BC HEALTH
Saved by @CodyyyGardner

Minister @DrZweliMkhize committs to uploading MAC Vaccine ADVISORIES by end of briefing. Commits to urgency and expediting availability.

#Vaccines
#nocovidmonopolies

#1Country1Plan

 Aim for 67% of population. First HCWs, then elderly and those with co-morbidities.
Mainly COVAX. Balance of funds being secured from govt. when 'COVAX delivers'.
Aiming for earlier date than COVAX. Depends on bilat negotiations with phrma. No DRUG Company has CONFIRMED.
Medical schemes being included and through PMBs (amending reg.ns), public-private initiatives being set up. Task Team/s set up for medical schemes and govt and priv sector (BUSA).
3 funding sourcees: Govt., Medical Schemes, Priv. Sector.
NDAs signed by Govt. with drug companies for several bi-lateral negotiations (I BET NO PATENT LIFTING...).
Working with @SAHPRA1 for early fast track approval of vaccines for 'urgent attention'.
Distrbution structures being set up at district level. With CSOs and traditional structures. !
@tianjohnson
Deal with misconceptions around vaccine hesitancy.
Dealing*
President @PresidencyZA @CyrilRamaphosa also has Africa Vaccine Acquisition Task Team (AVATT) which Min appears to now also sit on...
Minister has been personally involved in some discussions with phrma.
President has reached out to stakeholders in Africa to look at how 'manufacturers' play their part to assist (closest ref to phrma power).
That we and continent 'not get left behind', 'we are working behind the scenes'.
PPP TASK TEAM - with private sector - to secure $ funding for 67% vaccination aim.
I am in despair, even in THIS PANDEMIC, our government is unable to ensure no patent restrictions-does not seem like it is going that way at all so far in this briefing. Grateful for a few temp. deals, but global south is a time bomb, world needs rapid scale up of manufacturing😪
And then this: Spot the outlier...
And of course, the current speaker, wrote this today:

https://t.co/AcG6APtmsZ
Shem, civil society - we only NB to 'make communities understand' - for door to door...
DDG (why is DG not presenting?) says 3 ways to give out a vaccine (that we still waiting for abd will pay who knows what): https://t.co/kWnBgb6Gsr based,
2.outreach / mobile, PHCs
3.vaccination centres for remote areas too.
And then, here we go: it ALL 'DEPENDS ON SUPPLIES - IF AVAILABLE'.
May use s21 special use, and looking at expedited approval with @SAHPRA1 - not all drug co sent data
May use emergency procurement (read: we may pay what phrma wants us to pay...
-where is @CompComSA to review prices BEFORE? OTHERWISE PANDEMIC gouging will happen).
Phrma negotiations/ many meetings: China, India, Pfizer, AstraZ, Cipla?, Moderna, JandJ.

(NDAs with public money is shameful!)
I ain't tweeting all of this...so here is a photo: 😷
Ah CIPLAnow makes sense- SERUM/ @AstraZeneca @UniofOxford - but *tiered
pricing* (WATCH)
@JNJNews @aspenpharma (seems DDG pushing this one)
I think he just said @moderna_tx is acting silly ... (was it someone else?) 🔊🔊🔊
COVAX - THE BLACK BOX -
So, we wait (not critique).
And expect 2nd Q 2021.

(Hence, deadline as I said before, was a big fat red herring...)
???

Who pays the COVAX balance of payment?

Where are the many women business leaders?

So we not pursuing price control or patent restrictions - phrma triumphs?
Hayibo!!!!
Wait- did we just convince @GovernmentZA on #1Country1Plan -so with a single, equitable allocation systemwhere med schemes cannot ALLOCATE in parallel?!!

Oh my.
So much info shared this evening, though alot being kept under wrap and by drug co. NDAs.

Why coudn't @GovernmentZA simply reply *in writing* to a letter asking these very questions from mid-Nov 2020 by @HealthJusticeIn ...major state capacity issues...
Our recourse against phrma will now it seema be at the @CompComSA for price examination, given public funding of several of these potential vaccine candidates. #nocovidmonopolies
#nopandemicgouging
Good thing @HealthJusticeIn & @ezintsha in JULY 2020 asked that @CompComSA work out pre-emptive price regulation of COVID19 products (so that we don't wait *after* deals signed).
Over to drug companies to PROVE PRICE IS CORRECT. Share data & either way, remember Dischem/Babelegi.
Did not fully understand answer on Russia / Sputnik.
Good for @DrZweliMkhize to mention and appreciate public's anxiety and uncertainty - not getting angry or defensive.

Hope @HealthZA gives a briefing every 3 to 5 days until roll out is complete.

We need info, not whispers...

