THHuxleynew Verified User
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Posts by THHuxleynew

    An infection protects you factors better than any vaccine today!

    Not evidenced. And it is a question I'm interested in and would like to find evidence on.


    It is really not clear whether vaccines or infection protect you better in general. It depends who you are, how bad was the infection, how recently you were vaccinated, which vaccine. It also depends on whether the infection was with an old variant or the current (delta) variant.


    What is clear is that vaccination adds protection to whatever you would have just from infection, and that infection alone - especially mild infection - is not great protection.

    I think I should just comment on these vigilant-style researchers discovering something surprising in the "report everything" databases by number only for the most popular errors:


    1. noted large number of AEs - did not compare with expected background AE

    2. noted large number of AEs / vaccination - compared with non-COVID vaccine AEs or previous year AEs. Thinks larger number of COVID vaccine AEs => COVID vaccines cause more AEs


    This one suffers 1. (Does not even do the more subtle 2.)


    COVID vaccines are known to be new and health professionals are told to report anything (which they would not do for a more established vaccine). The public also know this is a new vaccine and are more likely to report any AE.


    Therefore we expect:

    • Lots of AEs due to natural AEs not caused by vaccination
    • Relatively more AEs than for young childhood vaccines because the natural background of AEs (heart attacks, strokes, etc) goes up exponentially with age
    • Relatively more AEs (for given age demographics) than established vaccines because everything will get reported


    The EU (and other) regulators sift through these reports to see whether there is anything above background and they note this - even if it is only suspected. these reports on vaccine safety are very detailed.


    The difference between their work and this anti-vax oh my god I've discovered a side effect stuff is that they do a careful comparison with background rates.


    One sign of a good scholar is paying attention to related work, understanding it, and building on it. otherwise you re-invent the wheel - and usually do it badly - as here.


    THH

    My 24 yr old daughter rang me in distress two days ago..

    chest tightness fever shivering she had had the AZ vaccine 6 hours prior..

    I am very sorry that your daughter was distressed.


    Those are the classic symptoms of an immune system fever - a very common (20%?) side effect of all the COVID vaccines, also of Flu vaccine.


    You would expect it to be worse for the COVID vaccines (and it is worse) because we have no previous immunity (well some minimal T-cell from previous CVs maybe - but young people less likely that. Young people also tend to have more active immune systems). So it is a peril of being young, and worse than other vaccines because the virus is less familiar to our immune systems. Which I guess I don't need to tell you.


    Your daughter's symptoms in this case were textbook normal, and as described in the pamphlet everyone gets given (NHS description below, other countries add to this that more than 1 in 10 people experience fever. Given old people tend not to, I'd reckon 1 in 5 of 24 year olds should expect it))


    Side effects of the coronavirus vaccines

    It’s normal to experience side effects after the vaccine. It shows the vaccine is teaching your body’s immune system how to protect itself from the disease, however not everyone gets them.

    Most of these are mild and short term. They may include:

    • having a painful, heavy feeling and tenderness in the arm where you had your injection
    • headache or muscle ache
    • joint pain
    • chills
    • nausea or vomiting
    • feeling tired
    • fever (temperature above 37.8°C).

    You may also have flu-like symptoms with episodes of shivering and shaking for a day or two.

    Fever after the coronavirus vaccine


    It’s quite common to develop a fever after a vaccination. This normally happens within 48 hours of the vaccination and usually goes away within 48 hours.



    I know many young people (18 - 23) who have had symptomatic COVID. Most are knocked out for a week, worse than Flu, and don't feel great for a few weeks after One (age 22) died. Some will have asymptomatic COVID, but in that case they have minimal immunity and will get it again.


    I also know many who have had the vaccine - it knocks some of them out for 24 hours typically.


    Up to 48 hours fever - due to the immune system responding - is a price worth paying.


    In comparison - the rather less detailed list of Flu vaccine side effects - again from NHS



    Flu vaccine side effects


    Flu vaccines are very safe. All adult flu vaccines are given by injection into the muscle of the upper arm.

