public health etc):

Start reading on management of #covid19.
We are up against a marathon. U will maybe needed at frontline sooner/later.

Thread: links
2/ cutt.ly/utz5Pzt

Clinical Updates 01/2020 by Dr Suresh ID Physician managing #COVID19malaysia in Hosp Sg Buloh
Read 10 tweets

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