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Robust Antibody Response In Children Found With Pfizer Vaccine

Introduction

As time passes, a larger chunk of the world population is getting vaccinated, finally signalling an end in sight for the Covid-19 pandemic. As we enter the final few months of 2021, countries are starting to think about Covid-19 vaccinations for younger demographics, especially teens. The vaccine made by Pfizer in the USA has already been approved for older children (over 12 years). Soon though, it looks like children in the 5 – 11 age bracket may be able to get the jab.

According to Pfizer, vaccination for this age group can be initiated by the time Halloween rolls around. The possibility of schools opening up soon seems very real with this news and it may only be a matter of time before we see the same trend around the world. 

About the Pfizer Vaccine 

The Pfizer Covid-19 vaccine is one of the main vaccines being used in the USA to inoculate the population. As the adult population was getting their shots, attention turned to younger demographics. The Pfizer vaccine was tested and approved for emergency use on children first in Dec 2020 for those between 16-18. Later in May 2021, this was extended to those in the age range of 12 – 15. Children younger than this currently have no protection from Covid-19.

So Pfizer has been testing the vaccine at about 1/3rd the amount given to adults, in a trial covering about 2,200 children. The test found the vaccine to be safe and it generated the required antibody response. With this result, the company expects that the FDA will give Emergency Use Approval in as little as a month. 

The Situation In the USA

As more countries sanction vaccine trials with younger groups of children, the vaccination coverage across the entire population is sure to increase very soon. Across the world, children under 15 make up 26% of the total population. The need to get them vaccinated is also important to acquire herd immunity.  

With the Pfizer, Covid-19 vaccine for younger children soon to be approved, schools may finally start to end online classes. For example, in New York state there were no rules in place for student vaccination, only the staff needed to be vaccinated. This will restore stability, structure and discipline in the education system. For grownups too, this comes as welcoming news because, once this age group starts being vaccinated, parents will feel relieved and they too can resume their normal activities like going back to the workplace (which they may have been fearful of doing because they might become carriers of the disease and pass the virus on to their children).

The need for getting as many children vaccinated as possible is growing more urgent as the US is also dealing with the Delta variant. This is one of the deadliest COVID-19 variants and even if vaccinated people get infected, the symptoms are very mild and certainly not life-threatening.

The Pfizer vaccine trial on children between 5 and 11 years was conducted using 2 doses (each of 10 micrograms), with 3 weeks interval between each shot. Considering the urgent requirement at this time as well as the vaccine’s past performance with older kids and adults, this vaccine may be rolled out in as little as a few months or weeks.

Child Covid-19 Vaccines – In Other Countries

Across the world, several other countries too have anticipated the need to get children vaccinated and open up schools. In India, the Zydus Cadila Covid-19 vaccine was the earliest to get emergency use approval for children as young as 12. It is also the only needle-free, plasmid DNA vaccine currently approved for people under 18, it may be used exclusively for children since it has not been used to inoculate adults yet.  

In Europe, a lot of countries like France, Germany, Denmark, Sweden have begun vaccination for children 12 and over. But some of these approvals are only if the child has certain underlying conditions (lung disease, asthma. etc), others are more general. 

In China, the homegrown Sinovac vaccine was approved for children 3 – 17 years. As it stands with current Covid-19 vaccines, that would be the youngest approved age. The same vaccine is being used by several countries in Africa, Asia and South America. 

Conclusion

All through 2020 and the better part of 2021, the sheer magnitude of this pandemic seemed overwhelming. But with dedication, the scientific and the medical community are finding the means to get to the light at the end of the tunnel soon. Allowing Covid-19 vaccines for children is one of the final steps the world is taking towards being free from the pandemic. Schools were one of the first institutions to completely shut down and they might be the last to reopen. The good news is that with more trials like the one from Pfizer, there is a tangible and very real possibility that our children may finally be able to go to school in person. The world may not go back to the way it used to be but we can see the day where schools are full of children again.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Is It Possible To Contract Two Coronavirus Strains At The Same Time?

The SARS-CoV-2 or more popularly known as COVID-19, has caused one of the worst pandemics in the history of human civilization with a death toll exceeding more than 4 million worldwide (as per WHO reports). This virus has been mutating constantly and it has been documented that different people have been tested positive with different COVID variants. However, recent reports have found that there is now a possibility of coinfection from two different COVID-19 variants at the same time as well.

The First Case of Coinfection

The first case of such a coinfection was discovered as early as November 2020 in southern Brazil. Researchers in Brazil had documented two patients, both in their 30s. These two patients had been infected with the P.2 (also known as the B.1.1.28) variant and one other Variant of Concern (VOC). This led to the new possibility of contracting two COVID strains at the same time. Co-infection cases caused leading researchers at Feevale University, Brazil to conclude that such combinations will generate variants more quickly which poses the risk of a higher transmissibility rate. 

The Most Recent Case of Coinfection

On 3rd March 2021, the most recent case of coinfection was documented when a woman was admitted to a hospital in Belgium and tested positive for the virus. The nonagenarian passed away within 5 days of hospitalisation and upon later inspection, scientists found that her respiratory samples had both the Alpha (B.1.1.7) and the Beta (B.1.351) COVID mutations. Both of these were VOCs since they were studied to be highly infectious and fatal.

