Mia Malan
@miamalan
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Editor-in-chief @bhekisisa_MG . Subscribe to our newsletter: RTs ≠ endorsements
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Counting down to 29 May: What will YOUR party do for your
#health
? Will it provide free
#healthcare
? Does it mention
#HIV
or
#TB
in its manifesto?
@bhekisisa_MG
has created a free online tool that makes it easy to find out. Use it here.
#SAElections2024
1
8
8
[Thread] What is the potential impact of the new B.1.1.529
#COVID19
variant?
@rjlessells
:
1. It's relatively simple to detect some B.1.1.529 cases, as it's possible to use PCR tests to do this in some cases
2. B.1.1.529 = has many mutations across different parts of the virus
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2K
BREAKING [Thread]: 1. SA’s first real-world data on
#Pfizer
’s
#COVID19
jab’s protection @
#Omicron
infection + hospitalisation via
@Discovery_SA
+
@MRCza
Note: This is data from the 1st 3 weeks of the outbreak, so it might change - regard it as preliminary real-world data
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2K
[Thread] JUST IN:
How sick did
#COVID19
patients in SA get during Gauteng's
#Omicron
wave?
NEW
@TheLancet
preprint: (via Waasila Jasat,
@ProfAbdoolKarim
et al.)
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BREAKING: From 1 September people between the ages of 18 and 34 will be able to get vaccinated in SA.
#Ramaphosa
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2K
[Thread] JUST IN:
1. NEW
#OmicronVariant
data from the Steve Biko/Tshwane District Hospital Complex via
@MRCza
. Tshwane = where SA's Omicron outbreak started
1. Data = for the 1st 2 weeks of the outbreak (14-29 Nov)
2. Past 5 days (29 Nov-3 Dec) = exponential increase in cases
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Vaccinated (first shot)! Thank you
@Dischem
Fourways for wonderful staff and service. I was proud of
#VaccineRollOutSA
today.
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BREAKING:
@mmkubayi
says from 1 August:
1.
#SAVaccineRollout
will start with weekend vaccinations (after a meeting with Treasury for additional funding)
2. People of 35-49 years old will be vaccinated (registration for this group will start on 15 July)
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708
1K
#Phaahla
: SA now has enough
#CovidVaccine
stock to vaccinate everyone who needs a jab. "Even if the entire Soweto turns up today, we can help you!" If enough people turn up, we can do between 300 000 and 400 000 vacicnations per day in SA.
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JUST IN:
#VaccineRollOutSA
stats for Mon, 19 Jul:
* Credit where credit is due: 223, 969 jabs today (1st time = over 200 000). Well done
@healthza
*
1. Jabs, past 24 hrs: 223, 969 (Last Mon: 146, 577)
2. Total jabs: 5, 328, 110
3. Adults fully vaccinated: 1, 789, 939 (4.46%)
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This doctor was brave enough to speak out about his working circumstances — with his name. So many others want to do the same, but don't, because of potential consequences like this. Tim de Maayer doesn't deserve suspension, rather a medal.
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BREAKING:
1. Epidemiological data (March 2020 - Nov 2021) from SA show a 3-fold increase in risk for reinfection due 2 the
#OmicronVariant
vs. the Beta +
#DeltaVariant
2. This finding provides epidemiological evidence for Omicron’s ability to evade immunity from prior infection
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Here's a nurse who drove two patients from PE to Cape Town herself right through the night so they could be in time for their kidney transplants. Doctors, cleaning staff and other patients chipped in for petrol money. Gives me
#hope
.
Nurse drives kidney transplant patients 800km through the night to get to life-saving surgeries |
@Health24com
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10. Summary:
1. We're starting to see generalised community transmission (as opposed to just cluster outbreaks)
2. Tomorrow
@who
will assign a Greek name to B.1.1.529
3. We don't yet know for sure, but it looks like B.1.1.529 might be more transmissible and escape immunity.
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10. Summary:
1. Most
#COVID19
patients didn't know they had COVID when they got admitted (they were admitted for another condition)
2. A smaller % of patients required oxygen than in previous waves
3. Admitted patients were younger than in previous waves
4. We need more data
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Isn't this
@MuslimAssocSA
+
@GautengProvince
drive-thru site amazing?
