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On 27 Sep 2021, Rudy Canoza <js@phendrie.con> posted some

"Why HCQ and Ivermectin were removed from India’s Covid-19

treatment protocol"

Ivermectin and HCQ were dropped from the clinical guidance after

studies found

that these drugs have little to no effect on Covid-related

mortality or clinical

recovery of the patient.

The Indian Council of Medical Research (ICMR) and the National

Task Force on

Covid-19 have dropped the use of Ivermectin and Hydroxychloroquine

(HCQ) drugs

from their revised guidelines for the treatment of the infection.

Oh look. Rudy is off on another lying spree.

Ivermectin entered the spotlight when a doctor in the Dominican
Republic used the drug successfully to treat the illness.

When right-wingnuts,

Says the left-wingnut.

The Ivermectin Effect

The New York Times reported India’s colossal drop in COVID cases was unexplainable, while the BBC declared that Kerala’s rise was also a
mystery. While new cases of COVID in Uttar Pradesh are rare as
million-dollar lottery tickets, in Kerala, a tiny state located in
southern India, new daily cases are the same as the United States,
nearly one case per thousand. Yet, as we have seen in this series,
there has been a curious media blackout on India’s overall success
against COVID.

https://www.bbc.com/news/world-asia-india-58054124

https://www.nytimes.com/2021/07/30/briefing/coronavirus-delta-
mysteries.html

"Kerala has been reporting over 22,000 new COVID infections in the
last three days. No other state in India is even close to the 10,000
mark. The COVID conundrum in the southern state has led to several
questions, with no certain answers."

https://timesofindia.indiatimes.com/india/this-may-explain-why- covid-cases-are-still-soaring-in-kerala/articleshow/84862049.cms

The Times of India published this statement on July 29. Kerala has
continued to have the majority of new daily cases and almost 25% of
India's daily deaths despite a population of 34 million, less than
3% of India's total population.

On August 15, Kerala accounted for 18,582 of India's 32,937 new
cases and 102 of India's 417 new deaths. By contrast, the
Ivermectin-using state of Delhi, with nearly the same population
size, recorded only 53 new cases and ZERO deaths. In comparison,
Uttar Pradesh, with almost eight times as many inhabitants, had only
30 new cases and ONE death.

Kerala had 619 times as many new cases as Uttar Pradesh and over 100
times as many deaths.

So what could Kerala be doing wrong?


Uttar Pradesh led India in its use and has done even better than
Delhi because they use Ivermectin early and preventatively.

"Uttar Pradesh was the first state in the country to introduce
large-scale prophylactic and therapeutic use of Ivermectin. In May-
June 2020, a team at Agra led by Dr. Anshul Pareek, administered
Ivermectin to all RRT team members in the district on an
experimental basis. It was observed that NONE OF THEM developed
COVID-19 despite being in daily contact with patients who had tested
positive for the virus," Uttar Pradesh State Surveillance Officer
Vikssendu Agrawal said.

https://indianexpress.com/article/cities/lucknow/uttar-pradesh- government-says-ivermectin-helped-to-keep-deaths-low-7311786/

Uttar Pradesh has a policy of treating ALL the contacts of an
infected patient prophylactically with Ivermectin. In other words,
in Uttar Pradesh, everyone in the house gets Ivermectin treatment
even if only one is infected. Ivermectin is known to reduce
mortality in infected and dramatically lowers the viral load,
thereby helping reduce the spread of the virus to others.

https://www.medrxiv.org/content/10.1101/2021.05.31.21258081v1.full

Dr. Tess Lawrie discussed the Ivermectin-related reduction in viral
load and reduced transmissibility.

https://committees.parliament.uk/writtenevidence/36858/pdf/

https://journals.lww.com/americantherapeutics/fulltext/2021/08000/iv ermectin_for_prevention_and_treatment_of.7.aspx

Tamil Nadu rejected India's Ivermectin protocol on May 14 in favor
of Remdesivir and mirrored our U.S. FDA policy. The U.S. also
reflected Tamil Nadu’s dismal results.

https://www.thedesertreview.com/opinion/letters_to_editor/tamil- nadu-leads-india-in-new-infections-denies-citizens- ivermectin/article_32634012-ba66-11eb-9211-ab378d521f9a.html

To be clear, on April 22, the All India Institute of Medical Science
(AIIMS) and the Indian Council of Medical Research (ICMR) added
Ivermectin to the protocol as an option for the early treatment –
even in mild cases – of COVID-19.

https://www.indiatoday.in/coronavirus-outbreak/story/aiims-new- treatment-guidelines-for-covid19-1794038-2021-04-22

https://www.amazon.com/Ivermectin-World-Justus-R-Hope/dp/1737415909

This guideline was updated May 17, 2021, and continues to
incorporate Ivermectin, although some states like Tamil Nadu and
Kerala have chosen NOT to adopt this Ivermectin protocol – much to
their detriment.

https://covid.aiims.edu/clinical-guidance-for-management-of-adult- covid-19-patients/

Despite a widespread attempt by the media and WHO to convince the
world that India has dropped Ivermectin by citing the DGHS, the ICMR
and AIIMS have not changed their position, and Ivermectin remains in
the India National Protocol.

https://m.economictimes.com/industry/healthcare/biotech/pharmaceutic als/hcq-out-of-dghs-covid-care-list-but-still-present-in-icmr- protocol/articleshow/83321687.cms

While Kerala included Ivermectin in their state’s guideline in
April, they restricted it’s use to only in Class B - severe cases or
those with associated disease, making its use much less than if mild
cases were allowed. This meant it was reserved as a late treatment
if used at all.

https://health.kerala.gov.in/pdf/treatment_guidelines_apr_2021.pdf

Finally, Kerala abandoned Ivermectin use altogether on August 5,
2021.

https://health.kerala.gov.in/pdf/Kerala_state_Covid_19_Treatment_gui delines_V4_August_5.pdf

Juan Chamie, the Cambridge-based data analyst who has provided
graphical insight and published on COVID, provided his answer to why
Kerala's COVID cases have spun out of control.

