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Laurence Behney, M.D.'s avatar

The NEJM published this study by Boulware et al: A Randomized Trial of Hydroxychloroquine as Postexposure Prophylaxis for Covid-19. This study was hailed by the American press as proof HCQ was ineffective. The p value was 0.35. My supervisor used this study as a reason not to use HCQ for our ill patients. Much later, I discovered in the appendix of that same study, Figure S1. a lovely Forest Plot demonstrating that HCQ is effective, particularly when used early. If a COVID-19-exposed patient receives HCQ one day after exposure, he/she is less likely to develop symptoms of COVID-19. Day 1 had better results than Day 2 > Day 3 > Day 4. The probability of this occurring by chance is 4 Factorial, i.e. 1:24, which is a p value of 0.042. The study supports the extreme importance of using HCQ early!!

Future journalism schools need to make elementary statistics a requirement, so they can use their own independent judgement about medical research results.

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Laurence Behney, M.D.'s avatar

Rafael Castillo, M.D. wrote an article detailing the success of Uttar Pradesh for the Philippine Daily Enquirer news magazine entitled: "Some Painful Lessons from India".

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Roger Kimber, MD's avatar

First, thank you for your courage and commitment. I was informed of flccc's work in October 2020 by a retired friend and colleague.

In one of your more recent missives, you said that the coordinated suppression/censorship of repurposed drugs in the treatment of COVID-19 is unprecedented, and I am also absolutely astonished at the thoroughness nastiness (and baselessness) of the effort as well as that it has been unprecedented in my nearly 50 years in medicine (entered medical school 1973, been a NEJM subscriber since October that year in imitation--sincerest form of flattery-- of the medical school couple who sold me my microscope).

However, I don't think it is unprecedented. The details may be different (history doesn't repeat but rhymes) this pattern has been written about in the 1960's by Thomas Kuhn's seminal work Structure of Scientific Revolutions (1962, 1970, 1996, 2012--1st, 2nd, 3rd, & 4th editions which was assigned reading in my required interdisciplinary Freshman Studies course in 1969. And required reading for my eldest daughter's course on History of Science in 2010 or so) You cite Galileo and Semilewies as did/does Kuhn--maybe you have read it, or heard of it.

What is amazing to me is the disingenuousness of what is done. Specialty boards threaten us will loss of certification for spreading vaccine 'misinformation' (even before there was any evidence of ineffectiveness and impermanence, at least available to us peons--makes you think that they knew what was coming), though I am quite sure that absent some crime, failing to maintain my medical license they have no ability to revoke my board certification, ditto for the state medical boards, ditto for pharmacists not filling for off label use, etc. but you know all that.

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Ed Movius's avatar

what about the use of chlorine dioxide or chlorine dioxide solution? bolivia authorized its use during the plandemic and cases and deaths dropped of a cliff. fascinating read bye bye covid by andreas kalcker https://byebye-covid.com/en-1-2/

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Courtney Heron's avatar

Amazing article. Thank you for sharing this information and providing insight into the nuts and bolts of the UP success! Thank you for putting your all into the effort to carry out your Hippocratic Oath and to be the best doctor you can be. I am grateful for individuals like you, your colleagues and others in this struggle to do the right thing. Thank you! 🙏❤️😊

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Scott Marsland, FNP-C's avatar

Thank you mon frère. On my last day of employment with the Tompkins County Health Department in NY, I had a Zoom meeting with my supportive supervisor and the Medical Director. My goal was to push alt-left Ithaca, NY to become a bright light of rationality and early treatment with public distribution of IVM. The example of Uttar Pradesh as a historic achievement of public health action was utterly lost on Dr William Klepack, my esteemed, intelligent and beloved colleague of more than twenty years. Despite the fact that our health department monitors patients with TB and dispenses medications for the same, or sets up clinics to give COVID-19 shots to children, the possibility of widely distributing a safe, cheap, effective prophylaxis was dismissed out of hand. I was told that health departments are reimagining their role as one of advising, collaborating and coordinating with health care providers. “We are not in the business of prescribing or administering medications.” Pardon my emotional, cussing New York self, but why the hell not?

