International
US judge tosses order hospital treat Covid patient with ivermectin
AFP
A judge in the US state of Ohio has said a hospital cannot be forced to administer an unproven treatment to a patient with Covid-19, reversing the ruling of another court.
Judge Gregory Howard had ordered West Chester Hospital to administer the antiparasitic drug ivermectin to Jeff Smith, as prescribed by his physician, for 14 days.
Smith’s wife, Julie, had filed suit to force the hospital located outside Cincinnati to begin giving ivermectin to her 51-year-old husband, who has been on a ventilator since August 1.
Judge Michael Oster reversed Howard’s order on Monday.
While “everyone involved wants Jeff Smith to get better,” Oster said, the medical community at large does not advocate the use of ivermectin to treat Covid-19.
“No strong evidence by way of study or data analysis can, at this time, show that ivermectin should be recommended for Covid-19 treatment,” Oster said. “Based on the current evidence, ivermectin is not effective as a treatment for Covid-19.”
UC Health, which runs the West Chester Hospital, welcomed the judge’s ruling.
“We respect the expertise of our clinicians and appreciate the scientific rigor used to develop treatments, medications and other therapies,” UC Health said.
“We do not believe that hospitals or clinicians should be ordered to administer medications and/or therapies, especially unproven medications and/or therapies, against medical advice.”
The case is one of several nationwide where courts have sided with litigants seeking to use ivermectin, despite scant evidence of its effectiveness against Covid and a rise in calls to poison centers as a result of misuse.
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.
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 report by the Centers for Disease Control and Prevention 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.
Ivermectin’s popularity against Covid has drawn comparisons to hydroxychloroquine, an anti-malarial drug that was particularly favored by conservatives last year, despite no strong evidence of real world efficacy.
International
Colombia says it would not reject Maduro asylum request as regional tensions escalate
The Colombian government stated on Thursday that it would have no reason to reject a potential asylum request from Venezuelan President Nicolás Maduro should he leave office, as regional tensions persist over the deployment of U.S. military forces in the Caribbean since August.
“In the current climate of tension, negotiations are necessary, and if the United States demands a transition or political change, that is something to be assessed. If such a transition results in him (Maduro) needing to live elsewhere or seek protection, Colombia would have no reason to deny it,” said Colombian Foreign Minister Rosa Villavicencio in an interview with Caracol Radio.
However, Villavicencio noted that it is unlikely Maduro would choose Colombia as a refuge. “I believe he would opt for someplace more distant and calmer,” she added.
Colombian President Gustavo Petro also commented on Venezuela’s situation on Wednesday, arguing that the country needs a “democratic revolution” rather than “inefficient repression.” His remarks followed the recent detention and passport cancellation of Cardinal Baltazar Porras at the Caracas airport.
“The Maduro government must understand that responding to external aggression requires more than military preparations; it requires a democratic revolution. A country is defended with more democracy, not more inefficient repression,” Petro wrote on X (formerly Twitter), in a rare public criticism of the Venezuelan leader.
Petro also called for a general amnesty for political opponents and reiterated his call for forming a broad transitional government to address Venezuela’s prolonged crisis.
Since September, U.S. military forces have destroyed more than 20 vessels allegedly carrying drugs in Caribbean and Pacific waters near Venezuela and Colombia, resulting in over 80 deaths.
U.S. President Donald Trump has repeatedly warned that attacks “inside Venezuela” will begin “soon,” while Maduro has urged Venezuelans to prepare for what he describes as an impending external aggression.
International
Cuba battles out-of-control dengue and chikungunya epidemic as death toll rises to 44
Cuba is facing a severe dengue and chikungunya epidemic that has already claimed at least 44 lives, including 29 minors, according to the Ministry of Public Health (Minsap). The outbreak—now considered out of control—has expanded across the entire country amid a critical shortage of resources to confront the emergency.
Authorities report more than 42,000 chikungunya infections and at least 26,000 dengue cases, though they acknowledge significant underreporting as many patients avoid seeking care in health centers where medicines, supplies, and medical personnel are scarce. The first cluster was detected in July in the city of Matanzas, but the government did not officially use the term “epidemic” until November 12.
Chikungunya—virtually unknown on the island until this year—causes high fever, rashes, fatigue, and severe joint pain that can last for months, leaving thousands temporarily incapacitated. Dengue, endemic to the region, triggers fever, muscle pain, vomiting, and, in severe cases, internal bleeding. Cuba currently has no vaccines available for either virus.
Minsap reports that of the 44 deaths recorded so far, 28 were caused by chikungunya and 16 by dengue.
The health crisis unfolds amid deep economic deterioration, marked by the absence of fumigation campaigns, uncollected garbage, and shortages of medical supplies—conditions that have fueled the spread of the Aedes aegypti mosquito, the primary vector for both diseases. “The healthcare system is overwhelmed,” non-official medical sources acknowledge.
Beyond the health impact, the epidemic is heavily disrupting economic and family life. The intense joint pain caused by chikungunya has led to widespread work absences, while hospital overcrowding has forced relatives to leave their jobs to care for the sick. In November, authorities launched a clinical trial using the Cuban drug Jusvinza to reduce joint pain, though results have not yet been released.
International
Ecuador on track for record violence as homicides hit highest level in Latin America again
Violence in Ecuador is expected to reach historic levels by the end of 2025, with the country set to record the highest homicide rate in Latin America for the third consecutive year, according to a report released Thursday by the Armed Conflict Location & Event Data Project (ACLED). The organization warns that criminal activity is not only persisting but could worsen in 2026.
Official figures show 7,553 homicides recorded through October, surpassing the 7,063 registered throughout all of 2024. ACLED estimates that 71% of the population was exposed to violent incidents this year, despite President Daniel Noboa’s declaration of an “internal armed conflict” in an attempt to confront powerful criminal groups.
According to the report, several factors are driving the deterioration of security: a territorial war between Los Chonerosand Los Lobos, the two most influential criminal organizations in the country; the fragmentation of other groups after the fall of their leaders; and Ecuador’s expanding role as a strategic hub for regional drug trafficking.
Since 2021, violence has forced the internal displacement of around 132,000 people, while more than 400,000 Ecuadorians — equivalent to 2% of the population — have left the country. Between January and November alone, violent deaths rose 42%, fueled by prison massacres and clashes between rival gangs.
The report warns that conditions may deteriorate further. Ecuador has been added to ACLED’s 2026 Conflict Watchlist, which highlights regions at risk of escalating violence. The expansion of Colombian armed groups such as FARC dissidents and the ELN, state weakness, and a potential rerouting of drug trafficking corridors from the Caribbean to the Pacific intensify the threat.
“The president is facing a wave of violence that shows no signs of easing,” the report concludes.
Colombia says it would not reject Maduro asylum request as regional tensions escalate
Cuba battles out-of-control dengue and chikungunya epidemic as death toll rises to 44
Ecuador on track for record violence as homicides hit highest level in Latin America again
Tec de Monterrey honors one of its students for his contribution to nanotechnology in medicine
Defense Minister commends salvadoran soldier for Central American Cross Country victory
Extension of the state of emergency approved in southern Chile
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