Reconciliation of deceased cases in MH today: 612 past dated Covid19 deaths added to today's tally after reconciliation.

Total net addition to MH's deceased tally: 1291.

πŸ“ŒAre such reconciliations common? We've seen multiple reconciliations from different states over time.

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➑️ Death reporting happens upstream with data from hospitals getting reported at the district and state levels.
➑️ Given this, there is delay in reported deaths. In certain states, a committee evaluates each case to enumerate deaths directly caused by Covid.

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➑️ Reporting deaths is also a function of data recording compliance at the state/district level. Considering the increased spread of Covid in rural areas in this wave, we can expect delayed reporting of deaths or future audits that bring out more accurate fatality figures.

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It's important to understand that different states have different levels of compliance to registering births and regular deaths.

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More from @covid19indiaorg

17 May
Medical Corner 🩺

❓I have recently recovered from Covid. I am having redness in eyes and blurry vision now. Could it be mucormycosis?
βœ… If you are not diabetic, was not on steroids and was not on oxygen during Covid recovery, chances of it being #Mucormycosis is minimal.

1/4
In your case, consult an opthalmologist for the issue with blurry vision.

❓I am having fever after taking the vaccine. What should I do.
βœ… It is normal to have fever in the first few days after vaccination. Take Dolo 650mg upto 3 times a day when you get fever.

2/4
❓Can someone having sickle cell anemia take the vaccine?
βœ… Yes, they can.

❓ What does CT value of 22 in an RTPCR report mean? Do I have severe Covid?
βœ… You should not be worrying about the CT value. The treatment of Covid is not dependent on CT value.

3/4
Read 5 tweets
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
14 May
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
Read 6 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

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