How Does Coinfection Occur?

Viruses usually have either DNA or RNA as genetic material that is needed for replication. The SARS-CoV-2 is an RNA virus but has already been shown to undergo a number of mutations so far. According to the records of the World Health Organization (WHO), there are at least 9 different COVID mutations that have been officially documented and classified under two categories. These are:

  1. Variants of Concern 
  1. Variants of Interest

Coinfection usually occurs due to exposure to a large crowd with high chances of exposure to people infected with different COVID variants. However, scientists have also proposed that the virus can undergo a process known as recombination inside the body of the infected person. This can only happen when two viruses infect the same cell and end up exchanging and recombining their genetic material to create a newly mutated variant of the virus.

Who is at a Higher Risk?

According to a report published in the online medical journal repository medrXiv, a Portuguese teenage girl who had been recovering from a previous COVID infection was found to be infected with another variant at the same time. This depicts the possibility that people who are recovering from COVID-19 may be at a higher risk of coinfection too. Scientists have also confirmed that people living in areas with lower vaccination rates are at greater risk. Moreover, old age, comorbidities and a compromised immune system continue to be factors of high risk even for COVID-19 coinfection.

Conclusion

Since RNA viruses like Hepatitis C and Influenza have been known to cause coinfections upon mutation, there is no reason why the same wouldn’t happen with COVID-19. Moreover, with the recent reports of the cases of coinfection, it is all the more reason to avoid large crowds and observe COVID-19 protocol at all public places.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Johnson & Johnson’s Single-Dose COVID-19 Vaccine – How Could It Be A Gamechanger?

Overview

In a piece of great news for all the Indians, Johnson and Johnson’s single-dose COVID-19 vaccine has been given emergency use approval (EUA) in India. The development was confirmed by the Union Ministry for Health and Family Welfare recently.

There are plenty of reasons for it being great news for a country as populated as India because apart from the shortage of ‘made in India’ vaccines, there have been plenty of misconceptions pretty prevalent across the states.

Moreover, the cases of the Delta variant of Coronavirus have seen a rapid surge in the past few weeks.

Now, the addition of Johnson and Johnson’s single-dose vaccine has expanded India’s EUA vaccine tally to five, making the vaccine availability for people even easier. This holds great significance looking at the surge in the cases of mutated strains of the virus.

Other EUA vaccines in India

Johnson and Johnson’s COVID-19 vaccine is the latest inclusion in the list of already approved vaccines. Here is the list:

As per the latest update, over 51.9 crore vaccine doses have been administered, while over 11.5 crore people have been fully vaccinated, which is about 8.5% of the country’s total population.

Well, the central and state governments and health authorities have done a great job in inculcating so many people, there are still plenty of people who have not received a single dose either due to shortage or vaccine-hesitancy.

How is J & J’s vaccine different from others?

Being the only single-shot vaccine across the world, Johnson and Johnson’s COVID vaccine is being looked at as a potential game-changer. The clinical trials have proven that J & J’s vaccine provides a strong immunity against coronavirus in most inoculated people. This vaccine has played a pivotal role in developing a single-dose trend across the world. Earlier, other US-manufactured vaccines developed by Pfizer and Moderna showed a weaker immune response after a single dose.

Difference between single-dose and double-dose vaccines

Johnson & Johnson’s COVID-19 vaccine is a viral vector vaccine. In viral vector vaccines, the researchers use a different virus to produce antibodies that fight deadly pathogens. The researchers modify a different virus, that is called a vector, to generate an immune response against the deadly pathogen.

To develop the vaccine against COVID-19, J & J’s team took a common cold virus, known as adenovirus, which on being injected into someone’s body, gets attached to the cells responsible for reading the genetic instructions required to produce the COVID-19 spike protein. As soon as the spike protein gets detected in the body, the immune system starters producing antibodies to fight it.

Pfizer and Moderna’s COVID-19 vaccines have been developed using Messenger RNA (mRNA) technology, which generate an immune response in the body by activating the cells responsible for fighting the deadly pathogens. These types of vaccines trigger the cells to produce a protein that leads to an immune response in the body. This process produces antibodies required to fight deadly COVID-19.

How effective is J & J’s COVID-19 vaccine?

The COVID-19 branch of J & J’s received EUA for their vaccine in the United States back in February 2021.

Before giving the green signal, the Food and Drug Administration (FDA) analysed the results of the clinical trials involving over 40,000 people and concluded that it could be effective in every case of COVID-19, be it mild or critical. It was found out that the vaccine was effective in 72% of cases in terms of preventing the COVID-19 virus and 86% effective in preventing serious illness due to the disease.

Similar to most of the available vaccines, J & J’s COVID-19 vaccine also doesn’t promise that the inoculated person would not get infected with the virus but it claims that the person would be less likely to develop a severe infection or require hospitalisation.

Duration of Protection

There is no evidence to support a specific time duration of protection against COVID-19 after taking the vaccine but the research surely has proved that it does shield you against the virus.

