(03-22-2020 03:06 AM)GoOwls111 Wrote: The US will most likely have the highest infection rate at the fastest pace once testing is available for all that ask for it. As a Republic (Democracy) we cannot place people under house arrest to slow the infection rate; at the same time I suspect that the US will have the lowest % of mortality rate.
I agree with your point that we shouldn't put Americans under house arrest to slow the infection rate. When you start to coop people and families up, nerves can fray, and every kind of abuse and domestic violence can easily ensue. Kids need to play outside. Staying indoors all the time can drive a person crazy and drive one to desperation.
Spending a big part of our lives in Philadelphia, walking through the graveyard of Washington Square, and Independence Hall, may have made us particularly aware of the basic freedoms that are so important to us, regardless of party affiliation.
Now, for a news update:
The Chinese government has begun to release some of the details from their clinical trials on chloroquine:
1) "Chloroquine was among the first group of therapies Chinese scientists identified as being effective in curbing the new coronavirus.
Clinical trials on about 130 patients demonstrated the drug’s ability to reduce the severity of the illness and speed up virus clearance, according to China’s Ministry of Sciences and Technology."
2) "Chroloquine phosphate was officially recommended on Feb. 19 in the Covid-19 treatment guidelines published by China’s National Health Commission, along with a few other drugs ... as antiviral treatments for patients."
The commission originally recommended a 10-day course, but is now recommending no more than a 7-day course of chloroquine for adult patients at 500mg -- half a gram -- twice a day, so as to reduce the likelihood of adverse side effects.
3) The Chinese researchers have emphasized that
the maximum dose (500 mg twice/day) must be scrupulously adhered to, because the toxicity of this drug can cause serious and even potentially fatal health effects if a patient takes twice that amount (i.e., 2,000 mg./day is harmful):
(a) "The drug is known to have short-term side effects such as nausea, diarrhea and tinnitus while long-term use can irreversibly impair eyesight. It’s forbidden for pregnant women as it can cause congenital defects in babies."
(b) "China Health Commission revised the dosage in a Feb. 29 notice tightening chloroquine use.
The drug cannot be given to pregnant women, those with heart disease, terminal liver and renal disease, retina and hearing loss and patients on antibiotics such as azithromycin and steroid."
© "
It can now be given only to patients between 18 to 65 years of age for a seven-day treatment course. Patients weighing over 50 kilograms (110 pounds) can take 500mg twice a day -- the usual dose -- while
those weighing less will be administered the drug just once a day after two days of use, according to the latest guidelines."
https://www.bloomberg.com/news/articles/...-two-grams
The article also mentioned this:
Chroloquine phosphate was officially recommended on Feb. 19 in the Covid-19 treatment guidelines published by China’s National Health Commission, along with a few other drugs such as AbbVie Inc.’s Kaletra and flu drug arbidol as antiviral treatments for patients.
Note: There are several ongoing studies of Kaletra, the first of which yielded disappointing findings, but the research will continue.
There have been other articles describing current studies of the above anti-virals and another anti-viral , favipiravir.
Here's an abstract of an article describing some of the other compounds that are being examined as potential treatments for covid-19:
Drug treatment options for the 2019-new coronavirus (2019-nCoV)
Article
in
Bioscience trends · January 2020
with
1,181 Reads
DOI: 10.5582/bst.2020.01020
Cite this publication
Hongzhou Lu
Hongzhou Lu
Abstract
As of January 22, 2020, a total of 571 cases of the 2019-new coronavirus (2019-nCoV) have been reported in 25 provinces (districts and cities) in China. At present, there is no (NOTE: no
proven effective) vaccine or antiviral treatment for human and animal coronavirus, so that identifying the drug treatment options as soon as possible is critical for the response to the 2019-nCoV outbreak. Three general methods, which include existing broad-spectrum antiviral drugs using standard assays, screening of a chemical library containing many existing compounds or databases, and the redevelopment of new specific drugs based on the genome and biophysical understanding of individual coronaviruses, are used to discover the potential antiviral treatment of human pathogen coronavirus. Lopinavir /Ritonavir,
Nucleoside analogues, Neuraminidase inhibitors, Remdesivir, peptide (EK1), abidol, RNA synthesis inhibitors (such as TDF, 3TC), anti-inflammatory drugs (such as hormones and other molecules), Chinese traditional medicine, such ShuFengJieDu Capsules and Lianhuaqingwen Capsule, could be (among) the drug treatment options for 2019-nCoV. However, the efficacy and safety of these drugs for 2019- nCoV still need to be further confirmed by clinical experiments.
-------
The following abstract illustrates some of the combination treatments that the Chinese researchers have been studying. This is a very small study with no apparent control group, so the beneficial findings may or may not be significant. Just to show you some of the work they've been doing on this:
Biosci Trends. 2020 Mar 16;14(1):64-68. doi: 10.5582/bst.2020.01030. Epub 2020 Feb 9.
Clinical characteristics and therapeutic procedure for four cases with 2019 novel coronavirus pneumonia receiving combined Chinese and Western medicine treatment.
Wang Z1, Chen X2, Lu Y2, Chen F3, Zhang W3.
Author information
Abstract
Pneumonia associated with the 2019 novel coronavirus (2019-nCoV) is continuously and rapidly circulating at present. No effective antiviral treatment has been verified thus far. We report here the clinical characteristics and therapeutic procedure for four patients with mild or severe 2019-nCoV pneumonia admitted to Shanghai Public Health Clinical Center. All the patients were given antiviral treatment including lopinavir/ritonavir (Kaletra
), arbidol, and Shufeng Jiedu Capsule (SFJDC, a traditional Chinese medicine) and other necessary support care. After treatment, three patients gained significant improvement in pneumonia associated symptoms, two of whom were confirmed 2019-nCoV negative and discharged, and one of whom was virus negative at the first test. The remaining patient with severe pneumonia had shown signs of improvement by the cutoff date for data collection. Results obtained in the current study may provide clues for treatment of 2019-nCoV pneumonia. The efficacy of antiviral treatment including lopinavir/ritonavir, arbidol, and SFJDC warrants further verification in future study.