|The Golden Thread
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|Author:||rutsuyasun [ Sat Apr 05, 2014 6:09 pm ]|
I have been following reports of an ebola outbreak in Guinea and Liberia on ProMed Mail, and now saw this article on Drudge:
Mali suspects first Ebola cases as regional death toll tops 90
Mali said it had identified its first possible cases of Ebola since the start of an outbreak in neighbouring Guinea, adding to fears that the deadly virus was spreading across West Africa.
More than 90 people have already died in Guinea and Liberia in what medical charity Medecins Sans Frontieres (MSF) has warned could turn into an unprecedented epidemic in an impoverished region with poor health services.
(This is a Reuters article, so I post only one paragraph. The article is here: http://news.yahoo.com/mali-suspects-fir ... QAZpjQtDMD
From ProMed Mail as of 4/1
As at 31 Mar 2014, the Ministry of Health of Guinea has reported 122 clinically compatible cases of EVD, of which 24 are laboratory confirmed by PCR, and 98 are probable (78) or suspected (22) cases. This total number includes 80 deaths
The Ministry of Health of Liberia has reported 8 clinically compatible cases of EVD, including 2 laboratory-confirmed cases, from 14 to 30 Mar 2014.
4/2 A total of 5 new cases of the deadly Ebola virus have been recorded in Guinea in the past 24 hours, the World Health Organization said on Wednesday [2 Apr 2014].
The total number of suspected and confirmed cases of one of the deadliest viruses known to man has risen to 127 in the country, with 83 people now known to have died, the UN's public health agency said.
4/3 WHO is supporting the national authorities in the response to an outbreak of Ebola virus disease (EVD; formerly known as Ebola haemorrhagic fever). (I find the name change interesting - is the purpose to remove the term "haemorrhagic", making it sound like just another virus?) The outbreak is now confirmed to be caused by a strain of ebolavirus with very close homology (98 percent) to the Zaire ebolavirus. This is the 1st time the disease has been detected in West Africa. Cases were 1st reported from forested areas in southeastern Guinea. The outbreak has rapidly evolved, and several districts and Conakry have reported cases and deaths caused by EVD. A small number of suspected cases and deaths has also been reported from neighbouring countries with all of them having crossed from Guinea. Confirmed cases have been reported from Guinea and Liberia. (Read more at source URL).
|Author:||fr33kSh0w2012 [ Sun Apr 06, 2014 2:09 pm ]|
|Post subject:||Re: EBOLA|
Yeah Ebola's going airborne isn't nothing no one can do about it! ebola's going to mix with influenza shortly Mark my words!
|Author:||rutsuyasun [ Fri Apr 11, 2014 8:19 am ]|
|Post subject:||Re: EBOLA|
Up until recently it has been widely believed that Ebola can only be spread through direct contact with blood and other bodily fluids of those infected, in fact you'll see quite a few news outlets making this claim even now, however a study conducted in 2012 showed that Ebola Zaire was able to travel between pigs and monkeys that were in separate cages and were never placed in direct contact.
The method of transmission in the study was not officially determined, however one of the scientists involved, Dr Gary Kobinger, from the National Microbiology Laboratory at the Public Health Agency of Canada, told BBC News that he believed that the infection was spread through large droplets that were suspended in the air.
"What we suspect is happening is large droplets; they can stay in the air, but not long; they don't go far," he explained. "But they can be absorbed in the airway, and this is how the infection starts, and this is what we think, because we saw a lot of evidence in the lungs of the non-human primates that the virus got in that way."
http://scgnews.com/the-ebola-zaire-outb ... c-just-yet
|Author:||Bluebonnet [ Tue Apr 15, 2014 8:48 am ]|
|Post subject:||Re: EBOLA|
Ebola: A swift, effective and bloody killer
By Dr. Sanjay Gupta, CNN Chief Medical Correspondent
updated 1:07 AM EDT, Tue April 15, 2014
Conakry, Guinea (CNN) -- It took only moments to feel the impact of what was happening here.
We had just landed in Conakry, the capital of Guinea. In the fields right outside the airport, a young woman was in tears. She started to wail and shout in Susu, one of the 40 languages spoken in this tiny country of 12 million people. The gathered crowd became silent and listened intently.
The young man sitting next to me quietly translated, although I already had my suspicions. He told me the woman's husband had died of Ebola, and then quickly ushered us away.
It is probably not surprising the airplane bringing us into Conakry was nearly empty, as are all the hotels here. Not many people in the United States have ever visited Guinea, or could even identify where it sits in West Africa. It is already one of the world's poorest countries, and the panic around Ebola is only making that worse.
Some of it is justified. That's because this time, the outbreak is different. In the past, Ebola rarely made it out of the remote forested areas of Africa.
Key to that is a grim version of good news/bad news: because Ebola tends to incapacitate its victims and kill them quickly, they rarely have a chance to travel and spread the disease beyond their small villages. Now, however, Ebola is in Conakry, the capital city, with 2 million residents. Equally concerning: it's just a short distance from where we touched down, at an international airport.
It has gone "viral," and now the hope is that it doesn't go global.
When I asked doctors on the ground about that scenario, they had split opinions. Several told me the concern is real but unlikely. Most patients with Ebola come from small villages in the forest and are unlikely to be flying on international trips, they told me. Furthermore, they don't think Ebola would spread widely in a western country; our medical expertise and our culture -- not touching the dead -- would prevent it.
Others aren't so sure.
No one wants to test that theory.
WHO: Ebola outbreak one of 'most challenging'
With Ebola, there is an incubation period of two to 21 days. Remember these numbers. This is the range of time it takes to develop symptoms after someone has been exposed.
With an international airport close by, that means you could be on the other side of the world before you develop the headache, fever, fatigue and joint pain which make up the early symptoms of an Ebola infection. The diarrhea, rash and bleeding come later. Hiccups is a particularly grave sign with Ebola. It means your diaphragm, which allows you to breathe, is starting to get irritated.
Read more here: http://www.cnn.com/2014/04/14/health/gupta-ebola-guinea/index.html?hpt=hp_t5
|Author:||rutsuyasun [ Sun Jul 27, 2014 5:49 pm ]|
|Post subject:||Re: EBOLA|
This has now become the worst outbreak of ebola the modern world has seen. There are one or two entries on it every day in ProMed Mail's daily reports. I just saw this posted on Drudge:
Two Americans infected with Ebola in Liberia outbreak
Two Americans involved in the treatment of Ebola victims in Liberia have become infected with the West African epidemic, an aid agency said Sunday.
