#vaccination

Controlling Corona Vaccination Effect in Chronic Kidney Disease Patients

To build herd immunity against corona or Covid-19, vulnerable groups, both because of age and health conditions, are prioritized in vaccination. People with congenital diseases are given special conditions. In essence, most of them can be vaccinated under certain conditions, including vaccination of patients with chronic kidney disease (CKD). There is a lot of news, especially on social media, about events related to vaccination. Most of the news is difficult to analyze because the information is incomplete and tends to be bombastic. So, as an effort to anticipate PIFE (post-immunization follow-up events), the side effects of Covid-19 vaccination need to be known, especially regarding CKD. This study needs to be carried out while waiting for comprehensive research on PIFE from various types of Covid-19 vaccines in CKD patients.

Setting Pandemic Road Map Priorities

Cowd-based economic priority should be avoided as it has the risk of worsening the pandemic — unless we are increasingly insensitive to the COVID-19 incidence and the mortality rate still showing high figures. Controlling the wild COVID-19 pandemic is admittedly not as easy as claimed — the coronavirus is even controlling us. Our entire society, nation and state inevitably have to be further restricted. Households and state budgets also have to be drained in order to survive the invasion of SARS-CoV-2. The aggression of the fiercest Delta variant continues to spread doom. For over a month, since 11 July 2021 the daily death toll has exceeded a 1,000 people a day. Also for a month, our mortality rate has become a world record. Even though — on this year’s 76th National Independence anniversary — new daily case increases declined to 20,741, the death tally remained high, reaching 1,180.

‘Blessed’ Homecoming and Indian Setback

It is an amazing turnaround initial praise won over the progress toward herd immunity turning chaotic in just a short time due to “herd ignorance”. The alarming spike in coronavirus cases in India should serve as a prompt reminder for our country in the face of Lebaran (Idul Fitri). It is also worth pondering whether promoting local tourism is justifiable while we prohibit mudik (Idul Fitri exodus). One large crowd is prevented, but another is encouraged. We need to adopt an attitude of protecting our own safety. Let us look at India, which is now in the spotlight of global concerns. This country of 1.393 billion people is big in many ways and this time it is related to the coronavirus. India began vaccination rollout on January 16, 2021 and as of early March, 18 million people had been vaccinated. At one point, more than a million jabs were given daily, which is a world record. The ambition was that it expected to be able to vaccinate 300 million citizens in just seven months. The ambition and the following vaccination progress drew praise from various parties, including many circles in Indonesia.

Vaccine-induced and Natural Immunity

Which is more effective, immunity that is induced by vaccination or immunity acquired after being infected with Covid-19? This question is important to raise after Covid-19 has exceeded the positive rate of a million, triggering the government to take the pandemic more seriously. Vaccination is being intensified. The first phase for healthcare workers is under way and will soon be followed by the next group of priority recipients. The government also imposes public activity restrictions (PPKM), with several provinces applying micro-scale PPKM, which are watched over by the Public Order Agency (Satpol PP), the National Police and even the Indonesian Military. This indicates the government’s greater awareness of mobility restrictions as an important pillar to prevent the spread of infection besides increasing testing and tracing. We certainly should not ignore the criticism of some epidemiologists about the presence of data on millions of affected people that are claimed to be hidden.

Vaccination and Threat of Virus Mutation

The new chapter opened with the Covid-19 vaccine, which has buoyed public optimism, needs to be accompanied with honesty (and fairness) in government policies. The new chapter opened with the Covid-19 vaccine, which has buoyed public optimism, needs to be accompanied with honesty (and fairness) in government policies. The Food and Drug Monitoring Agency has issued emergency use authorization after the Indonesian Ulema Council stated that the Sinovac vaccine is halal. President Joko Widodo became the first person to receive a Sinovac shot on 14 January 2021 to set an example for Covid-19 immunization. A week earlier, Coordinating Economic Minister Airlangga Hartarto as the chairman of the Committee for Covid-19 Handling and National Economic Recovery announced the enforcement of new large-scale social restrictions (PSBB) for Java and Bali from 11-25 January. This is a good step, as well as a corrective one.