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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

Chile enters runoff campaign with Kast leading and Jara seeking a last-minute comeback

Chile’s presidential runoff campaign for the December 14 election kicked off this Sunday, with far-right candidate José Antonio Kast entering the race as the clear favorite in the polls, while left-wing contender Jeannette Jara faces an uphill scenario, hoping for a comeback that some experts describe as “a miracle.”

The final polls released in Chile—published before the mandatory blackout on survey dissemination—give Kast, an ultraconservative former lawmaker running for president for the third time, a lead of between 12 and 16 points. His opponent, the communist former minister in Gabriel Boric’s current administration, is weighed down not only by the government’s low approval ratings but also by a fragmented electorate.

Although Jeannette Jara received the most votes in the first round with 26.9%, her lack of alliances beyond the left makes it difficult for her to expand her support. Kast, who secured 23.9%, has already brought key figures on board: ultralibertarian Johannes Kaiser (13.9%) and traditional right-wing leader Evelyn Matthei (12.4%), both now backing his candidacy.

Analysts note that although Kast’s support base consolidates more than 50% of the electorate, it does not guarantee an automatic transfer of votes. Populist economist Franco Parisi, who placed third with 19.7%, emerges as the major wildcard. His party, the People’s Party (PDG), is set to decide this Sunday through an internal consultation whether to endorse one of the two finalists.

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International

Trump says asylum decision freeze will remain in place “for a long time”

U.S. President Donald Trump warned on Sunday that the suspension of decisions on asylum applications—implemented as part of his order to “halt” immigration from third-world countries following Wednesday’s shooting in Washington—will remain in effect “for a long time.”

The president declined to specify how long the freeze, imposed last Friday by the U.S. Citizenship and Immigration Services (USCIS), would last. The suspension affects individuals waiting for an asylum ruling from that agency, though it does not apply to cases handled by U.S. immigration courts.

The delay is part of a series of measures enacted by the Trump Administration after a shooting on Wednesday in which an Afghan national allegedly opened fire on the National Guard in Washington, D.C., killing one officer and leaving another in critical condition.

Trump has ordered a permanent halt to immigration from 19 countries classified as “third-world.” He also indicated on Sunday that “possibly” more nations could be added to the list.

“These are countries with high crime rates. They are countries that do not function well… that are not known for success, and frankly, we don’t need people from those places coming into our country and telling us what to do,” Trump said, adding: “We don’t want those people.”

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USCIS had already announced on Thursday a “rigorous review” of green cards held by migrants from 19 “countries of concern,” including Afghanistan, Cuba, Venezuela, and Haiti.

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International

Sri Lanka and Indonesia deploy military as deadly asian floods kill over 1,000

Sri Lanka and Indonesia deployed military personnel on Monday to assist victims of the devastating floods that have killed more than a thousand people across Asia in recent days.

A series of weather events last week triggered prolonged torrential rains across Sri Lanka, parts of Indonesia’s Sumatra island, southern Thailand, and northern Malaysia. Indonesian President Prabowo Subianto said Monday in North Sumatra that “the priority now is to deliver the necessary aid as quickly as possible.”

“There are several isolated villages that, with God’s help, we will be able to reach,” he added. Subianto also stated that the government had deployed helicopters and aircraft to support relief operations.

Floods and landslides have claimed 502 lives in Indonesia, with a similar number still missing.

This marks the highest death toll from a natural disaster in Indonesia since 2018, when an earthquake and subsequent tsunami killed more than 2,000 people.

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The government has sent three military ships carrying aid and two hospital vessels to the hardest-hit regions, where many roads remain impassable.

In the village of Sungai Nyalo, located about 100 kilometers from Padang, the capital of West Sumatra, floodwaters had receded by Sunday, leaving homes, vehicles, and crops coated in thick mud.

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