    Most side effects are mild and only last for a day or so, such as:

    • slightly raised temperature
    • muscle aches
    • sore arm where the needle went in – this is more likely to happen with the vaccine for people aged 65 and over

    Try these tips to help reduce the discomfort:

    • continue to move your arm regularly
    • take a painkiller, such as paracetamol or ibuprofen – some people, including those who are pregnant, should not take ibuprofen unless a doctor recommends it



    THH

    The one thing we have learnt is that mRNA vaccines just work better than other types - not surprising because the ratio of what you need (the relevant proteins) to anything else is much higher.


    The critique of the spike-only COVID vaccinations is wrong. They have worked spectacularly well - better than expected. Sure, we can get broader immunity, maybe longer-lasting immunity, with gen 2 mRNA vaccines targeting more than just the spike RBD. But the choice to do that paid off. What is good for the future is that we now have proven ability to modify these relatively trouble-free vaccines to make them different or better.


    The even newer tech - DNA vaccines - does not seem so great. 3 doses needed and relatively low efficacy, though high enough still to be useful.


    THH

    There was a related story on CNN. This is about a guy who got COVID in 2020. He decided not to get a vaccine now, because he thought he has acquired immunity. He came down with a terrible case. He almost died and now he is debilitated. His wife is in tears during the interview. It is heartbreaking.


    He does not seem to be strongly anti-vax. I can't judge from what he said, but I don't get that vibe. He just decided he didn't need a vaccination. What a strange decision! Why would anyone NOT get a vaccination, unless they were strongly opposed?? I think any doctor would have told him that a vaccination is needed even after you get sick. It improves your immunity.

    Not getting the vaccine is quite a common thing if you have had COVID already. Ironically, it is those who had COVID once very mildly who raise the least immune response then and are at most risk of a serious infection later: I'd guess those are the ones least likely (like W who thinks he was maybe infected) to get vaccinated.


    We have lots of evidence that COVID + vaccine protects you better than just COVID - not so muhc on what exactly are the risks of serious disease if you have already had COVID. That would be interesting to know.


    Long-term - think of it like Flu. You don't need to get vaccinated each year, but if you don't you are much more likely to die of it. Even if you have had Flu before, immunity wanes. Like COVID, the risk goes up with age but is never zero which is why the US vaccinates children. The UK, always more stingy with medical treatment, does not do this on the NHS till you are 50.

    So: NIH has limited funds and they spend very little of this on legal stuff.


    Is that good or bad in terms of good use of money?


    I have no idea... That also seems to me to be one of those things where they could be criticised for spending too much or too little, and the correct amount is not clear.

    Now which experts should we listen to, Collins and Fauci, architects of the 37th ranked healthcare system or the WHO............. Confusion continues to rule!!!

    If you want lower COVID rates and slightly fewer people dying in US you keep the vaccines as boosters.


    If you want fewer people dying in the world overall (probably not lower COVID rates because the vaccine shortfall to 100% vax is so large, booster shots will not much change it) you go for what the WHO says.


    It is quite simple really...

    Collins and Fauci, architects of the 37th ranked healthcare system

    FM1 - surely your political masters who are in hoc to the hospitals and insurance companies are responsible for your health system - not Fauci. You must know that most countries with more effective health systems have universal coverage as a requirement - although who pays, and how they pay, is very variable.


    The US, with its non-universal coverage, scores badly for obvious reasons. In addition (less obvious) there are some perverse free market incentives to over-treat and over-charge.


    One of the best ways to get an effective health system is to make it universal but put strict limits on what your health service will do. You have to resist pressure groups but overall you get a better system. Denmark does this very well, and shows a high level of satisfaction in its health provision while spending not too much. The UK also does well with NICE - which decides which medicines we can afford and bargains effectively with drug companies keeping prices down.


    Anyway viewing Fauci as responsible for these major and highly political things is wrong?

