Analysis | Ivermectin is the signature example of politics trumping health - The Washington Post | Canada News Media
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Analysis | Ivermectin is the signature example of politics trumping health – The Washington Post

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By April 2020, President Donald Trump, elected in part because of his pledge to challenge the Washington establishment, had tired of the pandemic advice being offered by his health experts. He began feuding directly with Anthony S. Fauci, the government’s top infectious-disease doctor, including on the efficacy of drugs such as hydroxychloroquine in providing quick, silver-bullet-esque treatments for covid-19. Trump always pledged a miracle — warm weather, hydroxychloroquine, monoclonal antibodies — that would assure people they could live their lives as normal. That meant conflicting with the experts, a tension that his base embraced.

A year later, the anti-expert instinct Trump had fostered began to show in a different context. States with more Joe Biden voters began seeing much higher rates of vaccination than states that had preferred Trump. The former president’s advocacy was halting and constrained, recognizing that there was more political value in standing against the “so-called experts” than in trying to persuade people to protect themselves against the virus. So his most fervent supporters went looking for more miracles. Florida embraced those antibody treatments. Others began to hype the drug ivermectin.

There was never any evidence that ivermectin was particularly effective at treating coronavirus infections. A smattering of studies suggested that there might be some benefit, but they were limited in scale. By March 2021, the Food and Drug Administration was warning that it hadn’t found any demonstrable benefit from taking the drug to treat covid. But then the delta variant of the coronavirus began to spread, causing particular devastation in states that were less vaccinated and, relatedly, had shown more support for Trump. So many people in those areas sought out ivermectin, convinced that some cure existed beyond the highly effective vaccine promoted by the Biden administration and the “experts.”

We now know with a great deal of confidence that ivermectin does not show any appreciable benefit in treating covid-19. In fact, “volunteers who took ivermectin in the first three days after a positive coronavirus test turned out to have worse outcomes than did those in the placebo group,” as the New York Times reported.

What we don’t know is how many lives might have been lost because of the politicization of ivermectin as an anti-establishment alternative to treatments that did prevent death.

There is no real question that right-wing political leaders touted ivermectin specifically as a way to score partisan points. Consider Rep. Marjorie Taylor Greene’s (R-Ga.) rhetoric last December.

“Ivermectin, monoclonal antibodies, & other treatments are saving lives,” she wrote on Twitter. ” …[O]ur response to #COVID19 should be working towards ending obesity, promote covid treatments that are proven to work, & stop the politically driven mass hysteria.”

“Allow people to choose natural immunity or vaccines, w/o discrimination,” she added. Her account was later suspended for repeatedly sharing coronavirus misinformation.

That formulation — vaccines vs. “natural immunity” gained by catching and recovering from the virus — is key. To justify rejecting effective vaccines, you need to both denigrate the vaccines’ efficacy and propose an alternative. That was the role ivermectin played: It was hyped as something you could take to feel better in the event you caught the virus. Then you get “natural immunity” and you’re covered as well as if you had been vaccinated — if you lived.

The challenge, of course, is that many people didn’t live. The Kaiser Family Foundation estimates that about 163,000 people died during the delta surge because they weren’t vaccinated. Those deaths were disproportionately in places that had preferred Donald Trump in 2020.

The effect of encouraging people to rely on ivermectin was the same as asking them to rely on wishing upon a star: Some would live and might credit ivermectin for their survival. But that was simply coincidental. Those who might have lived had they been vaccinated were not around to instruct people that ivermectin didn’t work.

This was the central problem. People believed this. That includes some legislators, certainly; just because you see something as politically useful doesn’t mean you are doing so cynically. Using a large platform to amplify claims about an unproven treatment, though, would have the predictable effect of people taking it seriously. So we saw myriad cases in which patients or families, convinced that ivermectin was miraculous, sued medical institutions to force the administration of ivermectin. Hospitals were reluctant, given that, unlike wishing on a star, there were potential negative effects of taking the drug. (Poison-control centers noted an increase in calls about ivermectin.)

Those convinced that the drug worked — hearing it from trusted politicians or podcast hosts — saw conspiracy. The establishment was rejecting ivermectin because it wasn’t profitable, they argued. Or they were doing the bidding of vaccine manufacturers. Even the inefficacy of ivermectin was explained away: Hospitals weren’t administering enough! There was always some reason that could be constructed to explain why The Establishment was trying to suppress ivermectin, and those reasons were never that it wasn’t proven to work and that it risked serious side effects.

