Thread by @anish_koka, I spoke to @anupampom this Saturday morning about the situation in Delhi. [...]

Anish Koka

anish_koka

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& #39;t matter when lack of oxygen drives mortality https://youtu.be/PN82yVMpc6s ">https://youtu.be/PN82yVMpc...

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

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

6. Must consider the possibility of waning immunity/more lethal variant as one potential cause of India& #39;s gruesome 2nd wave being worse than its 1st. I& #39;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& #39;t know if I& #39;ll get oxygen if I get sick.."

8. India& #39;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

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& #39;s he sees his patients once a day instead of twice a day

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