There have been reports claiming that the antibody level was stable and increasing even 71 days after taking the vaccine. 

There have been speculations that despite J & J’s COVID-19 vaccine not requiring a second dose as of now, it may be required in the days to come.

Takeaway

The arrival of the COVID-19 vaccine of Johnson and Johnson is great news in every aspect for the Indians, as it would not only cut down the shortage of vaccines but will also help people in getting fully vaccinated in a single shot. Still, people have to be a little more cautious in terms of how they conduct themselves in a bid to prevent the third COVID-19 wave in India.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

What Is The Effect Of Taking The COVID-19 Vaccine And Prescription Drugs Together?

COVID-19 vaccines have a lot of controversies and questions surrounding them since the general public is still cautious on how to deal with the virus. An important question surrounding it is the interaction between the COVID vaccine and other drugs. Are there medicines that should be avoided when getting a vaccine or not?

Which Drugs To Take and Which Ones to Avoid?

Most studies conducted till now indicate that the COVID vaccine and other drugs don’t interact with each other to harm your health. Thus, any medicine, in particular (unless specified by your physician), does not need to be avoided. However, certain precautions must be taken with respect to certain medications to prevent any adverse side effects.  

If you recently underwent an organ transplant surgery and are taking any immunosuppressive drugs, you should consult your physician before taking the vaccine. Ideally, your doctor will advise you to wait for some time after the surgery before getting your vaccine. Immunosuppressive drugs have the possibility of decreasing vaccine efficacy. The vaccine works by triggering a response from the immune system in order to produce antibodies against the COVID-19 virus. Immunosuppressive medications can reduce the effectiveness of the vaccine as they suppress the immune system. If you are taking immunosuppressive drugs you should still go and get vaccinated. The efficacy of the vaccine may be less for immunocompromised patients, however, it does provide protection against the virus. Getting the vaccine ensures more protection than what the body can offer you without vaccination at all. 

Steroids also suppress the immune system of the body. If you are on long-term steroids they should be continued along with the COVID-19 vaccine. Your doctor can help you understand and modify the dose if needed. However, if you are planning on taking steroid injections it is recommended to postpone taking them (up to 2 weeks) till after you are done getting vaccinated.

People who are on regular medication for diabetes, blood pressure, hypothyroidism, heart conditions, kidney conditions, etc should not stop their medication if they are about to get vaccinated. However, those with heart conditions and bleeding diseases should first check the kind of anticoagulant they are currently taking before rushing off to get the vaccine. Consulting with your doctor would be ideal in this case. 

Anti-Inflammatory Drugs Before Getting Vaccinated 

A prevalent practice that has been observed is the consumption of painkillers and anti-inflammatory medication before getting vaccinated. This is something that should be avoided, as taking anti-inflammatory medication will not provide any additional protection from the symptoms of your immune response. Taking these medicines before getting vaccinated can dull the immune response to the vaccine, which may reduce the vaccine effectiveness. It is ok if you take paracetamol to manage your symptoms after the COVID vaccine but it is not advisable to take any pain killer or other anti-inflammatory medicine before vaccination.

Should People Taking Drugs for Comorbidities Get Vaccinated? 

Yes. Patients taking drugs for comorbidities should get vaccinated at the earliest. Patients with comorbidities are at more risk if they contract the virus. People with diabetes or blood pressure can take the vaccine along with their ongoing medications. It is better to consult a physician before getting the vaccine as individual health needs and responses vary greatly.

COVID vaccine and other drugs do not interact negatively in general. It is safe to take the vaccine along with chronic drugs. Be mindful if you take immunosuppressive drugs or treatment for an autoimmune disorder, bleeding or clotting disorder, then ensure to consult a physician before getting vaccinated. Your doctor may advise a dose adjustment of some medicines if needed. By no means should you ever try to change the dosage or skip any of your ongoing medicines without consulting your doctor. Taking the vaccine should not be avoided even if you are taking medication. But certain precautionary measures are recommended such as discussing with your doctor. The vaccine minimises the chances of you contracting COVID-19. Always wear your masks, practice social distancing and adhere to the safety guidelines in your city.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

What Can You Do To Prevent The Third Wave Of COVID-19?

With vaccine deployment on the rise, it finally looks like there is some end to this pandemic within sight. With the initial spread of COVID-19, India faced the world’s largest lockdown to control the escalation and reduce the number of people infected.  

Over a year and a half later, after the initial and second waves have taken their toll, everyone is curious about the third wave. Questions like ”when is the third wave coming?” and ”how can we avoid the third wave?” are common in the news and the general public. The hopeful news is that although it is inevitable, proper measures can help us avoid it.      

How can we avoid the Third Wave – What can the common people do?

As per the government scientific advisors, to prevent the third wave of COVID-19 is not an impossible task, as long as we all stick to the basic precautionary methods – mask-wearing, hand washing/sanitising and 6-feet physical distancing.

With the new variants such as the Delta variant, it is wreaking havoc due to its ability to spread more easily than the earlier variants, the focus has shifted to prioritise both prevention and vaccination. With ambitious goals to have a billion people fully vaccinated by the end of the year, India faces a steep challenge.