It’s important to emphasize how ivermectin correlated to politics. Research published last month showed that counties that supported Trump strongly in 2020 were those that saw more ivermectin prescriptions written in the final months of that year, as attention began to turn to the drug. Google searches for ivermectin in August and September of last year were far higher in a number of metropolitan areas that had backed Trump by wider margins in 2020.

Some of this is a function of ivermectin’s approved use in agriculture: rural areas would be expected both to show more support for Trump and to have more animals needing a drug like ivermectin that targeted parasites. But this was also the period in which ivermectin searches surged, so it’s clearly also linked to the pandemic.

Politics both drove and followed the fixation on ivermectin. Right-leaning political leaders and conservative media figures hyped ivermectin as an alternative to vaccination and their followers believed them. Then, conservative political figures responded to the outrage of the base at the pushback on use of the drug with legislation forcing it to be made available. Earlier this month, USA Today wrote about state legislators who seized on the issue to pass laws mandating the prescription of ivermectin when desired, even as the lack of utility of the drug was becoming more obvious.

Others have gone further. A candidate for attorney general in Wisconsin is pledging to launch homicide probes targeting doctors who didn’t prescribe ivermectin. It’s not just believing the hype, it’s leveraging the false confidence in ivermectin for political benefit.

We will never know how many Americans who might have lived had they been vaccinated decided against it, trusting that drugs such as ivermectin would keep them alive. We do know, though, that there was a concerted effort to convince people that ivermectin would do so, an effort that intertwined with partisan rejection of government expertise. We can say with confidence that the atmosphere of disinformation about ivermectin led to people dying who would otherwise have lived.

We know how deadly covid has been. We’ll never know just how deadly this rhetoric was.

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N.S. government sets up code of conduct for province’s municipal politicians

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HALIFAX – The Nova Scotia government has released a code of conduct for municipal politicians across the province.

The code includes 40 guidelines under 14 categories, covering topics from gifts and benefits, to how officials should handle confidential information.

Municipal Affairs Minister John Lohr says a code ensuring elected municipal officials have clear guidance on conduct and behaviour is long overdue.

The code was originally requested by the provinces’ municipalities and villages, and it was developed based on recommendations of a working group established in January 2022.

The working group recommended a code that applied across the province, with processes for investigating complaints and imposing sanctions.

The provincial government says councils and village commissions must adopt the code of conduct by Dec. 19.

This report by The Canadian Press was first published Oct. 21, 2024.

The Canadian Press. All rights reserved.

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Parliament returns amid partisan wrangling, rumblings about Trudeau’s leadership

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OTTAWA – The House of Commons returns today from a week-long break, but it’s unlikely to be business as usual.

Members of Parliament are slated to resume debating a Conservative demand for documents about federal spending on green technology projects.

The matter of privilege has all but paralyzed House business as the Liberals try to maintain a grip on an increasingly fractious minority Parliament.

On Wednesday, Prime Minister Justin Trudeau is expected to face the most serious challenge to his leadership to date.

Several media reports have detailed the plans of a group of Liberal MPs to confront Trudeau at the party’s Wednesday caucus meeting over sagging poll numbers and gloomy electoral prospects.

The precise strategy and breadth of the attempt to push Trudeau to resign remain unclear, though some MPs who spoke to The Canadian Press on background said the number of members involved is significant.

Trudeau could sidestep both problems by taking the controversial step of proroguing Parliament, which would end the session and set the stage for a fresh throne speech.

Some political watchers have mused the move would allow time for a Liberal leadership race if Trudeau were to step down.

The prime minister also plans to soon shuffle his cabinet to replace four ministers who don’t plan to run again in the next election.

A general election is scheduled to be held in October next year, but could come sooner if the Liberals lose the confidence of the House.

This report by The Canadian Press was first published Oct. 21, 2024.

— With files from Laura Osman

The Canadian Press. All rights reserved.

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Harris tells Black churchgoers that people must show compassion and respect in their lives

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STONECREST, Ga. (AP) — Kamala Harris told the congregation of a large Black church in suburban Atlanta on Sunday that people must show compassion and respect in their daily lives and do more than just “preach the values.”

