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Pop-up vaccination site sets record

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A pop-up vaccination site in Glenhazel carried out just more than 11% of the total 27 053 vaccinations administered across the country on 25 July, setting what is believed to be a record.

Three thousand COVID-19 vaccinations were administered at the volunteer-run site at The Base Shul on Sunday.

“Discovery has exceeded the number of vaccinations we did at The Base in a day, but the district manager of Joburg told me at the site that they haven’t exceeded more than 1 200 in any one of their sites in Gauteng,” said 27-year-old Dr Menachem Hockman, popularly known as “Dr Menoosh”.

Menoosh attributes the speed and efficiency of the process to the many volunteers who did the administration and all the other necessary procedures for vaccination.

“This is an initiative that we are trying to roll out at the moment, and it just shows the impact of having those extra hands to volunteer,” says Menoosh. “Bara [Baragwanath Hospital] and other sites have as many nurses as we have, they just don’t have those volunteers, and it shows what a difference they made. It was also something special at the site to show the impact of all our volunteers.”

One of the volunteers, Dalya Gerson, a dietician, said, “My role prior to the day was recruiting volunteers, organising them, showing them what they would have to do on the day, and giving them specific roles. I was also a volunteer for the day.”

According to the messages Menoosh has received, everyone was in and out within half an hour, including the 15-minute waiting time. “That’s brilliant for any vaccination site,” he said.

The speed came from the strategy of divorcing the administrative role from the vaccination role. “All the vaccinators had to focus on was administering vaccines, so they could push people through much quicker. That was our strategy.”

To help other government sites achieve a similar speed, volunteers may be dispersed through Gauteng VAX Volunteers (GiVV), a programme that operates at vaccine sites. These volunteers assist with, among other things, administrative tasks, filling out vaccination cards, registering individuals that are eligible for vaccinations, and updating and processing information once vaccinations have been administered.

“Running these sites is how we are helping the health department, which provided us with the vaccines,” said Menoosh. “We want to maintain that close relationship with it to allow us to do more. I want it to be given the credit for allowing us to do it, and it’s very important for it to continue to allow us to do so.”

  • To help out or be a part of GiVV, apply by completing the sign-up form on www.givv.co.za. GiVV can also be found on Facebook, Instagram, and Twitter.

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COVID-19 denialists cause headache for doctors

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Though the fourth wave of COVID-19 has been mild, those who deny they have the virus have caused a headache for doctors because invariably, they help it to spread.

Experts are aware that many didn’t test for COVID-19 as it might have ruined their holiday. It wouldn’t have been a problem if they had isolated themselves, they say, however, many chose to ignore their symptoms, spreading the virus further.

“Denialists are a big headache,” says Dr Solly Lison, a Cape Town-based family physician, “so ventilation and small groups are essential. Having a window open when you are driving is also crucial.”

Lison has seen statistics indicating that the number of new cases has been declining at a slower rate in the Western Cape than it did in Gauteng. “Maybe that’s because people from Gauteng were here in the Western Cape [for their holidays],” he says.

Hatzolah’s statistics show that the number of new cases has been progressively decreasing over the past four weeks in Gauteng. In the week of 10 December 2021, 714 new cases were recorded, while 63 have been registered this week.

Currently, Hatzolah has 174 active cases, six COVID-19 patients in hospital, and 16 COVID-19 patients on home oxygen. Most of its cases have been occurred in the 20 to 60 age group.

“From what we are seeing at the moment, the symptoms seem to be a lot milder than previous variants,” says Darren Kahn, the executive general manager of Hatzolah Medical Rescue. “We do notice that vaccinated patients [who land up on oxygen] are certainly coming off oxygen a lot quicker than those who haven’t been vaccinated. But in general, people are certainly not as ill as they were previously.”

Kahn believes many haven’t joined the Hatzolah programme during this wave because they aren’t so sick.

“Omicron, which dominates in South Africa, is highly transmissible but less virulent, causing far less morbidity and very low actual direct mortality,” says Professor Efraim Kramer, a leading international expert in emergency medicine with a specialty in mass gatherings. “It will, as expected, spread globally, which is good because it gives those infected a natural immunity without severe illness.

“Therefore, with Omicron, we are learning to live and cohabit with it, like every winter flu. Of those who do get infected, some are mildly symptomatic, others are asymptomatic, but both spread the virus,” he says.

“The only large factor is vaccination, and that’s a personal choice. So, should we all carry on as normally as we can with Omicron, with or without the virus, and get on with our lives? Yes. It’s not a case of denying it, it’s a case of living with this uninvited guest in our daily lives.”

Dr Daniel Israel, a family practitioner in Johannesburg, says, “The Omicron variant peaked in Gauteng over the holidays, and we saw larger numbers than we had in the third wave. That proves the contagiousness of it. From what we are seeing as GPs, serious patients and admissions have been few and far between. Our practice alone has had three admissions, two of which were unvaccinated.”

He and Lison agree that many didn’t test because they didn’t want it to ruin their holiday.

Lison puts this down to the cost of the tests and the many false negatives recorded. He says the latter is a result of “people immediately testing after being in contact with somebody who had COVID-19. That’s the wrong thing to do. You’re going to get reliable positive results only on day five or six.”

Doctors agree that the wave is dissipating.

“The epidemic curve should reach baseline within the next 10 days to two weeks in Gauteng, and perhaps slightly later in the Western Cape and KwaZulu-Natal,” says Professor Barry Schoub.

Schoub, who chairs the Ministerial Advisory Committee on COVID-19 Vaccines, says the fourth wave was almost entirely driven by the Omicron variant in South Africa and ranked as the most extensive in terms of numbers of individuals infected, but it was significantly milder than preceding waves.