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Ken's avatar

I remembered your story or FLCCC’s story about UP and after Biden went to India, I tried to search for the story and could not find much about it. I may have seen one or 2 stories, but I thought it would be in the US headlines. I minimally thought it would be in the Indian headlines, but I think the purpose of Biden’s visit was to quash the story so the world would never find an inexpensive solution to the covid problem, and even think he may have offered bribes to silence politicians so the story never made US headlines.

The whole system is corrupt and it caused me a lot of stress. I live in Los Angeles, and for 8 years I could not find work in Los Angeles, and had to work all over Southern California to stay employed. I write software and once I got into scientific and engineering software I could not seem to work outside the field, so I did a lot of defense work and, if necessary, any kind of software. I even worked for employers that appeared to be somewhat un-ethical. It is difficult to explain the accumulated anger from driving back and forth on week ends 100-200 miles, looking for a closer job, trying to setup interviews on Monday or Friday, and the stress of having my car overheat in the mountain passes on the way to a job in the desert, for 8 years. When out of work, or in a precarious position, I almost felt compelled to tell employers I could do anything, but that raises employer expectations and job stress. I blame Nafta.

I found out about FLCCC because I asked myself “who knows the most about covid?”. My answer was ER doctors, so I began to Twitter follow them. I found another group that I follow on Twitter called “Doctors without jobs”. I Twitter follow independent news sources, independent workers organization, independent war news, and any voice of the people.

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Dr. Paul Zarembka's avatar

R. F. Kennedy, Jr. in his book, as well as other experts, have said that we should focus on “all-cause” deaths, rather than relying on those ascribed by authorities to Covid-19. This can be captured by examining “excess deaths”. I have examined three such reports.

Excess deaths for India are high and greatly above deaths reported due to Covid-19. Therefore, we cannot take at face value reported deaths in India due to Covid-19, and this would include the state of Uttar Pradesh. In fact, there have been reports that Covid-19 deaths in Uttar Pradesh to be on occasion even as high as forty times the officially reported figures.

In my judgment, at minimum, discussion of the issue of accuracy of Uttar Pradesh data must be included. If they are wildly inaccurate, a real analytical problem arises, even while arguing for the benefit of including ivermectin in the early-treatment protocols that WHO so favorably cited without mentioning ivermectin.

This Part 1 also reports favorably on the work of Juan Chamie for Peru. However, I have not seen any work by him that addresses data reliability, either there or for India or Mexico. Perhaps I missed it.

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Pierre Kory, MD, MPA's avatar

I believe you are referring to an article that someone sent me last week. It is actually disinformation, by a journalist who does not know how to analyze mortality data. Juan saw that article and in about 10 minutes showed me data on how ridiculous it was. I am sorry to talk about that article in a little comment without analysis and thoughtful presentation of data which rebuts those claims but I just have no time to deconstruct every attack on Uttar Pradesh. at some point I will address those issues of these purported excess mortality’s in Uttar Pradesh but there are just so few of us to defend the truth. They have massive forces to write thoughtful articles purportedly with sophisticated data to show that we are wrong. Ivermectin works is all that I know. I’ve been saving lives for a year and a half now with it.

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Dr. Paul Zarembka's avatar

Pierre, My main point is that data reliability must be discussed for each country/state, one way or another, not simply assumed as accurate as offered by any government.

Juan, as far as I know, hasn't entered into this terrain -- unfortunately itself a difficult terrain as can be seen by examining the alternative calculations of excess deaths by country that have already been presented. Debunking a claim of a 40-fold error is only that, but not able to conclude that data are therefore reliable. Apart from India, "excess death" calculations for Mexico suggest unreliability of governmental data and these countries are, by no means, alone.

I believe the concept of "excess deaths" meets Kennedy's emphasis on "all-cause deaths". If not correct, I'd welcome knowing from anyone, as I am working up a political economy article on ivermectin and Big Pharma's (etc.) opposition to it, including looking at "excess deaths".

Thanks for all your work!