Waiting time: 17 min. Vaccine doses administered: 700. Who administered them? Healthcare VOLUNTEERS.
#VacciNation
Day 1 in Numbers:
🕌 Houghton Masjid: Daily
#VacciNation
Update : 27 July 2021
🧑⚕️Healthcare Volunteers: 18
👨💻Other Volunteers: 23
💉Vaccines administered: 700
from 🕛 8am -4pm
2 shifts
⏱ Average wait time: 17min
🚙 Vehicles: 404
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JUST IN:
#VaccineRollOutSA
stats: Fri, 20 Aug
* 18+ have done their bit: We’ve done 57 067 more doses than on Thu—almost 250 000 in the past 24 hrs *
1. Jabs, past 24 hrs: 248, 873 (Thu: 191, 806)
2. Total doses: 10, 431, 124
3. Adults fully vaccinated: 4, 782, 071 (11.9%)
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BREAKING: South Africa has secured 1.5 million AstraZeneca
#Covid19vaccine
doses from the Serum Institute in India. 1 million will arrive in January and 500 000 in February. The country’s 1.25 million health workers will be prioritised. 1/2
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#Ramaphosa
: SA moves to
#Level2
#lockdown
:
1. Curfew: 11pm to 4am
2. Restaurants/bars must close @ 10pm
3. Gatherings: 250 pp indoors; 500 pp outdoors
4. Alcohol retail sales: Mon-Fri, 10am-6pm
5. On-site alcohol consumption: not after 10pm
6. Funerals: only 50 pp, 2 hr duration
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Went for my 2nd
#Pfizer
shot today at
@MuslimAssocSA
’s Houghton Masjid to see how it works for myself. 25 min in and out. All those tweets are true! It’s how a
#VaccineRollOutSA
site should work. Thank you
@GautengProvince
for donating the jabs used at the site.
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4. Here's how variants have spread in SA:
1. Light gray: lots of different types of virus (1st wave)
2. Green: 2nd wave (Beta)
3. Red: Delta, 3rd wave
4. Yellow: C.1.2 (still detected at low levels, but not increasing)
5. Blue: B.1.1.529 (increasing fast)
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My favourite quote of
@DrZweliMkhize
at his press conference tonight: "We will only fight
#CoronavirusinSouthAfrica
with facts and evidence-based strategies, not fake news."
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[JUST IN]
#JoPhaahla
: The US has donated another 2.2 million
#Pfizer
#COVIDVaccine
doses to SA. These will arrive on Sat, 28 Aug. That is in addition to the 5.6 mil the US donated earlier to SA.
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Anban Pillay: The
#AstraZeneca
jabs SA received, expire in April. The health dpt only discovered this when the jabs arrived. They have contacted the Serum Institute in India to find out if we can exchange it for a new batch or if the expiry date can be pushed back.
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[Thread] 1. The two jabs —
#JohnsonandJohnson
and
#Pfizer
— that SA will (so far) use in its national
#CovidVaccine
roll-out have now both been approved for use by our regulator,
@SAHPRA1
. So what now — when will you get your jab?
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JUST IN: The UK has told
@healthza
that they will accept SA's digital vaccination card (it's being launched this morning) 4 when it gets removed from the UK's red list next Mon. This means fully vaccinated SAs will no longer have to quarantine for 10 days before entering the UK.
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#JoePhaahla
:
#Vaccine
mandates are not unconstitutional. It aligns with the Bill of Rights, because it's about protecting the public health of the country.
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4. How effective is
#Pfizer
’s jab @ hospitalisation due 2
#Omicron
?