    Do your own research. The best resouces are http://www.flccc.net, and the BIRD group. Then ask for it. It is likely that if you do, the prescriber will feel “off the hook”. Most of us will not deny a reasonable request for a safe medication. Ivermectin is approved by the FDA for use in humans for parasites (worms, scabies), just as yet not officially for COVID. That means it is prescribed “off-label”, as are 20% of prescriptions in the US. Around the

    This shows why this guy does not understand how to evaluate the evidence that is out there! And he is counselliung people to pressure their doctors into doing something against their best judgement. On the other hand, if that leads to a full discussion with patients about rsisks and benefits that would be good. I'd recommend the paper from RE: Covid-19 News as a starting point for that discussion rather than the FLCC propaganda.


    FLCC is a thoroughly biassed pressure group - not a scientific resource.


    You need to look at the totality of the study data scientifically. As has been done.


    Thus far it is negative. This does not mean ivermectin is known not to work - just that there is no strong positive evidence it does work.


    When you find - rigorously - that the low quality studies look positive, the high quality studies look negative - that is a strong indication any effect is very small, if one exists at all. See this post and the next one for details.


    One interesting (still imprecise and therefore uncertain) possibility is that ivermectin reduces hospitalisation - although not anything else. That would make sense if it acted to reduce some symptoms without changing the course of the disease. Hospitalisation is the one outcome where the size of the effect stays the same when you remove the less reliable trials. Looking at the forest diagrams you can see that it remains uncertain because the 95% markers cover no effect. But it interests me.


    Whether symptomatic relief from ivermectin (and therefore fewer people with the same level of disease severity going to hospital) is a good idea I'm not sure.


    Anyway - more evidence on ivermectin continues to come in, and lots of people are looking at this. The good news is that there is no clear evidence ivermectin causes harm, so those many people who are prescribed it off-label are probably not being medically disadvantaged, just as they are also probably not being medically advantaged - though if it leads them to a false sense of security it would remain disadvantageous overall.









    This systematic review and meta-analysis provide a comprehensive overview of the available
    evidence on ivermectin for prevention and treatment of COVID-19. Overall, the body of
    evidence suggests that ivermectin may reduce mortality, may increase symptom resolution or
    improvement, may decrease hospitalizations, may increase viral clearance, and may decrease
    symptomatic infection in exposed individuals. However most trials have serious methodological
    limitations including lack of allocation concealment and lack of blinding, and reported results
    varied significantly from striking benefits to null effects. GRADE assessment resulted in low or
    very low certainty of the evidence for all the outcomes, due to risk of bias, inconsistency, and
    imprecision. Visual inspection of funnel plot constructed for mortality outcome suggest possible
    publication bias which rises additional concerns about the certainty of the evidence on
    ivermectin’s effects.


    After excluding trials with significant methodological limitations inconsistency disappeared and
    results changed substantially. We found low certainty, due to imprecision, that ivermectin may
    not significantly reduce mortality, nor reduce invasive mechanical ventilation, and moderate
    certainty evidence that ivermectin probably does not significantly increase viral clearance or
    symptom resolution or improvement. Regarding hospitalizations, results did not change
    significantly suggesting that ivermectin may modestly reduce hospitalizations. However,
    certainty of the evidence remained low due to very serious imprecision. It is uncertain if
    Ivermectin reduces or increases symptomatic infections in exposed individuals or increases
    severe adverse events as no trials classified as “low risk of bias” were identified, or the certainty
    of the evidence was very low.
    Our systematic review has several strengths. The search strategy was comprehensive with
    explicit eligibility criteria, and no restrictions on language or publication status. We used a
    validated tool for risk of bias assessment and performed a thorough assessment providing details
    of trial limitations and potential significant imbalances in baseline participant characteristics. We
    assessed the certainty of the evidence using the GRADE approach and interpreted the results
    considering absolute rather than relative effects.
    Reporting was poor for a significant number of included trials. For risk of bias assessment, we
    adopted a conservative approach and rated as low risk of bias only those trials for which it was
    clearly reported that no significant methodological limitations existed. Hence, we may have
    inappropriately classified some well executed trials as “some concerns” or “high risk of bias”

