Recommended gap between 2 doses of #covishield increased to 12 to 16 weeks.

πŸ“Œ A look at the trial data behind this and practice followed by other countries.

βœ… Key finding from AstraZeneca (Covishield) studies that showed an efficacy of 76% for 90 days after single dose.

1/5
βœ… No significant reduction in protection seen from days 22 to 90 after a single dose - implying that even a single dose can offer significant protection for upto 3 months.
βœ… In this case, it was only prudent to spread out the doses so that more could get atleast 1 dose.

2/5
βœ… Additional data that showed increased efficacy (for symptomatic cases) when the gap between 2 doses was > 12 weeks. Efficacy of 81% noted with a > 12 week interval.
βœ… These 2 factors have lead most countries administering Covishield to recommend a gap of 8 to 12 weeks.

3/5
βœ… Spain and Canada are 2 countries that are following a 16 week interval as suggested in India now.
βœ… With a 3 to 4 month gap, ensuring that people don't miss their second dose will be a challenge that should be effectively addressed.

4/5
πŸ“ŒLink to relevant paper: thelancet.com/journals/lance…

Note: The delayed dosage was not by design, but caused due to issues and delays in the AstraZeneca trials.

5/5
What happens if you do not take the second dose at all?
Partial, shorter term protection.

While there is efficacy brought in by the first dose, a second dose of a 2 dose vaccine is required to BOOST efficacy and provide extended protection.
Ensure that you get both doses.

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More from @covid19indiaorg

14 May
Isolating in shared spaces has it's own challenges.

How should a family of 4 who live in a 2BHK apartment handle different scenarios of Covid infection?
How should they quarantine if 1, 2, 3 or all of them test positive?

We explore this in this relevant thread. Read on πŸ‘‡

1/n
Scenario 1: ALL four in the family test positive.

βœ… No need for separate quarantine.
βœ… Advised to wear double mask/N95 when together.
βœ… Do not venture out.
βœ… Limit items used inside the home to minimize sanitization later.
βœ… Take rest and medicines as advised.

2/n
Scenario 2: One person tests positive.

βœ… Isolate the person in bedroom with attached bathroom.
βœ… Others to share other rooms.
βœ… Others to wear mask, sanitise objects touched and keep distance as much. They could turn +ve in future due to contact.

3/n
Read 12 tweets
12 May
While most will recover from Covid from home, there are 2 things that set this illness apart:

Isolation and Uncertainty.

πŸ“Œ Weariness of Isolation: 14 to 17 days of being alone in a room can take its toll. It can feel monotonous, restricted and lonely.

1/5
While a Covid positive person goes through this individual struggle, those taking care of them are fighting a difficult battle as well. They have to take care of everything from food, medicines, arranging essentials, waste management and more; all while trying to stay safe.

2/5
Imagine a home where multiple persons have tested positive or with children. The caretaker has a tough task managing regular chores and Covid care for a 2 week period. Even a small task of giving a glass of juice is complicated!

3/5
Read 6 tweets
12 May
North Eastern states: Vaccination coverage by state and district.

βœ… Tripura: 11.25% of total population has received 2 doses (2nd behind Ladakh) and 24% have received atleast 1 dose.
βœ… Assam: Lagging with close to 2% with 2 doses and 7% with 1 dose.

1/5
βœ… Arunachal Pradesh: 4.5% received 2 doses and 14% received 1 dose of the vaccine. 3 districts have > 10% receiving 2 doses.

βœ… Manipur: Only 2.5% received both doses and 8.5% one dose. No district has >5% coverage of 2 doses.

2/5
βœ… Mizoram: A good 20% has received the first dose, while only 4% have got both doses.
βœ… Meghalaya: 8% have received 1st dose and 2% both doses. All districts showing <3% coverage for both doses.

3/5
Read 5 tweets
12 May
Medical Q&A Corner - Excerpts from our teleconsulting group.

❓Is there any special preparation to be done before taking the vaccine 1st shot?

Nothing in specific. Have a good meal and stay hydrated.
If you have recovered from Covid, wait for 14 days after recovery.

1/n
❓I didn't get any side effect like fever after vaccination. Does that mean that the vaccine is not working?

Absolutely not. It is not necessary that you have any side effects after taking the vaccine. The vaccine will do it's work. Relax!

2/n
❓Should I take Ecosprin before taking Covishield?

Absolutely not. This is probably a fake message floating on social media. Ecosprin should not be taken without consulting a doctor - do not self medicate. Covishield is safe, there is no need for Ecosprin here.

3/n
Read 8 tweets
9 May
Variant B.1.617 (or incorrectly called double mutant in popular jargon) is one of the most dominant variants in India now.

What does it mean for you and me?
πŸ“Œ We have (have had for many months) a more transmissible variant amongst us.

1/4
πŸ“Œ The tools we have to protect ourselves remain the same irrespective of the variant: Masks, Social Distancing, Hand hygiene, Ventilation.
πŸ“Œ With a more virulent variant, we need to be more stringent about enforcing these safety norms at an individual and community level.

2/4
πŸ“Œ What it means for us as individuals:
➑️ Use double masks or N95s. Use of a single cloth mask should be avoided.
➑️ Avoid any kind of gatherings. This can include weddings, visits to crowded markets/tourist/religious spots. See it as a short term sacrifice!

3/5
Read 5 tweets
8 May
Isolating in a home/hostel with no separate room or bathroom:

πŸ“Œ Most recommendations on isolation assume that a separate room/bathroom is available. This is not always the case - many live in shared spaces.

In this thread we look at ways to isolate in a shared room.

1/n
βœ… Separate bedroom: If a separate bedroom is available, isolate the Covid +ve person there. Other residents have to temporarily use other rooms in the house, even if it means sleeping in the living/dining rooms. As much as possible do not share bedrooms.

2/n
βœ… No separate bathrooms: If the bathroom has to be shared with a Covid +ve person, here are some tips to minimize risk:
πŸ“Œ Have an order for using the bathroom: Let the Covid +ve person use the bathroom last, after others.
πŸ“Œ Sanitize bathroom after each use.

3/n
Read 12 tweets

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