The #Covid situation in #China is alarming. Let’s see how it may affect India. #thermonuclearbad (pic not representative).
Sudden lifting of Covid restrictions in China after December 7th, (in response to protests against the zero Covid policy) led to massive increase in Covid numbers. The Hospitalisations and deaths may increase.
The variants in circulation in China are #Omicron sub variants. Mostly BF7; which is a subvariant of BA5. (BA 5.2.1.7). This variant has already been spotted in several countries. It spreads alarmingly fast (R0 > 10). It escapes immunity.
But BF7 died down in UK and other countries. It most likely cannot cause severe disease in the countries already affected by #Omicron. India is one.
India can get affected by Chinese explosion of cases. But not directly. The Chinese catastrophe can affect global supply chains and API supplies for Indian pharmaceutical industry can become expensive.
The second way that India can get affected is by the emergence of a new variant due to unmitigated spread of Covid in China. The new variant may not be as benign as Omicron.
The global players should come out strongly in support of China. What China needs is a huge supply of the bivalent vaccines which are effective against the BA5 variant. This can prevent mortality in China and may curb infections to a certain extent.
Remember, it is a global village. China may not be our closest allay at the moment, but it needs all the help the world can give it because the world will suffer if China suffers.
So don’t panic. Relax and watch the scenario carefully. Watch this space for further updates.
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A 50yr old educator (he has 300k YouTube followers, he tells me while on the cathlab table) had breathlessness, chest and abdominal discomfort along with swelling of feet. Examination and echo showed that he has a massive “pericardial effusion” 1/6 twitter.com/i/web/status/1…
Normally Heart has a covering: pericardium. Space between Heart and this covering has a very small quantity of fluid. If the fluid becomes more because of infection, inflammation, cancer or any other disease, the heart may get compressed. This is called “cardiac Tamponade”. 2/6
“Cardiac Tamponade” is a dangerous situation and may lead to sudden death of not treated quickly. Immediate drainage of the excess fluid with a needle will save the life of the patient. 3/6
This 🧵 contains important information about #hearthealth.
58 year old gentleman from Canada came to #PulseHeart with chest pain of more than 12 hours duration. His ECG showed a major heart attack. 1/n
He delayed seeking medical attention because he had a heart check up done in the past few months and he was told that his heart is normal. The check up included ECG and an ECHO. 2/n
On the angiogram done immediately, (this Sunday), he had a total block of one of the major blood vessels supplying the heart. 3/n
భారతదేశాన్ని ప్రపంచానికి వాణిజ్య రాజధాని లేదా విద్యా రాజధాని అని ఎవరూ పిలవకపోయినా, మధుమేహ రాజధాని అని మాత్రం అందరూ పిలుస్తున్నారు.
2/8
గుండె జబ్బులు తారాస్థాయికి చేరుకున్నాయి. ఇంతకుముందు మధుమేహం, గుండె జబ్బులు లేని వాళ్ళకి కూడా కోవిడ్ తర్వాత ఆ ఛాయలు ప్రస్తుతం ప్రస్ఫుటంగా కనబడుతున్నాయి.
3/8
I have been seeing a lot of younger than 40 year olds getting MI. Most have history of covid. There used to be MIs in this population in pre-covid era, but now the cases are certainly high. Many of these young patients do not have the traditional coronary risk factors.
Most angiograms in these patients are showing atherosclerotic changes apart from thrombosis. We used to think that covid promotes thrombosis and not atherosclerosis. There is no direct mechanism to suggest that it does. Previous studies demonstrated increased atherosclerosis…
Regarding mutagenicity of Molnupiravir, the initial test for any molecule is the Ames test which if negative indicates that the molecule in question has no mutagenicity. For Molnupiravir it was positive. If Ames test is positive, further tests are done for confirmation.
The in vivo MN study was negative. The Sprague-Dawley Rat Pig-α Assay was equivocal. But the conclusive test called Transgenic Rodent Assay in Big Blue Rat was unequivocally negative.