Mia Malan Profile picture
23 Jul, 13 tweets, 11 min read
[Thread] Glenda Gray, @MRCza:
1. The only way to bring the #COVID19 pandemic under control, is to vaccinate a large % of SA
2. Everyone needs to be vaccinated, not just 20%/30% of the population
3. Only 1.1% of people in low income countries have received one #CovidVaccine dose
2. Glenda Gray:
1. The benefits of vaccines far outweigh the occurrence of side effects
2. Severe side effects, such as rare/unique types of blood clots associated with #JnJ and heart inflammation associated with #Pfizer are very uncommon
3. Glenda Gray: How rare is rare?
1. For #JnJ, rare blood clots = 3 cases for every mil doses among adults
2. For JnJ, Guillain-Barre syndrome = 7.8 cases for every million doses among adults

* What is Guilain-Barre syndrome? Find out here: mayocl.in/3wZWqJV
4. This slide shows how severe side effects compare to the hospitalisations + deaths #CovidVaccines will prevent.

E.g. for men of 65+ getting #JnJ:

For every 7-8 cases of Guillain-Barre:
* 11 800 hospitalisations
* 3 300 ICU admissions
* 2 300 deaths

will be prevented.
5. @sahpra has reported 28 deaths which are being investigated (4 associated with #Pfizer + 24 with #JnJ):
1. None of the deaths have yet been scientifically linked to #COVIDVaccines
2. Sahpra will investigate how, when + why those people died
6. Gray:
Sahpra and the SAMRC don't expect the occurrence of #CovidVaccine related side effects or deaths in SA to look any different from the patterns that occur in the rest of the world
7. Do we need to be concerned about long-term side effects of #CovidVaccines?

1. It's extremely unlikely — research shows vaccine-related side effects almost always happen within the first 6 weeks of receiving a jab
2. No long-term side effects have so far been detected
8. This slide shows how #CovidVaccines have prevented deaths in the UK (they've been vaccinating for much longer than SA, so they have more"real life" data than us):

Between Dec 2020 and March 2021 vaccinations prevented 10 400 deaths.
9. SA has some "real life" data from our #Sisonke study (it used #JnJ to vaccinate #HealthWorkers) that shows the jab works to prevent deaths + hospitalisations as a result of infection with the #DeltaVariant. Harvard data shows immune responses last for up to 8 months.
10. Gray: At this stage, a booster #JnJ shot is not needed (currently you only get one shot). In August data will, however, be released from a study which looks at how well two doses of #JnJ work (compared to the current one dose).
11. Gray:
1. #Pfizer: Data from countries where #Pfizer has been used shows = effective @ the #DeltaVariant (the variant that is dominant in SA).
2. In Aug, SA will release "real life" data on how well #Pfizer is working @ the #DeltaVariant (data = from medical schemes)
12. How well is #Pfizer working in SA? More data in Aug, but here's early Discovery data.

They compared 46 007 vaccinated (they had 1 #Pfizer shot) with unvaccinated members:

Unvaccinated group many (84) more hospitalisations than vaccinated (49)
bit.ly/3eNV1Qi
13. In summary:
1. The #COVIDvaccines (#Pfizer and #JnJ) that SA uses, are safe and effective
2. Although you can still get infected with #SARSCoV2 after vaccination, our jabs specifically provide excellent protection @ hospitalisation and death as a result of the #DeltaVariant

