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US judge orders hospital to treat Covid patient with ivermectin

AFP

A US woman has won a court order for a hospital in Ohio to treat her husband, who is on a ventilator with Covid-19, with the antiparasitic medicine ivermectin, as demand surges for the unproven coronavirus treatment.

The case is one of several nationwide where courts have sided with litigants seeking to use the drug, despite scant evidence of its effectiveness against Covid and a rise in calls to poison centers as a result of misuse, including ingesting livestock-strength formulations.

Judge Gregory Howard ordered West Chester Hospital, located outside Cincinnati, to treat Julie Smith’s husband Jeffrey Smith with ivermectin, according to an order filed August 23.

Smith had received a prescription from physician Fred Wagshul, who is listed on the website for a group called “Front Line Covid-19 Critical Care Alliance” that advocates for use of ivermectin.

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She is being represented by lawyer Ralph Lorigo, who has won similar cases in New York and Chicago.

Since the start of the Covid pandemic, there has been considerable interest in repurposing existing medications. 

Ivermectin attracted much attention, particularly in Latin America, and early lab studies suggested it might have beneficial properties for fighting the coronavirus. 

But, as is often the case, promise in lab settings has so far failed to translate to real world success, as judged by its lack of clear efficacy in trials.

The National Institutes of Health says there is not enough evidence “either for or against the use of ivermectin for the treatment of Covid-19” until clear results become available from rigorous trials.

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Ivermectin is approved by the Food and Drug Administration to treat people with certain conditions caused by parasitic worms, but the agency has warned people against using it for Covid.

A recent report by the Centers for Disease Control and Prevention (CDC) showed that by mid-August, physicians were writing out more than 88,000 prescriptions of the drug per week — well above the pre-pandemic baseline of 3,600.

Poison control centers have seen a three-fold increase in the number of calls for ivermectin overdoses.

One case involved an adult drinking an injectable ivermectin formulation intended for cattle and becoming hospitalized for nine days with confusion, drowsiness, hallucinations, rapid breathing and tremors.

Another person bought ivermectin of unknown strength from the internet, took it five times a day for five days, and presented to hospital disoriented and unable to answer questions or follow commands. The symptoms improved after they discontinued use.

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The popularity of ivermectin against Covid has drawn comparisons to a hydroxychloroquine, an anti-malarial drug that was particularly favored by conservatives last year, despite no strong evidence of real world efficacy.

High-profile proponents include Fox News hosts Laura Ingraham and Sean Hannity, as well as Republican Senator Ron Johnson.

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International

Sheinbaum highlights anti-drug gains after U.S. says challenges remain

Mexican President Claudia Sheinbaum on Friday highlighted her government’s achievements in the fight against drug trafficking, after the United States said challenges remain in combating organized crime.

On Thursday, Mexican Foreign Minister Juan Ramón de la Fuente held talks with his U.S. counterpart, Secretary of State Marco Rubio. Following the meeting, the U.S. State Department said in a statement that “despite progress, challenges still exist” in addressing organized crime.

“There are very strong results from joint cooperation and from the work Mexico is doing: first, a 50% reduction in fentanyl seizures at the U.S. border,” Sheinbaum said during her regular morning press conference.

The president also said that authorities have seized nearly 320 tons of drugs and that there has been a “40% decrease in intentional homicides in Mexico” since the start of her administration on October 1, 2024.

Sheinbaum added that the United States should implement campaigns to reduce drug consumption within its territory and curb the flow of weapons into Mexico.

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“There are many results and there will be more, but there must be mutual respect and shared responsibility, as well as respect for our sovereignties,” she said.

On Monday, Sheinbaum held a phone call with U.S. President Donald Trump to discuss security issues. She said she once again ruled out the presence of U.S. troops in Mexico to fight drug cartels.

Security has been a recurring issue used by Trump to threaten tariffs on Mexico and to pressure negotiations over the USMCA (T-MEC) free trade agreement, which are scheduled for 2026.

The agreement is crucial for Mexico’s economy, as about 80% of the country’s exports are destined for the United States.

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International

Canada accuses Iran of killing its citizen during anti-government unrest

A Canadian citizen has died “at the hands of Iranian authorities,” the Canadian government said on Thursday, amid ongoing protests against the government in Tehran.

“I have just learned that a Canadian citizen has died in Iran at the hands of Iranian authorities,” Canada’s Minister of Foreign Affairs, Anita Anand, said, without providing further details. She added that Tehran’s response to what she described as “peaceful protests” has “led the regime to show a blatant disregard for human life.”

On Thursday, the United States imposed sanctions on Iranian security officials and individuals linked to the country’s banking networks, accusing them of orchestrating a violent crackdown on peaceful demonstrations and laundering billions of dollars in oil revenues. U.S. Treasury Secretary Scott Bessent announced the measures following what were described as the largest anti-government protests in the history of the Islamic Republic, although demonstrations have reportedly eased in recent days amid heavy repression and a near week-long internet shutdown.

“The United States stands firmly with the Iranian people in their pursuit of freedom and justice,” Bessent said in a statement, adding that the sanctions were imposed at the direction of President Donald Trump.

Those sanctioned include Ali Larijani, secretary of Iran’s Supreme National Security Council, whom Washington accused of coordinating the repression and the use of force against protesters.

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International

Ukraine declares nationwide energy emergency amid russian attacks and extreme cold

The Ukrainian government on Wednesday declared a nationwide energy state of emergency amid continued Russian military attacks and extreme winter weather, with nighttime temperatures dropping as low as minus 18 degrees Celsius.

“The consequences of Russian attacks and worsening weather conditions are severe (…) Overall, a state of emergency will be declared for Ukraine’s energy sector,” Ukrainian President Volodymyr Zelensky said in a statement posted on social media following a meeting with senior officials.

Zelensky announced the creation of a “permanent coordination headquarters” to manage the crisis in the capital, Kyiv, and tasked former defence minister and current energy chief Denys Shmyhal with overseeing support efforts for affected individuals and communities, including addressing power outages, heating shortages and other “practical issues.”

“There are many problems that require urgent solutions,” the president said, noting that repair crews, energy companies, municipal services and the State Emergency Service are working “around the clock” to restore electricity supplies. Kyiv has been particularly affected after Russian strikes last Friday disabled key parts of the power grid, as daytime temperatures hover around minus 12 degrees Celsius and plunge to minus 18 at night.

Zelensky added that public authorities will “maximize efforts with partners to obtain the necessary equipment and additional support,” while the government will ensure “maximum deregulation of all processes” to speed up the connection of backup power equipment to the grid. He also confirmed that work is underway to significantly increase electricity imports into Ukraine.

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The Ukrainian leader further instructed his Cabinet to review curfew regulations in light of the extreme cold, arguing that citizens must have the greatest possible access to assistance centers, while businesses should be given flexibility to plan their operations according to the state of the energy system.

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