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Coronavirus is both the rock and the hard place
There are costs to stopping it, and costs to letting it go. There are businesses that won’t recover, and also people that won’t.
There is much more to pandemic decisions than just “deaths per capita”. One more aspect of the wicked dilemma are “long haulers” or the condition called “long Covid” (which is defined as being ill for 3 months or longer).
Thirty-nine UK doctors who caught Covid are still struggling 6 months later, and have written a joint letter for the British Medical Journal. These were mostly fit youngish people, and they didn’t get hospitalized. They had mild moderate cases of Covid. But many of them say that the after effects are worse than the initial infection. These include things like headaches, dizziness, the inability to walk 200 metres or more, breathlessness, strange numb patches, new allergies, difficulty regulating body temperature, ongoing diarrhea. Many are unable to work.
The cause could be nerve damage, or an autoimmune disorder (or something else entirely). If the virus triggers an immune reaction against their own cells it may be difficult to undo or “grow out of”. Some nerve damage will repair. Some won’t.
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The good news: Lockdowns will end sooner than expected. Not soon enough for some desperate businesses, but sooner than Dan Andrew’s modelers thought.
As I predicted, Victoria is doing better than the models estimated. Many people focus on the “daily new cases” but the “unknown source cases” is a better, more forward looking tool.
In Newspoll today we find — also as I predicted from the outset of the pandemic — that health is priority one for most voters. It’s an awkward fact of democracy. As drastic as the restrictions are in Victoria, more than half the voters are happy to give up some freedom temporarily in order to save lives, hardship and unknown health effects, and the burden on healthworkers.
Right-leaning small business owners and entrepreneurs are often not at all happy about giving up freedom. They’re much more comfortable taking risks, but most of the population are not. It’s a personality type thing. It’s not going to change. (What’s obscene though, is that those comfortable taking risks are bearing more of the costs while public servants like Dan Andrews are getting fat pay rises. )
Despite the strict restrictions, fully 71% of Victorians view the restrictions as “about […]
Given that people with dark skin are more likely to be deficient in Vitamin D, wouldn’t studies like these be the best way to show that black lives actually matter? Would you like training in cultural sensitivity or to avoid the intensive care unit?
A free antiviral shining down on you?
In the Castillo study in Spain, 76 patients were randomly assorted into Calciferol treatment ( 0.532 mg Vitamin D ). Of the 26 who didn’t get it, 13 were admitted to the ICU. Of the 50 who got Vitamin D doses on days 1, 3, and 7 — only one ended up in the ICU. It’s worth noting that all patients got HCQ as well, and azithromycin too.
A second study tested 500 people to find out if they were deficient and followed them to see if they caught Covid.
Why has it taken 6 months of pandemic to do these small studies?
Before the pandemic came there was already ample evidence suggesting that it mattered. Vitamin D influences over 200 genes. Its levels also correlate with lower rates of cancer, diabetes, high blood pressure, asthma, heart disease, dental caries, preeclampsia, autoimmune disease, depression, anxiety, and sleep disorders. […]
It appears people who wear masks are much less likely to get severe infections
This will make some heads spin.
Child Wearing a a Mask. Author vperemen.com
Not only do masks reduce the odds of getting infected, but if people do get infected while wearing a mask — the severity of Covid is so much milder. With masks on, the odds of getting an asymptomatic infection improve. Masks don’t stop all viral particles but they stop the large droplet clusters, and thus reduce the viral load. If asymptomatic people get some protection (and we still don’t know for sure) it could solve so much.
Consider the two cruise ships where the asymptomatic rate varied from 18 to 81%:
One used masks and one didn’t:
In February, one of the first outbreaks of COVID-19 outside of China occurred on the Diamond Princess cruise ship docked in Yokohama, Japan. Of the 634 people on board who tested positive, about 18 percent of infections were asymptomatic. In March, an Argentinian cruise ship found itself in a similar predicament, but of the 128 people on board who eventually tested positive, 81 percent were asymptomatic— Ghandi et al.