@GCISMedia
We have NO price control over COVAX, as a MIC, we are at the mercy of the COVAX BOARD, a private foundation, no transparency at all.
Big black box.
Cost: approx ZAR 2 BILL.
Minister:
NO JUSTIFICATION for rich countries to hoard vaccines, 'release it'. And 'we fight behind the scenes'.
Come on, say to drug companies to *not profit* in a pandemic. It is OUR public money.
@PresidencyZA may still phone some companies and say 'come on'!

I hope @pfizer @JNJNews @aspenpharma @CiplaRSA @AstraZeneca @UniofOxford @BioNTech_Group and others are listening.

South Africans are tired of waiting, of paying too much, of being blocked.

Salute HCWs.
NOT A SINGLE MENTION THAT @GovernmentZA is also leading a TRIPS WAIVER REQUEST IN GENEVA asking for global IP RULES to be waived in this pandemic...

@HealthZA
@the_dti

Why?
These drug companies have out negotiatiated so many countries, even ours, NDAs aside, so shameful, even COVAX allows this...

We did warn. Months ago.
I am as confused as everyone else about the role of GEMS and Parmed and Polmed in vaccine procurement, distribution and allocation...
Ends with nothing material on TRIPS WAIVER status quo...

Over and out. 😷⏳🧩🧩🧩
Oh wait 😷😷😷
... seems like we did get #1country1plan through agreed upon national allocation *approach* that follows a triage system...

(Not a plan, cos I don't see it in writing, nor tabled in @ParliamentofRSA ! )

At present, slides and national presser.

☕
So @CompComSA most def needs an urgent COVID-19 Vaccine (internal) premptive pricing task team.
Help out at @HealthZA and
@SAHPRA1

Laws needed to PRICE ASSESS BEFORE WE SPEND THE MONEY.

Justify the price, or price variations. Prove it is low or no profit. And, not time bound.
The MAC Vaccine + ADVISORIES are now uploaded by @HealthZA :

https://t.co/QmcB3OboWU
And we still don't know the opposition parties views on IP AND PATENT monopolies. Do they support the status quo?

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🚨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


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Thane Black
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A week ago I voluntarily admitted myself to the hospital to get help bc I am losing weight as a result of increased food intolerances, secondary to my very severe #MECFS. A psychiatrist here decided that im mentally ill, 1/

purely on the basis that the medical workup was unable to explain my food intolerance. My psych eval only found mild anxiety and depression. 2/

They have put me on a 72hr psych hold while they work to get the county courts to commit me to a psych ward. This is a nightmare. They have taken away most of my belongings, put me in a new uniform, and are keeping me under 24/7 video surveillance. 3/

In the middle of the night last night when I sat up to use the urinal loud alarms sounded, as though I was trying to escape. I can’t even walk and hadn’t even left my bed. 4/

If they succeed in having me fully committed I will lose ability to communicate with the outside world except for an occasional phone call. I will lose all agency, and will very likely have treatments forced upon me. 5/
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Sandeep Mall
Sandeep Mall
@SandeepMall
Every podcast, journal or book that I have read on health and upstream work boils down to these few steps. If u can get them right, u will be in great shape. A thread

1) Move. Though 10000 steps is just a number but a good goal to keep. This should be one keystone habit
2. Lift. Do strength training. Twice a week Four movements X 3-5 sets X 3-5 reps at 80% one rep max is good

3. Cardio - Not needed if u do 10000 steps but good to bring in for endurance and heart health.
4. HIIT once a week is good to improve anaerobic capacity
5. Sunlight - One of the most important thing that u can do for ur health is spending some time early in the morning

outdoors amidst nature
6. Protein- Make sure to get in 1.5-2gm protein per kg body weight.
7. Fibres - Aim to have 15 gms fibre per 1000 calorie. Half plate every meal preferably should be veggies.

8. Dietary fat is important for brain and hormone health.
9. Processed Sugar best avoided.
10. Fasting has its own advantage but u can do without it if u are managing ur calories. If u eat ur protein and fibre , u will not feel the hunger for rightly processed carbs
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Leandro Steinberg
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@lean_stein
🧵 on Importance of correct indication of colonoscopic surveillance studies (English 🇺🇸🇬🇧)
@KM_Pawlak @KMonkemuller @drkeithsiau @JacquelineChuMD @PerelmansPearls @stevenbollipo @SWexner @DrBloodandGuts @ebtapper @DCharabaty @RashidLui @AdvaniRashmiMD @AtoosaRabiee @DrMohdZein

@GI_Guy @RodriguezParra_ @DrHarryThomas @TennysonMD @AustinChiangMD @KralJan @thomaskroner @alinkmd #GITwitter

1/ The implementation of screening and surveillance programs can reduce the incidence and mortality of

2 / But for these to be effective and to guarantee protection against CCR, they must meet a series of conditions. One of them is the correct indication for endoscopic studies for both screening and surveillance.

3 / According to a recent meta-analysis, the minority of patients who undergo colonoscopies have a correct indication, with less than 50% adherence to the surveillance intervals proposed by scientific
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