Samaritan's Purse, a Christian charity, said that its physician Kent Brantly was in stable condition and had been isolated at the group's Ebola treatment center at the ELWA hospital in the Liberian capital Monrovia.
His symptoms included intermittent fever and body aches.
Nancy Writebol, a missionary with the SIM Christian charity that runs the hospital, was also in stable condition as of Sunday morning, according to Samaritan's Purse.
Some Related Stories
American doctor in Africa tests positive for Ebola Associated Press
Ebola kills Liberian doctor, 2 Americans infected Associated Press
Fifty new Ebola cases, 25 deaths in West Africa - WHO Reuters
Nigeria fears as man falls ill with Ebola-like symptoms AFP
Regional Ebola response centre to be set up in Guinea AFP
http://news.yahoo.com/us-doctor-infecte ... 10949.html
|Author:||Bluebonnet [ Wed Jul 30, 2014 8:11 am ]|
|Post subject:||Re: EBOLA|
Thanks for updating this Ruts. I've been watching this with increasing concern.
We (the World) are only one flight away from this devastating disease and that is a scary thought.
I've been busy this last week working on preps - not because of this but because we are now moving into the part of the hurricane season where the big, bad ones emerge off Africa.
|Author:||rutsuyasun [ Fri Aug 01, 2014 4:01 pm ]|
|Post subject:||Re: EBOLA|
Ebola coming to U.S. for first time as Atlanta hospital preps for patients
The Ebola virus is coming to the United States for what's thought to be the first time, as two Americans return home after getting infected while helping others cope with the outbreak ravaging West Africa.
Both (patients) are expected to head to Emory University Hospital in Atlanta, according to Dr. Bruce Ribner, who oversees the special isolation unit where they will be treated. On Friday, he described the patients as "stable" and "safe to transport."
The Emory unit -- created in conjunction with U.S. Centers for Disease Control and Prevention, which is based down the road -- is designed to optimize care for those with infectious diseases while safeguarding health care workers and visitors. Emory's hospital is one of only four U.S. institutions capable of such care, according to Ribner.
while the Emory staff members are confident, that doesn't mean they have experience dealing with Ebola, which the World Health Organization reports has infected more than 1,300 people and killed over 700 in recent weeks in Liberia, Sierra Leone and Guinea. In fact, no U.S. medical facility has had a known patient with the virus.
That's because, as Ribner pointed out, "this particular pathogen is new to the United States."
(Am I being alarmist to wonder why they are bringing these infected patients to the US? Is no hospital in Africa capable of treating them? Am I being inhumane? It seems counterintuitive to me, but then what do I know...)
|Author:||rutsuyasun [ Fri Aug 01, 2014 4:16 pm ]|
|Post subject:||Re: EBOLA|
excerpts on the ebola outbreak:
The CDC raised its travel warning for Guinea, Liberia, and Sierra Leone from Level 2 to Level 3 on Thursday, warning against any nonessential travel to the region. Since 2003, the agency has only issued Level 3 alerts on two occasions: during the outbreak of SARS, severe acute respiratory syndrome, in 2003, and in the aftermath of the 2010 Haiti earthquake.
The CDC is sending 50 additional personnel to the three countries, CDC director Dr. Tom Frieden said. They will be working to speed up laboratory testing, trace potentially infected people and strengthen the local health care systems.
Ebola is believed to have killed 729 people in Guinea, Liberia, Sierra Leone and Nigeria between March 1 and July 27, according to the World Health Organization. Stopping this particular epidemic could take months. It's like fighting a forest fire, Frieden says -- if you leave even one burning ember, the epidemic can start again.
"It's not going to be quick. It's not going to be easy. But we know what to do."
http://www.cnn.com/2014/07/31/health/eb ... ?hpt=hp_t2
West Africa's Ebola-hit nations announced a cross-border isolation zone on Friday, sealing off the epicentre of the world's worst-ever outbreak as health chiefs warned the epidemic was spiralling out of control.
"These areas will be isolated by police and military. The people in these areas being isolated will be provided with material support," she said at the meeting in Conakry.
The leaders of Sierra Leone, Liberia and Guinea used the summit to launch a $100 million (75 million euro) action plan which will see several hundred more medical staff deployed to battle the epidemic. The three countries will also bolster efforts to prevent and detect suspected cases, urge better border surveillance, and reinforce the WHO's sub-regional outbreak coordination centre in Guinea.
http://crofsblogs.typepad.com/h5n1/2014 ... entre.html
A nurse with Doctors Without Borders [MSF], Monia Sayah, told CNN, "the most challenging" aspect of trying to help people is that "we go into communities where we are not necessarily welcome," because people don't want to believe they or their loved ones have Ebola -- in part because "they understand now that the survival rate is not very high." Koroma said he will deploy police and military to accompany the aid workers. They will search house to house for the infirm and enforce orders designed to curb the virus' spread.
[That is a time-tested way of motivating people to hide their sickness. I hope the enforcers will wear masks and gloves. - Mod.JW] ProMed Mail
"This epidemic is without precedent," said Bart Janssens, director of operations for Doctors Without Borders, a group also known as Medecins Sans Frontieres [MSF]. "It's absolutely not under control, and the situation keeps worsening." As of now, the outbreak has been confined to west Africa. But there are rising concerns that it could spread, especially since a person may not know they have EVD or show symptoms for 2- 21 days after being infected. Sawyer, for example, collapsed getting off a plane in Lagos, Nigeria. He very well could have made it out of the region, perhaps to the USA, before showing symptoms of EVD; it's only then that the virus spreads. To further complicate matters, signs of EVD include fever, headaches, weakness and vomiting -- symptoms that also define many other ailments, from malaria to the flu that Brown notes often pop up "at this time of year." For all these reasons and more, Janssens says, "If the situation does not improve fairly quickly, there is a real risk for new countries to be affected."
Much more available on ProMed Mail and the various flublogs and sites are also covering this outbreak. If I come across anything more than the day to day reporting I will post it - this needs to be watched.
|Author:||Bluebonnet [ Mon Aug 04, 2014 6:39 am ]|
|Post subject:||Re: EBOLA|
Secret serum likely saved Ebola patient
By Dr. Sanjay Gupta and Danielle Dellorto, CNN
updated 9:26 AM EDT, Mon August 4, 2014
(CNN) -- Three top secret, experimental vials stored at subzero temperatures were flown into Liberia last week in a last-ditch effort to save two American missionary workers who had contracted Ebola, according to a source familiar with details of the treatment.
