WHEN WILL OUR NEXT LOCAL COVID SPIKE OCCUR?
B. WHEN THE WEATHER GETS COLD
C. IN ABOUT 6 MONTHS WITH A NEW VARIANT
ANSWER: ??? BUT SINCE WE ARE LARGELY UNVACCINATED LOCALLY, IT WILL OCCUR AND IT WILL ALSO INVOLVE REPEAT INFECTIONS IN UNVACCINATED FOLKS. PRIOR DISEASE IS NOT PROTECTIVE.
A Covid update (J. Harris: Excellent. Current.)
(J. Harris: “Small town hospitals, not necessarily ‘Rural’ often are not busy enough to remain open.”
”…On March 31, 2021, WHO advised that ivermectin should only be used within clinical trials and not as part of routine clinical practice.4 This advice was followed by the manufacturer, Merck, that stated on Feb 4, 2021, that there is “no meaningful evidence for clinical activity or clinical efficacy in patients with COVID-19 disease”.5 Despite this, ivermectin is being routinely used in some Latin American settings amid recommendations from some governments and health professionals….Sustained misinformation can lead to diversion of limited health-care and government resources to addressing rumours rather than making genuine public heath progress. Proactive health promotion and education is needed right now to ensure that locally trusted actors and communicators (including, but not limited to, health-care workers) are aware of the uncertainty around the ivermectin evidence base for managing COVID-19, and that it remains a vital medicine for managing neglected tropical disease. Where advocacy emerged from official or high-level sources during the COVID-19 pandemic, we have concerns that the likelihood of mistrust within communities will increase. International and national global health policy stakeholders must be made aware that this mistrust could be an issue that needs addressing in both the short-term and medium-term future….”
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