New study out yesterday suggesting that vaccine efficacy with current dose for 5-11 yr olds likely wanes quickly. Especially against infection, but also against hospitalisation, although protection against severe disease is higher. Seems to be closely linked to vaccine dose🧵
Vaccine dose is the same as adult in 12-17 yr olds but much lower in 5-11 yr olds. There is a clear dose-response, with response greatest in 12 yr olds (greatest dose/wt) & graded lowering for other age gps. For 5-11 yr we see rapid decline in effectiveness against infection.
Effectiveness against hospitalisations also declined from 100% early on to ~48% 6 wks later, which is a significant decline. Suggests we need dose adjustments/vaccine updates against omicron/boosting to ensure a good response in this age group.
Meanwhile mitigations are key to maintain in schools and in the community to protect children from long COVID and other impacts of infection. And vital to maintain suppression of the virus to prevent new variants evolving - omicron has been a game changer for vaccine efficacy.
Sorry, deleted earlier tweet on the Guardian article because there was an inaccuracy in the article that I hadn't initially picked up on. Have reposted this thread with original study instead.

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More from @dgurdasani1

Mar 2
We finally have HEPA air purifiers installed in each classroom in our school! Huge thanks to our local charity & school for making this happen. This will help protect our children & community. Community advocacy and effort is vital as our govt gives up on protecting children.
For those who want to know how we did this- we contacted a local charity that works closely with our school, who were willing to help fund air purifiers for all classrooms. We measured each classroom to figure out cubic volume, and CADR specs required.
We calculated that if there was no external ventilation, we'd need two of these in each classroom. As it happens, ventilation in our school is quite good. Our local authority assessed this, and we settled on one for each classroom + outside ventilation

amazon.co.uk/Purifier-Clean…
Read 4 tweets
Feb 28
ONS data on long COVID out today very concerning
-persistent symptoms *affecting daily life* affect a significant proportion of primary & 2ndary school age children
-clear impact on children's wellbeing 🧵
ons.gov.uk/peoplepopulati…
Let's look at the ONS results.

First, it shows that 1 in 100 primary school age children had at least one of 28 persistent symptoms post-COVID-19 *affecting every day life*. This is *not* 1 in 100 children infected. It's *1 in 100* children in the community. And pre-omicron.
Let's think about this again. 1% of all primary school age children in England estimated to have had long COVID symptoms *affecting daily life* for 12 weeks or more.
Read 25 tweets
Feb 26
When A&Es are overwhelmed, patient safety becomes compromised. Here, a post-covid pulmonary embolism was missed initially with patient sent home without assessment. When he was finally diagnosed, he was managed at home despite low O2 levels & repeated trips to A&E. This is unsafe
Here's data on the no. of patients needing to wait >12 hrs for decision to admit in A&E- a measure of pressure in A&Es. The increases up to Jan '22 are completely off the scale. This is what we're dealing with. Services so overwhelmed simply cannot function at the same level. Image
We need urgent support for the NHS- the problems are complex- chronic underfunding, Brexit, the cumulative impact of the devastation of the NHS by 2 yrs of failed pandemic policy, long covid in staff, staff burnout - have all contributed.
Read 6 tweets
Feb 24
To those who feel I shouldn't be tweeting about anything except COVID-19 - I'm a person with opinions and this is my private account, and I will use it to express my opinions on whatever I feel like. If you don't like it, feel free to unfollow. You don't get to tone police me.
.@mroliverbarnes - you may want to take note too.
Also want to point out that women experts get this a lot because people think of us as someone who's doing a job for them by putting out public information. This isn't my job- I tweet about COVID-19 because I feel like. And when I feel like, I will tweet about other things.
Read 5 tweets
Feb 24
Russia interfered in our democracy- we did nothing
Russia poisoned people on UK soil- we did nothing
We signed a treaty with Ukraine saying that we'd protect them if they gave up their nuclear weapons - they gave them up in good faith
Russia just invaded Ukraine- we do nothing
And Ukraine is just the start, not the end. If he's allowed to attack Ukraine with impunity, others will follow.
To the trolls- no I'm not suggesting we go to nuclear war with Russia! But there's so much more that can be done with coordinated sanctions, against Russia and Russian oligarchs - so much more than empty rhetoric which is all we have now.
Read 4 tweets
Feb 21
PM just asked about disproportionate impacts on poorer people who may not be able to pay £60-120 for a test, and then lose pay by self-isolating without enough financial support. PM just says that we are 'underestimating the willingness of people to do the right thing' Shameful
How out of touch does one have to be suggest that this is about willingness, when for so many people it'll be about ability. How many people can afford to shell out so much money for a test & lose pay when isolating? Especially with such poor government support.
People on low incomes are already at greatest risk from COVID-19- death rates have consistently been 2-3x higher in the most deprived. How are the poorest supposed to protect themselves & their families when you make it even harder?
Read 5 tweets

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