The Debacle of Hydroxychloroquine and Azithromycin for COVID19

I discussed the use of hydroxychloroquine and azithromycin for patients with COVID19 on my March 27th edition of This Week in Cardiology Podcast. This is an important topic not only because of the specifics of treating patients but also vital because it shows how easily human beings can be misled. Here is a an edited transcript of my words: A conversation I had with my Dad this week made me realize the seriousness of this matter. My Dad is a retired insurance executive with a background in electrical engineering.  He is smart, but I could not convince him that the evidence prompting people to advocate for this drug violates the principles of eighth-grade science class.  Dr. Fred Masuodi, a thoughtful electrophysiologist, wrote with candor. The reports of physicians stockpiling these medications for selves or family are atrocious—all should lose licenses because it 1) outrageously unethical and 2) demonstrates entirely deficient understanding of evidence-based medicine.— Fred Masoudi, MD (@Dr_BowTie65) March 26, 2020 I am not shocked that our president can be misled about shoddy evidence but I am dismayed that so many doctors have been bamboozled.  Note, I am publishing this column two weeks after the podcast and still doctors in my city and across the world are using this drug combination. In fact, our hospital and others have had to design ways to monitor for cardiac side effects from the dr...
Source: Dr John M - Category: Cardiology Authors: Source Type: blogs

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This study aimed to assess the prevalence and variables related to perceived stress associated with the COVID-19 pandemic in a sample of Colombian adults using a designed online cross-sectional survey. Adults answered a version of the Perceived Stress Scale (PSS-10) modified for COVID-19 (PSS-10-C), with Cronbach alpha equal to 0.86. In total, 406 individuals aged between 19 and 88 years (M = 43.9; SD = 12.4) agreed to participate in the survey: 61.8% were females, 90.6% had a university degree, 44.1% were health professionals, and 45.7% considered public health policies for preventing the spread of the disease inconsisten...
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or NN PMID: 32490915 [PubMed - in process]
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research
Abstract COVID-19 has created enormous challenges for health systems worldwide, with the rapidly growing number of deaths and critical patients with pneumonia requiring ventilatory support. Alternative methods to control the spread of the disease such as social isolation, extreme quarantine measures, and contact tracing have been used around the world. However, these measures may not be totally effective to fight COVID-19, in step with the necessary national preparations to meet the new patient care demands. A wide range of digital technologies can be used to enhance these public health strategies, and the pandemi...
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research
Gov. Inslee said Thursday the state is "getting close" to having enough supplies to reach 20,000 tests per day.
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South Africa sees record jump in cases; New York urges protesters to get tested; Turkey announces weekend lockdown in 15 cities; US jobless claims pass 42m. Follow the latest updatesBrazil infections pass 600,000 as death toll passes Italy ’sSouth Africa sees record jump in casesCoronavirus latest: at a glanceSee all our coronavirus coverage6.27amBSTBritain ’s test-and-trace systemcould take another four months before it is working properly, the Guardian has learned, raising concerns about how the country might cope with a second wave of coronavirus infections. Tony Prestedge, a banker drafted in to run the NHS...
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by Craig Klugman, Ph.D. “What can bioethics do to help with the racial injustice” is a refrain that I wish I heard more in bioethics. When COVID-19 entered the stage, bioethicists—myself included—tripped over each to put out special journal issues, write OpEds, work with the media, set up webinars, and advise governments at all levels. The response from the George Floyd killing and protests against racial injustice have been quieter. Racism is a health issue. Racism is an ethics issue. Narrative ethics seeks to understand the stories of a case.…
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[Thomson Reuters Foundation] Rome -Thursday's GAVI vaccine summit aims to help people in the developing world get access to any eventual coronavirus vaccine. What are the obstacles?
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This report highlights geographic differences in cases, deaths, incidence, and changing incidence of COVID-19 in the United States.Morbidity &Mortality Weekly Report
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