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Pierre Kory, MD, MPA's avatar

I agree data reliability on mortality should not be assumed (and is very complex to sort out as. you emphasize), however, my post and review, although I did highlight the low death rate from the program, it was mainly on test positivity and the disappearance of cases within a state that had some of the highest testing rates in the world, which there is data to show from multiple sources. Further, the data on ivermectin and its ability to prevent transmission and contract the disease rests on numerous randomized and observational controlled trials - they gave it to household members, close contacts, and treated everyone - lots of data to show more rapid clearance of virus in treatment. If the test results have been manipulated, that would be a massive fraud, and there is no evidence they did that - it would be somewhat/very hard. to do given the state is massive and many districts were reporting independently.

This is all I got on this issue: the article and analysis you are reffering to is this one: https://article-14.com/post/untitled-60cf605395758. This is Juans response and the data he provided in response.:This excess analysis is calculated with the wrong baseline.

The average expected death rate per year is 0.8%. This is true all over the world. The rate varies from 0.4% to 1.1%

In the US it is 1,1%, in India 0.73%

Look at Ghazipur district. The population is 3.62 million, then the expected deaths per year is over 26,000. That’s 2,200 per months. Now look at the baseline for 2019.

I cannot include the chart/screenshot in this comment box - but the data comes from "Civil Registration Data obtained under RTI" and shows a large increase in registered deaths in 2020-March 21 compared to 2019-2020 however the deaths are not much higher than the expected 2,200 as Juan mentions above. Now as far as some districts reporting differently, the same source shows the registered deaths per district (I also cant includee this graphic in the comment box,) but tit shows again ;arge increases in registered deaths when you compare the year up to March 2021 compared to 20-19-2020, and the increases are generally of similar magnitude across districts and most except for lucknow , bareilly, and kanpur nagar not show increases over the expected deaths , and even those three states it was not a massive percentage increase

From Juan: It’s is the same in most of the districts. There isn’t such a huge excess deaths. The article is a flawed analysis fitting the narrative.

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Dr. Paul Zarembka's avatar

Pierre, I now have had time to look at the Ghazipur district you cite from Juan, with data referring to the nine months before the surge in infections, compared to one year earlier. Juan tells you that reported deaths for 7/1/2020-3/31/2021 are not much higher than the 2,200 deaths expected monthly, while the base line of the prior period is too low.

The base line is too low, yes, but the reported deaths through 3/31/2021 are also too low. This is a recurring issue in India’s reporting of registered deaths and has its history. U.P. is no exception.

Going on more specifically, there were only 14,000 total reported Covid-19 deaths in Uttar Pradesh between 2/20/2021 to 8/8/2021 in a population of some 230 million. This amounts to less than 4 per 100,000 (my data base using the Hopkins data), including a time when dead bodies were floating down the Ganges!

Even as I strongly support early treatment with ivermectin, exaggerations undermine the argumentations. Don’t make data fit the narrative.

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Pierre Kory, MD, MPA's avatar

Again, my arguments rested on testing data, much less so on death data - please know that I have mountains of evidence to show that ivermectin reduces death rates by massive amounts. I am not saying that based on low death rates from UP at all, just that lower death rates in UP are likely due to widespread ivermectin use - the degree to which they were is complicated by the issues you raise, but. that is beyond my abilities to parse. Again, I dont "make data" fit the narrative, but lower death rate data is in line with what would be expected is all. The degree to whch the lower deaths are due to underreporting I have no idea, but I do know these arguments are what is used to try to completely dismiss the idea that ivermectin was a contributor. And that is what the. other side does to fit their own narrative. I am not spinning narratives here, I happen to have a deep knowledge of many health ministry programs which found the same massive reductions in cases and death. Up's death data perfectly match what has been found in states and cities and countries with similar (just not as comprehensive) programs such as in Argentina, Mexico, Brazil, Peru, Paraguay, Phillipines etc. Again, my argument still largely rests on the testing data, which unless they were fraudulent, to me is one of the greatest achievements in public health. Note how much effort was placed by "ivermectin opponents" in trying to suppress the role of ivermectin. What would have been easier is to try to prove the testing data was manipulated. They did not, instead the other side lauded UP for these results while not mentioning the role of ivermecctin. Data supporting massive reductions in cases after ivermectin distribution or approval or adoption into guidelines has been seen over and over again around the world after ivermectin distributions. Lastly, yes, 14,000 covid deaths in that time period seem phenomenally low, but possible given the extent of their program, also bodies floating in the Ganges is how many Indians bury their dead, but again, I can't get too much into the death data there as I have no ability to assess how accurate it is, just that low death rates from COVID are in line with what would be expected.