    due to their suboptimal reporting methods. Although for some trials we intended to contact the
    authors for clarification, most did not answer.
    Multiple systematic reviews assessed ivermectin for COVID-19.[7] Most of these reviews were
    already outdated at the time of writing this manuscript.[55] Only four reviews included a
    substantial proportion of the studies assessed in our review.[56-59] In agreement with our
    findings, all these reviews concluded that most of the studies assessing ivermectin for COVID-19
    have considerable methodological limitations, and two judged the certainty of the evidence as
    low to very low for all outcomes[56] or not robust enough to justify ivermectin’s use.[57] The
    authors of one systematic review concluded that ivermectin “may have a role in decreasing
    mortality in mildly/moderately ill COVID-19 patients” although they graded the certainty on
    ivermectin’s effect on mortality as very low.[58] Bryant el at. graded the certainty of the
    evidence as low or very low for all outcomes except mortality for which they report moderate
    certainty in important mortality reduction. In contrast to our analysis, they reached this
    conclusion by not downgrading the certainty of the evidence for inconsistency even though they
    reported there was significant, not fully explained, heterogeneity in studies’ results. In addition,
    for mortality outcome, they report a sensitivity analysis excluding high risk of bias studies
    which, in contrast to our findings, did not result in different estimates of effect from the primary
    analysis. This can be explained by the fact that the authors did not exclude a significant number
    of studies with important methodological limitations, that they classified as “unclear” risk of
    bias.[24]

    Bias as a source of inconsistency in ivermectin trials for COVID-19: A systematic review
    Background and purpose The objective of this systematic review is to summarize the effects of ivermectin for the prevention and treatment of patients with…
    www.medrxiv.org


    This is the way it is. I think what people who disagree with these conclusions might do is look at GRADE approach used here and see whether it is wrongly applied - with specific examples.

    Abstract

    Background and purpose The objective of this systematic review is to summarize the effects of ivermectin for the prevention and treatment of patients with COVID-19 and to assess inconsistencies in results from individual studies with focus on risk of bias due to methodological limitations.


    Evidence review We searched the L.OVE platform through July 6, 2021 and included randomized trials (RCTs) comparing ivermectin to standard or other active treatments. We conducted random-effects pairwise meta-analysis, assessed the certainty of evidence using the GRADE approach and performed sensitivity analysis excluding trials with risk of bias.


    Results We included 29 RCTs which enrolled 5592 cases. Overall, the certainty of the evidence was very low to low. Compared to standard of care, ivermectin may reduce mortality, may increase symptom resolution or improvement, may increase viral clearance, may reduce infections in exposed individuals and may decrease hospitalizations (Risk difference (RD) 21 fewer per 1000, 95%CI: 35 fewer to 4 more). However, after excluding trials classified as “high risk” or “some concerns” in the risk of bias assessment, most estimates of effect changed substantially: Compared to standard of care, low certainty evidence suggests that ivermectin may not significantly reduce mortality (RD 7 fewer per 1000, 95%CI: 77 fewer to 108 more) nor mechanical ventilation (RD 6 more per 1000, 95%CI: 43 fewer to 86 more), and moderate certainty evidence shows that it probably does not significantly increase symptom resolution or improvement (RD 14 more per 1000, 95%CI: 29 fewer to 71 more) nor viral clearance (RD 12 fewer per 1000, 95%CI: 84 fewer to 76 more). It is uncertain if ivermectin increases or decreases severe adverse events and symptomatic infections in exposed individuals.


    Conclusions and Relevance Ivermectin may not improve clinically important outcomes in patients with COVID-19 and its effects as a prophylactic intervention in exposed individuals are uncertain. Previous reports concluding significant benefits associated with ivermectin are based on potentially biased results reported by studies with substantial methodological limitations. Further research is needed.