On July 22, Dr. Kent Brantly woke up feeling feverish. Fearing the worst, Brantly immediately isolated himself. Nancy Writebol's symptoms started three days later. A rapid field blood test confirmed the infection in both of them after they had become ill with fever, vomiting and diarrhea.
It's believed both Brantly and Writebol, who worked with the aid organization Samaritan's Purse, contracted Ebola from another health care worker at their hospital in Liberia, although the official Centers for Disease Control and Prevention case investigation has yet to be released.
A representative from the National Institutes of Health contacted Samaritan's Purse in Liberia and offered the experimental treatment, known as ZMapp, for the two patients, according to the source.
The drug was developed by the biotech firm Mapp Biopharmaceutical Inc. The patients were told that this treatment had never been tried before in a human being but had shown promise in small experiments with monkeys.
Brantly asked that Writebol be given the first dose because he was younger and he thought he had a better chance of fighting it, and she agreed. However, as the first vial was still thawing, Brantley's condition took a sudden turn for the worse.
Brantly began to deteriorate and developed labored breathing. He told his doctors, "I am going to die," according to a source with firsthand knowledge of the situation.
Knowing his dose was still frozen, Brantly asked if he could have Writebol's now-thawed medication. It was brought to his room and administered through an IV. Within an hour of receiving the medication, Brantly's condition was nearly reversed. His breathing improved; the rash over his trunk faded away. One of his doctors described the events as "miraculous."
By the next morning, Brantly was able to take a shower on his own before getting on a specially designed Gulfstream air ambulance jet to be evacuated to the United States.
Writebol also received a vial of the medication. Her response was not as remarkable, according to sources familiar with the treatment. However, doctors on Sunday administered Writebol a second dose of the medication, which resulted in significant improvement.
She was stable enough to be evacuated back to the United States and is expected to arrive before noon Tuesday.
Read more here: http://www.cnn.com/2014/08/04/health/experimental-ebola-serum/index.html?hpt=hp_t1
Oh my word! This is just awesome! Having worked many years in medical research, I am just thrilled!!!
|Author:||rutsuyasun [ Mon Aug 04, 2014 7:57 am ]|
|Post subject:||Re: EBOLA|
If this drug is consistent and able to be made in large batches fairly rapidly, AND given approval, it would halt not only this outbreak, but prevent future outbreaks from spreading as this one has. A lot of "ifs", but still very hopeful sign. Visualize an emoticon for prayerful hands here.
|Author:||rutsuyasun [ Wed Aug 06, 2014 6:51 pm ]|
|Post subject:||Re: EBOLA|
Ebola developments trigger CDC's highest response level
CDC invokes top EOC level
The CDC EOC has moved to level 1 activation, reserved for the largest-scale responses that require substantial agency-wide efforts, CDC spokesman Tom Skinner told CIDRAP News.
"Our movement to level 1 activation is appropriate, given the significance of this outbreak, the extension to Nigeria, and the potential to affect many lives," he said.
Full article here:
http://www.cidrap.umn.edu/news-perspect ... onse-level
|Author:||Bluebonnet [ Mon Aug 11, 2014 7:38 am ]|
|Post subject:||Re: EBOLA|
Report: Ebola outbreak probably started with 2-year-old in Guinea
By Madison Park, CNN
updated 9:40 AM EDT, Mon August 11, 2014
(CNN) -- The worst outbreak of Ebola, which has killed 961 people and triggered an international public health emergency, may have started with a 2-year-old patient in a village in Guinea.
About eight months ago, the toddler, whom researchers believe may have been Patient Zero, suffered fever, black stool and vomiting. Just four days after showing the painful symptoms, the child died on December 6, 2013, according to a report published in The New England Journal of Medicine.
Scientists don't know exactly how the toddler contracted the virus. Ebola is spread from animals to humans through infected fluids or tissue, according to the World Health Organization.
"In Africa, infection has been documented through the handling of infected chimpanzees, gorillas, fruit bats, monkeys, forest antelope and porcupines," WHO says, though researchers think fruit bats are what they call the virus's "natural host."
Researchers who published the paper this year found a chain of illnesses in the toddler's family.
After the child's death, the mother suffered bleeding symptoms and died on December 13, according to the report. Then, the toddler's 3-year-old sister died on December 29, with symptoms including fever, vomiting and black diarrhea. The illness subsequently affected the toddler's grandmother, who died on January 1, in the family's village of Meliandou in Guéckédou.
The area in southern Guinea is close to the Sierra Leone and Liberia borders.
The illness spread outside their village after several people attended the grandmother's funeral.
Funerals tend to bring people in close contact with the body. Ebola spreads from person to person through contact with organs and bodily fluids such as blood, saliva, urine and other secretions of infected people. It has no known cure.
Two of the funeral attendees appeared to bring back the virus to their village, and it spread to health care workers and other family members who took care of infected patients.
"A health care worker from Guéckédou with suspected disease, seems to have triggered the spread of the virus to Macenta, Nzérékoré, and Kissidougou in February 2014," stated the report, noting that more Guinea towns were affected.
Clusters of the disease popped up in early 2014 in these areas, with the initial patients suffering fever, vomiting and severe diarrhea, according to the report. Hemorrhaging was less frequent, the report noted.
Read more here: http://www.cnn.com/2014/08/11/health/ebola-patient-zero/index.html?hpt=hp_t2
There is no telling what this baby touched - two year olds are like that.
|Author:||rutsuyasun [ Mon Aug 18, 2014 4:40 pm ]|
|Post subject:||Re: EBOLA|
WHO says the case count and death count are way under-stated.
In Liberia "residents raided a quarantine center for suspected patients and took items including bloody sheets and mattresses. The violence in the West Point slum occurred late Sat [16 Aug 2014] and was led by residents angry that patients were brought to the holding center from other parts of Monrovia, Tolbert Nyenswah, assistant health minister, said Sun [17 Aug 2014].... the official said, adding that he now feared "the whole of West Point will be infected." Some of the looted items were visibly stained with blood, vomit and excrement, "
India: The 3 Nigerians, aged 79, 37 and 4 years, had fever, and their tests were being done at the National Centre for Disease Control (NCDC), Delhi, an official release said here. In addition to this, a 32-year-old Indian from Durg in Chhattisgarh who returned from Nigeria has been admitted to a hospital in Bhilai. His samples are also being tested at NCDC, the release said. [Other reports say that only 29 out of 170 Indian subjects evacuated from Liberia gave valid contact phone numbers for contact tracing on arrival back in India. - Mod.JW]
South Africa has a suspected case, out of Nigeria, no test results yet. Spain had a false alarm.