1. 2 doses of
#Pfizer
’s jab makes vaccinated people 70% less likely 2 get hospitalised vs. unvaccinated people
2. This = lower than 93% protection the jab gave in SA’s
#Delta
wave (93% =
@Discovery_SA
data)
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6. Important to note that the lower protection (down from 93% to 70%) against hospitalisation because of
#Omicron
could be because older people were vaccinated first in SA, so there has been a longer period for vaccine-derived immunity to wane than with younger age groups
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Crisp: Currently
#VaccineRollOutSA
vaccinates +/-1 mil people every 4 days. Our goal is, to by the end of next week, vaccinate 1 mil people every 3 to 3.5 days (that's 300 000+ vaccinations per day). If we stick to that rate, we will have 35 mil people vaccinated before Xmas.
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BREAKING:
1. 22 cases of a new variant, B.1.1.529, have been detected in SA
2. More cases are being confirmed as sequencing results come out.
3. Detected cases are increasing quickly, particularly in GP, NW and Limpopo
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BREAKING : The price of
#PCR
#COVID19
tests in SA's private sector will GO DOWN from R850/test to R500 (incl VAT).
This comes after an agreement between the Competition Commission and 2 major private labs, Ampath (Du Buisson Kramer Swart Bouwer Incorporated) +
@LancetLab_ZA
.
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#Kubayi
: People of 35+ has shown us we can take
#VaccineRollOutSA
to another level. We had 1 million 35+ registrations within 24 hours. They're coming to vaccinated in their 1000s — even before 1 August, the official start date for their vaccinations.
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JUST IN:
#VaccineRollOutSA
stats, Wed, 21 Jul:
* We've fully vaccinated 5% of adults. Today we did the most jabs since the start of our campaign: 257, 492 *
1. Jabs, past 24 hrs: 257, 492 (Tu = 221, 417)
2. Total doses: 5, 831, 389
3. Adults fully vaccinated: 2, 028, 397 (5%)
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RIP,
@sindivanzyl
. You've been a friend, a colleague and one of the most loving, generous people I've ever known. Your patients were fortunate and so were your friends. I'll always, always remember you.
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#CyrilRamphosa
:
1. The
#Omicron
variant was first detected in Botswana, then SA
2. There have been cases in Hong Kong, Aus, Italy, UK, Belgium, Israel, Austria, Denmark
3. The early identification of this variant is as a result of SA's excellent genomic surveillance capabilities
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#JoePhaala
: JUST IN:
1. The 1st Monkeypox case in SA has been confirmed.
2.The patient is a 30 year old male from Jhb with no travel history, so this cannot be attributed to having been acquired outside SA. Contact tracing has begun.
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A sign that
#VaccineRollOutSA
is picking up speed (for now). We took 5 days to get from 10 mil to 11 mil
#Covid19
vaccine doses — considerably faster than the 8 days it took to get from 9 to 10 mil and 7 days to get from 8 to 9 mil.
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3. What do we know about admitted patients' vaccination status?
Snapshot of 2 Dec:
Of 38 adults in
#COVID19
wards:
* 6 = vaccinated
* 24 = unvaccinated
* 8 = unknown vaccination status
Of 9 patients with COVID pneumonia
* 8 = unvaccinated, 1 is a child
* 1 = vaccinated
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7. Why can't we assume this data shows fewer people die due to the
#OmicronVariant
(vs. previous variants)?
The data for this study = only for the 1st 2 wks of the outbreak. People take time to fall ill/die. It can take longer than 2 wks. Some patients may therefore still die.
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[Thread] 1. Glenda Gray, co-lead investigator,
#Sisonke
:
We now have results to show the
#JnJ
jab provides significant protection @ the
#DeltaVariant
in SA.
What is Sisonke?
