Tag: pandemic

Hydroxychloroquine

If you’ve watched the news lately, you might be under the impression that a medicine President Trump touted as a possible game changer against coronavirus — has been debunked and discredited. Two divergent views of the drug, hydroxychloroquine, have emerged: the negative one widely reported in the press and another side you’ve probably heard less about. Never has a discussion about choices of medicine been so laced with political overtones. Today, how politics, money and medicine intersect with coronavirus.

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The Key to Defeating COVID-19 Already Exists. We Need to Start Using It

As professor of epidemiology at Yale School of Public Health, I have authored over 300 peer-reviewed publications and currently hold senior positions on the editorial boards of several leading journals. I am usually accustomed to advocating for positions within the mainstream of medicine, so have been flummoxed to find that, in the midst of a crisis, I am fighting for a treatment that the data fully support but which, for reasons having nothing to do with a correct understanding of the science, has been pushed to the sidelines. As a result, tens of thousands of patients with COVID-19 are dying unnecessarily. Fortunately, the situation can be reversed easily and quickly.

I am referring, of course, to the medication hydroxychloroquine. When this inexpensive oral medication is given very early in the course of illness, before the virus has had time to multiply beyond control, it has shown to be highly effective, especially when given in combination with the antibiotics azithromycin or doxycycline and the nutritional supplement zinc.

On May 27, I published an article in the American Journal of Epidemiology (AJE) entitled, “Early Outpatient Treatment of Symptomatic, High-Risk COVID-19 Patients that Should be Ramped-Up Immediately as Key to the Pandemic Crisis.” That article, published in the world’s leading epidemiology journal, analyzed five studies, demonstrating clear-cut and significant benefits to treated patients, plus other very large studies that showed the medication safety.

Physicians who have been using these medications in the face of widespread skepticism have been truly heroic. They have done what the science shows is best for their patients, often at great personal risk. I myself know of two doctors who have saved the lives of hundreds of patients with these medications, but are now fighting state medical boards to save their licenses and reputations. The cases against them are completely without scientific merit.

Since publication of my May 27 article, seven more studies have demonstrated similar benefit. In a lengthy follow-up letter, also published by AJE, I discuss these seven studies and renew my call for the immediate early use of hydroxychloroquine in high-risk patients. These seven studies include: an additional 400 high-risk patients treated by Dr. Vladimir Zelenko, with zero deaths; four studies totaling almost 500 high-risk patients treated in nursing homes and clinics across the U.S., with no deaths; a controlled trial of more than 700 high-risk patients in Brazil, with significantly reduced risk of hospitalization and two deaths among 334 patients treated with hydroxychloroquine; and another study of 398 matched patients in France, also with significantly reduced hospitalization risk. Since my letter was published, even more doctors have reported to me their completely successful use.

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Vietnam orders evacuation of 80,000 people from city after three positive coronavirus tests

Vietnam has ordered the evacuation of 80,000 people from the coastal city of Danang after three residents there tested positive for coronavirus.

The government said the evacuation would take four days and involve flights chartered to 11 different Vietnamese cities.

Vietnam, which has been praised for its pandemic response after reporting just 400 cases and no deaths, went back on high alert at the weekend as it confirmed its first local infections since April, all in the popular tourism destination of Danang.

An aggressive and widespread testing regime, plus a strict quarantine had helped the southeast Asian country almost eradicate Covid-19 within its borders, but the authorities are now grappling with its first internal infections for months.

Although foreign tourists are still barred from entering the nation, there has been a surge of domestic travel as the Vietnamese take advantage of discounted flights and hotel deals.

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The Bloodless Political Class and Its Lack of Empathy

Why watch COVID press conferences and briefings by politicians? They are just upsetting. These people seem to have no clue about why the virus is ignoring them. They keep issuing strange and arbitrary rules that they make up, change by the day, all enforced by intimidation and compulsion. They posture in this silly way as if their edicts have this virus under control when they clearly do not. 

Even worse, and what chills me to the bone, is the strange absence of normal human emotion in their public performances. With day-to-day human communication in the presence of uncertainty, there would be some admission of the possibility of being wrong, of mistakes made, of the difficulty of knowing, of the limits of information to make informed decisions, of the pain wrought through such disruptive governance. 

You don’t see any of this in these governor’s announcements. Despite all evidence, they act as if they have got this under control. They don’t admit error. They don’t admit ignorance. They stare straight at the cameras and issue edicts, without even an apology for all the lives they have ruined and continue to ruin. They talk down to us. Condescension in every word. 

You are welcome to watch a typical case here, but no need since you know exactly what I’m talking about. 

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