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More from @miamalan

24 Jul
[Thread] 1. NEWS about #JnJ DELIVERIES:
1. SA will receive a consignment of 1.4 million #JnJ doses this coming week (confirmed by @HealthZA)
2. The doses will be rolled out at #VaccineRollOutSA sites from the week of Aug 2
2. What are we doing with our current #JnJ doses?
1. Initially, we only used them for essential workers, e.g. teachers
2. But the doses expire on Aug 11, and we now know more JnJ stock is coming, so @HealthZA has moved some doses to sites for use in the general roll-out.
3. What will happen to essential worker programmes?
@HealthZA will complete the current programmes as soon as possible and then move onto to prioritisation based on age only (because essential worker programmes require time-consuming admin which causes delays)
Read 4 tweets
23 Jul
[Thread] 1. #Kubayi: We lost 47 500 #COVID vaccines during the #unrest (this has gone up since earlier this week) that were stolen or destroyed. 120 private pharmacies were destroyed.
2. #Kubayi: Most public vaccine sites in KZN were not damaged during the #unrest and this enabled us to resume vaccinations in KZN as quickly as possible.
3. In Gauteng there was minimum interruption to vaccinations because of the #unrest. But people did fear to go to certain sites. But the disruption in KZN and GT was not only to the vaccine programmes, but people were also not able to access chronic meds.
Read 5 tweets
21 Jul
JUST IN:
[Thread] 1. SA's Biovac will become the 1st company in Africa to produce Pfizer's #COVID19 jab
- Biovac won't produce the jab from scratch, it will import the drug substance (the active ingredient which makes the jab work) from Europe + "fill and finish" the jab in SA
2. Pfizer is an mRNA vaccine:
- Tech transfer (so Pfizer transferring the "know-how" of mRNA technology) will start immediately
- Tech transfer will include
* On-site development of Biovac's factory
* Equipment installation
3.
1. When will we production start?
By the beginning of 2022

2. Who will get the doses Biovac produces? Only African Union member states

3. How many doses will be produced? 100 mil+ annually (at full operation)
Read 4 tweets
21 Jul
[Thread] 1. What % of SA adults have been fully or partially vaccinated?

1. Fully vaccinated: 4.7% (Limpopo = 6.2%)
2. Partially vaccinated (1 #Pfizer dose): 9.1% (1 dose provides 94% protection @ hospitalisation as a result of infection with the #DeltaVariant)
2. Is #VaccineRollOutSA scaling up? Yes. Here’s the timeline for every 1 mil doses recorded on the #EVDS (data = @healthza dashboard):

1 mil: 28 May
2 mil: 16 Jun (19 days)
3 mil: 30 Jun (14 days)
4 mil: 8 Jul (8 days)
5 mil 16 Jul (8 days)

Graph = @mediahackza/@Bhekisisa_MG
3. What does the 1-mil timeline in the previous tweet tell us? We now take 8 days to administer 1-mil jabs. Initially we took between 14 + 19 days. If we reach #Ramaphosa’s goal of 300 000 jabs/day, we’ll get close to 1 mil jabs every 3 days (we’re now doing about 220 000/day).
Read 9 tweets
20 Jul
[Thread] 1. On Mon we did 223, 969 daily vaccinations — by far the most daily jabs since the start of #VaccineRollOutSA. How many #COVIDvaccine doses have we got left?

Answer: By the end of Mon, we had 2.8 mil doses (#Pfizer + #JnJ) left (confirmed by @healthza).
2. Where do 2.8 mil #COVIDvaccine doses leave us?
1. If we use 220 000 doses/day, we have 12.7 days of stock
2. We start with full w/end vaccinations on Aug 1
3. 12.7 days takes us to +/-Aug 3 (if we don’t count 24, 25, 30 Jul = w/end days + work with 20-30k jabs/w/end day)
3. So will we run out of jabs on Aug 3?
Answer: NO.

Why not?
Because we have consistent weekly batches of #Pfizer stock arriving.
Read 7 tweets
16 Jul
[Thread] 1. #CyrilRamaphosa: #ShutdownSouthAfrica is nothing less than a deliberate and well-planned attack on SA's democracy. It is in direct contravention of the Constitution of SA and intended to cripple the economy and cause social instability.

#ProtectSouthAfrica
2. #CyrilRamaphosa: Using the pretext of political grievance, instigators sought to exploit conditions of poverty and unemployment and provoked ordinary citizens and criminal networks to engage in looting.
3. #CyrilRamaphosa: There were targeted attacks on trucks, warehouses and other infrastructure necessary to main our economy. Through social media they sought to inflame racial tensions and violence.
Read 8 tweets

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