Case count: Confirmed, probable, and suspect cases and deaths from Ebola virus disease in Guinea, Liberia, Nigeria, and Sierra Leone, as of 13 Aug 2014: Total Cases 2127; Deaths 1145]
Liberia: food shortage in quarantine, conflicting reports: victims at the ELWA Ebola Isolation Center are leaving the camp due to lack of food.
(Shades of scenarios postulated re: bird flu pandemic) Exclusive: Emergency food drops eyed for quarantined EVD region of West Africa
International agencies are looking into emergency food drops and truck convoys to reach extremely hungry people in Liberia and Sierra Leone, who are cordoned off from the outside world to halt the spread of the Ebola virus, a top World Bank official said on Thursday [14 Aug 2014]. Hunger is spreading fast as farmers die leaving crops rotting in fields. Truckers scared of the highly infectious disease halt deliveries. Shops close and major airlines have shut down routes, isolating large swathes of the countries ... [more]
Hmmm.... FDA needs your help! In order to ensure that only safe and effective drug products are available on the market, the FDA relies on the voluntary reporting of suspect counterfeit drugs from consumers, health practitioners, and other drug supply chain partners.
Lots more at http://www.promedmail.org/ just search "ebola"
|Author:||rutsuyasun [ Wed Aug 20, 2014 8:14 am ]|
|Post subject:||Re: EBOLA|
This is a very detailed situation report of cases and deaths by county (district), actions taken, inventory of supplies and projections of requirements. See the Logistics/Supply Chain Highlights (14 Aug 2014) chart; 4 days ago, they only had 3 body bags, 7x45 kg bags of 70 percent calcium hypochlorite and no (zero) PPE kits left! Read and weep. How are health workers supposed to protect themselves? - Mod.JW] This is a comment by one of the mods on the detailed case history presented in this pist on Liberia..
|Author:||rutsuyasun [ Wed Aug 20, 2014 8:29 am ]|
|Post subject:||Re: EBOLA|
The lack of food is a major problem. there are over one million people living in the quarantine zones in the three main affected countries.. and they can't leave to get food but of course they will leave if they are starving especially if they. have children. The UN is stepping up food delivery to hospitals and quarantine zones as an effective means of keeping people from leaving . The situation seems very grim indee.
|Author:||simple simon [ Sun Aug 24, 2014 3:45 pm ]|
|Post subject:||Re: EBOLA|
I'm posting the full article here because it is permitted (there is a note on the page saying this) and because this is information which could save lives. It would be a shame to lose this information should their website go down.
This article may be reprinted free of charge provided 1) that there is clear attribution to the Orthomolecular Medicine News Service, and 2) that both the OMNS free subscription link http://orthomolecular.org/subscribe.html and also the OMNS archive link http://orthomolecular.org/resources/omns/index.shtml are included.
Can Vitamin C Cure Ebola?
Commentary by Steve Hickey PhD, Hilary Roberts PhD, and Damien Downing MBBS, MSB.
(OMNS Aug 20, 2014) If there were a drug that worked on Ebola you should use it. There isn't. There is only vitamin C. But you must be extremely careful what you believe, because, as it ever was, the Internet is full of dangerous loonies. For coming up to a decade now the OMNS has reported on nutritional therapies; we leave the medical politics to one side and work from the facts. Here are the facts about vitamin C and Ebola.
1. Taking a gram or so of day of vitamin C won't protect you against anything except acute scurvy; it doesn't matter whether the vitamin is liposomal, nano-particles, or even gold-plated. Beware of websites, companies, and Youtube clips making wild and unsubstantiated claims about the efficacy of vitamin C.
2. Clinical reports suggest that taking vitamin C almost to bowel tolerance every day (in divided doses) will help to protect you against all viruses. Reports by independent physicians have been consistent for decades. However, the doctors also stipulated most emphatically that the dose and the way you take it must be right - or it will not work. There is no direct placebo controlled "evidence" that massive doses of vitamin C will work on Ebola, and nobody would volunteer to take part in that study. But massive doses are reported to have helped against every virus it has been pitched against. This includes Polio, Dengue and AIDS, and it even makes vaccination work better. In the 1980s when no other treatment was available it was reported that full blown AIDS could be reversed and the patient brought back to reasonable health.[i,ii]
At risk or worried about Ebola? This is what you should do.
Vitamin C is the primary antioxidant in the diet. Most people do not take enough to be healthy. While this is true of many nutrients, vitamin C is a special case. Ignore governments telling you that you only need about 100 mg a day and can get this amount from food. The required amount of vitamin C varies your state of health. A normal adult in perfect health may need only a small intake, say 500 mg per day, but more is needed when someone is even slightly under the weather. Similarly, to prevent illness, the intake needs to be increased.
The intake for an otherwise healthy person to have a reasonable chance of avoiding a common cold is in the region of 8-10 grams (8,000-10,000 mg) a day. This is about ten times what corporate medicine has tested in their trials on vitamin C and the common cold. Ten grams (10,000 mg) is the minimum pharmacological intake; it may help if you have a slight sore throat but more (much more) may be needed. To get rid of a common cold, you may need anything from 20 to 60 grams (60,000 mg) a day. With influenza the need might be for 100 grams (100,000 mg) a day. Since it varies from person to person, and from illness to illness, the only way to find out is to experiment for yourself.
The problem with oral intakes is that healthy people do not absorb vitamin C well due to something Dr Robert Cathcart called bowel tolerance. [iii] Take too much of the vitamin in a single dose and it will cause loose stools. In good health, a person might be able to take a couple of grams at a time without this problem. Strangely, when a person becomes sick they can take far more without this side effect: as much as 20-100+ grams a day, in divided doses. [iv]
High dose vitamin C has a short half-life in the body. The half-life is the time for the level in the blood plasma to fall back to half its concentration. Until recently, some people claimed that the half-life of vitamin C was several weeks. We have shown that this long half-life applies only to very low doses.[v] By contrast, the half-life for high blood levels is only half an hour. This short half-life means that for high dose vitamin C the period between doses needs to be short - a few hours at most.