"My main current explanation is the lack of early treatment.
Kerala’s COVID protocol from April 2021 included Ivermectin, but not
as an early treatment. As a result, only a small group qualified,
those in Category B patients having high-risk factors. The new
protocol from August 5 is even worse. They removed Ivermectin
(completely)."

Another factor, according to Juan, was poor contact tracing. In
addition, according to an Indian Governmental Audit, FAMILY
TRANSMISSION was a significant problem.

https://www.thehindu.com/news/national/kerala/central-team- pinpoints-flaws-in-states-covid-protocol/article35860715.ece

The Hindu reported on August 11, 2021, stated, "In districts such
as Malappuram and Kozhikode, where the family size is huge and joint
families are the norm, the transmission was spreading within
families leading to a high test positivity rate."

Juan Chamie added this about the test positivity rate, “If you look
at the test positivity rate of Kerala, it declined from over 25% to
10% and remained stable around it. Since the last protocol change
that removed Ivermectin, the positivity rate is increasing. In less
than two weeks, the positivity rate jumped and right now is above
15%, the highest in the last two months.”

However, the most problematic feature is Kerala's high vaccination
rate compared to the other Indian States. While vaccination should
be a good thing, it can have severe negative consequences when it
leads to rampant viral transmission.

Uttar Pradesh beats all other states (except Bihar) with the lowest
COVID deaths and infections because of early and preventative
Ivermectin use IN ALL FAMILY CONTACTS. This is despite Uttar Pradesh
having only a 4.9% vaccination rate, one of the five lowest of all
states in India. On the other hand, Kerala ranks in the top five
most vaccinated states. Kerala has vaccinated 70% citizens 45 years
and older, and almost 56% of its population has had at least one
shot.

The problem with that is that vaccination may give a state a false
sense of security.

For example, in an article published on August 13, the details of
the Kerala lockdown were discussed. Those with a PCR negative test,
those with prior resolved COVID infection, and those WITH AT LEAST
ONE VACCINATION were exempted.

https://indianexpress.com/article/explained/kerala-covid-19- lockdown-rules-guidelines-explained-7439694/

As of August 13, 56 percent of Kerala adults over age 18 who had
received at least one shot were allowed to mingle and transmit the
virus freely. While Ivermectin lowers the viral load and inhibits
transmission, the same cannot be said for vaccination.

Viral loads of the vaccinated are just as high as those of the
unvaccinated as the CDC has admitted. This means that a vaccinated
infected person can spread the virus just as quickly as an
unvaccinated. Moreover, the viral load of the Delta infection is
often on the order of 1,000 times greater than in the original
strain. Finally, a vaccinated person may have milder or no symptoms
leading them to take fewer precautions.

https://www.npr.org/sections/coronavirus-live- updates/2021/07/30/1022867219/cdc-study-provincetown-delta- vaccinated-breakthrough-mask-guidance

Many people believe that breakthrough infections in the vaccinated
are a rare occurrence. However, the truth of the matter is the
opposite. Breakthrough infections can occur with even GREATER
FREQUENCY in the vaccinated. For example, in the recent
Massachusetts outbreak, the CDC reported that out of 469 cases,
fully 74% occurred in the vaccinated.

https://www.cdc.gov/mmwr/volumes/70/wr/mm7031e2.htm

https://www.cnbc.com/2021/07/30/cdc-study-shows-74percent-of- people-infected-in-massachusetts-covid-outbreak-were-fully-
vaccinated.html


The situation in Oregon is severe enough to call the National Guard,
while Hawaii's health director is using terms like disaster and
crisis.

"When we see this exponential growth in the amount of people that
are getting infected with COVID-19 every day - 2,000 people in the
last three days – that’s a crisis. And at the point at which we
overwhelm our resources, that's a disaster."

https://www.cnbc.com/2021/08/16/we-are-on-fire-five-us-states-set- new-records-for-covid-cases-as-hospitalizations-rise-.html

As of August 16, 2021, Hawaii ranked number 17 in percent fully
vaccinated at 54.29%. Oregon ranked number 12 with 56.79%.

https://www.beckershospitalreview.com/public-health/states-ranked- by-percentage-of-population-vaccinated-march-15.html

And the Indian state of Kerala ranks in the top five most vaccinated
of India's 29 states. However, if a vaccinated person spreads the
virus while someone on Ivermectin does not, that would explain
Kerala's epic failure.

The lesson?

Ivermectin can make up for the low use of vaccination. However,
vaccination cannot make up for the low use of Ivermectin.

https://www.thedesertreview.com/opinion/columnists/indias- ivermectin-blackout---part-iii-the-lesson-of- kerala/article_ccecb97e-044e-11ec-9112-2b31ae87887a.html

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