    Multiple systematic reviews have assessed the benefits and harm of ivermectin for COVID-19
    patients with inconsistent findings and conclusions.[7] Although some organizations and groups
    have argued strongly in favor of implementing ivermectin for treatment and/or prevention of
    COVID-19,[8] current key clinical practice guidelines recommend against its use outside the
    context of clinical trials.[9-12]


    Reasons for these major discrepancies are probably related to different evidence analytical and/or
    interpretation approaches. Assessing the risk of bias is one of the pillars of any systematic review
    and has proven to be essential for evidence interpretation in the present pandemic context where

    results of studies with major methodological limitations have led to erroneous conclusions, waste
    of resources and patients’ exposure to potentially harmful interventions.[3,13,14] Nevertheless,
    most available systematic reviews on ivermectin for COVID-19 have not appropriately assessed
    risk of bias as a potential explanation for inconsistency between trial results. Therefore, this
    systematic review aims to summarize the best available evidence on ivermectin for prevention
    and treatment of COVID-19 patients and explore potential explanations for heterogeneity in
    RCTs results with focus on studies methodological limitations.

    Scotland COVID cases are now rising sharply - while England cases are more or less flat.



    What is the difference? FM1 please note Scottish weather is similar to English, on average quite a bit wetter.


    The difference is Scottish schools went back last week. COVID in the UK is a disease of the young, since they are pretty well the only ones unvaccinated. (We don't allow < 16 years, and only 1 week ago allowed 16-17).


    THH


    PS - some here will no doubt look at that graph and be sure that the sudden rise is fueled by a lack of ivermectin - it proves beyond doubt that Scotland was successfully using ivermectin prophylaxis over the Summer but has now, due to evil machinations of pharma companies who gain money from COVID, stopped using it.


    Take that one up with Nichola Sturgeon - not me!

    The long-term effects of the vaccine are unknown but starting from a very very low level. The long-term effects of COVID are also unknown - but starting from a known much higher level, and frankly the uncertainty (what is long COVID?) is much scarier since we know it exists, whereas it is highly unlikely any vaccine long-term effects could exist.

    W - you are welcome to post corrections to anything I post. I will happily agree any error I find corrected.


    Claiming other make errors without detailing them is what BSers do: so if you are able to do otherwise I'd suggest you do so, and if not all can see that.

    All the mild US reactions

    COVID Vaccine Landing


    Wrong - the vaers data is not vaccine reactions - it is chronologically correlated events happening to people who have been vaccinated. Mostly serious, not mild.


    The VAERS (serious events chronologically correlated with vaccinations) data are available - nicely searchable, from CDC

    How to Access VAERS Data through VAERS WONDER System | Vaccine Safety | CDC


    http://www.openvaers.com is a specially formatted version of this arranged to make it seem as scary as possible. (Not sure whether it is accurate). But I'm happy to assume it is accurate, although missing information that we could gte from the real VAERS database.


    Anyway, some homework for W is to work out what is the expected background number of VAERS reports in any given catagory, assuming no vaccine side effects?


    I am sure he has done that work and can give us at least approximate answers. Let me say that the answers "zero" and "very small" are not acceptable, being either false or non-informative.


    LOL - anti-vax web sites are not the best way to get accurate info. If you read them uncritically it would explain your false statements here?


    Homepage | UKColumn


    In this case those reports are of thing happening to people who have been vaccinated - not of vaccine caused things.


    Since some 50M people in UK have been vaccinated a lot of things happen to them. To see whether this number is above the background rate, and also what these things are, we would need more analysis. Not however something I'd expect from UkColumn, whose mission appears to be to spread false information and scare people.