The Democratic presidential nominee’s visit to New Birth Missionary Baptist Church in Stonecrest on her 60th birthday, marked by a song by the congregation, was part of a broad, nationwide campaign, known as “Souls to the Polls,” that encourages Black churchgoers to vote.

Pastor Jamal Bryant said the vice president was “an American hero, the voice of the future” and “our fearless leader.” He also used his sermon to welcome the idea of America electing a woman for the first time as president. “It takes a real man to support a real woman,” Bryant said.

“When Black women roll up their sleeves, then society has got to change,” the pastor said.

Harris told the parable of the Good Samaritan from the Gospel of Luke, about a man who was traveling from Jerusalem to Jericho and was attacked by robbers. The traveler was beaten and left bloodied, but helped by a stranger.

All faiths promote the idea of loving thy neighbor, Harris said, but far harder to achieve is truly loving a stranger as if that person were a neighbor.

“In this moment, across our nation, what we do see are some who try to deepen division among us, spread hate, sow fear and cause chaos,” Harris told the congregation. “The true measure of the strength of a leader is based on who you lift up.”

She was more somber than during her political rallies, stressing that real faith means defending humanity. She said the Samaritan parable reminds people that “it is not enough to preach the values of compassion and respect. We must live them.”

Harris ended by saying, “Weeping may endure for a night, but joy cometh in the morning,” as attendees applauded her.

Many in attendance wore pink to promote breast cancer awareness. Also on hand was Opal Lee, an activist in the movement to make Juneteenth a federally recognized holiday. Harris hugged her.

The vice president also has a midday stop at Divine Faith Ministries International in Jonesboro with singer Stevie Wonder, before taping an interview with the Rev. Al Sharpton that will air later Sunday on MSNBC. The schedule reflects her campaign’s push to treat every voting group like a swing state voter, trying to appeal to them all in a tightly contested election with early voting in progress.

Harris’ running mate, Minnesota Gov. Tim Walz, headed to church in Saginaw, Michigan, and his wife, Gwen, was going to a service in Las Vegas.

The “Souls to the Polls” effort launched last week and is led by the National Advisory Board of Black Faith Leaders, which is sending representatives across battleground states as early voting begins in the Nov. 5 election.

“My father used to say, a ‘voteless people is a powerless people’ and one of the most important steps we can take is that short step to the ballot box,” Martin Luther King III said Friday. “When Black voters are organized and engaged, we have the power to shift the trajectory of this nation.”

On Saturday, the vice president rallied supporters in Detroit with singer Lizzo before traveling to Atlanta to focus on abortion rights, highlighting the death of a Georgia mother amid the state’s restrictive abortion laws that took effect after the U.S. Supreme Court, with three justices nominated by Donald Trump, overturned Roe v. Wade.

And after her Sunday push, she will campaign with former U.S. Rep. Liz Cheney, R-Wyo., in the suburbs of Pennsylvania, Michigan, and Wisconsin.

“Donald Trump still refuses to take accountability, to take any accountability, for the pain and the suffering he has caused,” Harris said.

Harris is a Baptist whose husband, Doug Emhoff, is Jewish. She has said she’s inspired by the work of the Rev. Martin Luther King Jr., and influenced by the religious traditions of her mother’s native India as well as the Black Church. Harris sang in the choir as a child at Twenty Third Avenue Church of God in Oakland.

“Souls to the Polls” as an idea traces back to the Civil Rights Movement. The Rev. George Lee, a Black entrepreneur from Mississippi, was killed by white supremacists in 1955 after he helped nearly 100 Black residents register to vote in the town of Belzoni. The cemetery where Lee is buried has served as a polling place.

Black church congregations across the country have undertaken get-out-the-vote campaigns for years. In part to counteract voter suppression tactics that date back to the Jim Crow era, early voting in the Black community is stressed from pulpits nearly as much as it is by candidates.

In Georgia, early voting began on Tuesday, and more than 310,000 people voted on that day, more than doubling the first-day total in 2020. A record 5 million people voted in the 2020 presidential election in Georgia.

___

This story has been corrected to reflect that the mobilization effort launched last week, not Oct. 20.

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