… The poor, the uninsured, the disenfranchised, the information-poor and the less mobile are sitting ducks. Many western economies, including the US and the UK, have slowly pushed these people to the margins, while restricting employment benefits such as holiday pay, sick leave, and private insurance to an increasingly exclusive class. One of the reasons the British and US governments have been so slow to provide free testing, medical care and bailouts for those who’ve lost work is that these inequalities are now hardwired into the system. They cannot be undone overnight even when lives depend on it.
The global economy is set up in much the same way, with winners who hoard the spoils, and losers who scratch around for the leftovers. If wealthy single countries cannot scramble to save their own people, there is no hope for any effort to extend help to countries with a fraction of the resources.
But here is the tragic catch for those who think that this structural imbalance is not our problem. In this instance, national and international inequalities cannot persist without everyone losing. The realisation is just beginning to dawn upon lawmakers that the rich cannot be barricaded against the poor, no matter how high the barriers to the fortress are. Limiting the spread of the virus entails ensuring that everyone in the pool, be it local or global, is given the ability to test, self-isolate if need be, and receive treatment.
Yes, to some extent this is a utopian aspiration. But it is also essentially pragmatic. We cannot extol the virtues of small government and global societies without grasping that the risk to the majority cannot be halted from spreading: viruses do not distinguish between classes and nationalities.
Just as work and public life cannot be shuttered for ever, borders cannot be closed indefinitely. African countries are moving fast against coronavirus, well aware that they are on their own. But barring a miracle, or a pandemic Marshall plan by wealthier countries, if the virus explodes in poorer countries, the cataclysm will engulf everyone.
It doesnt work so good in the tropics and a lot of poorer countries have fewwr international travellers
Colombia for instance has normally way less tourists than Ecuador, and that is why the infection rate is a lot lower, and also I believe, higher proportion of population living in a tropical, rather than Andean climate
Are you trying to find a supply of hydroxychlorquine, Matt? They say that it has had good effect in treating or curing the virus. Make sure you don't ask for chloroquine (a fish-tank cleaning fluid). A man died after taking it, thinking it was the magic ingredient.
But I suppose the Amazonas is an example of where Malaria pills are taken. But normally only for tourists. The problem for locals is that you can't keep taking the pills for your whole life to try and prevent Malaria, (The pills don't cure it, only prevent it taking hold in your body). So if you live there, most folk don't take them. They simply can't take them for their whole lives, just in case. And so you may find they are not so available there.
But for the tourists, they need to start taking them about a week or two before they go to those areas, so they get their supply of tabs in the cities or back home before they get to Colombia. So if you're looking for those pills, you might stand a better chance of finding them in the cities, not in the Amazonas itself. The same may be true of other areas where malaria is prevalent. If you're going to start them before you go, you buy them before you go to those areas.
“ The treated group was given 600 mg of Plaquenil each day.
The researchers found that 50 percent of the treated group turned from positive to negative for the virus by the third day — and by day six, that figure was up to 70 percent.
Of the 20 test patients, six who were treated with both Plaquenil and the antibiotic azithromycin showed impressive results — with five testing negative at day three. All six of them tested negative at day six.”
We all know who is causeing it to be widely reported.
I noticed that six people dropped out of the study when the sample-size was already small. I am curious what the results would be on a older sample size, that is, those that are at risk of dying from Corona. I want it to work, but I recognize that both drugs, azithromycin and chloroquine, are really hard on the body.
I don’t know much about the treatment and I don’t recommend it. I agree with the “don’t do it advice” and that malaria and Covid-19 are caused by very different agents. I just wanted to point out that these drugs and diseases are a possible example of the same drug being effective in treating very different problems.
Here is an explanation of why the French study adds nothing to our understanding of the virus or its treatment. And why certain individuals should maintain a humble silence on the topic. I assume that the French scientists are overwhelmed by the situation and did the best the could under the circumstances. Or this reviewer is somehow mistaken, reasonable as his explanation sounds.
Millions of people have taken both of these drugs. So while they do have side effects, including death, they are still useful in treating disease. The combination might be more dangerous however.
JSG: Excellent video! Good find. I really like that you have supported your comments with links from the internet. A lot of posters make statements and one has to wonder where they are getting their information.
The fundamentals of the article I used in the OP have been largely ignored. I think this is a shame as what it was pointing out have a huge bearing on what is happening today.
But before “today” there was a “yesterday” that faced similar problems. Scott Fitzgerald explained it much better words than I could ever summon.