The aim is to achieve dynamic flow, to get vitamin C flowing continuously through the body. Dynamic flow requires multiple high doses taken throughout the day. When separated in time, each dose is absorbed independently. Two doses of 3 grams, taken 12 hours apart, are absorbed better than 6 grams taken all at once. Multiple large doses, say 3 grams four times a day, produce a steady flow of the vitamin from the gut, into the bloodstream and out, via the urine. Some of the intake is not absorbed into the blood and stays in the gut, as a reserve against the early onset of illness. As illness begins, the body pulls in this "excess" to help fight the virus.
The idea behind dynamic flow is that the body is kept in a reduced (antioxidant) state, using high doses. There is always vitamin C available, to refresh the body and other antioxidants. Each vitamin C molecule (ascorbic acid) has two antioxidant electrons, which it can donate to protect the body. It then becomes oxidised to dehydroascorbate (DHA). This oxidized molecule is then excreted, so the body has gained two antioxidant electrons. The kidneys reabsorb vitamin C, but not DHA; the vitamin C molecule is absorbed, used up, and then the oxidized form is thrown out with the rubbish.
The effectiveness of vitamin C is not directly proportional to the dose; it is non-linear. There is a threshold above which vitamin C becomes highly effective. Below this level, the effect is small; above it, the effect is dramatic. The problem is that no-one can tell you in advance what intake of vitamin C you need. The solution is to take more - more than you think necessary, more than you consider reasonable. The mantra is dose, dose, dose.
Types of Vitamin C
Straightforward, low cost ascorbic acid is the preferred form of supplement. Vendors may try to sell you "better absorbed" forms with minerals or salts such as sodium, potassium or calcium ascorbate, and so on. These are irrelevant, if not counterproductive, for high intakes. It is worth noting the following:
1.Timing is more important than form. Two large doses of ascorbic acid taken a little time apart are better absorbed than a single dose of mineral ascorbate.
2.Mineral ascorbates are salts and do not carry the same number of antioxidant electrons. Ascorbic acid has two electrons to donate while a salt typically has only one. With high doses, the "improved" forms are thus only about half as effective. This is consistent with reports that mineral forms are correspondingly ineffective in combating illness.
3.Ascorbic acid is a weak acid, much weaker than the hydrochloric acid in the stomach. Mineral ascorbates may be better tolerated, as they make the stomach more alkaline than ascorbic acid. However, an alkaline stomach is not a good idea - there are reasons the body secretes hydrochloric acid into the stomach, including preventing infection. Furthermore, if you are coming down with a haemorrhagic viral infection, mild discomfort will not be something of great concern.
4.For high intakes, capsules of ascorbic acid are preferable to tablets. This is because tablets are packed with fillers and it is not wise to take massive doses of these chemicals. Check the ingredients - you want to take ascorbic acid and very little else. Bioflavonoids are alright, and the capsules may be made with gelatine or a vegetarian equivalent.
5.The cheapest way to take ascorbic acid is as powder, dissolved in water. If you do this, use a straw to avoid it getting on the tooth enamel, as it is slightly acidic. You will need a set of accurate electronic scales to monitor the dose. If you do not weigh it carefully, it will be difficult to keep close to bowel tolerance.
Intravenous Vitamin C
Ideally, infected people would be given a continuous intravenous (IV) infusion of massive doses of vitamin C (sodium ascorbate is preferred as ascorbic acid is irritant to veins).
1.People who are sufficiently ill will not be able to take vitamin C by mouth.
2.IV provides the highest possible blood levels
3.IV means continuous drip, not an injection (short half-life)
Unless you are a medical professional who can treat yourself and your family, or are exceptionally rich, IV ascorbate will not be an option in an Ebola outbreak.
Rectal Vitamin C
Rectal administration of sodium ascorbate is a method that can be used in emergencies, and in developing world circumstances, when IV is unavailable or unsuitable. Nurses can quickly be trained to mix 15-30 g of sodium ascorbate in 250-500 ml clean water, and give it by enema. It can be safely and effectively used in children. An enema also removes from the bowel material that may be challenging. This has been done successfully with aboriginal people in the Australian outback.
In healthy people, liposomes help the absorption of oral vitamin C; in some circumstances this is also true for sick people. However, we need to dispel some popular myths.
In a healthy person, higher blood levels (about 600 microM/L) can be achieved using liposomal vitamin C compared with standard ascorbic acid (about 250 microM/L). We were the first to demonstrate this fact experimentally.[vi] However, the two absorption methods are different and if both are used together the resultant plasma levels are additive (something like 600 + 250 = 850 microM/L). Since ascorbic acid is much cheaper than liposomal vitamin C, it is cost effective for a healthy person to start with ascorbic acid and top up with liposomes as required.
When a person becomes ill they can absorb massive doses of standard ascorbic acid, using the dynamic flow approach. So if you are sick, taking a gram of liposomal vitamin C instead of a gram of cheap ascorbic acid will provide little extra benefit. Both will be well absorbed , and the liposome contains sodium ascorbate which is less effective. Liposomes only provide added benefit once the sick person has approached bowel tolerance levels, using standard ascorbic acid.
Liposomal vitamin C is NOT more effective than IV for fighting acute infections. This suggestion is unscientific and unsupported by data. We prefer liposomes for chronic infections and cancer, but this does not extend to acute illness. There is also a lot of hype around the fact that liposomes can be absorbed directly into cells. Many liposomes are absorbed from the gut and pass into the liver, where they are stored and the vitamin C released. Liposomes may also float around in the bloodstream, lymph nodes, and so on, waiting to release their contents or be taken up by cells. But the cells that take up the liposomes are not necessarily those that are most in need of vitamin C. Moreover cells may suffer side effects; liposomes are basically nanotechnology and have additional theoretical issues.
To have a reasonable chance of avoiding a major viral infection, a daily intake of at least 10 grams of ascorbic acid is needed. The idea is to start low, taking say 500 -1,000 mg four times a day. Build up the intake to close to bowel tolerance; increased wind and large soft stools will occur before diarrhea signals that bowel tolerance has been exceeded. At this stage, back off the dose a little, to a reasonably comfortable level.
At the first hint of an infection - feeling unwell, itchy throat, fatigue, and so on - take more ascorbic acid. If the hint of impending sickness is mild, take perhaps 5 grams every half hour or even more frequently. Anything more than a hint of infection, take as large a dose as you feel could be tolerated and follow this by taking 5 grams every half hour. The rule is to take as much as you can without going over the tolerated level: you will probably be taking too little, even though you are trying hard to take a massive dose.