The Sisonke study used the
#JnJ
jab to look @ the effectiveness of the jab among SA
#HealthWorkers
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Confused by all the timeline changes for
#VaccineRollOutSA
? We've updated our
@Bhekisisa_MG
+
@mediahackza
infographic with all the latest info. Want to see how the timeline has changed over time? Find out here:
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Half of the 5.6 million
#Pfizer
doses the US government is donating to SA arrived this afternoon. On Sun night, 1.5 million more
#Pfizer
doses (from the stock SA bought directly from Pfizer) will arrive. And on Tuesday, the other half of the donated Pfizer doses will land.
Receiving 2.8m Pfizer vaccine doses at the Airport as part of the donation from USA government on behalf of RSA government. The next batch will arrive on Tuesday to conclude the 5.6 m doses donation.
#VaccinateToSaveSouthAfrica
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JUST IN:
#VaccineRollOutSA
stats: Tu, 24 Aug
* We've:
- crossed the 11 mil mark 4 total jabs
- did the 2nd most daily jabs ever (most = 21 Jul, 273 454)
1. Jabs, past 24 hrs: 266 988 (Mon: 247 293)
2. Total doses: 11 076 106
3. Adults fully vaccinated: 5 141 248 (12.8%)
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403
6. What was the in-hospital death rate of
#COVID19
patients?
- 6.6% (10/166 admissions died)
Is the death rate lower than the rate for previous waves? Yes. (Previous waves = 23%)
Does this mean that the
#OmicronVariant
causes fewer deaths? Not necessarily - we need more data
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Crisp:
#Limpopo
took
#VaccineRollOutSA
to the people (it's the province with the largest % of adults vaccinated = 6.2%). They used community leaders more than any province to convince people to get vaccinated. It worked. They're now embarking on a programme in mines.
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Marquis Davis, 28, died on July 26 from
#COVID19
. He was unvaccinated. Davis told his wife he wanted to get the shot after he recovered. His family and church then decided to turn his funeral in into a vaccination event to prevent more people from dying.
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BREAKING:
@SAHPRA1
has granted Janssen Pharmaceutical Companies (they manufacture the J&J jab) registration for their Johnson & Johnson
#CovidVaccine
. It means that the J&J jab can now be used for commercial roll-out in SA. The 1st delivery is scheduled for the 2nd half of April.
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JUST IN: 35+ and want to get vaccinated in Gauteng on Sun? Public sites have been opened:
9am - 2pm, Ekurhuleni:
• Phola Park Community Hlth Centre
• Daveyton Community Hlth Centre
• Kobie Muller Hall, Germiston
8am-1pm, Soweto:
•Baragwanath Hospital Recreational Centre
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9. How long did
#COVID19
patients stay in hospital for and is it different from previous waves?
Yes, it's different (much shorter). COVID patients stayed in hospital for an average of 2.8 days vs. the 8.5 days of previous waves.
#OmicronVariant
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25. Summary:
1. Vaccination continues to provide significant protection @ falling seriously ill with
#COVID
(although reduced to 70%)
2. High nrs of breakthrough infections in vaccinated people (protection @ infections reduced from 80% to 33%)
3. Reinfection risk = increased
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Ready to go! Join
@hugoribatika
and I on the brand new
#HealthHubOn405
at 9am on
@Newzroom405
. We will be speaking to the US infectious diseases expert Anthony Fauci and also take a look at the real life impact of
#Covid19
vsccines.
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JUST IN:
#CyrilRampahosa
The government is having discussions at Nedlac level (gov, bus, labour) about vaccine mandates. There is already broad agreement for making vaccination mandatory 4 specific activities, e.g. to visit certain locations + to get access to certain activities
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13. Great explanation via
@ProfAbdoolKarim
:
1.
#Omicron
caused 4x more infections than
#Delta
in the 1st 4 wks of each GP wave
2. But
#Omicron
's hospital admission rate = +/- a quarter of
#Delta
's. So Omicron leads to almost the same nr of Delta admissions but in a shorter time.
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8. Scientists = trying to figure out the impact of B.1.1.529's mutations. What could it potentially do (we don't know yet)?
