All of ndr's Comments + Replies

ndr10

I was doubtful, now I stand corrected.

ndr20

It wasn't really intellectually honest, to the point he received enough criticism from his own wife and granted that much

You can check out the initial few minutes of the following AMA

I don't feel like dealing with too many specifics here. One criticism I do take to heart if only because it came in one form from my wife is that despite my saying that I wanted to remain non judgmental and try to produce a document that the vaccine averse could actually receive without feeling denigrated in any way. I didn't try hard enough and certainly my guest Eric didn'

... (read more)
ndr20

I agree he paints a bad picture but he's short on actual, time-bounded, predictions to evaluate his claims.

He shared some predictions in May, with a time frame of months/weeks to see some vaccine resistant variant.

I think Omicron counts as variant that is vaccine resistant, even though there's no peak in vaccinated deaths rates (deaths may be, but not rates as far as I can tell).

Some other people claim Omicron does not descend from the Wuhan strain, so even this might not be the variant Geert Vanden Bossche predicted.

Were you referring to some other predic... (read more)

Answer by ndr*50

A source on this has been Geert Vanden Bossche (see his FAQ).

I'm not 100% convinced he's right, but I have not found any credible attempt at debunking him either. (One such attempt is from Gorski, but it's almost name calling).

He may be right, in that case you might not be able to find any convincing counterargument either.

Long term we could assess the claim that "a slow rollout of a leaky vaccine" actually applies in the context of Covid, but we know it can be theoretically (link).

Short term, for your next dose in February, I'd weight different factors:

... (read more)
4Dentin
I spent a bit of time looking at Geert Vanden Bossche's ideas about six months ago.  I came away extremely unimpressed; he takes reasonable sounding things ("viruses mutate under selective pressure") and tries to extrapolate from them things that we don't actually see in reality.  He describes a plausible sounding reality, that is not our reality.
ndr10

Oops, link fixed, here it is again for convenience.

I understand you say these are large numbers, but I don't know what signal we can expect to see if they can't contain the outbreak. Number of travelers from China that need isolating?
Or do you expect that the number of deaths will be considerably high?

ndr10

China keeps daily cases under 50 per million through 2022: ?% → 40%. [...] We’ll know if this is failing,

How do you know that we'll know if this is failing?

I'll go with 60% that by December 31st 2022 we'll have no credible reports (or even the OWID feed) say China had any day with 50+ cases per million, at least this puts an upper bound on the resolution.

This is the sum of three things:

  1. Even if >50/mil, Information doesn’t get out, not by December 31st 2022 at least
  2. China manages to mitigate effectively
  3. China is already mostly immune. See this comme
... (read more)
2Zvi
Link didn't work. China can downplay things for a week or two but this fails quickly in the face of exponentials. If they hit 70k and pretend they didn't, they then hit 200k and then 400k and then can't pretend.
1Yunxiang Zhu
70,000 is a large number, and hard to hide.
Answer by ndr50

Why 18?

1SebastianG
Because 20 is nice sample size. The experiment, however, is now past its deadline.
ndr10

See a reproduction of Lawrie's metastudy here.
Even without both of those constributions the result doesn't meaningfully change.

ndr140

I have not managed to see Hariyanto et al reproduced yet (any help welcome), so I don't know what effect removing Elgazzar from it would have on that specific meta-study.

For Bryant et al though this is the result with both Elgazzar's in:

This is the result with both Elgazzar's out:

RR moved, but the result is fundamentally the same.
Do you think it would change the result for Hariyanto et al?

ndr*20

Update:
A recent preprint compares Roman et al and Bryant et al: Bayesian Meta Analysis of Ivermectin Effectiveness in Treating Covid-19 Disease

Summary:
The two studies find similar RR (risk reduction as )

Bryant found RR = 0.38 [CI 95%: (0.19, 0.73)]
Roman found RR = 0.37 [CI 95%: (0.12, 1.13)]

Roman et al should conclude there's not enough evidence because they can't rule out RR >= 1 at 95% confidence. Instead they conclude:

In comparison to SOC or placebo, IVM did not reduce all-cause mortality, length of stay or viral clearance in RCTs in COVID-19 pa

... (read more)
Answer by ndr20

India's situation is messy because of the different states policies.
To properly do this one would need to control for incidence and lockdown policy state-by-state. Also some states have no approval for Ivermectin yet it gets used.

My best bet is that we'll get the cleaner data on whether it works from Europe, in particular from Slovakia and Czechia.
Even if EMA advises against Ivermectin, Slovakia approved it for both prophylaxis and treatment in late January 2021.

I could not find how widespread the slovak usage of Ivermectin is, but there are few points:

... (read more)
4ChristianKl
https://www.statista.com/statistics/1245971/number-delta-variant-worldwide-by-country/ has data as of two days ago and shows 6 cases of delta for Slovakia. 
ndr*120

The Medina study received some methodological complains, see the JAMA letter.