He says more than 90% of severe cases of COVID-19 in the fourth wave were in unvaccinated individuals. He and other experts agree that though Omicron is a vastly milder variant, it’s not harmless, especially for the unvaccinated.

Says, Lison, “They aren’t getting the chest infections to the degree they did before, and they are feeling better quicker.”

“Hospitals were much busier in December 2020,” says Lison. “There were many more PUIS [persons under investigation] who were dropping oxygen levels at that time. [Now] we don’t have to ensure that they get oxygen. They are coping better.”

Lison agrees that “people aren’t testing” when they show symptoms, and are often just isolating. He’s concerned that “people aren’t covering their noses” and that neck gaiters are “useless”.

“It stops you spitting as you speak, but you will get infected through it, and you will pass the infection through it as well. You need to wear a minimum three-layer mask covering your nose.”

The outlook for 2022 with regard to new variants is unclear, Schoub says, but it’s reassuring that “the great majority of the South African population do have antibodies to the virus, and this partly contributed to the relative mildness of the fourth wave. Hopefully, this will also contribute to ameliorating the effects of subsequent variants which may arise in the course of the year.

“Unfortunately, more than 50% of individuals in South Africa still haven’t been vaccinated. It’s imperative that every effort needs to be made to increase vaccine coverage in the population if we hope to bring the pandemic under control.”

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From pandemic to “twindemic” as global cases soar

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As South Africans heave a sigh of relief at the improving COVID-19 situation, other nations are recording record infection levels, reporting new variants, and even worrying about the rise of a “twindemic”.

Although Israel has been mustering record morbidity levels amid the Omicron-driven wave, new coronavirus guidelines for Israeli schools came into force on the weekend with vaccination rates no longer a factor in whether classes can meet in person.

The country had been adopting a “traffic light” plan, in which the vaccination rate of each class determined if students attended school in-person or remotely.

A bigger stir has been caused by a woman in Israel being diagnosed with “flurona” at the start of January. However, this condition has been around for at least two years. Flurona is just the term for having COVID-19 and flu at the same time.

Strict measures to control the spread of coronavirus were expected to prevent flu transmission, which appears to have largely held true for 2020. Efforts to track flu cases face challenges, as flu tests are scarce and the illness can be confused with others, including COVID-19.

Israel is noticing flu spikes this winter after historically low case levels last year. After hitting record lows as coronavirus surged, flu cases in the United States (US) are rising this year. Europe’s flu season, meanwhile, is just starting.

Although Australia successfully contained outbreaks of coronavirus, about 86 000 of the 1.1 million cases it has amassed since the beginning of the pandemic have occurred in the past two weeks. It’s now getting close to attaining record levels of COVID-19 infections following the rapid spread of the Omicron variant.

Several countries in Europe have already achieved that feat. On Wednesday, 12 December, daily cases in Germany (80 000) and Bulgaria (7 062) hit record levels, while Turkey logged a record level of more than 74 000 COVID-19 cases on Tuesday.

In contrast, on 12 January, the United Kingdom (UK) reported that COVID-19 cases fell nearly 45% from the previous week in what was the biggest drop since the arrival of Omicron. Professor David Heymann, an epidemiologist from the London School of Hygiene and Tropical Medicine, claimed that the UK would be the first country in the northern hemisphere to tame the pandemic.

The picture isn’t so rosy in the US, where COVID-19 hospitalisations reached a record high on Monday, as a surge in infections strained health systems in several states. On Tuesday, the Indiana health department reported that more people were hospitalised with COVID-19 in its state than at any other point in the pandemic, and Oklahoma reported record-high numbers of new COVID-19 cases on the weekend.

Faring north, the Canadian province of Quebec, facing a new wave of infections, has announced plans to impose a “health tax” on residents who refuse to get the COVID-19 vaccination for non-medical reasons.

In terms of new variants, a Cyprus researcher recently discovered Deltacron, a reported new variant of COVID-19. It apparently combines the Delta and Omicron variants.

And, according to scientists in France, the new B.1.640.2 variant, named IHU, could be stronger than the Omicron variant. IHU has been detected in a vaccinated man who travelled to Cameroon, the host of this year’s Africa Cup of Nations. Researchers say this doesn’t mean IHU originated in the central African country.

Confirmed cases of COVID-19 have passed 310.5 million globally, according to Johns Hopkins University. The number of confirmed deaths has now passed 5.49 million. More than 9.46 billion vaccination doses have been administered globally, according to Our World in Data.

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‘It’s about respect,’ couple says on seven decades of marriage

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Israel and Vera (nee Wilkov) Bulafkin were high-school sweethearts when they first fell in love, and it has remained a romance for the ages as they celebrated their 70th wedding anniversary last week.

“Israel is 92 [born in 1929] and Vera is 91 [born in 1930],” says their son-in-law, Stanley Pincus. “Israel is from Krugersdorp and Vera from Randfontein. They met at Krugersdorp High School in Standard 6 [Grade 8]. It was love at first sight, and they got married on 6 January 1952 at the Berea Shul in Johannesburg.”

Israel is a pharmacist who ran a pharmacy called Medicine Chest in Northcliff. Vera worked with him throughout the time that they ran that business until they retired some time ago. They lived in Krugersdorp all their lives until they moved to Johannesburg about two years ago to be with their children. They have three children, Helene Pincus, Alan Bulafkin, and Malcolm Bulafkin (all married), eight grandchildren (four of whom are married), and three great grandchildren.

The couple say the secret to a successful marriage is “essentially to respect each other. Try not to argue much, but if you have an argument, don’t go to bed until you resolve the issue. Always put your spouse first!”

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