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Dr. Paul Zarembka's avatar

Yes, the article Juan critiqued is flawed. Authored by Saurav Das, it is dramatically entitled “Death Count In 24 UP Districts 43 Times More Than Official Covid-19 Toll”, dated June 21, 2021.

However, on the same day, there is completely different report of the SAME data analysis: “UP: 24 districts reported 110% more deaths between July and March than same period the previous year” ( UP excess deaths: 24 districts see 110% more mortality in July 2020-March 2021 over previous year (scroll.in) )

Lancet has cited the latter, not the former, for Uttar Pradesh calculated excess deaths in its reporting of excess deaths around the world, including individual states of India, and India as a whole. (“Estimating excess mortality due to the COVID-19 pandemic: a systematic analysis of COVID-19-related mortality, 2020–21”, Lancet, March 10, 2022, Supplement).

Please pass this information on to Juan to encourage his evaluation of the latter, seemingly correct reporting. Suggesting 110% excess deaths, it is nowhere near in magnitude to 43 times higher. (I cannot explain how the flawed Das article appeared as it did, nor had I seen it before -- only secondary uses of it.) That is, debunking the former report cannot be used to imply taking U.P. official reports of Covid-19 deaths at face value.

Thanks for advancing our dialogue.

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The Society of Problem Solvers's avatar

And another similar request, please. Please tell Dr Pierre Kory: Bad link in Part 1 article: 'The Miracle Not-Heard Around The World: The Success of Uttar Pradesh - Part 1' https://pierrekory.substack.com/p/the-miracle-not-heard-around-the Bad link: [Under 'The First COVID Wave'] The complexity and comprehensiveness of UP’s “Test, Track, and Treat” (TTT) program was superbly well detailed in this 132 page report from October 2021, compiled by a professor from one of the top universities in India (the Indian Institute of Technology - Kanpur). 'this 132 page report' Link points to: https://drive.google.com/file/d/12Hp6LPYBXmrguADWVbc8fwYO4pGTkkvA/view%5C Gives [Google Drive] Error: Sorry, unable to open the file at this time. Please check the address and try again. The link should instead be: https://drive.google.com/file/d/12Hp6LPYBXmrguADWVbc8fwYO4pGTkkvA/view I.E., just remove the trailing "%5C" from the URL. [The URL opens to the report, in English: Covid War, UP Model - Strategies, Tactics, Impact _ Manindra Agrawal, Professor, IIT Kanpur]

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Pierre Kory, MD, MPA's avatar

You are awesome, I’m going to fix it right now.

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Anne Gibbons's avatar

So glad to learn about this! Thank you, Dr. Kory!

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The Society of Problem Solvers's avatar

Dr. Kory

Bad link at start of Part 2 article:

'The Miracle Not-Heard Around The World: The Success of Uttar Pradesh - Part 2'

https://pierrekory.substack.com/p/the-miracle-not-heard-around-the-fe9

Bad link:

"In Part 1 of this post on Uttar Pradesh (UP), "

https://pierrekory.substack.com/publish/post/53213950

Should instead be:

https://pierrekory.substack.com/p/the-miracle-not-heard-around-the

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The Society of Problem Solvers's avatar

This is why we need to decentralize medicine - have a decentralized portal for doctors and patients to share notes - free from the centralized control of these corrupt organizations.

Like Ivermectin and Covid, the same thing is happening with autoimmune diseases and diet. Thousands of people right now are beating auto immune diseases with carnivore diet and strict elimination diets. Everything from Multiple Sclerosis to Psoriasis to Ulcerative Colitis to Chron's Disease to Rheumatoid Arthritis. They are also able to beat mental disorders such as clinical anxiety and depression with elimination diets. I know, because I am one of them (carnivore diet now for almost 2 years).