* Be more transmissible
* Reduce the protection that vaccines and natural immunity offer
* Cause milder or more severe disease
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BREAKING: The DELTA variant is spreading in SA and is starting to dominant SARS-CoV-2 infections (the virus which causes
#COVID19
) in KZN and Gauteng, says
@Tuliodna
from
@krisp_news
. The green on the table below is Delta.
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Why are vaccinated people less likely to spread COVID than unvaccinated people?
1. They're less likely to be infected, so there will be fewer people to infect others
2. When they're infected, they're likely to be contagious for a shorter period than unvaccinated people
Great explainer by
@Craig_A_Spencer
on the differences of contagiousness between vaccinated and unvaccinated people
@TheAtlantic
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6. Because of one of the mutations on B.1.1.529, the variant can be detected by PCR tests (so even before the genomes are sequenced). Cases are increasing fast.
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JUST IN:
[Thread] 1. SA's Biovac will become the 1st company in Africa to produce Pfizer's
#COVID19
jab
- Biovac won't produce the jab from scratch, it will import the drug substance (the active ingredient which makes the jab work) from Europe + "fill and finish" the jab in SA
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How will
#CovidVaccinations
at pharmacies work?
Here what DISCHEM will do:
1. There'll be 32 Dischem sites; 11 will start to vaccinate on May 24
2. Dischem can vaccinate 800 000 people/month.
3.
#Pfizer
stock has been allocated to Dischem as they have facilities to store it.
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Summary of
@Discovery_SA
real-world
#Omicron
data:
1.
#Omicron
= 29% lower risk of hospitalisation
2.
#Pfizer
(2 shots) = 70% protection @ hospitalisation
3. Pfizer = 33% protection @ infection with
#Omicron
(high nrs of breakthrough infections)
4. Jabs = still best protection
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[Thread] 1. BREAKING: Teens in SA (people between 12 and 17 years) will be able to get vaccinated with the
#Pfizer
#COVID19
vaccine from Wednesday, 20 October,
#JoePhaahla
has announced.
How many teens are there? 6.5 million
What proportion of SA's population are they? 11%
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4. Was the age profile of
#COVID19
admitted patients different from other waves?
Yes. They were younger.
- 80% of admissions = people younger than 50 (this is also the case across Gauteng province, where Tshwane is located)
- 19% = children aged 0-9
- 28% = 30-39 years
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I reported on an era of
#HIV
denialism + saw 1st hand how denialism kills. Vaccine denialism does the same. That's why I feel strongly about the media's role in unpacking, and not reinforcing, vaccine hesitancy, along with
@GroundUp_News
's Nathan Geffen.
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3. Some of the mutations of B.1.1.529 look similar to mutations that have been found on other variants of concern that enhance those variants' transmissibility.
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[Thread] 1. BREAKING: Both President
#CyrilRamaphosa
and acting health minister Mamoloko Kubayi-Ngubane have confirmed that the FDA found SA's 2 million
#JnJ
jabs at Aspen in Gqeberha unsuitable for use. They can therefore not be released.
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A Venda speaking woman was left distraught after an org wanted to bar her from entering Kalafong Hospital, claiming she's not SA'can.
@HealthZA
warns: The right to basic healthcare is guaranteed by the Constitution regardless of someone's nationality or documentation status.
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35-49 years?
1. In Gauteng, you can do a walk-in at at all public
#VaccineRollOutSA
sites (many private ones too) to get vaccinated. No need to wait until 1 August.
2. Even if you're not registered on the
#EVDS
, you'll get helped (they will register you on the EVDS at the site).
35 - 49 years old? It’s your turn to get the jab. All public vaccination sites in Gauteng accept walk-ins.
#iChooseVaccination
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[Thread] 1. South Africa's second batch of 80 000 J&J
#CovidVaccines
landed this morning (Saturday) at OR Tambo. The jabs have been taken to a secure facility in Gauteng from where it will be distributed to vaccine centres in provinces.
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