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
Mexican government prioritizes 191 communities after deadly floods

Mexican President Claudia Sheinbaum confirmed on Wednesday that the death toll from recent rains and floods across several central states has risen to 66, while the federal government has activated air bridges and prioritized assistance in 191 isolated communities.
“Unfortunately, 66 people have died, and 75 remain missing,” the president said during her morning press conference. She added that the official death toll will be updated later in a new report.
As of Tuesday, authorities had reported 64 fatalities. Sheinbaum also announced the creation of a public information center to centralize official data on the deceased, missing persons, damaged homes, and cut-off communities.
According to the president, the number of missing persons has decreased thanks to coordination with state authorities.
“Through calls to phone line 079, 103 people who had been reported missing have now been located,” she explained.
Priority Municipalities
The president noted that the federal government has classified 191 communities as ‘priority’, a designation based mainly on the percentage of homes affected.
International
New road and bridge explosions raise alarm amid indigenous protests in Ecuador

Ecuadorian authorities are investigating two explosions that occurred early Wednesday, one on a road in the southern part of the country and another under a bridge in Guayas province. These incidents follow the car bomb explosion in the coastal city of Guayaquil, also in Guayas, which occurred the day before and left one person dead and 30 injured.
Press reports indicate that one person was injured and several vehicles were damaged in the explosion on the Cuenca-Girón-Pasaje road in the south.
“Besides yesterday’s explosion in Guayaquil, we have received reports of explosives placed on bridges along the Guayaquil-Machala and Machala-Cuenca routes to disrupt traffic,” said Roberto Luque, Minister of Infrastructure and Transport (MIT).
On his X social media account, Luque reported that authorities have been deployed to the sites to assess the damage and determine the current condition of the structures.
“What they haven’t achieved with their call for a strike, some are trying to achieve through terrorism,” he stated, referring to the 24 days of protests organized by the Confederation of Indigenous Nationalities (Conaie) against rising diesel prices and other demands.
The protests, called at a national level, have Imbabura province as their epicenter. Roadblocks have also been reported in the northern part of Pichincha province, whose capital is Quito, while activities in the rest of the country continue normally.
International
Armed forces target illegal mines in Northern Ecuador with bombing raids

Ecuador’s Armed Forces carried out an operation on Monday — including airstrikes — against illegal mining in the town of Buenos Aires, in the country’s north, Defense Minister Gian Carlo Loffredo reported.
The mountainous, gold-rich area has been a hotspot for illegal mining since 2017, located in the Andean province of Imbabura.
In 2019, former president Lenín Moreno deployed around 2,400 soldiers to the region in an attempt to curb the illegal activity. “The operation began with mortar fire, followed by gunfire and bombing runs by Supertucano aircraft,” Loffredo said in a video released by the Defense Ministry.
He added that the operation would continue on Tuesday with patrols across the area to locate possible members of “irregular armed groups that may have crossed from the Colombian border.”
The Armed Forces stated on X that the intervention focused on the “complete elimination of multiple illegal mining tunnels” in the areas known as Mina Nueva and Mina Vieja.
The operation coincided with the deployment of a military and police convoy into Imbabura, which has been the epicenter of protests against President Daniel Noboa since September 22, following his decision to scrap the diesel subsidy.
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