If you are already in dynamic flow and want extra protection, then add liposomal vitamin C. Take it at the same intervals as the ascorbic acid; that is several times a day. The limit is once again bowel tolerance - take too much and it will give you loose stools. This will provide the maximum preventive effect, for the lowest cost.
We assume that you are not a medical professional and do not have access to IV ascorbate. However, if IV sodium ascorbate is available, it should be given slowly and as continuously as possible. For children, enemas may be the most practical method (we hope to publish practical instructions for this soon). Medical professionals can deal with such things with little difficulty, but others may do more harm than good.
The first important thing is to start the treatment early. The longer a person waits after the initial symptoms, the less effective the treatment will be. Also if the illness is allowed to develop the sick person may become unable to take anything orally.
Once again, the idea is to get dynamic flow going with as much ascorbic acid as can be tolerated. In this case, the doses are massive. Five to ten grams every half hour, through the day, will provide 120 to 240 grams a day. Even at this high intake, the blood plasma levels may be low or undetectable; at most 250 microM/L will be achieved. So the question then becomes how much additional liposomal vitamin C the patient can tolerate.
A practical approach would be to start with 5 grams of ascorbic acid and a similar amount of liposomal vitamin C in very frequent doses. Remember the key is dose, dose, dose. More vitamin C!
How it Works
The mechanism of action of high dose vitamin C is known and understood. In normal healthy tissues it acts as an antioxidant. In other tissues, it generates hydrogen peroxide, the chemical that platinum blondes use to bleach their hair. This happens in sick and inflamed tissues, for example in a malignant tumour. The process is typically a form of Fenton reaction, generating free radicals. The oxidation and free radicals arising from the hydrogen peroxide kill bacteria and inactivate viruses. In other words, vitamin C acts as a targeted bleach and antiseptic.
Vitamin C is unique, because it has low toxicity and can be taken safely in massive amounts. Other antioxidants and supplements will not have a similar effect. Do not be confused and think that Echinacea, for example, will help. Yes, there may be supplements and herbs that provide a little immune system support, but this is Ebola we are talking about - get real!
Note, vitamin C is not some magical antitoxin; this idea is a metaphor. A disease such as Ebola is not caused by toxins that are inactivated by vitamin C. Free radicals are not toxins. Oxidants are not toxins. Vitamin C nearly always acts by transferring electrons, as an oxidant or antioxidant. It is just basic chemistry. Also, it does not matter if you have poor dental hygiene, this will hardly affect how massive intakes of vitamin C tackle an acute viral infection.
Sugar interferes with the uptake of vitamin C. If you are using vitamin C to combat a viral infection do not eat any sugar or carbohydrates (long chain sugars) or the vitamin C will not be absorbed properly. We stress that this means no sugar and no carbs, at all.
Smoking releases enormous amounts of oxidants and free radicals into the bloodstream. The vitamin C will expend itself, trying to mop up the chemicals from the smoking. We have no moral objections to people smoking: it is a personal choice. However, smoking will hinder even massive doses of vitamin C from preventing infection. Once infected with Ebola, smoking will stop the vitamin C from keeping you alive.
It is sensible also to supplement with a little chelated magnesium, such as magnesium citrate, which helps overcome the (largely theoretical) risk of kidney stones.
The reaction that generates hydrogen peroxide in sick tissues can be enhanced a little by taking selenium with the vitamin C. A little caution is needed as too much selenium will cause diarrhoea, fatigue, garlic breath, and hair and nail loss; severe toxicity can have more severe effects but is hard to achieve. Methylselenocysteine is a less toxic form and this would be our choice. The normal intake is perhaps 100-200 micrograms (0.1-0.2 mg) a day; we would take 400 micrograms a day during an epidemic and up this to 1,000 micrograms (one milligram) a day, at the initial onset of symptoms. It is possible to go up to 3 mg for short periods, with medical supervision.
Other supplements may be synergistic with vitamin C. Alpha-lipoic acid can be taken at reasonably high levels reasonably safely. We would take up to a gram or two a day (1,000-2,000 mg) in the short term. Vitamin K also helps with blood clotting and is safe in the recommended amounts - we would get the highest dose vitamin K2 supplement available. Note vitamin K is contraindicated in those with clotting disease or those on blood thinners such as warfarin.
The only established side effects of ascorbate therapy are wind, loose bowels and chronic good health. There are some contraindications; people with kidney disease, iron overload disease, or glucose-6-phosphatase deficiency should not immediately take high doses of vitamin C. In the setting of an epidemic they can start as we recommend but should increase more cautiously, with appropriate medical monitoring.
Why Put This Out?
People need to know that vitamin C is an option for fighting Ebola, and how it works. There is a great deal of misinformation, particularly on the internet, both from vested interests and from "loonies". Moreover, in an Ebola epidemic vitamin C supplements may be hard to source.
This account is intended for intelligent adults, who can make their own rational decisions and take responsibility for their health. We strongly promote the idea that medicine should be based on rational patients, rather than authoritarian doctors. Doctors are there to provide the information for patients, to help them choose between available options. This is information only - what you decide to do with it is up to you.
In our opinion the use of vitamin C in Ebola is a no-brainer. Get the illness and, it is said, you have at best a 50-50 chance of surviving without vitamin C-based therapy. Corporate medicine has no effective treatment. Furthermore, if a drug were available, it would be untested and almost certainly unavailable to you, dear reader. Vitamin C is considered safe and should do no harm. The cost of treatment is low. The clinical reports of vitamin C in viral infection are that if you get the dose right, you will survive. Vitamin C is known experimentally to inactivate viruses. In the event, we hope people make rational decisions.
For further reading:
There are lots of other sources but these make a good fast start for a person beginning an investigation into the antiviral properties of vitamin C.
Hickey S., Saul A. (2008) Vitamin C: The Real Story, the Remarkable and Controversial Healing Factor, Basic Health. The book gives an easy readable account of the story of vitamin C.
Archive of the Journal or Orthomolecular Medicine. Decades worth of clinical observations and reports on vitamin C are available. http://www.orthomolecular.org/library/jom/index.shtml.
