🧵

🇲🇾,
When we say "Lessons from India" -it's not enough just by sharing countless devastating stories & pictures of dying/dead people because of #COVID

LESSONS:

1. DON'T RELAX YOUR GUARD

- Too soon of reopenings
- Relaxation of SOP when other countries are still not clear

https://twitter.com/bmj_latest/status/1389527794774908932

2. NEED TO INCREASE TESTING CAPACITY
- A classic example of too little, too late
- Don't rely on PCR for mass testing
- Lockdown is only a temporary measure: MUST strengthen other measures.

5 takeaway points from @DrAmarMOH :

🚨Use RTK to ramp up mass testing
🚨Boost staffs & increase efficacy at vaccination sites
🚨Share data on side effects of vaccines openly: transparency
🚨Non-essential services: Work from Home
🚨Lead by example

https://twitter.com/dramarmoh/status/1390911707275354114

"We need to stop depending on the slow reverse transcriptase polymerase chain reaction (RT-PCR) tests but use rapid antigen testing (RTK-Ag) of people with or without Covid-19 symptoms. RTK-Ag may have a lower accuracy but make up in speed and impact."

"Prioritise the elderly & high risks"

Easy to be said,
NOT easy to be done.

Many elderly people are still vaccine-hesitant:their main source of info is "fear-mongering" Whatsapp chain messages.

This is a 🧵on #COVID vaccine's risk & why we should not wait for an IDEAL vaccine. 2/ Many of the high risk patients who we counselled for vaccine still are hesitant & adopted approach of "Tunggu Dulu la"
Despite our best efforts explaining the risks

Remember when Pfizer first came out? Many people went bonkers over the anaphylaxis issue despite reassurances.

One of the best balanced summary on the Astra Zeneca vaccine & what is at stake. sciencemag.org/news/2021/05/w… "vaccinating 100,000 people ages 80 and older in an area with high infection rates—886 infections per 100,000 people per month, the level seen in Europe in January—would prevent 1239 hospitalizations and 733 deaths over a period of just 4 months (see tables, below). "

Nampak ada yg berminat dgn tweet saya (2019) berkenaan anak saya yg gemar membaca.

Saya kongsikan tips utk galakkan anak membaca; (semoga bermanfaat utk yg lain)

1) Ibu bapa harus membaca & pastikan anak nampak anda membaca.
Anak nampak, anak akan ikut insyaAllah. 2) JANGAN paksa.

Minat membaca tidak boleh dipaksa. Jadikan membaca suatu aktiviti yg digemari.

Saya jadikan waktu membaca sebagai satu waktu "us-time"/aktiviti bersama - anak menghargai bahawa membaca adalah suatu aktiviti kekeluargaan yg menggembirakan.

Shortage of #PPE is a serious issue.

Let’s take a doctor who does screening - 1 set of PPE (mask, face shield, head cover, isolation gown, plastic apron, shoe cover) can last him for 4 hours - afterwards he needs to rest & change (all drenched in sweat).

8h shift = 2 sets PPE That is 1 doctor.

If a team - mass screening
Average of 10 person/team
20 sets PPE per 8hours at 1 site

We have ~>100 screening sites.

And 34 hospitals managing SARI & #COVID19 -
they have multiple departments/wards required to wear PPE during rounds/procedures

Can u imagine?

1/ A small effort from IMARET for the HCW.

We aim to produce more of such on other related topics eg HCQ usage, US thorax in #Covid_19 , prophylaxis for HCW etc.

Starting humbly with basics.
Project started cos many HCW said they didn’t have time to digest journals.#MedTwitter 2/ The #IMARETRapidReviewSeries should not be treated as a guideline or a publication equivalent.

It’s meant to present findings from publications in bite-size points so that it can be digested by the HCW in a fast manner.

In pandemic - Time is an Essence.

1/ Buat doktor di 🇲🇾 Malaysia,

Saya menyeru (tidak kira apa jua bidang anda: perubatan/FMS/GP/pembedahan/O&G/ortopedik/public health etc):

Start reading on management of #covid19.
We are up against a marathon. U will maybe needed at frontline sooner/later.

Thread: links 2/ Will add more as things evolve.

#Covid19ClinicalManagement

@DrKhorSK @yoongkhean @DrAmarMOH @chriskc_Lee @khairul_hafidz @rafidah72 @zainaladwin @dytiaaurinh @DrErnaNadia1 @DrMahyuddin @suhazeli @CibaiLokter @tulunsokit