One of the key figures being mentioned is a 60% fully vaccinated rate. It is thought that if we can cross this threshold, it can reduce the likelihood of an intense third wave by achieving herd immunity. At best, it can prevent a third wave from ever happening. Even if the third wave arrives, we will have a handle over it.

One of the more significant factors is the general public becoming relaxed with masks and social distancing protocols due to the low number of cases post the second wave. So, how can we avoid the third wave? It’s simple – wear a mask in public at all times, maintain social distance, sanitise your hands regularly and most importantly, get vaccinated as soon as possible.  

When is the Third Wave due – And should I be worried?

So far, there is no consensus on when the 3rd wave will arrive. According to some estimates, it started on July 4th whereas others are of the opinion that the 3rd wave might be here by August. Looking into the way the virus has affected our country through the first two waves gives us some clues as to what are some possible outcomes for the future. It may be that with enough precautions to prevent the third wave of COVID-19 and successful vaccination drives we can actually avoid the third wave.  

Some government officials note that 6 – 8 weeks may be a possibility, while the start of August – end of October also seems popular among experts. The later predictions even speculate that November maybe when we see the third wave. However, these are all predictions and nothing is sure at this point in time. 

It may turn out that the question of ”when is the third wave?” may be unnecessary, as some speculation suggests this next wave will be a more gradual, slow rise than an actual ‘wave’ of cases. It is best to not worry and stress too much on how to prevent the third wave of COVID-19, as the news may simply lead to unnecessary panic.  

Can we prevent the Third Wave of COVID-19 in children – Are they more susceptible?  

There has been some alarm and fear that the ‘inevitable’ third wave will disproportionately affect children. The logic behind this theory is that children have been relatively sheltered throughout the first and second waves of the pandemic. But with more people heading outside to restart work and the public situation evolving, children may be at a higher risk now of coming into contact with the virus. 

The fact of the matter is, most children experience this infectious disease in a mild form only. Additionally, most children do not have any comorbidities and health conditions common in adults (hypertension, diabetes, heart and lung diseases). This makes their risk of developing complications during COVID-19 even lower. There is a very small risk of Multi-System Inflammatory Disease of Children (MIS-C) but it is rare. Due to the nature of how the virus works, to prevent the third wave of COVID-19 in children the normal protocols are enough.  

Be sure that your child is practising these safety measures even when they are not directly within your sight and instil in them the need to be vigilant without causing them stress or alarm. Avoid unnecessary gatherings and follow COVID appropriate behaviour sincerely, because children imitate what elders do.

Moving forward and looking ahead with hope

Although it has been thoroughly fatiguing and tiring, getting through this pandemic can only move quicker if we stop the virus from spreading and get vaccinated. It is natural to get irritated and disheartened but our lives and safety should always be a priority so remain vigilant and don’t take these precautions lightly. Do your best to help others stick to the usual safety measures and avoid gatherings where you won’t be able to maintain social distance.

In the end, the question of ”how can we avoid the third wave” comes down to each and every one of us – will you be able to do your part to stop the third wave?

If we all do our part, then the third wave can remain as just a speculation and we can all move forward into regular life.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Are People More Susceptible To Latent Infections After COVID-19?

The COVID-19 Vaccinations are going on hurriedly. As of 24th July 2021, around 9.28 Cr. citizens have been vaccinated. The latest news is of recovery in patients after COVID-19 being impaired due to inactive or dormant bacteria/viruses becoming active. This is different from people who recover but suffer symptoms due to the long term effects of COVID-19

As per new studies and data coming in, the SARS-CoV-2 virus may be making it easier for viruses or bacteria that are already present in the body to activate and cause infections. Usually, these microbes are inactive but Post-COVID complications may alter things. 

Cytomegalovirus (CMV) Are Increasing Post-COVID-19 

The CMV virus may enter the body but can’t become active unless the immune system is compromised, so it remains latent (sleeping/inactive) in most people. This virus does not leave the body, so in people with weak immunity due to some cancer, HIV/AIDS and those under immunosuppression, this particular virus has a chance to become active.

As per anecdotal information, doctors suggest that this situation may be arising due to some of the medicines used to treat COVID-19. These medicines may save patients’ lives during the worst stages of COVID-19 but they suppress the immune system which increases the likelihood of Post-COVID complications. The most common symptoms so far in patients presenting with CMV are stomach pain and blood in the stool, 20 – 30 days after they were diagnosed with COVID-19. 

The long term effects of COVID-19 are not limited to an increased risk of CMV but also a suppressed immune system that may lead to fungal or bacterial infections. Apart from this, the CMV is well-studied and treatments for the same are readily available. 

It’s possible that COVID is reactivating latent viruses in at least a portion of long COVID patients, causing chronic fatigue syndrome symptoms. There’s general consensus that some level of aberrant immune response happens in COVID-19 which further adds that it makes people more susceptible to latent infections like TB and fungal infections.

Dr. M.G. Kartheeka, MBBS, MD

The Connection Between COVID-19 and Tuberculosis

The Tuberculosis bacteria hibernates in the human body when we’re treated for this disease and like CMV, it also stays in the body. In some people, TB never manifests but the latest studies in mice show that the coronavirus that causes COVID-19 may reactivate dormant TB bacteria. 

