Red state – blue state. It is a matter of survival from the corona virus.

Based on the 2016 election results you have a much better chance of escaping the coronavirus if you live in a state that President Trump won. The exceptions are Louisiana, that allowed Mardi Gras to go ahead in spite of the epidemic. This affected Mississippi as well. Pennsylvania and Michigan have democrat governors, which explains a lot.  The death rates speak for themselves. A standout exception is Hawaii, highly democratic, but with the lowest death rate of all!

State               Trump      Deaths per     State                    Clinton          Deaths per

State             Plurality      milliom        State                    plurality         million

Wyoming       47.6%        29                   District of Columbia  88.7%   666

West Virginia 42.2%       44                    Hawaii                   32.2%          12

Oklahoma       36.4%       86                    California              28.8%       110

North Dakota 36.3%       85                    Vermont               28.5%          88

Idaho               31.6%         46                   Massachusetts     27.3%     1028

Kentucky         29.8%        99                   Maryland              25.2%       430

South Dakota 29.8%         70                   New York              21.3%     1546

Alabama          28.3%      133                    Washington         16.2%       149

Arkansas          26.6%        45                     Illinois                   16.0%       436

Nebraska         26.3%         94                    Rhode Island        15.6%       691

Tennessee       26.2%        56                      Connecticut         13.3%     1114

Kansas              21.0%        77                      New Jersey          13.2%     1327

Montana         20.0%          16                     Delaware             11.5%       383

Louisiana         19.7%        611                     Oregon                 10.6%         37

Indiana            19.3%        326                      New Mexico         8.3%        175

Missouri          19’1%        130                       Virginia                  4.9%     165

Mississippi      18.6%        258                       Colorado               2.8%      256

Utah                 18.1%          35                        Nevada                  2.4%     137

Alaska                15.2%        14                        Maine                    1.8%       70

South Carolina 14.1%         97                       Minnesota            1.5%     192

Iowa                    9,6%       178                        New Hampshire  0.4%     188

Texas                   9.2%        60

Ohio                    8.6%       194

Georgia               5.7%       198

Arizona               4.1%        129

North Carolina   3.8%          92

Florida                 1.3%       118

Pennsylvania      1.2%       445

Wisconsin           1.0%       104

Michigan              0.3%     556

10 countries that take Hydroxychloroquine as first defense against the corona virus has a death rate of one third compared to the rest of the world, and recoveries are faster too.

Washington (CNN)Dr. Anthony Fauci said Wednesday that data shows hydroxychloroquine is not an effective treatment for the coronavirus, disputing use of the drug to fight the deadly virus even as President Donald Trump touts it as a potential cure and says he has taken it himself.

“The scientific data is really quite evident now about the lack of efficacy for it,” Fauci, a key medical adviser on the White House coronavirus task force, told CNN’s Jim Sciutto on “Newsroom” of the drug, adding that there’s likelihood of “adverse events with regard to cardiovascular.”
Dr Fauci, how do you explain the excellent results in more than 10 countries, where HCQ  is taken (Sometimes together with Azithromycine and sometimes with added Zinc) as soon as COVID-19 symptoms shows up, sometimes before a positive test is confirmed?

This is a very interesting chart:

But wait. Not so fast. These countries may have a younger population, and the death rate is much lower for younger people. This chart tells the relative death rate, and it shows that with the advent of the coronavirus the death risk doubled regardless of the age of the victim.

The death rate doubles for every 8 years as you age or about 9% per year. The world median age is 30.4 years. So let the world death rate be the norm

World death rate as of May 21 is 6.42% of diagnosed cases. and recovered cases versus deaths is 7.05

Compare this with 10 countries that use HCQ for most patients as soo as they test positive for the corona virus.

