Mia Malan Profile picture
Aug 6, 2021 11 tweets 10 min read Read on X
[Thread] 1. Glenda Gray, co-lead investigator, #Sisonke:

We now have results to show the #JnJ jab provides significant protection @ the #DeltaVariant in SA.

What is Sisonke?

The Sisonke study used the #JnJ jab to look @ the effectiveness of the jab among SA #HealthWorkers
2. Gray:
1. #Sisonke vaccinated 477 234 #HealthWorkers
2. 122 sites were used to vaccinate health workers
3. Gray:
#Sisonke researchers used three sets of data to analyse the study's results:
1. 2 sets of data from medical insurers were used and one set of provincial persal data
2. Today Gray is only reporting on two sets of data
4. Gray:
1. #Sisonke ran from 17 February to 17 July (to collect data)
2. Researchers will continue to monitor trial participants for another two years to assess the durability of the protection that the #JnJ vaccine provides
5. Gray:
#Sisonke data shows the #JnJ vaccine provided 91-96.2% protection against death among #HealthWorker trial participants SA
6. Gray:
1. #Sisonke data shows the #JnJ vaccine provides protection against both the #BetaVariant and #DeltaVariant
2. The JnJ jab provides better protection against Delta than Beta, in other words vaccine efficacy for Delta is higher than for Beta
7. Gray: What kind of protection did the #JnJ provide against hospitalisation and death in #Sisonke?
1. The JnJ jab provided 65-66% protection @ hospitalisation
2. The JnJ jab provided 91-95% protection @ death
8. Gray: What about protection @ specifically Delta and Beta?
1. The #JnJ jab provided 67% protection @ hospitalisation as a result of infection with the #Beta variant
2. JnJ vaccine provided 71% of protection @ hospitalisation as a result of infection by the #DeltaVariant
9. Gray: Is the #JnJ jab safe?
1. #Sisonke data showed that the #JnJ vaccine is safe to use
2. Two rare blood clot events occurred among trial participants, but both cases have fully recovered
3. Sisonke will continue to monitor participants for 2 more years to assess safety
10. Gray:
1. #Sisonke data shows there is good durability for the protection that the #JnJ jab provides:
- Protection @ hospitalisation (65%) was the same 28 days after vaccination and 120 days after vaccination
2. Sisonke data shows, at this stage, no booster shot is required
11. Gray:
1. #Sisonke provided the world's first data that the #JnJ vaccine is effective against the #DeltaVariant
2. Real world effectiveness studies show similar vaccine efficacy of the JnJ vaccine.

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More from @miamalan

Jul 24
🧵1. BREAKING: The peer-reviewed results of the study of a 6-monthly jab, #lenacapavir, in which not a single of the 2134 women between 16-25 years who received the jab contracted #HIV, were released at #Aids2024.

Find the full study here:

bhekisisa.org/wp-content/upl…
Image
2. Women often find it hard to adhere to daily #oralPrEP. In the Purpose 1 trial, 91.5% of women returned on time for their next #lenacapavir jab at 26 weeks and 92.8% at week 52. Image
3. Only 4 women out of 2134 (0.2%) who received #lenacapavir dropped out of the trial because of injection-site reactions. Image
Read 15 tweets
Jan 17
[Thread] 12 things to know about the the proportion of pregnant women infected with #HIV from SA’s latest antenatal HIV survey. The survey is conducted by the @nicd_sa.

(Analysis of our 95-95-95 goals in my next thread later in Jan).

1/12 Image
2. What is the antenatal #HIV survey?

1. It measures the % of HIV+ pregnant women between the ages of 15 + 49.
2. Only women using state pregnancy clinics take part.
3. The survey has been conducted each year between 1990-2015, then in 2017, 2019 +2022. Image
3. How many pregnant women between 15-49’s blood was tested for #HIV? 37 828 out of 40 542 collected samples.
- 37 7171 = Black African women
- 37 541 didn’t live with the dad of their child
- 35,635 of dads were 5 years+ older than moms (this makes them more likely to get HIV) Image
Read 12 tweets
Jan 10, 2023
JUST IN [Thread]:
1.@healthza's Lesley Broomberg:
An extra #COVID19 booster jab for people of 18+ in SA will become available towards the end of JANUARY
- People of 50+ qualify for a 5th dose
- People of 18+ qualify for a 4th dose
2. Lesley Broomberg: Can you mix and match with additional boosters? Yes. You can choose whether you want a #JnJ or #Pfizer booster.
3. Lesley Broomberg:
Will teens of 12-17 qualify for boosters? Not at this stage. Why not? The #VMAC = not recommended booster doses for 12-17, based on an understanding that the protection provided by 2 #Pfizer doses = adequate, as 12-17 = @ low risk of severe #COVID19 illness
Read 5 tweets
Jan 10, 2023
[Thread] #JoePhaahla:
- Genomic surveillance Network reported the detection of the new subvariant XBB.1.5 in SA of a sample of a patient tested on 22 Dec
- Details of the patient = not known, it was a random sample taken for testing
- XBB.1.5 = also common in US
2. XBB.1.5 = common in US
#JoePhaahla:
- 97%+ of #COVID19 cases worldwide = still #Omicron
- XBB.1.5 cases = no major change in hospitalisations or deaths
- Immunity of SAs (vax and natural immunity) = still strong, so that is why we haven't seen much change in terms of hospital admissions/deaths
Read 5 tweets
Dec 13, 2022
🧵1. SA's @aspenpharma will be making 4 jabs (fill + finish) — pneumococcal, rotavirus, meningococcal, hexavalent — from 2023.

How will they finance this?
With a $30 million grant from @CEPIvaccines + @gatesfoundation.

Which APIs will Aspen use?
India's Serum Institute's
2. Why is it NB that an African company makes these jabs?

#Africa imports almost all its jabs. #COVID19 showed us this results in Africa being last in line to get vaccines during pandemics. The grant to Aspen is 1 of the 1st steps to change that.
3. What's the goal?

By 2040, the African Union wants #Africa to make 60% of the jabs the continent uses.

Why?
So that Africa is better equipped 2 respond 2 outbreaks (by developing the ability to make jabs + have technology in place to also make new jabs during pandemics).
Read 6 tweets
Dec 2, 2022
🧵1. BREAKING: @SAHPRA1 has confirmed the registration of the #HIV prevention jab, #CABLA in South Africa. On Thursday, #ViiVHealthcare issued their statement. ImageImage
2. Who can use the jab? @SAHPRA1 didn't specify restrictions for use in their statement, only that it is "a highly effective option for people at substantial risk of #HIV infection." Image
3. How does the jab work? It uses an #ARV called cabotegravir that prevents #HIV from replicating and entering someone’s cells. It’s taken every two months. Read my latest story for more. bit.ly/3ER7ejq
Read 5 tweets

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