This connection between COVID-19 and Tuberculosis may have major effects across India and the world since the WHO states that latent Tuberculosis affects nearly a quarter of the world’s population. 

It’s important to temper the alarm this study brings since it was performed only on mice and not on humans. The way forward will be to identify whether this is a long term effect of COVID-19 that we need to worry about and monitor the situation closely. 

Some people, especially those who had severe COVID-19, experience multiorgan effects or autoimmune conditions with symptoms lasting weeks, months, or even years after COVID-19 illness. Multi-organ effects can involve many body systems, including the heart, lung, kidney, skin, and brain.

Dr. Ashish Bajaj – M.B.B.S, M.D.

Is This Connected To The ”Black Fungus” Disease? 

Although not directly connected to the Mucormycosis fungal infection that has been popular in the news recently, all these Post-COVID complications are caused by the same mechanism. How it works is that patients with COVID-19 are often treated with medicines that inhibit or lower their immune system, this is done to protect them and prevent them from sustaining long-lasting damage. But the side effect of this treatment is that recovered COVID-19 patients are more susceptible to other infections (fungal, bacterial, viral) due to their weakened immune systems.

This weakness to infections that normally don’t cause any sickness is also common in other people who have compromised immune systems as mentioned above. The ‘black fungus’ infection happens for the same reason, i.e., COVID-19 activates latent infections and weak immune systems but otherwise, it is not directly connected to other long-term effects of COVID-19. 

How to Stay Safe Against These Infections: Post-COVID-19 Care 

If you have recovered from COVID-19 and especially if you were treated with drugs during your treatment, your risk for contracting infections is higher. It is vital to maintain proper hygiene and personal safety to lower your risk of contracting other diseases and Post-COVID complications. The usual COVID-19 protocols need to be followed stringently. More so, the Health Ministry has a detailed Post-COVID management protocol that you can refer to for guidance. 

These guidelines revolve around the continuance of regular mask and social distancing protocols, using diet and supplements to support your immunity and returning to professional work gradually so as not to stress your body and immune system too much. Additionally, you are advised to seek professional help in case of mental and physical recovery, apart from reaching out to friends, family and self-help groups for support.

Remember to follow up with your doctor after your recovery/discharge, preferably a week later. Be sure to inform your primary doctor of any symptoms that persist or any new symptoms that you notice during your recovery at home.

Stay Calm, Stay Safe

While care needs to be taken after recovering from COVID-19, it is important to understand that self-medication should be avoided in every case. Treatment for COVID and post COVID problems should be taken on a doctor’s advice only. Do not be stressed and fearful. Maintaining a healthy state of mind is a vital part of your recovery, so don’t jump to conclusions about whether you will or won’t face the long term effects of COVID-19. 

The last thing you or your body needs during this time is to panic and worry, so follow the necessary protocols and be calm. If you do notice some new symptoms, let your doctor know (either in person or via a phone consultation). 

Be alert regarding the standard safety protocols and you will be able to give your body time to strengthen your immune system. Lastly, although you need to wait a while, try your best to get vaccinated as soon as your doctor approves of it. 

For those who have not gone through COVID-19, it is important to get vaccinated at the earliest available slot and avoid contracting the disease in the first place. 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

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Here’s What Experts Are Speculating About The 3rd Wave Of COVID-19

Indians seem to be forgetting how miserable their lives had become just a couple of months ago when the second wave of COVID-19 had wreaked havoc, killing our loved ones and forcing us to knock from door to door for the arrangement of basic healthcare facilities.

As soon as the number of cases started dropping, people have once again started taking probably the deadliest virus in the history of mankind very lightly. The government lifted the curbs on travelling and visiting public places and people just lost control and thronged the hill stations and other tourist destinations completely ignoring every norm of social distancing.

The most unfortunate thing seems to be that the people did not learn anything from their mistake that they made after the first wave had started subsiding.

Since the virus’s first, second, and third-order effects manifest over various time periods, the pandemic will not be considered ‘over’ until the ‘third phase’ of the COVID-19 pandemic has passed. It is the best time to take preventative steps and immunize ourselves with vaccines in order to prepare for the predicted third wave of COVID-19 in some countries. In order to effectively suppress and monitor the COVID-19 pandemic, early and timely measures with improved social distancing policies should be enforced.

Dr. M.G. Kartheeka, MBBS, MD

Why should we be worried?

The newly sworn-in Health Minister Mansukh Mandaviya has taken charge at a time when India is recording about 40,000 COVID-19 cases on a daily basis. With the experts claiming that the third wave is ”inevitable”, it is not going to be easy for him to manage horrifying days in the offing.

Although India’s daily cases have started dropping, the third wave has appeared to have set in on July 4. A senior physicist, who has thoroughly analysed the trend of COVID-19 in India, has claimed that July 4 seems to be very similar to what it looked like back in February this year when the second wave had set in.

In another study conducted by the State Bank of India (SBI), the third wave, which is expected to be 1.7 times deadlier than the second wave, might hit India by the second week of August and possibly will reach its peak in September.