Nations that use […]
Be wary of junk data and junk conclusions
Death data has become a political tool (stretched both up and down by vested interests). We’ve all heard of the motorcyclist who crashed into the Covid tally, and the payments for US docs. We know there’s junk data out there, but the suggestion we only count deaths “from” Covid, and not the deaths “with” Covid is unscientific in the extreme.
Stick with me. We all want WuFlu to be nothing, but scientists and skeptics need to pick their targets carefully. Don’t lose sight of the real scandal and the real solutions. It’s a travesty that people are dying while cheap vitamins and antivirals are being ignored. Let’s fight for Vitamin D, HCQ, Ivermectin, and all the other potentials like Interferon, Bromhexine, Melatonin, steroids, asthma drugs etc etc. But let’s not get distracted by a hopeful fantasy that the true US “death tally” is only 6% of Covid deaths in the US.
There’s an idea out there that only 9,680 people have died of Covid in the US, not 161,392 people. It’s because of this CDC quote:
“For 6% of the deaths, COVID-19 was the only cause mentioned. For deaths with […]
It’s really quite a scandal.
Missing out on the Sunshine Vitamin?
Historians will marvel that societies that were advanced enough to stream reality-tv-shows at 100 million bits per second, were also so backwards that half the population was deficient in Vitamin D — something that costs 6 cents a dose or comes free from the sun. Nearly 60% of older Germans were deficient, and the ESTHER study puts a fine point on how much that matters. Almost 10,000 people were followed for 15 years in Germany, and during that time about half the people who died of respiratory illnesses might not have died if they had enough Vitamin D.
In this German study 44% did not have adequate Vitamin D and about 1 in 6 people have levels so low they are clinically deficient.
Imagine if someone found a drug that stopped nearly half of all influenza deaths?
Right now, the Northern Hemisphere has higher levels of Vitamin D than most months which is quite likely reducing the death rates. The message needs to get out about Vitamin D before the next Northern Winter.
Morethan half the population is deficient.
In terms of respiratory diseases, those whose […]
The scandal from the Swamp: Too rich to get a cheap drug?
Poor countries all over the world are using Hydroxychloroquine (HCQ) and it appears to be very useful.
The new HCQTrial suggests that despite the billion dollar budgets and expert staff, people in wealthier countries are dying from Coronavirus at far higher rates than people are in lands where HCQ is being used. And the effect of HCQ apparently holds even after researchers correct for patients being older, heavier, with higher blood pressure, living in high density apartment towers, or with getting tested more.
If word ever gets out that the Politico-Academic-Corporate-Swamp buried useful drugs because they were unprofitable and out of patent, there will be hell to pay.
The HCQTrial was done anonymously by @CovidAnalysis — who say they are PhD researchers, scientists.
You can find our research in journals like Science and Nature. For examples of why we can’t be more specific search for “raoult death threats” or “simone gold fired”. We have little interest in adding to our publication lists, being in the news, or being on TV (we have done all of these things before but feel there are more important things in […]
No wonder the Chinese lockdown a million people with every outbreak. Two thirds of these cases were not hospitalized.
These studies are small and need confirmation, but the medical specialists are asking if it is possible that Covid infections create new cases of heart failure which may trigger problems long after infection?
A startling number of COVID-19 patients suffer lasting heart damage
Fermin Koop, ZME Science
A study from the University Hospital Frankfurt looked at the cardiovascular MRIs of 100 people who had recovered from the coronavirus and compared them with heart images of people who hadn’t been infected.
Most of the patients hadn’t been hospitalized and recovered at home, with symptoms ranging from none to moderate. Two months after recovering from COVID-19, the patients were more likely to have troubling cardiac signs than people in the control group. Up to 78% of them had structural changes to the heart, while 76% had evidence of a biomarker signaling cardiac injury typically found after a heart attack, and 60% had signs of inflammation.
