🧵1. @HealthZA will offer #COVID19#Pfizer jabs 2 high-risk kids between 5 + 11 yrs on recommendation of the VMAC.
When? The #EVDS 1st needs 2 be updated, a circular needs to be issued + health workers need 2 be trained. Nicholas Crisp: "It will take at least a month."
2. What counts as a high-risk condition?
Chronic respiratory disease
Chronic heart conditions
Chronic conditions of the kidney, liver, digestive system
Immunosuppression
Endocrine disorders
Chronic neurological disease
Asplenia
Genetic abnormalities
3. Will SA buy pediatric #COVID19 formulations?
Not necessarily.
Crisp: "The demand will be very small and all controlled by medical practitioners so we'll try fractionation."
How does fractional dosing work? You take 1/3 of the adult dose (kids = 10µg, adult doses = 30µg ).
4. Why won't all kids between 5 and 11 years be offered #Pfizer#COVID19 jabs?
Because the overall risk of falling very ill with #COVID in this age group is low, so the benefit will be highest among high-risk children.
5. How many #COVID19#Pfizer vaccine doses will high-risk kids between 5 and 11 years get?
Two doses of 10µg each (Adults get two doses of 30µg)
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[Thread] 1. SA saw its 1st confirmed #monkeypox case last week. Will there be more cases? YES. Why? The 1st case doesn’t have a travel history so he (a 30 year old man from Jhb) contracted it from someone in SA who already had it. bit.ly/3QNA7SH
2. How do you get #monkeypox? Through close contact, e.g. hugging, kissing, sex, or contaminated materials, e.g. shared linen or cutlery. It’s much harder to contract monkeypox than #COVID19. The @nicd_sa's Jackie Weyer explains it in this sound clip:
3. What’s the most telling #monkeypox symptom? Blisters on your skin. The blisters don’t have to be all over your body, they can, for instance, just be on your genitals, hands or face. The @nicd_sa's Jackie Weyer explains in this sound clip:
[Thread] JUST IN: 1. @healthza has confirmed that #JoePhaahla has repealed regulations 16A, 16B + 16C in section 90 of the National Health Act. What does this mean?
In short: 1. No masks 2. #COVID19 gathering rules = dropped 3. COVID entry requirements into SA = dropped
2. What does regulation 16 A say?
- You must wear a mask indoors
- You must wear a mask when using public transport
This has been repealed, so you no longer:
- Have to wear indoor masks
- Have to wear masks when using public transport
3. What does regulation 16 B say?
- You need to be vaxxed 4 certain gatherings/produce proof you tested negative 4 #COVID19
- There are nr limits on people attending a gathering if = not vaxxed/test negative
This has been repealed, so these rules 4 gatherings = no longer valid.
🧵JUST IN: 1. From Mon, 6 June, people of 50+ can get an extra #Pfizer#COVID19 vaccine booster 120 days after their previous booster. Technically, you can already get one from tomorrow (Sat), as the #EVDS went live tonight, but you’ll only receive an sms alert from Mon.
2. Can you choose if you want an extra #JnJ or #Pfizer booster? No. For this round, you'll need to take a #Pfizer booster (all SA’s #Pfizer jabs will have expired by the end of Oct, so this is one way of using them faster before then).
3. If you had #JnJ as a 1st dose:
- 2nd dose (JnJ/#Pfizer) = 60 days after 1st shot
- 3rd dose (booster, JnJ/Pfizer) = 90 days after 2nd dose
- 4th dose (booster, Pfizer, the one that kicks on Mon) = 120 days after 3rd dose
🧵1. It used to be straightforward to determine when we were in a #COVIDinSA wave. Everyone used the ministerial advisory committee’s formula. In 2022, things are a bit more complicated. Some researchers argue this method is no longer all that useful. bit.ly/3wkRRwv
2. If we use the MAC formula, the fifth wave started on May 7. But since these numbers alone no longer translate into curfews, lockdowns or liquor bans, @nicd_sa researchers believe a new benchmark may be necessary. bit.ly/3wkRRwv
3. The @nicd_sa's @Dr_Groome says #COVID19 case numbers have become less meaningful — using them to calculate a wave, even more so: “Severe outcomes like hospitalisations and deaths are better metrics to use now that we have seen the decoupling of cases and severe outcomes.”
🧵1. #JoePhaahla, #HIV:
- 8 million SAs = HIV positive in 2021
- Nr on #ARV's: 5.4 million, so there's a gap of over 2 million who are projected to be HIV positive but not on treatment.
- Main concern = spread amongst young people, especially young girls.
2. SA's policy = to provide #HIV treatment for everyone who tests positive to achieve viral suppression and reduce transmission.
3. #JoePhaahla:
- Our target is to scale-up #HIV treatment by another 700 000 this year to above 6 million people.
- Our treatment coverage of those who know their status has slipped to only 76% since #COVID19 Because of COVID we have missed on 90/90/90 target for 2020.
🧵1. BREAKING: @SAHPRA1 has approved a 3-month extension of the expiry dates of #Pfizer#COVID19 shots when stored at -70 °C. @HealthZA says it's stored the 92,370 jabs that originally expired on March 31 at -70°C, so they'll now only expire on June 30th and can still be used.
2. Why are there new expiry dates?
#COVID19 jabs have only been around for +/- 1.5 years. Manufacturers can only test if they stay stable 4 extended periods of time as the time moves on. They've now established that Pfizer jabs can be kept at -70°C for 12 (instead of 9) months