A LETTER FROM F. SCOTT FITZGERALD, QUARANTINED IN THE SOUTH OF FRANCE DURING THE SPANISH INFLUENZA OUTBREAK 1918
Dearest Rosemary, It was a limpid dreary day, hung as in a basket from a single dull star. I thank you for your letter. Outside, I perceive what may be a collection of fallen leaves tussling against a trash can. It rings like jazz to my ears. The streets are that empty. It seems as though the bulk of the city has retreated to their quarters, rightfully so. At this time, it seems very poignant to avoid all public spaces. Even the bars, as I told Hemingway, but to that he punched me in the stomach, to which I asked if he had washed his hands. He hadn’t. He is much the denier, that one. Why, he considers the virus to be just influenza. I’m curious of his sources.
The officials have alerted us to ensure we have a month’s worth of necessities. Zelda and I have stocked up on red wine, whiskey, rum, vermouth, absinthe, white wine, sherry, gin, and lord, if we need it, brandy. Please pray for us.
You should see the square, oh, it is terrible. I weep for the damned eventualities this future brings. The long afternoons rolling forward slowly on the ever-slick bottomless highball. Z says it’s no excuse to drink, but I just can’t seem to steady my hand. In the distance, from my brooding perch, the shoreline is cloaked in a dull haze where I can discern an unremitting penance that has been heading this way for a long, long while. And yet, amongst the cracked cloud line of an evening’s cast, I focus on a single strain of light, calling me forth to believe in a better morrow.
I went to the Amazon four weeks ago. Before making this trip I asked here about information for the yellow fever vaccination. A clinic in Medellin was recommended, but when I called for an appointment, I learned that the shot is not permitted to those over sixty years of age. So no shot for me.
When I arrived in Leticia I went to a pharmacy for more information about what was available for travelers. The doc there gave me (sold me) a weeks worth of Plaquenol, or hydroxychlorquine, to protect me against malaria, which is much more common than yellow fever (doc had not heard of a case in years).
I began the tablets at ten o'clock that same morning. The prescription called for two tablets a day, exactly twelve hours apart. The pharmacist was adamant, tapped his wrist watch firmly to make sure I understood the dosage was twice a day, twelve hours apart.
After the third tablet on the second day, my vision began to blur. I was unable to focus my eyes, couldn't read, walk without tripping. My travel partner guided me by the arm.
I returned to the pharmacy and explained the problem with my vision. The doc said that that side-effect was not uncommon, and that the medicine was too strong for me and, of course, that I should stop taking it.
So far as I know I did not catch malaria. As for covid-19, I am hopeful. I left Colombia this past Friday, the 20th, on one of the last flights out of Medellin.
Good luck to everyone. Judging from the number of cases currently in Colombia (378), you are much safer there than in, say, Georgia, which has 1250 cases.
I hasten to add the "letter" in my previous post was NOT in fact written by Scott Fitzgerald, but is a parody by Nick Farriella of what he might/should have written. Nevertheless, it is very appropriate to what we are currently experiencing, even to the hardships involved - I have nearly run out of red wine and alcoholic beverages have just been "outlawed". from sale.
Fech .... Reminds me of a time, 26 years ago, when I founded my security company in England. We had a contract for the security of a large chemical company, which used some very highly explosive chemicals, and their storage tanks contained enough to wipe out half the town.
After discussing other topics, I asked the CEO what arrangements were in place in case of fire. He said I should make my way to his office, open the drinks cabinet, and pour myself a large brandy. He could see the puzzled look on my face, and explained ..... It'll be the last one you ever have, so enjoy it.
Here is the horror story of the day, read it and hope it is an isolated case, but I think not:
– In this story the USA is both victim and culprit. Heaven help the USA and let us hope Colombia is not making the same mistakes.
And whilst this is going on Pres. Trump is pressing hard to foreclose the containment process and get everybody back to work within two weeks. I think he has reason; he will get people back to work and economic output back the profit levels needed to satisfy the stock markets – which is fine if they are the only people that count!
You must understand that most Americans do not have pensions, they have 401(k)s and IRA’s, The stock market had dropped almost 40% in four weeks, can you imagine your 401(k) going from $500,000 to $300,000 and you’re getting close to retirement? The USA was in a complete freefall and panic. Have you seen what is happened to the stock market the last two days?You obviously do not know when this president is kidding, as half the time when he says stuff he doesn’t really mean it. What he was trying to say and give people hope is that companies would get back to work as soon as possible. And by the way the stock market went up 12% the next day. If people read his book and understood how this guy operates, his words mean very little, he’s always trying to strike a deal and make people know what his overall objective is. You can’t take this man literally, he plays people like you like he has a Stradivarius. I am a financial advisor for 31 years and I saw panic like I have never seen, and he was trying to simply let the people know America would go back to work as soon as possible.
