On Sun, Aug 9, 2020 at 5:23 PM smitra <[email protected]> wrote:

> On 09-08-2020 21:00, John Clark wrote:
> > On Sun, Aug 9, 2020 at 1:24 PM Jason Resch <[email protected]>
> > wrote:
> >
> >> _> You, as well as most of the media write ups are confusing "did
> >> not prove a benefit" with "proved no benefit". _
> >
> > I'm not confused at all. No study has proven that leeches have no
> > benefit in the treatment of COVID-19, but there is also no
> > statistically relevant evidence that it does, so scientists could more
> > productively spend their time studying things other than leeches. I
> > mean it's not as if there are no other promising leads. And this sort
> > of thing is the rule not the exception, from cancer to aids to
> > Alzheimer's disease to you name it the medical literature is cram full
> > of examples of drugs and treatments that hinted in very early small
> > scale studies that they might be beneficial but were later shown to be
> > useless or even harmful in larger more careful studies.
> >
> > Hydroxychloroquine is not even a controversial drug as far as the
> > scientific community is concerned, the opinion is almost universal
> > that it's just like most new ideas in science, it didn't work out, and
> > so it's time to move on to other things; The drug only becomes
> > controversial when fascist presidents and nincompoop Fox pundits enter
> > into the mix.
> >
> >>> a statistically powerful result were all late stage studies.
> >
> > Considered statistically powerful by people who don't understand
> > statistics, and Humans don't have an intuitive ability to assess
> > probabilities, we need to calculate them. For example: If AIDS is in
> > 0.3% of the population and the false positive rate of an AIDS test is
> > 1% and I take that test and test positive, is there a 99% probability
> > that I really have AIDS? No, the chance would be 29.7%,
> > (.003*[0.99/0.01]).
> >
> >>> _John treats HCQ like ESP, with no science behind it. _
> >
> > Not in the early days of 4 or 5 months ago, back then it was
> > reasonable to be hopeful about it, but those who hold onto a blind
> > belief in HCQ and refuse to even modify it one bit even now after much
> > more information about it has come in then yes, they're just as
> > fanatical as the ESP nuts. They will never EVER be satisfied with a
> > negative result, they will ALWAYS want another larger study.
> >
> >>> _ __in vitro studies clearly showed its anti-viral properties,_
> >
> > If in vitro studies were all that mattered people would've stopped
> > dying from cancer decades ago.
> >
> > John K Clark
> >
>
> Another thing to keep in mind here is that only a small fraction of the
> general public end up becoming severely ill, and that people with
> underlying health issues such as obesity, diabetes etc. dominate the
> group of people who are at risk of needing hospital care. If we assume
> fir argument's sake that HCQ does have an effect when taken in the very
> early stages, that effect would then be irrelevant to the vast majority
> of healthy people. If you are obese then it could be helpful to you, but
> simply losing weight would have a far greater effect. This is why in
> Britain they are staring a campaign for people to lose weight.
>
> In general I'm rather skeptical for cures in the form of drugs for the
> general healthy public. If modifying a biological mechanism would have a
> benefit for the healthy population, then the question is why evolution
> did not implement that modification? Usually when taking pills does help
> for the general public, this is related to our modern lifestyles causing
> certain deficiencies, like e.g. vitamin D deficiency. And we know that
> being overweight, being vitamin D deficient, lack of exercise have
> negative effects on the immune system:
>
>
> https://medicalxpress.com/news/2020-06-fat-cell-immune-response-obesity.html
>
> "When obesity occurs, a person's own fat cells can set off a complex
> inflammatory chain reaction that can further disrupt metabolism and
> weaken immune response—potentially placing people at higher risk of poor
> outcomes from a variety of diseases and infections, including COVID-19."
>
> https://www.bbc.com/news/health-43308729
>
> "Doing lots of exercise in older age can prevent the immune system from
> declining and protect people against infections, scientists say.
>
> They followed 125 long-distance cyclists, some now in their 80s, and
> found they had the immune systems of 20-year-olds.
>
> Prof Norman Lazarus, 82, of King's College London, who took part in and
> co-authored the research, said: "If exercise was a pill, everyone would
> be taking it.
>
> "It has wide-ranging benefits for the body, the mind, for our muscles
> and our immune system."
>
> The research was published in the journal Aging Cell.
>
> Prof Janet Lord, director of the Institute of Inflammation and Ageing,
> at the University of Birmingham, and co-author of the research, said:
> "The immune system declines by about 2-3% a year from our 20s, which is
> why older people are more susceptible to infections, conditions like
> rheumatoid arthritis and, potentially, cancer.
>
> "Because the cyclists have the immune system of a 20-year-old rather
> than a 70- or 80-year-old, it means they have added protection against
> all these issues.""
>
>
> https://www.sciencedaily.com/releases/2010/03/100307215534.htm
>
>
> "In order for the specialized immune cells (T cells) to protect the body
> from dangerous viruses or bacteria, the T cells must first be exposed to
> traces of the foreign pathogen. This occurs when they are presented by
> other immune cells in the body (known as macrophages) with suspicious
> 'cell fragments' or 'traces' of the pathogen. The T cells then bind to
> the fragment and divide and multiply into hundreds of identical cells
> that are all focused on the same pathogen type. The sequence of chemical
> changes that the T cells undergo enables them to both be 'sensitized to'
> and able to deliver a targeted immune response.
>
> Professor Carsten Geisler from the Department of International Health,
> Immunology and Microbiology explains that "when a T cell is exposed to a
> foreign pathogen, it extends a signaling device or 'antenna' known as a
> vitamin D receptor, with which it searches for vitamin D. This means
> that the T cell must have vitamin D or activation of the cell will
> cease. If the T cells cannot find enough vitamin D in the blood, they
> won't even begin to mobilize. ""
>
>
>
Lot's of great information Saibal, thank you. I agree there are many
measures we can do individually to lower our personal risk.

I have been supplementing with D3 since this began. I am surprised the
media has not been pushing this more, given the widespread deficiencies
generally. One study found something around a 10 - 20 fold reduction in
COVID deaths (after controlling for age and other factors) between those
that had normal levels of vitamin D and those who were deficient:
https://emerginnova.com/patterns-of-covid19-mortality-and-vitamin-d-an-indonesian-study/

Jason

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