South African doctors are tough. We are used to extreme conditions. Making do with little. Going the extra mile for our patients. We have faced surge after surge of trauma patients hit our depts every weekend, managing the wounded, bleeding, critically injured. A thread 1/

I trained in the early 2000s. When SA didn't have ARVs for patients dying with HIV/Aids. In 2003 as a med student we marched so that South Africans could have access to ARVS. Millions of South Africans died due to the slow rollout of ARVS in the early 2000s 2/
As an intern, as ARVs were just being initiated, countless patients died - too sick to be started on ART, it was too late. As an intern at Bara, I remember certifying 8 patients dead in a night. Some patients were my own age - 24. 3/
ARVs made a huge difference. Life expectancy increased. Child-headed households decreased. More patients living a normal life. The #Covid19SA pandemic has reminded me so much of that pre-ARV era - the helplessness, being overwhelmed with patients and lacking resources 4/
Although we always get nervous when being exposed to HIV, we feel reassured that there ART prophylaxis. With #COVID19 HCWs are at high risk of getting sick, and also severe illness. We have continued to face this fear all year 5/
We have continued to work in an overburdened healthcare system, doing our best. Yet not even the PPE we are given has been of an acceptable standard. This article looked at N95s given to SA HCWs and found them SUBSTANDARD. 6/ https://t.co/Gg4KBK0pXK
Aerosolisation of #COVID19 has been proven to be a major concern. We don't have negative pressure rooms. We work in poorly ventilated departments overcrowded with patients. We are at high risk of getting sick with covid-19. Yet we don't have masks that fit properly 7/
Given our working environment, our poorly fitting masks, our second wave that is surging beyond the peak of the 1st wave, the need to reopen the economy to tourists, South Africa needs to make getting the #covid19vaccine its UTMOST PRIORITY. 8/
South African Healthcare Workers MUST hold @HealthZA accountable. We need the vaccine NOW, as we face our second wave. Getting the vaccine mid-year is TOO LATE for us and our patients. 9/
Let's not forget how long it took to get anti-retrovirals to patients with HIV/AIDS in South Africa. I will never forget what we went through back then. Delaying the covid19 vaccine is the same thing. 10/10 end

More from Health

No-regret #hydrogen:
Charting early steps for H₂ infrastructure in Europe.

👉Summary of conclusions of a new study by @AgoraEW @AFRY_global @Ma_Deutsch @gnievchenko (1/17)
https://t.co/YA50FA57Em


The idea behind this study is that future hydrogen demand is highly uncertain and we don’t want to spend tens of billions of euros to repurpose a network which won’t be needed. For instance, hydrogen in ground transport is a hotly debated topic
https://t.co/RlnqDYVzpr (2/17)

Similar things can be said about heat. 40% of today’s industrial natural gas use in the EU goes to heat below 100°C and therefore is within range of electric heat pumps – whose performance factors far exceed 100%. (3/17)


Even for higher temperatures, a range of power-to-heat (PtH) options can be more energy-efficient than hydrogen and should be considered first. Available PtH technologies can cover all temperature levels needed in industrial production (e.g. electric arc furnace: 3500°C). (4/17)


In our view, hydrogen use for feedstock and chemical reactions is the only inescapable source of industrial hydrogen demand in Europe that does not lend itself to electrification. Examples include ammonia, steel, and petrochemical industries. (5/17)
🚨Important changes to lockdown/self-isolation regulations from 5pm

The Health Protection (Coronavirus, Restrictions) (All Tiers and Self-Isolation) (England) (Amendment) Regulations 2021

£800 'house party' FPN & police can now access track & trace data

https://t.co/k9XCpVsXhC


“Large gathering offence”

As trailed by Home Secretary last week there is now a fixed penalty notice of £800 (or £400 if you pay within 14 days) for participating in an gathering of over 15 people in a private residence


Fixed Penalty Notices double for each subsequent “large gathering offence” up to £6,400

Compare:
- Ordinary fixed penalty notice is £200 or £100 if paid in 14 days
- Holding or being involved in the holding of a gathering of over 30 people is £10,000


Second big change:

Since September has been a legal requirement to sell-isolate if you test positive/notified by Track & Trace of exposure to someone else who tested positive

Police can now be given access to NHS Track & Trace data if for the purpose of enforcement/prosecution


This will make it easier for police to enforce people breaking self-isolation rules. Currently there has been practically no enforcement.

Data says only a small proportion of people meant to be self-isolating are fully doing so.

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दधीचि ऋषि को मनाही थी कि वह अश्विनी कुमारों को किसी भी अवस्था में ब्रह्मविद्या का उपदेश नहीं दें। ये आदेश देवराज इन्द्र का था।वह नहीं चाहते थे कि उनके सिंहासन को प्रत्यक्ष या परोक्ष रुप से कोई भी खतरा हो।मगर जब अश्विनी कुमारों ने सहृदय प्रार्थना की तो महर्षि सहर्ष मान गए।


और उन्होनें ब्रह्मविद्या का ज्ञान अश्विनि कुमारों को दे दिया। गुप्तचरों के माध्यम से जब खबर इन्द्रदेव तक पहुंची तो वे क्रोध में खड़ग ले कर गए और महर्षि दधीचि का सर धड़ से अलग कर दिया।मगर अश्विनी कुमार भी कहां चुप बैठने वाले थे।उन्होने तुरंत एक अश्व का सिर महर्षि के धड़ पे...


...प्रत्यारोपित कर उन्हें जीवित रख लिया।उस दिन के पश्चात महर्षि दधीचि अश्वशिरा भी कहलाए जाने लगे।अब आगे सुनिये की किस प्रकार महर्षि दधीचि का सर काटने वाले इन्द्र कैसे अपनी रक्षा हेतु उनके आगे गिड़गिड़ाए ।

एक बार देवराज इन्द्र अपनी सभा में बैठे थे, तो उन्हे खुद पर अभिमान हो आया।


वे सोचने लगे कि हम तीनों लोकों के स्वामी हैं। ब्राह्मण हमें यज्ञ में आहुति देते हैं और हमारी उपासना करते हैं। फिर हम सामान्य ब्राह्मण बृहस्पति से क्यों डरते हैं ?उनके आने पर क्यों खड़े हो जाते हैं?वे तो हमारी जीविका से पलते हैं। देवर्षि बृहस्पति देवताओं के गुरु थे।

अभिमान के कारण ऋषि बृहस्पति के पधारने पर न तो इन्द्र ही खड़े हुए और न ही अन्य देवों को खड़े होने दिया।देवगुरु बृहस्पति इन्द्र का ये कठोर दुर्व्यवहार देख कर चुप चाप वहां से लौट गए।कुछ देर पश्चात जब देवराज का मद उतरा तो उन्हे अपनी गलती का एहसास हुआ।