Mia Malan Profile picture
Dec 1, 2021 11 tweets 8 min read Read on X
[Thread] 1. From TODAY (1 Dec) adults in SA with certain conditions that weaken their immune systems can access an additional #COVID19 vaccine dose. How do you get a dose? Your doctor/nurse needs to fill out a form. Download it here:
bit.ly/31jRuW4
2. You need to register on the #EVDS for an additional dose and take the form that your doc/nurse filled out with you to the vaccination site. Here's how it works:
3. Which conditions qualify?
1. Haematological or immune malignancy
2. Moderate to severe primary immunodeficiency disorder
3. HIV infection with CD4 count < 200 cells/µL within the last 6 months
4. Asplenia

Source: bit.ly/31jRuW4
4. People on these treatments also qualify for additional #COVID19 vaccine doses:

1. High dose steroids or systemic biologics (e.g. for autoimmune conditions)
2. Long term renal dialysis
3. Transplant recipients (solid organ or bone marrow)

Source: bit.ly/31jRuW4
5. Are additional vaccine doses boosters? No.

They're called additional doses because they're 4 people with immune systems so weak that the normal nr of doses = not sufficient. These doses = part of the primary vaccination schedule 4 such people.

More: bit.ly/3obEmvc
6. Why don't all people with #COVID19 comorbidities get extra doses?

Not all people's immune systems = so weak that the normal nr of doses don't work well enough. Extra doses = not given because the efficacy of jabs wane over time, but because of very weak immune systems.
7. Is the time frame for when to take an additional dose the same as for boosters? No.

E.g.: A #Pfizer booster (3rd shot), is normally taken 6 months after the 2nd shot. An extra Pfizer dose can be taken from 28 days onwards after the 2nd shot.

Source: bit.ly/31jRuW4
8. Can teens (between 12 and 17 years) get additional doses? No. Only adults (people of 18+) in SA qualify at this stage.

Source: bit.ly/31jRuW4
9. Can you mix and match doses for an additional doses in SA? Not at this stage.

- If you had 2 #Pfizer shots, you need to take a 3rd Pfizer shot.
- If you had 1 #JnJ shot, you need to take a 2nd JnJ shot.

Source: bit.ly/31jRuW4
10. When will #COVID19 vaccine boosters become available in SA?
@healthza:
1. Sahpra's decision re #Pfizer's booster application expected soon (no boosters can be rolled out without approval)
2. The vaccine MAC's recommendation to @healthza re boosters = expected this week
11. Who will receive #COVID19 vaccine boosters first in SA?

@healthza says:
Boosters will be phased in, starting with boosters for people of 60 years and older.

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More from @miamalan

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
Dec 1, 2022
🧵1. @SAHPRA1 says it’s “days away” from announcing a decision on the registration of the #HIV prevention jab, #CABLA. The shot virtually wipes out your chances of contracting HIV through sex + needs to be taken every 2 months. bit.ly/3ER7ejq#WAD2022
2. How does the jab work? A bit like contraception, says @LindaGailBekker. “U take contraception before sex 2 prevent pregnancy. Similarly, u take the jab before being exposed 2 #HIV 2 prevent infection.” Listen 2 Linda-Gail on @bhekisisa’s #HealthBeat. bit.ly/3FjBlS8
3. What makes #CABLA work? An antiretroviral drug called cabotegravir. Some people with #HIV use it for treatment, along with other #ARVs. The drug prevents #HIV from entering your cells. bit.ly/3ER7ejq
Read 8 tweets

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