30 Jul. 20 – At the Ministry of Public Health. There is a press release Forecast of COVID-19 infection trends in Thailand / Proactive care in the community / Pfizer vaccine by Dr. Opas Karnkawinpong Director-General of the Department of Disease Control revealed that today the Pfizer vaccine arrived in Thailand. Stored at a temperature of -70 degrees at the Zuellig Pharma (Thailand) Co., Ltd. warehouse, where the vaccine samples were sent for quality and safety checks at the Department of Medical Sciences. Expect results on August 2nd. Once everything is in order, the company will provide traceability again. Then on August 5-6, the first batch of vaccines will be sent for injection. and target groups Which will be rehearsed for those who will be injecting with accuracy because in 1 bottle must be injected 6 doses, including time control as well. On August 9, vaccination services will begin. It is estimated that by the end of August every 1.5 million doses of Pfizer vaccine will be vaccinated. both the number and the time is in the process of discussing details will be informed later
Dr. Opas added that for a bottle of Pfizer vaccine, the concentration must be mixed with 0.9% saline. Normalsaline will be 2.25 ml. Can be injected into 6 doses. 0.3 ml each dose is injected into the muscle Unlike the Sinovac and AstraZenica vaccines, which are 0.5 ml, Pfizer is administered in 2 doses 2 weeks apart. It is for use in people 12 years of age and older and must be stored at -90 to -60 degrees for 6 months, or to be stored in a normal refrigerator at a temperature of 2 to 8 degrees. It can be stored for 1 month, so there must be a certain management and timeline.
As for the allocation of the Pfizer vaccine, it is divided into 4 main groups: 1. Medical and public health personnel across the country as the third dose with a target of 700,000 doses 2. Elderly people 60 years and over, patients with chronic diseases, 7 disease groups, pregnant women. More than 12 weeks, especially in the 13 provinces with the highest and strict control of 645,000 doses 3. Foreigners living in Thailand are elderly people 60 years and over, patients with 7 chronic diseases, pregnant women more than 12 weeks, and Thai people traveling abroad such as students, students, etc., totaling 150,000 doses. by the approval of Ethical research committee, amount 5,000 doses
Dr. Opas said that Thailand has adjusted the vaccination formula between Sinovac (S ) and AstraZeneca (A) or SA. Research and dissemination of information to the public either from Chulalongkorn University, Department of Medical Sciences or Biotech in providing different types of vaccines. Different production methods. The advantage is that the immunity can be increased quite quickly. The first dose of Sinovac is injected three weeks after the second injection with AstraZenica. From laboratory tests, the immune value was similar to that of AstraZenica, 2 doses, 12 weeks apart, able to distribute the vaccine to the people who received 2 doses more quickly, and from the test of SA vaccination formula in the people. In terms of safety, side effects or adverse reactions are no different. In the case of the SA vaccination, the fatalities were reported in the news. have an autopsy The cause of death was not vaccine-related.
The vaccine distribution plan in August There is a plan to distribute to more provincial areas. In the target group, the elderly 60 years and over, patients with 7 chronic diseases, pregnant women more than 12 weeks and VHV, then part of the vaccine will be used in epidemic control areas. or injected to special target groups such as tourism areas in Phang Nga Province, Krabi, etc.
Dr. Opas also predicted the situation of COVID-19 in Thailand that If there are no lockdown measures It is estimated that daily infections could reach 40,000, with the peak being on September 14 and more than 500 deaths/day, with the peak being on September 28, after the measures began. lock down and received cooperation from the people since the end of July This reflects how effective lockdown measures have been able to reduce infections by 20%, or 30,000, for one month, with the peak being in early October. Therefore, if the lockdown is implemented longer, the number of infected people can be reduced by 25% for a month, or if the lockdown is extended by 20% for 2 months, the number of infected people will be reduced to 2,000. And lockdown measures are more effective by 25% for 2 months, there will be a decrease in the number of infected people not more than 400 people / day, so the measures that the government The Ministry of Public Health has implemented both lockdowns. Proactive screening for COVID-19 and accelerating injection scenes for the elderly 60 years and over, patients with 7 chronic diseases, pregnant women As expected, the number of infected people will drop to 100 people/day.
Dr. Kiattipoom Wongrachit, Permanent Secretary, Ministry of Public Health added that Currently, Thailand has vaccinated a total of 17 million doses, divided into 17 million doses of 1 dose and 3.7 million doses of needle 2, covering 44% of both Bangkok and its vicinity, especially Bangkok. The injection covers 61.67% and about 70% of the elderly in Bangkok have been vaccinated already. In the region, 12.43% had been vaccinated due to the limited availability of vaccines. and must be used in areas with severe outbreaks such as in Bangkok and its vicinities It is expected that within this month another 10 million doses of the vaccine will be given. It will be distributed in the provinces of course.
Dr. Kiattipoom added that From the original, about 100,000 beds for patient care to the whole health system until there was a situation of Covid-19. So there are beds for covid patients. The region has about 135,000 beds, 40,000 beds in Bangkok, 175,000 beds in the country, and has a regional utilization rate of more than 80%. Bangkok over 90%, where all beds are divided according to the symptoms of coronavirus in red, yellow. and green, therefore, there must be a public health care system with Home Isolation (HI) or Community Isolation or proactive testing with ATK or proactive vaccination. including setting up a CCRT team to take care of covid patients at home
Dr. Yongyot Thamwut, Deputy Permanent Secretary of the Ministry of Public Health, added that during the two weeks from August 1, there will be public health teams from regional areas such as community hospitals. Rural Medicine Club Rural Pharmacy Club, Volunteer Nurse Visit, Community Hospital Club To send you a place of patience Able to adapt to work in all situations, 40-50 teams of approximately 500 people, together with 69 health care centers in Bangkok, are the main CCRT teams for proactive testing with ATK or HI care. It is estimated that 50 teams in 1 week. will be able to proactively check 400,000-500,000 cases and approximately isolated infected patients 70,000-80,000 cases