    UK Column: Covid conspiracy theories run wild on the channel for lockdown sceptics
    At first glance the slick production looks like the work of Sky News or the BBC but this is not a conventional news channel. Brian Gerrish, a former Royal Navy…
    www.thetimes.co.uk

    FUD. All symptoms within 48 hours are vaccine related. Only a tiny number is background. Of course nobody counts 100% but the reported cases are also only 10%....

    It is only you (and other anti-vax-lite people) who have this idea that no-one reports cardiac arrest within 48 hours of a new (COVID) vaccine injection. Of course such would be reported.


    So what is the background rate of cardiac arrests?


    In 2005 CVD was the underlying cause of death in 864,480 of the approximately 2.5 million total deaths in the U.S., and adults aged ≥65 years accounted for 82% of all deaths attributable to CVD (Figure 1). In terms of morbidity, an estimated 80 million Americans have at least one form of CVD, and nearly one-half of these are aged ≥60 years [3], reflecting a marked increase in the incidence and prevalence of CVD with advancing age. The prevalence of CVD, including hypertension, CHD, HF, and stroke, increases from about 40% in men and women 40-59 years of age, to 70-75% in persons 60-79 years of age, and to 79-86% among those aged 80 years or older (Figure 2) [3]. Similarly, the incidence of CVD, including CHD, HF, and stroke or intracerebral hemorrhage, increases from 4-10 per 1,000 person-years in adults aged 45-54 years to 65-75 per 1,000 person-years in adults aged 85-94 years (Figure 3) [3,4].


    if we have a 48 hour window we get a background rate of 4.5 * 2/365 * 1000 per million events =

    25 events per million for 45-54 year olds

    up to

    380 events per million for 85-94 year olds


    Given the EU has roughly 116% vaccine jabs per person and has a population of 448 million the expected background number of cardiac events within 48 hours of an EU COVID vaccination is:


    519 * 25 (assuming average risk is as for 45-54) = 12,975

    519 * 380 (assuming average risk is as for 85-94) = 197,220


    These don't look like tiny numbers to me?

    Anti-vaxers very understandably make this mistake because they know vaccines are bad, so it is their firm conviction that everyone who supports vaccination lies. They assume the notes about VAERS which say why its data cannot be used for quantitative comparisons are false - and just go ahead and do that without any understanding of why the number of reported possible AEs is so different the real number of AEs: public reported AEs depend on popular sentiment and concern, HCC AEs vary as in Alan's post.


    VAERS is a passive reporting system, meaning it relies on individuals to send in reports of their experiences to CDC and FDA. VAERS is not designed to determine if a vaccine caused a health problem, but is especially useful for detecting unusual or unexpected patterns of adverse event reporting that might indicate a possible safety problem with a vaccine. This way, VAERS can provide CDC and FDA with valuable information that additional work and evaluation is necessary to further assess a possible safety concern.

    Here we agree. But already Pfizer gen therapy induced myocarditis is 5x above background according the US military study we here once linked. 500 adverse reaction half with with live long damage among 1 mio gen therapies is way (> 10x) above background.

    Yes to 5X myocarditis, but the VIM is very mild (would not normally be diagnosed as such) and nothing like normal myocoarditis, which is serious and can have long-term side effects. And 5X very very small is still very very small.


    One thing - background is continuous, and 2nd vaccination is a one-off event, so you need to state over what time you are measuring background for this comparison to be meaningful. VIM occurs within a week of the vaccination since it is essentially a temporary allergic reaction in the heart muscle. It is guaranteed you gte your 5X choosing a suitable period.


    No to 250 life-long damage. Only thing I can't tell you without a lot of details is which of the various anti-vax "make the numbers look bigger" tricks that numb er comes from. And given your lack of clearly linked evidence I'm not likley to do so.

    For your personal illumination once look into https://www.adrreports.eu/de/search_subst.html# letter "C"

    so far 20'000 cardiac disorders in the EU

    Sorry - what does the EU prevalence of cardiac disorders have to do with vaccines?


    Unless - you are saying every background heart attack in a vaccinated person is caused by the vaccine. That is anti-vax lie #1.