The lack of testing is a sad reminder of the miseries of the USA health system. Whether is is corona virus or influenza, it is the same. Antibiotics so nothing.
Colombia is certainly not making the same mistakes. Doctors here do not dish out antibiotics like sweets and the total lockdown is working in many places. Those who ignore it deserve everything that they catch.
Matt, at times like this I would prefer to have leaders who know when to play around, and when to play it straight. You may be able to glean where he seems to be going, but do ALL his supporters have that gift? Are you sure that when he "jokes" that social distancing is not so important, his supporters don't take this as the ultimate truth?
I also appreciate Trump's past strengths come supposedly from his ability to play the markets but I would prefer these same capabilities went in parallel with a sincere desire benefits should be shared by all, not just the market-wise.
tubes, smetimes I really think you live in an alternate Colombia, existing in another dimension, in A time-space warp:
Doctors dont dish out anti biotics like Candy? Ludicrous.
I think you can still go into a pharmacy and the drug store inject you with the crap without a prescripcion. I did it myself once and my friend injected me with an antinflamatory you would need to have a prescription for in Canada.
Doesnt matter what the Doctor prescribes, (and they do , just like in the US) people just go to the drugstore and buy the stuff without a prscription - they have been doing it their whole lives- that is why they have such weak immune systems and are sick all the time (some of them-particularily women and children)
your post is rather surprising, which part of Colombia are you familiar with ? antibiotics can be bought at any pharmacy without a prescription. i am very much unaware that Colombian doctors are more conservative than American ones in prescribing such things, and considering my casual observation that Colombians often have a tendency towards being hypochondriacs ( exceeded only by the Italians) I would be very much surprised if Colombian doctors prescribe less.
There are many issues about the American health care system, in fact in some ways barbaric compared to European or UK system. I know a fair amount of people in UK and Europe, I am unaware of a single country where people aren't complaining to shortages of equipment etc to deal with this situation.
As far as Colombia's capability of dealing with such a crisis I haven't looked closely at equipment availability or hospital beds. I would guess though if Italy and Spain having such problems with 1st world medical system to deal with such a situation, for me at least rather challenging to imagine in a severe situation Colombia being able to manage well.
"may be easier with medicines" ??? i have to agree with Elex, not sure how familiar you are with pharmacies in Colombia.
i agree especially out in the countryside herbal remedies used, i dont know if in the city 'huge' numbers. health foods ? that is a bit surprising- just anecdotally i had long conversation with owner of 'health food' store in Colombia once- he said (a) problem in Colombia most health foods and supplements are simply not available in Colombia (b) his market was small as Colombians were not very aware of health foods. So I find it curious they seek out such things in "huge" numbers.
I do agree it is equally curious the idea Colombians have weaker immune systems. Considering the lack of health and safety standards that are followed they seem to survive quite well ,
In regards to the issuance of antibiotics, From my experience in several different countries I have to agree that in Latin America docs generally give them out freely if a prescription is even needed at all. I don’t know if people have a weaker immune system or not but I know freely giving them out and people not taking them correctly can reduce the effectiveness of particular drugs. Everyone has their own experiences and opinions, just sharing mine.
I was speaking to a RN in a major city in the Philippines working 7 days a week. Colombia may be better on health care, but I suspect this is the same for most of the world even in USA. It is just now getting better as they were pathetically slow getting these test kits out. She said the published numbers are not terribly useful, because for every one announced case on a test, they have 10 with all the symptoms but they are waiting on test kits and cannot test them.. We also had the cruise ship where half the patients testing positive were asymptomatic. I am not trying to alarm anyone, but be careful and take it serious. I think Duque is doing great under a difficult situation. IMHO
Sorry to pee on your parade elex, but when my wife was in Colombia, she was taught and administered homeopathic medicine, aroma therapy, riki, and an assortment of other non-invasive medical treatment. She didn't go and counter what the medical doctors did, she in essence supplemented it. I have learned from her, especially recently, (last few days), that the mind is the greatest healer, next to God, (if you are a believer), to restoring the body to health! I firmly believe that and I work for 'Big Blue Pharmco'!
What people dont realize is that the main reason Colombia is implementing the National curfew so early is that the Colombia healthcare system is really not that great in a stressed situation and they are taking draconian methods as early as possible to flatten the curve.
Also, in Colombia, you wont see any reduction in the number of new cases for at least 10 days, probably 20, and it is almost certain that Duque will impose a quarantine for another 3 weeks beyond .