The Puntmann study was based in Germany, and the average age of cases was 49. Troponin is a marker used in standard […]
Coronavirus may leave a trail of benefits in its wake. Who knew that there were so many cheap antivirals around? Will people get fed up with the limited choices on offer next time there is a quarantine.
While newspapers in Australia were pretty keen to share the discovery of an antiviral role for HCQ, not so many were interested in the followup studies.
Ivermectin, like hydroxychloroquine is a kind of superdrug — in the sense of being in worldwide mass use. Some 3.7 billion doses are estimated to have been given since its approval. It has been called the Japanese Wonder Drug. It’s the farm drench, a head lice treatment, and works against worm, mites and ticks too.
It was estimated to reduce viral loads in vitro massively but most people didn’t think it would work at lower safe doses. Then Bangladeshi doctors claim it was “astounding”. Last month US tests suggest that it reduced deaths by 40%. (Rajter)
These are all every priminary results. More studies are promised for Ivermectin. Especially in Peru, where a grassroots movement of Doctors has ensured it will be used.
A US clinical trial of the drug ivermectin found that it reduced […]
Depressing. A consensus based on nothing much, still lasted three generations
And it’s not dead yet: Groups like the American Heart Association, UCSF Guidelines, VicHealth, etc are all still advising that people avoid saturated fats, and eat whole grains.
For years, people with the kind of high cholesterol linked to their genes, were told they could lower their cholesterol if they stopped eating things like butter, cream, eggs, cheese, chocolate, and even coconut oil.
A new study looked for evidence to justify that advice and couldn’t find any. They are, of course, not the first — even in the 1950s John Yudkin was already warning people about the dangers of sugar. But the vested interests and fat-police leapt into gear, and thus and verily a million low-fat products filled the shelves, most of them with added sugar.
How many people did this consensus kill?
People with high cholesterol should eliminate carbs, not saturated fat, study suggests
“For the past 80 years, people with familial hypercholesterolemia have been told to lower their cholesterol with a low saturated fat diet,” said lead author David Diamond, professor and heart disease researcher at the University of South Florida. “Our study showed that […]
Good news on the HCQ front
The Henry Ford HCQ study is by no means decisive, but with death rates seemingly halved (sorta, maybe, kinda) — it does show how crazy it is to ban hydroxychloroquine. It also shows it’s low risk, and with all the conflicting studies out there, that there are a lot of ways to stuff things up.
With 10 million cases around the world it seems a bit incongruous that it’s taken so many months to get a trial this basic done with 2,000 patients. When the world only had 10,000 patients in January we already knew that the three drugs that were “fairly effective” were Remdesivir, Chloroquine and Ritonavir. As far back as February 13, the South Koreans were already recommending hydroxychloroquine and telling us the anti-virals should be “started as soon as possible.” They warned that after ten days, doctors “do not have to start antivirals”. South Korea was the experiment that worked — but we ignored it.
Speaking of slow research, the UK hydroxychloroquine trial that was stopped has restarted again as of three days ago. This is a trial to see if HCQ can prevent coronavirus in 40,000 healthcare workers.
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The most popular drug with doctors all over the world will seemingly now not even be allowed in the US for Covid related treatment: HCQ No Longer Approved Even a Little for COVID-19
Molly Walker, MedPage
The FDA rescinded its emergency use authorization (EUA) of hydroxychloroquine (HCQ) to treat COVID-19 patients, citing concerns about efficacy and risks associated with its use, and saying the drug no longer meets the criteria for an EUA, the agency said on Monday.
Moreover, the FDA now says the benefits of the drug “no longer outweigh the potential risks,” citing the serious cardiac adverse events associated with the drug.
Comments underneath reveal just how contested this will be.
It’s a strange situation where patients in many poorer nations are being offered drugs that patients won’t be able to get in the richest nation in the world:
Substantial fractions of physicians treating Covid-19 patients in Europe and elsewhere report use of HCQ+AZ: 72% in Spain, 49% in Italy, 41% in Brazil, 39% in Mexico, 28% in France, 23% in the US, 17% in Germany, 16% in Canada, 13% in the UK (45), much of the non-US use […]
Just pausing for a moment to say “cheers, New Zealand”.