Pubmed http://www.ncbi.nlm.nih.gov/pubmed contains mostly abstracts of medical research papers. Unfortunately, most of these have been selected to exclude observations on high doses of vitamin C.
i Cathcart R. (1984) Vitamin C in the treatment of Acquired Immune Deficiency Syndrome (AIDS), Medical Hypothesis, 14(4), 423-433. http://www.mall-net.com/cathcart/aids.html
ii Brighthope I, Fitzgerald P. (1988) The AIDS Fighters, Keats.
iii Cathcart R. (1981) Vitamin C, Titration to Bowel Tolerance, Anascorbemia, and Acute Induced Scurvy, Medical Hypothesis, 7, 1359-1376. http://www.mall-net.com/cathcart/titrate.html http://www.doctoryourself.com/titration.html
iv Cathcart R. (1985) Vitamin C, the nontoxic, nonrate-limited antioxidant free radical scavenger, Medical Hypothesis, 18, 61-77. http://www.mall-net.com/cathcart/nonrate.html http://vitamincfoundation.org/www.ortho ... onrate.htm
v Hickey D.S. Roberts H.J. Cathcart R.F. (2005) Dynamic Flow: A New Model for Ascorbate, J Orthomolecular Med, 20(4), 237.
vi Hickey S. Roberts H. and Miller N.J. (2008) Pharmacokinetics of oral ascorbate liposomes, J Nutritional Environmental Med, July, 10. 1080/13590840802305423.
Nutritional Medicine is Orthomolecular Medicine
Orthomolecular medicine uses safe, effective nutritional therapy to fight illness. For more information: http://www.orthomolecular.org
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|Author:||simple simon [ Sun Aug 24, 2014 6:28 pm ]|
|Post subject:||Re: EBOLA|
sorry... this should have gone on the main GT. Simon
|Author:||rutsuyasun [ Thu Sep 04, 2014 8:00 am ]|
|Post subject:||Re: EBOLA|
A disaster has occured in Nigeria. I just saw the sequence of events laid out on ProMed mail.
Last week, authorities announced that a doctor there had died of the disease, after secretly treating a diplomat who had been infected in Lagos by a traveler from Liberia.
The doctor had close contact with family, friends, and health care workers during his illness, but he did not disclose his previous exposure to the virus. His infection wasn't confirmed until 5 days after his death. Experts are now following hundreds of the doctor's contacts, 60 of which had "high-risk or very high-risk exposure," WHO says.p
(The doctor's survived and returned to his original location but told nobody that he had gone elsewhere to be treated. The doctor told no one either and continued to see patients until he became ill. He was treated by many health care workers again without disclosing his exposure to ebola.
|Author:||rutsuyasun [ Thu Oct 02, 2014 8:46 am ]|
|Post subject:||Re: EBOLA|
I'm sure everyone is aware of the ebola patient in Texas, the second possible victim being monitored, the possible ebola patient in Hawaii. Following are a couple of examples of how circumstances make it easier for this disease to spread in any country.
Mr. Duncan told the triage nurse that he had come from Liberia when he first went to the hospital for treatment. "Somehow" this information was not communicated to the medical team treating him in the ER, so he was sent home for another two days to expose more people to ebola.
When Mr. Duncan was being taken from the apartment where he was staying out to the ambulance, he vomited on the pavement outside the apartment. I have read nothing about who cleaned it up, what if any precautions were taken, what was done with the cleanup materials.
The ambulance which took Mr. Duncan to the hospital on his second visit there was in service for two more days until he was diagnosed with ebola, when it was taken out of service and isolated somehow. I wonder how carefully it was cleaned after he was in it, and what "fluids" remained for some body else to touch. I have to look up how long ebola virus stays viable in liquid, or does it remain active on surfaces? I dont' think so but will check.
|Author:||Sky [ Sun Oct 05, 2014 3:01 am ]|
|Post subject:||Re: EBOLA|
Another inconvenient truth - so most don't care .... (they are to addicted to the fear/wonder manna from the Matrix)
Well done Jon - I fully concur: -
Ebola: The Covert Op of Modern Medicine
By Jon Rappoport
September 13, 2014
“Tell them the biggest lie, yes. But they have to want the kind of lie you’re telling. It has to give them equal parts fear and fascination.” (Ellis Medavoy, retired propaganda operative)
“Overwhelmed.” “Can’t contain.” “Rapid spread.” Crossed borders.” “Predicting five million deaths.” “Too late to stop it.”
These and other familiar terms are stock-in-trade for the disease propaganda establishment.
The word “outbreak,” of course, is at the top of the list.
It suggests that the population in question is otherwise healthy—but suddenly people are dropping like flies.
In West Africa, for example, where global attention is focused on Ebola, “otherwise healthy” is a cynical myth.
Contaminated water; a decade of brutal war displacing huge numbers of people; chronic grinding poverty; severe malnutrition and starvation; inherently toxic vaccines and medicines that are devastating to people whose immune systems are already on the brink of failing; industrial pollutants in the streams and soil—that’s the pre-Ebola baseline called “otherwise healthy.”
Then there is the matter of diagnosis of Ebola. As I’ve explained in past articles, two of the most widely used tests—antibody and PCR—are both pathetically unreliable methods for disease analysis.
Therefore, the counting of Ebola cases and deaths, which depends on those tests, lacks any degree of authenticity.
On top of that, examining the track record of the CDC and the World Health Organization, when they intentionally and falsely overstated case numbers and deaths from Swine Flu…well, only a fool would believe their reports on Ebola.
But none of this stops true believers, who suck up press reports and press images like thirsty desert travellers kneeling at an oasis.
Not to burst the bubble, but…consider the World Health Organization report, April 2009, titled, “Influenza (Seasonal).” Discussing ordinary flu, it estimates 5 million cases a year, around the world, and between 250,000 and 500,000 deaths. Every year. Like clockwork.
True numbers or false numbers, the point is this: because there is zero propaganda about ordinary flu, no dire imagery, no breathless press reportage, nobody cares. Nobody says “outbreak.” No one predicts the collapse of society.
Imagine what would happen if you kept those huge global flu numbers and simply substituted “Ebola” for “flu.”
Because of the heavy propaganda re Ebola, the world would go completely mad overnight.
When the Washington Post (9/9) now reports that, ahem, “…only 31% of Ebola cases have been lab-confirmed through blood tests [in Liberia],” not an eyebrow is raised.
Who cares? Who needs diagnostic tests? Who needs science? They’re all dying from Ebola. We know that because…well, they are, we saw the pictures of the Ebola-virus worm-like thing, everybody was healthy and then they dropped dead, it’s escaping across the borders, and it’s from Africa, where terrible things originate (never Brooklyn or Peoria), let’s all buy haz-mat suits.