Turkey: Death rate 2.84%, median age 30.9, adjusted death rate 2.72%, recovered cases versus deaths  27.7

South Korea: Death rate 2.37%, median age 30.9, adjusted death rate 2.26% recovered cases versus deaths  38.4

Malaysia: Death rate 1.51%, median age 28.5, adjusted death rate 1.74% recovered cases versus deaths  53.6

Senegal: Death rate 1.16%, median age 18.8, adjusted death rate 3.10%, recovered cases versus deaths  43.2

Costa Rica: Death rate 1.02%, median age 31.3, adjusted death rate 0.95%, recovered cases versus deaths  63.9

United Arab emirates: Death rate 0.80%, median age 30.9, adjusted death rate  0.77%, recovered cases versus deaths  64.7

Bahrain: Death rate 1.50%, median age 32.3, adjusted death rate 1.30%, recovered cases versus deaths  353.0

Morocco: Death rate 2.65%, median age 29.3, adjusted death rate 2.88%, recovered cases versus deaths  25.3

Russia: Death rate 1.00%, median age 30.9, adjusted death rate 0.95%, recovered cases versus deaths  36.5

Qatar: Death rate 0.07%, median age 30.9, but since 88% of the population are migrant workers between 20 and 60, the adjusted death rate is at least 8 times higher, or 0.56 %, and recovered cases versus deaths  466.3

Taking the average, not adjusted for the size of the populations we get the average adjusted death rate for countries, where people are taking HCQ + Zinc when diagnosed positive, is 1.89%.

This means that the risk of death is reduced by a factor of 3.4 if HZQ + Zinc is taken as early as possible after a positive diagnosis for coronavirus!

Recovered cases versus deaths is an indicator of how fast patients recover after taking HCQ. Taking the arithmetic average would be unfair, so here I show the median recovery ratio, or about 40, compared to the recovery rate for the rest of the world of 7.05, an improvement of 5.6 times as many earlier recoveries.

What are we waiting for, and what is your concern, Dr Fauci? Hydroxychloroquine is approved for Malaria, Lupus and Rheumatoid Arthritis, and is used by millions or people world wide with normal precautions. There are side-effects, but death is not one listed, and the cardiac concern is taken care of with a simple ECG, disqualifying less than 1% of the patients.

WHO paused a double blind study out of an “abundance of caution”.

Is HCQ too cheap to promote?

I for one want to save lives.

 

How to make misleading headlines while presenting facts, an example from PEW Research. A Limerick

A misleading headline from PEW

will fool you, and yet it is true.

If it’s stated as fact

it will make you react

if said without hullabaloo

The chart explains beautifully how the death rates have come down in Democratic districts and been more stable in Republican district.

Another, more descriptive headline would be: The death rate from COCID-19 in Democratic districts is improving. In mid April it used to be 3.7 times worse  than the death rate in Republican districts. It is now only 2.4 times worse.

Both statements are true, and both are partisan.

The PEW Research Center prides itself of being non-partisan. Here is their mission statement: We generate a foundation of facts that enriches the public dialogue and supports sound decision-making. We are nonprofit, nonpartisan and nonadvocacy. We value independence, objectivity, accuracy, rigor, humility, transparency and innovation.

A stunning result for HCQ +Az treatment for COVID-19 patients in Qatar! A Limerick.

The HCQ test made in Qatar

is stunning, that is all I can utter

For the death rate is low

A great fearmonger blow

Ignore it! The media mutter.

Qatar is an interesting country. It hosts America’s biggest Air base in the Middle East. With a population of only 2,8 million people it has 45,465 people that tested positive for the coronavirus, or 1.58% of the population, the highest in the world reported so far, bur only 26 deaths so far, only 0.009%, and there are nearly 400 recoveries for every death, the highest in the world.

How can that be? Does Qatar have a very unusual population profile? Yes, indeed

but it is not because of many children, no, over half of the population is working age males, nearly all guest workers. This explains a lot, but even that is not the main cause.

No, they have done a nearly universal medical protocol for all that test positive for the COVID-19 virus. All will get Hydroxychloroquine + Azithromycin , but a random sample will be selected for a small, double blind study. It started April 14 and ended May 14. The results will be published May 30 of so, but we don’t have to wait for the results of that test to verify the effectiveness of this medical treatment if begun as soon as symptoms materialize. To have the highest infection rate and the lowest death rate in the world is sufficient reason for me to advocate HCQ + AC for all eligible testing positive. Maybe if you include Zinc in the protocol the results would be even better, but we cannot wait for all the results to come in. Let us save lives now!