The last remaining barrier there are closed international borders.
LiveScience Updates
NEW ZEALAND EASES ALMOST ALL CORONAVIRUS RESTRICTIONS AMID NO ACTIVE COVID-19 CASES
— New Zealand has no active cases of the coronavirus, and no new positive cases reported in the past 17 days, according to CNN. For the past 12 days, there are no patients in the hospital receiving treatment for COVID-19 and for the past 40 days, there is no evidence of community transmission, according to CNN. Now, New Zealand is lifting almost all of its coronavirus restrictions, while still encouraging social distancing, keeping borders shut to non-residents and requiring that residents traveling into the country to quarantine for 14 days, according to CNN. New Zealand will be under “alert level 1” rules which means there will be no restrictions on domestic transport and no restrictions on workplaces or services, according to CNN and New Zealand’s government website.
New Zealands daily new cases graphed. Black marks deaths. Wikipedia NZ timeline
New Zealand 1,500 cases and only 22 deaths. The peak of the curve is somewhere around March 30th. The quarantine measures […]
We discussed the inadequacies of the large Lancet study of hydroxychloroquine supposed used on 96,000 Covid patients from 671 hospitals. It was largely useless because it ignored zinc, wasn’t randomized and was mainly used on people who were already very ill, with a terrible 12% death rate. But it is far worse than that and has now been retracted. The number of deaths listed in Australia was higher than the official Australian tally on April 21. The number of Covid cases in Turkey was 80 times higher than official numbers.
All over the world the study spooked doctors and governments (with WHO help) into stopping the use of HCQ in their large trial across in 17 countries .That trial has since been restarted.
The authors have now retracted the paper after Surgisphere refused to transfer the full dataset “due to confidentiality”.
The Guardian investigated the company that came out of nowhere with this enormous dataset which was used in both The Lancet paper and a New England Medical Journal paper. It turned out to be small, with a handful of employees and that include a science fiction writer, an adult content model, and few scientific qualifications. When The Guardian contacted […]
In Northern Italy, people are talking about how some people have not recovered even two months later. Patients with mild infections can recover, feel fine, and test negative, but then slide into debilitating fatigue, with strange aches and pains, bouts of diarrhea, and burning eyes. Some of them even test positive again.
And these were not the serious ICU cases which are paralyzed and ventilated. The head doctor of a hospital in Lombardy said “the discomfort often seems to last even longer for people with lighter symptoms. “
Surviving Covid-19 May Not Feel Like Recovery for Some
Debilitating symptoms can last long after a person’s body has gotten rid of the coronavirus, a reality Italians are now confronting.
Jason Horowitz, New York Times
The stubbornness of the virus and the length of the convalescence have become topics of conversation in northern Italy where some of the longest-suffering Italians are finding themselves in physical and financial uncertainty, unable to shake sickness and fatigue and get back to work.
But even some of the infected who have avoided pneumonia describe a maddeningly persistent and unpredictable illness, with unexpected symptoms. Bones feel broken. The senses […]
Border closures and Quarantine appear to be reducing all respiratory diseases
It’s a striking pattern all over the world. Measures taken to reduce the spread of Covid have, not surprisingly, reduced the spread of all respiratory diseases.
This years flu season is smaller than the last five years
Good news: due to the pandemic it’s likely many people are not catching Influenza and other respiratory diseases.This shows a rather predictable result that quarantine reduces the spread of respiratory diseases. It’s a banal and uncontroversial finding.
Chris Gillham is a part of the unofficial BOM audit team here, and below he looks at WHO data across 17 countries for Influenza. (The WHO Chief of course is a belt-n-debt-trap apologist for China, but this is not their modeled interpretation, just the data). Laboratory indicated influenza cases are down an astonishing 87% in 17 nations compared to the five year period.
