#SARSCov_2 viral variants / mutants and vaccination seem to be consuming most discussions on #COVID_19 these days. We’ve let incomplete data and general knowledge create misinformation and confusion amongst us all. An explanatory thread...
We’ve heard of the #Delta, the #DeltaPlus & unknown future variants which may be either more transmissible or more lethal than previous ones. This has either created panic, or worse, a sense of futility about both vaccines and precautionary measures to avoid the infection
The chatter about variants and mutants is fascinating, but linking them to the futility of getting over this pandemic is dangerous. An unfortunate line of thought seems to be that if these viruses mutate and vaccines are ineffective against them, why bother getting vaccinated?
This is a dangerous argument. First, let’s understand that with viruses, mutations are the rule rather than the exception - they mutate very very often
Most of the mutations / variants) are not dramatically different from their original avatar, and are hence clinically irrelevant
But what about the clinically important variants or mutations? If they are truly very different from their original viral sequence, how can we ever beat this pandemic just by vaccinating our way through it?
The answer to this question is that, more often than not, these clinically relevant variants are not that different from the original virus against which the vaccines were developed, to be completely immune to them. Effectiveness may vary, but the vaccines are still effective
We now have data from several studies that vaccines continue to be effective against most variants including the delta variant. And let's not waste our breath on percentages, because that's something beyond our control.
But what if the viruses mutate & mutate & mutate to a point that the original vaccines are no longer effective? This is where the race to vaccinate most of the world’s population against the virus’s race to mutate enough to make the vaccine ineffective becomes crucial
We have to vaccinate enough of humankind before the virus mutates to a point where the vaccines are ineffective. High income countries cannot sit pretty that they have vaccinated their population without working to ensure that the rest of the world gets the vaccine as well
If there are sufficient numbers of the world’s population that remains unvaccinated, the likelihood of a variant virus that will ravage through even vaccinated high income countries is real. It is in our collective interests to ensure that the whole world gets vaccinated quickly
The current #VaccineInequity or #VaccineInjustice needs to stop. As a global community, we need to ensure that every African, every South American, every Asian, and yes, even every American and European gets vaccinated. Quickly.
Till we are able to do that, let us continue to take universal precautions – the five W’s – Wear a mask, Watch your distance, Wentilated spaces, Wash your hands, and Waccinate. Stay safe, folks.

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More from @cspramesh

26 Jun
The worst of the second wave of #COVID_19 seems to be behind us in India. Here are some random thoughts…
Let’s face it – the second wave caught all of us by surprise by the sheer ferocity with which it unleashed itself. The inadequacies and frailties of our healthcare systems lay exposed. After nearly three months of helplessness, we are limping back to some semblance of control.
The key for our immediate future and that of our children is how we handle the next few months. For starters, we are not yet out of the woods with the second wave
Read 12 tweets
5 Jun
We had some interesting findings from our study on the impact of COVID-19 on cancer care. What we did was pretty simple…

Impact of COVID-19 on cancer care in India: a cohort study thelancet.com/journals/lanon…
We looked at volumes of services in 41 cancer centres that were part of the @CancerGridIndia over a 3 month period during the pandemic in 2020 and the same 3 months in 2019.
These 41 centres treat exactly one-third of all patients with cancer in India – approximately 450,000 new patients every year. So, our study was fairly representative of what was happening in the country (and probably many other parts of the world)
Read 14 tweets
26 May
There has been a lot of panic in India about the “black fungus” which has caused substantial concern, morbidity and even deaths in patients with COVID. This is a short thread to explain what we know about it Image
The truth is that we don’t know everything about it, but let’s start by calling it what it is – “Mucor”. And anybody who claims that they know all about it is hmm…., let's say, “factually incorrect”
First, how does mucor spread & how do patients with #COVID-19 get infected with it? Mucor is a fungal infection caused by “mucormycetes”, a group of fungi. These fungi are ubiquitous – in soil, fallen leaves, compost, and air. Yet, most of us don’t develop the disease Image
Read 20 tweets
15 May
This thread is directed to all of you searching for plasma donors and/or amplifying requests for plasma donation, but most importantly, for physicians suggesting plasma donation, or patients’ families demanding #ConvalescentPlasma treatment for their loved ones.
Over the past year and more, we have had #ConvalescentPlasma dominating conversations about #COVID_19 treatment. Families have run from pillar to post trying to find a compatible donor. We’ve had celebrities urging people to donate.
Importantly, we’ve had heartbroken families feel guilty about not having been able to identify a suitable donor in time to save their loved one’s life. This thread is meant for all of them.
Read 17 tweets
13 May
Today, our usual "Thursday morning meeting" at @TataMemorial was anything other than usual...
0.4%. This number becomes significant in the last tweet of this thread.
Follow on.
The topic for today's meeting was "How have nurses contributed to the @TataMemorial #COVID_19 response? This was planned to coincide with the #InternationalNursesDay2021 and the #InternationalNursesWeek
Our very unassuming Deputy Nursing Superintendent made the presentation. For the next 25 minutes, the audience was spellbound. She described how the nurses helped @TataMemorial handle the pandemic over the past 15 months.
Read 12 tweets
18 Apr
I know the #COVID-19 numbers in India are not looking good, but here are my (not so) random thoughts on it Image
We have 2 options – one, rant & rail against the ‘system’ and lament how it has let us down; second, do whatever we can to avoid getting infected & if infected, minimize adverse consequences to ourselves & others. If you belong to the first, you can stop reading now
How can we avoid getting infected? There’s no magic bullet, I’m afraid. This is primarily a “stick to the basics” approach. More difficult than it sounds.
Read 25 tweets

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