[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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[Thread] 1. BREAKING: Treasury has awarded @healthza emergency funds of R753 528-mil via section 16 of the Public Finance Management Act to help fill the gap of the #Trump administration's cutting of #HIV and #TB grants.
2. R590 407-mil of the total of R753 528-mil will go to provinces for #HIV service delivery.
R32 121-mil will go to @healthza to support the CCMDD programme (this delivers chronic meds such as #ARin communities so people don't have to line up at clinics)
3. R132-mil of the total of R753 528-mil will go to the SA Medical Research Council to support medical research (lots of US grants were lost, especially from the NIH, although it looks like some of cuts may now be recversed by the NIH. science.org/content/articl…
🧵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).