Quarantine is textbook microbiology, and for most of history, the best way to reduce the spread of disease. In many countries 12 days after major isolation measures started, viral growth flattened off the dreaded exponential curve. Despite that, some commentators still wonder if the lockdowns achieve anything for Coronavirus. And so […]
The annual Flu death tally is not what it seems
It’s another bubble I don’t want to pop. Thanks for sticking in there in the quest for data that counts.
People worry that doctors are inflating the number of Coronavirus-deaths by listing other kinds of deaths in the Covid category. Fair enough. But they miss that this has effectively already been done with the famous flu death count. The national discussion is stuck in a rut, because it’s trying to compare confirmed cases of Coronavirus with modelized broad category influenza “burdens”.
It’s tempting to cite the current toll of 72,000 US Coronavirus deaths and wonder why we’ve reacted so differently to the worst influenza season where 62,000 people died of the flu (supposedly). But the actual confirmed cases of influenza deaths in the US are only 3,000 – 15,000 annually. Coronavirus really is on a different scale.
The headline grabbing flu numbers are modeled guesses based on assumptions about things like how many people go to hospital, how many get tested, or what other diseases were around at the time. It’s called the Influenza Disease Burden, not the List of Those Who Died, because it’s statistics and word-games. […]
It turns out being locked up in our own homes with our own families is not the end of the world
Some said the lockdowns would cause skyrocking divorces:
More couples will SPLIT and divorce rates will skyrocket as strict social distancing rules force partners to spend more time together
Instead, people like spending time with their partners and kids:
Lockdown is making us love our families MORE: Britons are less likely to split up from partners, are eating and sleeping more…
Of all those in live-in relationships, 37 per cent say the experience has led to them wanting to spend more time with their partner, as opposed to the ten per cent who are keen to broaden their horizons again.
A total of 26 per cent say their relationship has improved, while 13 per cent say it has worsened.
Only nine per cent of people think they are now more likely to split up as a result of lockdown, compared to 27 per cent who think it is less likely.
Respondents have, on the whole, also enjoyed being cooped up with their children, with 45 per cent saying it had left […]
A pulse Oximeter | Image Thinkpaul: Wikimedia
A cheap device might keep people off ventilators and be the first warning of trouble
In coronavirus blood oxygen levels can silently drop to unheard of levels. People may be unaware they even have coronavirus as oxygen levels fall to the point, medicos are rewriting the record books. This is a hypoxia crisis — it’s a defining feature of the disease. In the UK, the demand for oxygen at hospitals is so great that the NHS is running out, rationing it, and asking docs to lower their blood oxygen targets.
People are monitoring their “blood oxy sats” at home so they get an early warning that they need more serious medical help. Normal blood oxygen levels are 95-100% saturated. Doctors used to get uppity at levels below 92%, and hospital alarms often go off if children with asthma fall below 90%. At 88% doctors are putting people on continuous oxygen therapy. Levels below 80% are considered dangerous enough to start causing organ damage. But medical staff are finding conscious covid patients with levels so low they are unheard of — an unbelieveable 50 percent. I read somewhere an ambulance medic found someone […]
Mortality rates show that this is a medical situation we have not seen since WWII
All statistics are suspect but some numbers still tell us something important. In the early fog of a global pandemic, a proper diagnoses is difficult if not impossible. People are dying of heart attacks because they are too scared to go to hospital, but equally, Covid is causing heart attacks and strokes that might never have happened. It’s fair to ask how many deaths are due to Coronavirus and how many are due to the lockdown, but it’s not realistic to expect that we can do an autopsy on every single patient. And as the Financial Times team points out, the excess deaths also occur in the regions of the UK with the highest infection rates — which suggests they are due to the virus, not just collateral damage. Though people will also be less willing to visit a hospital in a zone where there are more cases. On the other hand, in areas with lockdowns but no major outbreaks, the mortality rates are 10% below normal (see many US states). So these peaks could have been even higher but the lockdown saved some people […]
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JoNova A science presenter, writer, speaker & former TV host; author of The Skeptic's Handbook (over 200,000 copies distributed & available in 15 languages).
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