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I spoke to @anupampom this Saturday morning about the situation in Delhi. He notes it is grim, the rate limiting step is oxygen, not beds or ventilators. A summary(not in order)
1. IFR/Deaths/million don't matter when lack of oxygen drives mortality
1. IFR/Deaths/million don't matter when lack of oxygen drives mortality
2. Prepare for the worst case. Spread of COVID is inevitable. Use lockdowns to give systems time to scale infrastructure (beds/oxygen/manpower/vaccine drives)
3. Seroprevalence studies are meaningless
3. Seroprevalence studies are meaningless
4. Prior infection/vaccination may not prevent covid infections/re-infections, but do seem to prevent hospitalizations/severe illness
5. Vaccination drives that require travel to hospitals may cause further spread of the virus
5. Vaccination drives that require travel to hospitals may cause further spread of the virus
6. Must consider the possibility of waning immunity/more lethal variant as one potential cause of India's gruesome 2nd wave being worse than its 1st. I'm hopeful that @anupampom not seeing severe repeat illnesses in his personal cohort of recovered/vaxxed patients argues against
7. Toughest part of the interview : @anupampom : "Even I don't know if I'll get oxygen if I get sick.."
8. India's central govt. appears paralyzed. If India is unable to set up large field hospitals.. send in UNICEF/China/the US Army Corp.. whoever can help
8. India's central govt. appears paralyzed. If India is unable to set up large field hospitals.. send in UNICEF/China/the US Army Corp.. whoever can help
9. There may have been too much attention/resources directed towards vaccines and not enough to novel therapeutics.
10. He does not believe any of the current anti-virals are very effective against SarsCOV2
10. He does not believe any of the current anti-virals are very effective against SarsCOV2
11. The stress on healthcare workers is extreme. @anupampom has been working 7 days / week, 12 hours a day for the last year. He currently takes care of 50 COVID patients /day. On Sunday's he sees his patients once a day instead of twice a day