Appendix: Some were not be eligible for this study. The exclusion criteria were:

Ages Eligible for Study: 18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria

Inclusion Criteria:

  • Patient is in HMC facility for low-acuity, Covid-positive patients being quarantined.
  • Positive Covid test on qualitative assay used during routine care (i.e. not as part of Q-PROTECT (that is: victims given the placebo to make it a true random test)
  • Age at least 18

Exclusion Criteria:

  • Treating physician judges patient not appropriate for study participation for any reason
  • Age <18
  • Breastfeeding or pregnancy (patient-reported pregnancy status is sufficient)
  • Hypersensitivity to chloroquine or HC or AZ
  • History of or known QT prolongation
    • EKG required before study entry and on each visit during the subject’s first seven days on pro-tocol, during the time period HC is being taken
    • Baseline QTc >480 if QRS width normal; QTc >510 if QRS >120
  • Known G6PD deficiency, porphyria, or retinopathy (eye exam prior to study entry)
  • Known hepatic or renal disease (or abnormality on liver or renal function testing at study day 1)
  • Low magnesium or low potassium (by testing on day 1)
  • Current (pre-study) therapy with antimalarial or dapsone
  • Current (pre-study) therapy with antiviral agents (e.g. oseltamivir)
  • Tisdale36 score exceeding 6 as tallied below (based on ACC recommendations)*
    • 1 point each: age>67, female sex, or being on loop diuretic
    • 2 points each: serum potassium <3.6, QTc>449, acute myocardial infarction
    • 3 points each: sepsis, heart failure, QT-prolonging drugs

Hydroxychloroquine + Zinc is the answer? Check the death rates of nine countries that use it.

This is a very interesting chart:

But wait. Not so fast. These countries have a younger population, and the death rate is much lower for younger people. This chart tells it all.

The death rate doubles for every 8 years as you age or about 9% per year. The world median age is 30.4 years. So let the world death rate be the norm

World death rate as of May 21 is 6.42% of diagnosed cases.

Turkey: Death rate 2.77%, median age 30.9, adjusted death rate 2.64%

South Korea: Death rate 2.37%, median age 30.9, adjusted death rate 2.26%

Malaysia: Death rate 1.61%, median age 28.5, adjusted death rate 1.91%

Senegal: Death rate 1.13%, median age 18.8, adjusted death rate 3.00%

Costa Rica: Death rate 1.11%, median age 31.3, adjusted death rate 1.02%

United Arab emirates: Death rate 0.88%, median age 30.9, adjusted death rate 0.84%

Bahrain: Death rate 1.43%, median age 32.3, adjusted death rate 1.20%

Morocco: Death rate 2.70%, median age 29.3, adjusted death rate 2.92%

Russia: Death rate 1.00%, median age 30.9, adjusted death rate 0.95%

Taking the average, not adjusted for the size of the populations we get the average adjusted death rate for countries, where people are taking HCQ + Zinc when diagnosed positive, is 1.89%.

This means that the risk of death is reduced by a factor of 3.4 if HZQ + Zinc is taken as early as possible after a positive diagnosis for coronavirus!

These 9 countries are living proof of it. Why are we not implementing it today?

 

 

 

President Trump is taking hydroxychloroquine! The international results are overwhelming, he is right!

In 2005 Dr. Anthony Fauci,the director of the (NIAID) National Institute of Allergy and Infectious Diseases, a position he still holds received the encouraging news that Chloroquine is a potent inhibitor of SARS coronavirus infection and spread. The SARS epidemic petered out, ao the clinical trial was never executed.

Now the news about the efficacy of HydroxyChloroquine is coming in hot and heavy. The results are very encouraging. This is from a recent study in Marseilles, France:

We retrospectively report on 1061 SARS-CoV-2 positive tested patients treated for at least three days with the following regimen: HCQ (200 mg three times daily for ten days) + AZ (500 mg on day 1 followed by 250 mg daily for the next four days). Outcomes were death, clinical worsening (transfer to ICU, and >10 day hospitalization) and viral shedding persistence (>10 days).

