[Thread] 1. How many #COVIDVaccines will SA receive in Aug?
Nicholas Crisp, @healthza: 1. We no longer have a supply shortage 2. The slide below shows delivery dates + doses. It takes a week for doses to get to sites after arrival (clearance, quality testing, distribution).
2. How many adults have registered for #COVID vaccinations?
Crisp: 1. Registrations have been disappointing 2. 9.2 mil (out of 40 mil = 23%) adults have registered 3. 60+ = age group with the largest % registered (3.5 mil out of 5 mil = 70%)
3. Crisp: 1. Vaccinations = slowed down by SA's vaccine shortage 2 wks ago (see slide) 2. We've lost momentum: We now have enough supply, but demand has decreased 3. There will defs be a 4th wave, but we don't know when + which variant will be dominant (could be a new one)
4. How many #COVID vaccine doses has SA administered?
Crisp: 1. About 9.2 mil (by the end of Aug 12) 2. Of the 9.2 mill
* 2 mil = #JnJ
* 7.2 mil = #Pfizer 3. Total doses = different from nr of people vaccinated (see next slide)
5. How many people has SA vaccinated? 1. Fully vaccinated (1 #JnJ dose or 2 #Pfizer doses): 3.9 mil 2. Vaccinated = people who have received 1 dose of vaccine (1 #JnJ/1 #Pfizer dose, so "vaccinated" people include some fully vaccinated [JnJ] + half vaccinated [Pfizer]): 7.2 mil
6. The green graph (top right) shows how daily vaccinations are increasing or decreasing. The red arrow shows how daily jabs have been decreasing over the past 2 weeks.
Crisp: "We should learn from Limpopo - go into villages, every jab counts".
7. This slide shows the distribution of vaccinations among age groups.
Crisp: 1. 60+ vaccinations = picking up well 2. 50-59 vaccinations = not picking up fast enough 3. Too few men = getting vaccinated which means more men than women will end up in hospital or die of #COVID.
8. How many adults does @healthza want to have vaccinated by Dec?
Crisp: 1. 28 mil/70% (out of 40 mil) 2. To reach 28 mil people, the dpt aims to administer 35 mil doses, so the % of the 28 mil = fully or half vaccinated, will depend on how doses = split between #JnJ + #Pfizer
9. Our biggest #VaccineRollOutSA challenge has shifted from a supply shortage to a decline in demand:
Crisp: 1. 35-49 = not sustained interest 2. Men = disappointing
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🧵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.
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.
3. Only 4 women out of 2134 (0.2%) who received #lenacapavir dropped out of the trial because of injection-site reactions.
[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
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.
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)
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
[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
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).
🧵1. BREAKING: @SAHPRA1 has confirmed the registration of the #HIV prevention jab, #CABLA in South Africa. On Thursday, #ViiVHealthcare issued their statement.
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."
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