Ivermectin proponents seem to consistently push for a regimen of:

  • high dosage (0.2mg/kg once-a-week for prevention)
  • early usage, ideally as prevention
  • usage with/after meals

If they're right one can imagine studies that see no effects either because of low dosage, late administration or administering it on empty stomach (the anti-parasite regimen), which the Medina study does.

2Bucky
That’s super-helpful - thanks! One thing the negative meta-study noted was the variation in doses between studies (12 - 210mg).
Answer by ndr60

Another meta-analysis (Bryant et al) has a very similar title but positive claims Ivermectin for Prevention and Treatment of COVID-19 Infection: A Systematic Review, Meta-analysis, and Trial Sequential Analysis to Inform Clinical Guidelines.

The authors have put out an official rebuttal of the negative meta-analysis which is an interesting read and point to many of their perceived flaws.

The comments on the preprint of the negative study (Roman et al) are also interesting.

For instance:

Hi, I'm Dr.Niaee and I was surprised that even basic data from our RCT i

... (read more)
2ndr
Update: A recent preprint compares Roman et al and Bryant et al: Bayesian Meta Analysis of Ivermectin Effectiveness in Treating Covid-19 Disease Summary: The two studies find similar RR (risk reduction as ) Bryant found RR = 0.38 [CI 95%: (0.19, 0.73)] Roman found RR = 0.37 [CI 95%: (0.12, 1.13)] Roman et al should conclude there's not enough evidence because they can't rule out RR >= 1 at 95% confidence. Instead they conclude: Bryant and Roman use similar methods, the difference in the confidence interval is because they picked different studies. Bryant has different estimates for mild vs severe vs all cases. 0.38 is for all-cases to allow comparison with Roman batched all-cases together and has no breakdowns. This third Bayesian (meta-?)meta-analysis concludes:
3waveman
Well worth reading the linked material - quite damning.
ndr10
  1. seriously, what are the chances that all three vaccines are both dangerous and equally so?

Malone/Weinstein say they seem to have minor differences, at least in mechanism/effect. Their point being that if you get the S p circulating you're in trouble. All the three seem to produce that effect.

  1. One must also consider the reaction of other experts [...] When experts in high places thought there was a risk of rare blood clots, they were often willing to halt [...]

Well done, this is a very well put and good point. I don't know what drove the craze on ... (read more)

1DPiepgrass
Well, Moderna and Pfizer's are both mRNA-based, but presumably different in some ways because they were made by different teams (and I thought I saw Bret or Dr. Malone say he would have preferred Pfizer over Moderna, though it's not in my summary). But AstraZeneca and J&J are "adenovirus vector vaccines", using chimpanzee adenovirus ChAdOx1 and serotype 26 (HAdV-D26) respectively; the latter was "under investigation as [a] protective platform against HIV, Zika, RSV infections and are in Phase-III clinical trials for Ebola" in early 2019. Now, adenovirus vector technology is pretty new. Even so, it would be an impressive coincidence if the risks were both substantial and the same for a ChAdOx1-based vaccine, a HAdV-D26-based vaccine and both RNA vaccines. Sure, they all use the spike protein in some way — probably it's necessary for the immune system to recognize the spike protein — but (i) eventually our bodies will encounter the spikes, either via SARS-Cov-2 or via vaccine, and I've seen no one make a case that a live, replicating virus is safer, and (ii) the evidence/argument for the protein itself being dangerous hasn't been made clear in any of the stuff I've seen. But my main point is the seeming lack of interest from Lawrie, Dowswell, Kirsch et al. in the question of relative safety, because this is a known failure mode of anti-vaxxers all the way back to the Wakefield study. That infamous paper apparently linked the MMR vaccine to autism, yet many anti-vaxxers acted like there was some fully general link between all vaccines and autism.
ndr20

There's also criticism of the Bryant and Lawrie paper.

What's an actual criticism of that paper from that article? That meta-studies are garbage-in-garbage-out? That's weak at best, the author seems to have spent no time in spot checking any of the papers included to check whether this actually happened.

The Japanese data is at the center of Byram Bridle's claims, which is systematically debunked ...

... by a nameless "Concerned Scientist". I don't want to play ranking authorities, but it's obvious someone is mad at Bridle enough to steal his name to p... (read more)

2DPiepgrass
I've seen this paper used over, and over, and over by antivaxxers. But a coauthor of that paper, who was horrified about how it was being used, says: I challenge anyone to name any vaccine or protein (or whatever) that is safe at the normal dosage and ALSO safe at a dose 10,000x or 100,000x higher. An extreme dose being hazardous is not surprising. It logically follows that if an extreme dose is harmful, it doesn't mean a dose 100,000x lower is harmful.
ndr10

Thy disagree, but in which direction? The second chart seem to report numbers higher than the first chart but I'm not sure they are about the same data. What's your read? Can you put some links for the second graph source?