One expert is of the opinion that the 3rd wave will not be as severe as the 2nd. But we cannot be too sure, because another expert has brought to everyone’s attention the possibility of a new variant that has a capacity to overpower the immunity produced by vaccination and previous infection. 

Nearly 40 crore people in the country are vulnerable because they haven’t yet formed immunity against COVID-19.

Moreover, the Union Health Ministry has also warned that there has been a slowdown in the decrease in cases and a slight increase in the positive cases. Maharashtra, Kerala and some states of the Northeast are already witnessing a rapid rise in COVID positive cases. 

However, according to AIIMS chief Randeep Guleria, we can postpone the arrival of the third wave and even ensure it is not as deadly as the second wave if we adopt COVID-specific protocol.

Herd immunity against COVID-19 should be achieved by protecting people through vaccination, not by exposing them to the pathogen that causes the disease, to safely achieve herd immunity against COVID-19, a substantial proportion of the population would need to be vaccinated.

Dr. Ashish Bajaj – M.B.B.S, M.D.

What measures the government is taking to handle the third wave?

Learning something from past experience, the government is making some efforts to strengthen its healthcare infrastructure, which seemed to have completely collapsed during the second wave of COVID-19.

Vaccines being our strongest shield against the virus, the government is planning to inoculate all adults above the age of 18 years by December this year. Ironically, not only the people but the authorities also seem to be becoming complacent, as India has seen a decrease in average weekly inoculation in the last couple of weeks.

The government, however, is ramping up preparations to ensure adequate oxygen supply. A plan has already been prepared to set up 1,200 Pressure Swing Adsorption (PSA) Oxygen generators.

More importantly, the government has to prepare more strategies to make people aware of the potential damages the third wave can cause. Plus, inoculating as many people as possible should be the government’s topmost priority to build maximum immunity against the third wave.

Expert Advice

ICMR chief Balram Bhargava has highlighted that the third wave is not a future challenge for us but how we react to it will define our situation. He has also said that instead of highlighting the wave aspect, our focus should be on following the COVID-appropriate behaviour to contain its spread. Dr Guleria further stated that mutations of the virus can make coronavirus more infectious and can set India back by making goals of herd immunity unreachable in the short term. In such circumstances, people need to cooperate with the governments by adopting all safety measures.

Additionally, the experts have advised keeping a close watch on the positivity rate, especially when it goes beyond 10%.

Takeaway

Even if the authorities execute all their responsibilities accurately, they would not be able to stop the third wave from causing damage unless we support them in the cause. We should not violate the COVID protocols like wearing a mask, maintaining social distance, not going out unnecessarily, avoiding crowded places, etc. If we do not follow these norms, there is nothing that can stop us from getting into the same situation we were in a few weeks back.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

Know More About Availability, Dosage And Safety Of Moderna Vaccine In India!

The COVID-19 pandemic finally saw a silver lining amongst the dark clouds when vaccines were rolled out to the public after extensive research. India welcomed vaccines which proved their efficacy in other nations. India’s vaccination drive got a boost with the introduction of the Sputnik V and Novavax vaccines. COVID-19 vaccination in India got a further boost when Cipla announced that they will start manufacturing the Moderna Vaccine in India.

About the Moderna Vaccine

The Moderna vaccine has been developed in Massachusetts in the U.S.A. The Drugs Controller General of India (DGCI) gave the go-ahead to Cipla, a Mumbai-based drug manufacturing company to start the production of these vaccines. As per the World Health Organisation, the Moderna vaccine has an efficacy percentage of around 94.1% against the COVID-19. The vaccine offers strong COVID-19 immunity and the vaccine is scheduled to be produced under the Emergency Use Authorisation (EUA). 

A person allergic to polyethylene glycol (PEG) should not get vaccinated with the Moderna vaccine. It should only be administered by intramuscular injection and in a person with a bleeding disorder using a 23 or 25-gauge needle and applying firm pressure on the injection site for 2 minutes is recommended.

Dr. Ashish Bajaj, M.B.B.S., M.D

Efficacy of the Moderna Vaccine (Is it safe?)

The vaccine has been highly effective in the U.S.A. in providing COVID-19 immunity. The vaccine can be officially rolled out to the Indian public after it completes a 7-day safety assessment, which is to be tried out on 100 beneficiaries. The vaccine is safe to be taken by most adults and no severe side effects have been noted when the vaccine was taken by people. It has been noticed that the body starts developing immunity to COVID-19 around 14 days after the vaccine is administered. The vaccine has a shelf life of almost 7 months and is effective for 30 days if opened. 

The Moderna vaccine is proven to be effective against strains of COVID-19 like the Alpha variant (B.1.1.7) and the Beta variant (501Y.V2). Parent company Moderna Inc. is still testing the vaccine’s efficacy against the new Delta strain of COVID-19. Results are looking positive regarding the efficiency of the vaccine in offering immunity against the new strain. 

What dosage will be followed for the Moderna Vaccine?

Like most vaccines, the Moderna vaccine in India is planned to be administered in two doses of 0.5 ml each. The tentative duration between the two doses is set at 24 days, however, it might be extended up to 42 days depending on the production capacity and the number of vaccines getting rolled out. 