Results

A total of 1061 patients were included in this analysis (46.4% male, mean age 43.6 years – range 14–95 years). Good clinical outcome and virological cure were obtained in 973 patients within 10 days (91.7%). Prolonged viral carriage was observed in 47 patients (4.4%) and was associated to a higher viral load at diagnosis (p < .001) but viral culture was negative at day 10. All but one, were PCR-cleared at day 15. A poor clinical outcome (PClinO) was observed for 46 patients (4.3%) and 8 died (0.75%) (74–95 years old). All deaths resulted from respiratory failure and not from cardiac toxicity. Five patients are still hospitalized (98.7% of patients cured so far). PClinO was associated with older age (OR 1.11), severity of illness at admission (OR 10.05) and low HCQ serum concentration. PClinO was independently associated with the use of selective beta-blocking agents and angiotensin II receptor blockers (p < .05). A total of 2.3% of patients reported mild adverse events (gastrointestinal or skin symptoms, headache, insomnia and transient blurred vision).

Conclusion

Administration of the HCQ+AZ combination before COVID-19 complications occur is safe and associated with a very low fatality rate in patients.

Since then, prescriptions for the drug cocktail in Marseilles is up 7000%, and is also increasing in the rest of France, especially the Paris region.

But France is by no means the first country to go all out prescribing the drug cocktail. At least twelve countries are doing it, and Turkey and Morocco prescribe it to all with COVID-19 symptoms ( after first checking their heart). Russia joined six weeks later. Here are the results:

If we look at the results from onset to today, some interesting facts stand out

Turkey: Death rate 50 per million. ratio of recovered cases/death is 37

Morocco: Death rate 5 per million. ratio of recovered cases/death is 19.6

Russia: Death rate 19 per million. ratio of recovered cases/death is 19.6 and rising, but they started six weeks later and have not yet reached their infection maximum.

France: Death rate 433 per million. ratio of recovered cases/death is 2.2, but their new case maximum was 11 weeks ago and the maximum death rate was 9 weeks ago, way before any prescriptions increased.

U.S. does not do an even job of reporting recovered cases, so the results will only be valid for some states. Michigan seems to be one state that records recoveries.

Michigan: Death rate 492 per million. ratio of recovered cases/death is 5.7

The best state is South Dakota, but there Governor Kristi Noem conducted a semi clinical (not double blind) trial, and the results speak for themselves.

South Dakota: Death rate 50 per million. ratio of recovered cases/death is 63.27 !!

My suggestion is this: Give the HCQ+ AZT + Zinc +Vitamin D for 5 days as soon as symptoms occur. Give HZQ + Zinc + Vitamin D for 5 days to all the infected person’s contacts, then their quarantine is over, otherwise it is 14 days. Check for heart rhythm problems, but otherwise go ahead.

The results from Turkey + Russia + Morocco  involved more than 170,000 recovered cases, far more than any clinical study, and showed the effect both before and after HCQ became the drug of choice, so the effect is real enough!

Was Sweden right? Social distancing is better than stay at home and lockdown of the economy

Sweden and New Jersey are about the same size population wise, Sweden has 10 million people, New Jersey has about 9.2 million. For both, the foreign born population is about 20 percent. When the coronavirus pandemic hit they took quite different action at the same time:

New Jersey went into full lockdown with a near complete halt to the economy.

Sweden issued social distancing, crowds and travel restrictions, and hygiene regulations, but kept businesses and restaurants open within limits.

Yer their death rates followed the same bell curve as the disease marched on

 

Yet, there was one big difference, the deaths from the corona virus  was three times larger in New Jersey than in Sweden, the total cases was five times larger.

It is always touted that we need more testing, New Jersey has made 451,696 tests, Sweden only 177,500. More testing will find more mild and asymptomatic cases, but the deaths will be the same.

The solution is to let the young and healthy develop herd immunity, but protect the vulnerable, such as the old, obese, diabetic, people with hypertension, weak hearts or a compromised immune system.