The reason you dont see a reduction right away is the incubation period for the Virus is 14 days, in rare cases, as long as 23 weeks. We are now seeing the effects in the statistics of infections that occured 2 weeks ago.
I initially thought this thing was overblown, buut after seeing what happened in Lombardy, I think not,
I realy think maybe every country should go into quarantine for 2 months, and we woud end this thing quickly. We would have a major depression for 2 or 3 months. The stock market would go to 5% of peak, but afterwards, things would bounce back quickly (like putting your car in idle)
Recent history has shown in China , South Korea (and hopefully soon in Italy) that the national quarantines work, as after a month , cases start to fall and after 2 months are quite manageable. Some "Negatrons" may argue that the China numbers are fudged, and a second wave is occuring, but look at your sources, did that information come from a scientific journal, an MSN outlet, or worse, a sensationalized tabloid? And if China fuges numbers, how come we knew so quickly about what happened and the extent of the first Whuhan wave? In this day of cyber spieing, satelite imaging and mass communication it is a lort harder to hide the truth than 50 or a 100 years ago.
I think partial quarantine , self quarantine, "social distancing" and other partial measures taken by the US and Canada and some european countries are inadequate, rely too much on individul integrity, and only prolong the misery. For both the health of the people and health of the economy.
If it turns out in the worst case scenari comes to past and the total quarantines dont work, we are hooped, we should just forget about it, put people with really comprimised immune systems in Isolation (unless they refuse)- either at homes or hospitals and hope for the best, let the virus take its toll and keep the economy going, and people happy and not under some fascist or communist type dictatorship with limited freedoms, until there is a mass produced vaccine. It will kill a lot of people, but I am wiling to take my chances, rather than being cooped up like a caged rat for the rest of my life. Us old farts dont have many years left anyway. Who the hell wants to spend them cooped up like a gato encerrado, a caged cat, a caged rat? I sure dont. 3 months is my absolute limit, then I am finding my way out of here , one way or another. Foch the virus.
WS Like I said, youare whatbyou eat, and we all take supplements.
But I have known 3 people who had various types of cancer, and did not want to rely on Western Medicine..
One had prostrate cancer, he was your typical Medellin older gringo-hung up and addicted to sex- so he didnt want his prostrate removed. He tried all the natural therapies-the cancer spread to his liver and other organs in a few months and he passed away.
Another two were Caucasians in Canada who were "liscensed· practicioners of Chinese medicine.They got skin cancer, didnt believe in western medicine, the disease spread and killed them.
Sorry to talk about cancer. That really makes me depressed and scares me 100 times worse than the stupid virus.
He didn’t go for “spelling and grammar”. He went for spelling. Grammar actually matters, at least to me and to all thinking people. (See what I did there? Anyone who disagrees with me isn’t a thinking person. Just trying to be inflammatory.)
Personally I love your spelling. I find interpreting you posts challenging and fun. It’s a public service in my opinion, it’s like doing crossword puzzles, the intellectual effort required to understand them increases the intelligence of everyone who scratches their heads over them.
And thanks for all the relationship advice. Sometimes you must feel like a voice crying in the wilderness but some have heard the message and have been saved.
And this was funny, I bet you agree. “Now, how do I spell ar$ehole??” And well done, it’s connected to the spelling theme, it isn’t an over the top blatant insult, not subtle but not some out of nowhere stupidity. The guy put a little effort into the post and I appreciate that.
Elex, we often have different points of view but today I am happy to say we are in full agreement.
I am nearly 80 and have more than enough health problems to put me on the front line of those who should not hold out much hope personally. That's OK by me, but I shall be sorely pixxex off my outcomes depends upon those who are selfish enough to ignore THEIR responsibilities.
I will have to partially disagree with the comment that the Chinese medicine does not work. I would not say it is the end all be all but I think the proper application for the proper ailment can work. I have been to a Canadian trained homeopathic Dr who did some acupuncture techniques that helped with some of my issues and I have also had US Army trained practitioners do dry needling and a thing called spoon scrape which worked well on my shoulder and was torture on my back. I have probably more than my fair share of bumps, scrapes , and bruises and have been round the block on treatments. It takes the right thing to cure the right ailment, but also don’t discount the advances in medical sciences.
Expats living in Medellin, Colombia report that there are safe places to live - and that the nightlife is fun, too. Read about how to live in Medellin - a city that has become quite a popular destination for expats.
Expats living in Medellin, Colombia report that there are safe places to live - and that the nightlife is fun, too. Read about how to live in Medellin - a city that has become quite a popular destina...