We need a decentralized platform where we can share experiences that the corrupted centralized monolithic entities don't have control of where both doctors and patients can share information.

Here is more on my experience with carnivore diet: https://joshketry.substack.com/p/does-carnivore-diet-really-work-for

Here is more on decentralization: https://joshketry.substack.com/p/decentralize-everything

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HiggsBosonSlut's avatar

Yup, there is also GAPS diet (Gut and Psychology Syndrome) where various issues from depression to autism are addressed thru nutrition handling leaky gut (probably caused by environmental toxins, such as glyphosphate).

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Carol Jones's avatar

Not just decentralize it , but de-"pharma first" it!!

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The Society of Problem Solvers's avatar

chicken or the egg? ;)

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Carol Jones's avatar

There wouldn't be any discussion of this if the current centralized system was de-Pharma'd-- No Pharma controlled public research, no pay offs to docs, no pay offs to Alphabet "regulators" etc.

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The Society of Problem Solvers's avatar

Maybe or maybe not. If it was decentralized it would prevent anything like this from ever happening again. As Naval Ravkant says - a good system should be able to be turned over to your enemies and they still not be able to break it.

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Johanna's avatar

This article is well written, and, perhaps, I hope, acceptable to share with people who might be interested but are easily turned off by what they may consider conspiracies. I’ve shared it with seven people so far.

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Johanna's avatar

“You know, the one where they embarked on a global frenzy of vaccinating against a -goddamn- highly mutagenic respiratory virus with rapidly outdated and highly lethal spike proteins… all while ignoring natural immunity.”

I think, perhaps take out -……- that word. It’s not necessary and may turn people off who would otherwise still be following along with the article. All the other words already say enough, it doesn’t need to be “named” with a bad word.

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Pierre Kory, MD, MPA's avatar

every time I let my New York emotions and anger show up in abrasive and/or curse words, I get feedback that it limits its ability for exposure and dissemination. I’ve been counseled on this multiple times and I agree with it every time that I get this feedback. But just can’t help myself sometimes (my God, if I didn’t get this feedback, my pieces would be complete rants littered with curse words). FYI: I have asked the FLCCC team to edit all of these pieces to take out all of the cynicism and abrasiveness and humor. It will be a professional piece and we are going to try to disseminate it more widely. Maybe wait for that version before sharing :)

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Tom rademacher's avatar

I don't curse but I have said to people to make a point on this..

May God damn those vaccines! To me it is not the slang. Just sayin

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Johanna's avatar

Ah I appreciate the feedback. This is such a passionate topic. Unbelievable that leaders in charge would not even consider looking at all the data, media not report, not allowing dialogue. Not allowing a “tenth man” principle to always question any narrative.

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Brandon is not your bro's avatar

Any country that allowed Ivermectin and repurposed meds, cares for its citizens. USA as we knew it , is long gone. Great article , getting ready for part 2.

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Don Midwest's avatar

Since following flccc.net, I have had a front row seat to witness the cover up of generic drugs to give Big Pharma access to billions of dollars. When this started, who would have guessed that even 1 million deaths in good old USA would not be enough to overcome the propaganda campaign?

And even now, the "successful" campaign against ivermectin has continued as seen, for example, that using the word on twitter can lead to being banned.

As a lifelong democrat, I am disappointed that the party has not figured out the path out of Covid-19. nor the danger from the spike protein, the DNA vaccine injected with the mRNA vaccines.

And in the mean time, the credibility of the "health" agencies has been trashed. It will be a long time before I trust these agencies again. I can only hope that there will be a time when I can trust them again.

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HiggsBosonSlut's avatar

You're likely going to have to build your own local networks, as it is in most 'lesser developed' countries. Forget waiting for the CDC to bless anything. Mercifully Dr. Kory still provides alternatives. The more you are at cause over your health and general condition in life, the less you have to worry or subject yourself to the madness.

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