Ebola health workers in West Africa have, in fact, been wearing haz-mat suits all long. Sealed off from the outside, working shifts inside those boiling suits, where they are losing 5 quarts of body fluid an hour, they come out for rehydration, douse themselves with toxic chemicals to disinfect, and then go back in again.
One doctor told the Daily Mail he could smell intense fumes of chlorine while he was working in his suit. That means the toxic chemical was actually in there with him.
No wonder some health workers are collapsing and dying.
But ignore all that. It doesn’t mesh with the narrative of the virus mowing down everyone in its path.
And to depart from the propaganda narrative again—if someone wanted to step up the killing rate in West Africa, seeding it with a virus wouldn’t be the best choice. Germs are too unpredictable in their effects.
Much more predictable: spread an undetectable poisonous chemical and CALL it a virus.
In that case, the image of the virus serves as the cover story.
Precedent? Enormous precedent for using a germ as a cover story?
Assuming that virus was ever really isolated and identified to begin with (an irrational stretch), its supposedly lethal impact has never been established on any scientific grounds. There is no reason to believe it has killed anyone.
In Africa, death by wasting away, starvation, protein-calorie malnutrition, contaminated water, poverty, war, overcrowding, stolen land have formed the basis of life for millions of people.
Local dictators, elite investors, foreign corporations have wanted to keep things that way—without revealing their hand. While they were taking over the abundant natural wealth of nations.
Their murderous ongoing op needed a cover story.
Enter the disease propagandists.
They established the narrative of a killer virus. HIV.
On October 19, 1985, researcher D. Serwadda announced a new disease in Uganda, with his paper on “Slim,” published in Lancet. The myth of Slim, soon called AIDS, absurdly listed two prominent symptoms: weight loss and diarrhea.
These “symptoms,” of course, have been endemic in parts of Africa for centuries. Among the obvious causes? Contaminated water and severe malnutrition—prolonged and exacerbated by local dictators selling out their countries to foreign corporate invaders, while keeping their own populations too weak to resist.
No virus necessary.
But linking Slim to AIDS to HIV yielded the desired cover.
I wrote about all this in 1988, in my first book, AIDS INC. I explained that medical covert ops are the most dangerous on the planet, because they appear to be political neutral. They wave no partisan banners. They hide behind the expression of “humanitarian concerns.”
Sealing off West Africa now, under the banner of “stopping the Ebola epidemic and healing the people,” is another chapter in this sordid tale of centuries.
The true objective of the covert op has always been the same: steal the fertile land and the natural resources. Disable, weaken, and destroy the people.
As in all intelligence ops, the classic hallmarks are there: secret hidden objective; cover story; limited hangout (“during the heroic effort, some mistakes were made, lessons were learned”); subtle scapegoating (blame the victims).
The op deploys many unknowing dupes. They follow the script. They believe in it. A few people at the top know the score.
Consider this. If germs were actually the sole and primary cause of disease, regardless of other factors present, we’d all be long gone by now. There would be no people left on planet Earth.
Untold millions of germs a) circulate and b) live in our bodies. Many of them mutate on a regular basis. No bioengineering necessary.
There is, however, a more basic factor in disease. Some people call it “the terrain” of the body—otherwise known as the immune system.
Immune defense is much more than a few classes of cells. It is, in fact, the whole body and its processes, as well as the mind.
In many areas of the world, as I’ve just described, horrendous conditions deplete the immune system: malnutrition, starvation, sewage pumped into the water supply, overcrowding, poverty, war, hopelessness, industrial pollution on a vast scale, etc.
Then, with the damage done, any old germ that sweeps through the population brings about illness and death—because the body, which would otherwise throw off the germ easily, instead succumbs.
That is the true picture.
Germs, germs, germs as the sole cause of disease is THE cover story for modern medicine.
It sustains, for example, the whole fairy tale about the need for vaccination.
Generally speaking, when a healthy person naturally engages with certain germs, he mounts a full and acute inflammatory response, during which he throws off the germ.
This inflammatory response has visible markers; for example, fever, rashes, spots, swelling.
These are labeled “symptoms of the disease.” Actually, they aren’t symptoms. They’re signs that the body is doing its job.
Vaccines, with their immunosuppressive effects, weaken and damp down the full inflammatory response. Therefore, the visible “symptoms” don’t occur.
And doctors claim this Absence means the person has acquired immunity from the disease targeted by the vaccine.
Not so. Other “symptoms” will occur and will become visible, as the body tries to fight against the toxic elements in the vaccine.
Doctors say, “Look here. Different symptoms. This is a different disease. We eradicated the other disease with the vaccine. Now we have to develop a vaccine and drugs against this one…”
On and on it goes. Polio becomes meningitis. Measles becomes encephalitis.
At every step, the person’s immune system becomes weaker, because he is being subjected to germs and toxic chemicals, in vaccines, injected directly into the body, bypassing many centers of immune defense.
In West Africa, during the last five years, several vaccine campaigns have been launched: yellow fever, polio, meningitis. Given to people whose immune systems are already teetering on the edge of collapse, the effects are devastating.
But of course, no one says, “Vaccine-induced disease and destruction.” Instead, they say, “Heroic efforts are being made to reverse the ongoing health crisis in Liberia.”
Every time a new “epidemic” comes along—HIV, West Nile, SARS, bird flu, Swine Flu, Ebola—the propaganda machines goes to work with, “Germ, germ, germ, germ.”
This cover story fortifies and controls the false public perception of what disease is all about. It’s a poster ad.
“In order to fight the heinous virus, doctors are our only recourse. Without them and their potions, we are powerless.”
This is exactly the goal of the overall covert op.
The customer not only wants the product. He believes he can’t live without it.
This is why the medical cartel and its allies wage a ceaseless, vicious, and lying war against “natural health.” The whole thrust of natural answers is: expand the power of the immune system.
Otherwise known as: putting the medical cartel out of business.
Otherwise known as: dissolving the covert ops designed to control and decimate populations.
We live in the Heartland of HIV control in the world - KZN in South Africa. We see this effect and also how people have been indoctrinated that "pills" are the way to go. Yesterday again a close friend of one of our staff passed - weekly occurrence here.
The one undeniable fact is - most folks do not have the means to keep themselves healthy - too inconvenient or too expensive!
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