Moderna’s COVID-19 shot, mRNA-1273, has been found to be the most efficacious of all. While the company wrapped up trials in, it has found that the vaccine has an efficacy rate of over 91%, with immunity peaking after administering two doses.

Dr. M.G. Kartheeka, MBBS, MD

When will the vaccine be available to the public?

Cipla vaccine trials in India are slated to be completed at the earliest. When effective trials on 100 beneficiaries are completed the vaccines will be made available to the public. It is expected to be rolled out to the public in the middle or end of July when finer aspects of the trials are completed and it is deemed okay to be used. 

The vaccine needs to be stored under negative 20 ° Celsius, which has made production difficult due to the storage requirements. The vaccine is expected to be rolled out in the private sector first as the storage requirements make the cost of the vaccine higher than some of its counterparts. 

Dealing with the Delta variant of COVID-19

The third wave of COVID-19 is still expected to hit India even though vaccination drives are ongoing. The introduction of the Moderna vaccine in India can be a boost to fight the Delta strain and if it gets approved by the USFDA for emergency usage in India, the vaccines will start to be administered without further trials on home soil. WHO has been supporting the results which indicate that the Moderna vaccine is showing efficiency in providing immunity against the delta strain. To counter the third wave and the rise in Delta variants, India might also start importing the Moderna vaccine to increase the vaccinations. 

Even though vaccinations in India are ongoing the percentage of vaccinated people still stands at only 6% of the total population. Vaccinating such a large population is difficult and the introduction of new vaccines in India like the Moderna vaccine is a huge boost. 

The population needs to be more wary about getting vaccinated and staying safe by following all the guidelines issued by the government. New vaccines bring hope that the world will get back to normal and overcome COVID-19. 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

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Delta Plus Variant Of Coronavirus – Why Is It The Worst Variant Till Date?

With a steep drop in the number of Coronavirus cases across India, people have started to feel that the tragedy is finally over. But unfortunately, when we have started going out again, a new variant of the virus – Delta Plus – has emerged, posing a bigger threat to mankind.

The Delta Plus variant is the mutated version of the Delta variant, which was already spreading across India.  

How much has it spread?

So far, India has recorded 49 cases of Delta+ variant across 12 states of the country. Maharashtra is once again the worst-hit state with the maximum number of cases. Notably, the Delta Plus variant has already broken into 85 countries across the world and is one of the biggest reasons behind the surge in infection in South Africa.

Why should we worry about the Delta Plus variant?

The Delta+ variant, also referred to as AY.1 is about 60% more contagious than the previous version – the Delta variant. It is more dangerous for the lungs of the patients as it binds even more easily with the lung cells.

The Indian Council of Medical Research (ICMR) has confirmed that there have been two graded mutations in the Delta variant, which already was the most dominant strain of coronavirus in India till date.

ICMR has also stated that these mutations have increased the transmission capability of the variant and now it will spread from one person to another even more quickly. These mutations have also made it much easier for the virus to get into the cells of a patient.

The biggest reason to be worried is that the experts of epidemiology and communicable diseases have claimed Delta Plus to be the most dangerous mutation of coronavirus till now.

How to trace the Delta Plus variant?

The top virologists of the country have confirmed that the Delta Plus variant shows the symptoms of both, the delta variant and beta variant. Have a look at the symptoms:

The delta pus variant may also cause symptoms like nausea, stomach ache and loss of appetite.

How can we prevent it?

The World Health Organisation (WHO) has already notified the Delta variant of Coronavirus as a cause of concern for the world. WHO has also made it very clear that similar to the previous variants of COVID-19 infection, wearing a mask while going out and following the norms of social distancing are essential to prevent the Delta Plus variant of the virus.

Here are the measures you should take to prevent the Delta Plus variant from infecting you and your loved ones:

The important thing about delta plus variant is, it is 50% more contagious and faster spreading than other variants and it has a propensity for what is called a HYPERLOCAL outbreaks.

Dr. M.G. Kartheeka, MBBS, MD

Treatment of Delta Plus Variant

There are no sure-shot ways of treatment to treat Delta Plus variant infection as of yet. Usually, doctors use antibodies to treat this variant too. The best way to ensure the safety of your loved ones and yourself is to get vaccinated. As per the experts, none of the existing treatment courses have been found effective against this variant so far.

Although the delta variant is more contagious and spreads rapidly, it is rarely linked to severe infections in hospitalised patients, you may usually start showing symptoms within 4 days of getting infected with the delta variant of Covid

Dr. Ashish Bajaj, M.B.B.S., M.D.

Takeaway

With the Delta Plus variant spreading its wings across India, we once again find ourselves in an uncomfortable situation where we may have to face another lockdown, shortage of hospital beds, oxygen cylinders, life-saving medications and whatnot. If we really don’t want to repeat that horrible episode we saw about a month ago, we must ensure to follow all the protocols established by the government. Let’s pledge that this time, we would not let any of our loved ones die just because of our careless behaviour.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

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Can COVID-19 Vaccines Combat The Newly Emerged Delta Variant?