2DPiepgrass
I constructed the second graph manually, by recording the number of results of 22 queries at OpenVAERS. OpenVAERS (which I learned about through Steve K) says it provides the same data as the government. Edit: I'm inclined to think that a major reason that the number for 2021 is higher in my chart is because I produced my chart 3 weeks later. As of Jan 17 2022, the number of deaths reported by OpenVAERS for "covid19" in 2021 is 21,427, giving an average rate of 412 weekly death reports. I was surprised to learn that only 46% of these were for age 65+, but it turns out that only 16% of these are for under age 65, so apparently 38% of the deaths occurred in people with no age whatsoever. Also, while the number of death reports is greater in the second half of the year, there has been a dramatic increase in ageless death reports since June. Hmm... it seems like about 15,558 of the reports were filed since I last checked in June, of which about 6800 of the new reports are ageless (44%). That is pretty weird. And indeed, the first report I clicked on at random, said that a person of unknown age and gender in an unknown state, with unknown medical history, suffered from an unknown cause of death on an unknown date after taking a JANSSEN vaccine! I don't think this is what Weinstein and Kirsch had in mind when they talked about underreporting!
ndr10

Is the risk of female reproductive harm from the vaccines any worse than the risk from infection?

That is a brilliant question. Data from Israel and UK (both high vaccination rates) should reveal useful, but I do wonder how much data is required to make that claim.

In the UK (ONS) 1.7 males died for each dead female in the 15-45 age bucket. It's 2.3 in the 20-25 age bucket. This suggests female (young especially) are less prone to be badly affected, but it says nothing of other fertility-related adverse reactions.

Regarding Ivermectin, see my top level rep... (read more)

ndr*110

The whole video is painful to watch, it gets more bearable after the 2:11 mark when Kirsch (the blue shirt guy) slows a bit down.

The following is a recap of what I've understood them saying and some unpacking. I'm not educated in anything medical and still have a bunch of open question. If you spot any error or know the answer to these questions please let me know.

TL;DW

They seem to be making 3 main points:

  1. Ivermectin prevents and treats SARS-CoV-2. It's extremely safe, common and cheap.
  2. Vaccines were rushed. Long term adverse reactions are unknown, some
... (read more)
4dachamian
As I mentioned in my post, blog posts by David Gorski systematically address most of the issues you've highlighted ( https://sciencebasedmedicine.org/ivermectin-is-the-new-hydroxychloroquine-take-2/ )  Ivermectin:  "The mechanisms of action of Ivermectin against SARS-CoV-2:" this paper is explicitly critiqued, not least the sensational claim of a 1 in 23 trillion chance of the positive effect being random. (this isn't how statistical analysis works, apparently...)  There's also criticism of the Bryant and Lawrie paper. On twitter recently Malone has acknowledged his mistake having been presented with evidence of dosing analysis by Pfizer ( https://twitter.com/RWMaloneMD/status/1406555309200531458 )  The key paper that shows cytotoxicty from the spike protein is with regards to the spike protein found in sars-cov-2, according to Gorski and the papers he cites the s-protein created via the mrna vaccines is modified to attach to cells in the muscle rather than freely circulating. (Its since been found that there are circulating levels of spike protein post mrna vaccine but in extremely small quantities, far lower than you'd get via an infection, and that the clearance of the protein is as expected for the proper functioning of the vaccine. ( https://blogs.sciencemag.org/pipeline/archives/2021/06/15/the-novavax-vaccine-data-and-spike-proteins-in-general ) ) The Japanese biodistribution data is also debunked, the study is in rats, the percentage build up in the ovaries is exceptionally small and studies have been completed looking specifically at ovarian function post mrna vaccine with no issues found. The Japanese data is at the center of Byram Bridle's claims, which is systematically debunked here https://byrambridle.com/ .  I'm also unware of any info on ADE.  I've been vaccinated with one dose of Pfizer with no side effects. I'm waiting on the imminent CDC emergency panel on myocarditis to gauge whether it makes any sense getting a second dose. There's a lot
ndr10

Nobody is very likely an exaggeration, I suspect is severely under used, but I have no idea about the reversals.  

Did you report to VAERS yourself or via your doctor?
How do you know whether your report made it through? 

2CraigMichael
I might have been mistaken. I was thinking VARES was part of vSafe, but they may be different. I did for sure report it to vSafe.
ndr10

I've found a post from EMA claiming:
 

Batch ABV5300 was delivered to 17 EU countries and comprises 1 million doses of the vaccine. 

but still no signal on how big is the batch single countries get.

Answer by ndr50

If there's an actual risk of blood clot problems, we should see something similar reported in the UK, given the millions of doses they already used.

We don't see any similar reports coming from the UK. The opposite seems true (BBC).

Is the UK hiding this kind of news? I doubt.

Are there problem only outside of the UK? 
If this is the case, "the story" might actually be some handling/logistic problem in the vaccines production/transportation/storage in other countries that turns some batches bad.

If this is the case we should see higher % of problems where ... (read more)

1ndr
I've found a post from EMA claiming:   but still no signal on how big is the batch single countries get.