Introduction

With the pandemic still rampant across the country, it does appear to us that it may take a long time due to emerging multiples of virus variants. Some of these variants are silent mutations and are not effective, while the others, like the latest COVID Delta variant B.1.617.2, are increasing the severity of the COVID-19 spread in India. Scientists say that the sudden surge in the COVID-19 cases is because of the additional mutations in B.1.617.2 lineage, leading to a Delta plus variant (AY.1).

The COVID Delta variant was first detected in India and is now a Variant of Concern (VoC) for about 85 countries. The Delta variant is the dominant strain in the UK, comprising 91% of the cases. The Delta plus variant is present in 12 countries and so far 50 cases have been identified in 12 Indian states. According to the statement released by the Union Health Ministry, the COVID Delta plus variant has characteristics like increased transmissibility, stronger binding to lung receptors and decreased monoclonal antibody production.  

Although there is a substantial decline in effectiveness, the approved COVID-19 vaccines remain effective against infection and hospitalization due to the Delta variant.

Dr. M.G. Kartheeka, MBBS, MD

Delta Variant and Vaccine concern

All the experts worldwide are confident that most of the existing vaccines can deal with the new COVID Delta variant. Although it is 60% more transmissible than the alpha variant, they have observed only around 50 cases of the new variant in the last two months. So, experts opine that there is no need to panic but suggest scaling up vaccination drives across the countries as it is the only practical way to combat the Coronavirus. 

Scientists are concerned about the effects because of the mutation on the spike protein of the Delta plus variant. In India, the spread of the COVID Delta variant infection is localised and sporadic. However, it mainly spreads to the unvaccinated populations and it affects the most vulnerable individuals who suffer severe illness and have chronic infections. 

Most of the vaccines developed are active against the alpha strand of the COVID-19 virus. Therefore, the COVID-19 vaccine’s efficacy is a concern for the Delta variant, which has led to the public being apprehensive about getting vaccinated. The effectiveness of vaccines, which was up to 94% for the alpha variants, has been reduced to about 60% – 70% for Delta variants. Moreover, the clinical trials of the Novavax vaccine and Sputnik V vaccine are still in process for the Delta variant.

COVID-19 vaccines give you protection against serious illness caused by the original strain of the virus and the viruses variants that cause COVID-19, many developed across the world are bringing in seasonal flu and covid vaccinations to continue building herd immunity.

Dr. Ashish Bajaj – M.B.B.S, M.D.

How effective are the existing vaccines against the Delta variant?

The Delta variant is more resistant to existing vaccines than other COVID-19 variants. It is estimated that the Delta variant may present mild illness in people who received both doses of the COVID-19 vaccine. According to the research data published in Lancet, two weeks after the second dose, the Oxford/AstraZeneca vaccine – Covishield in India – is showing 60% efficacy against the Delta type while the Pfizer/BioNTech seems to be around 88%.  

The Pfizer and AstraZeneca vaccines were only 33% effective three weeks after the first dose against the Delta variant. The Covaxin of Bharat BioTech, Sputnik V and Novavax vaccines were also reported to be effective against the Delta variant but it is not known to what extent. Other studies by Public Health England (PHE) suggest that the Pfizer/BioNtech vaccine has shown 94% effectiveness after hospital administration of one dose and 96% after the second dose. The Covishield vaccine efficacy was 71% and 92%, respectively.  

Why is it hard to decide the most influential vaccine?

Despite the various COVID-19 vaccines in the market, it takes time to decide the best among them. Efficacy is usually denoted as the percentage reduction of the disease in people who received the vaccination, whereas the effectiveness can be compared after administering different vaccines to the same populations. For instance, Pfizer and AstraZeneca have similar effectiveness and they reliably prevent COVID-19 symptoms, hospitalisation and death even after a single dose. 

Regardless of the statistical figures, the studies and the clinical trials are ongoing to determine the existing COVID-19 vaccine’s efficacy against the COVID Delta variant. Researchers at the Indian Council of Medical Research (ICMR) have cultured the COVID Delta variant and are now testing in the laboratory to check the performance of the COVID-19 vaccines against the Delta variant. Though researchers test a range of doses, schedules and combinations of vaccines, it is sometimes difficult to conclude how long the vaccine-mediated immunity will last. 

It is not simply possible to compare the results alone. In order to rank the vaccines, one must consider their reported effectiveness, supplies and logistics costs, the durability of the protection they offer and their ability to resist emerging viral variants. Nevertheless, the best vaccine is the one you can get immediately. 

Conclusion

The global pandemic is emerging with distinct viral variants of concern. Mutations that alter immunogenicity, virulence and pathogenicity can lead to the new strain. As new strains emerge because of coronavirus mutations, the only reliable measure to stay safe is to get vaccinated and follow COVID appropriate behaviour.

There have been cases in India wherein fully vaccinated individuals were affected by the COVID-19 Delta variant. But the majority of these individuals were able to make full recovery. Therefore, vaccination protects to an extent. 

Getting both shots of the vaccine and maintaining social distancing not only ensures your safety but prevents the creation of new strains through mutation as well.  

Disclaimer: The information included at this site is for educational purposes only and is not intended to substitute medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

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