Can Chloroquine Work for COVID-19?

21 Mar 2020

The President of the United States (POTUS), his task force, and quite a few doctors/scientists already declared that Chloroquine may save the day. It was mentioned that FDA already gave a green light to its use. The fallacy starts here: any approved drug, such as Chloroquine, can be used off-label by any doctor on his own discretion.

In response to a reporter question this morning “if questions about use of that anti-malaria drug were resolved?”, the POTUS replied: “I do not know, if questions were resolved, but I know that its being distributed, I know that NY is getting 10,000 units … It can be that drug plus Z-pack … we are going to find out … I feel, as the expression goes, what do we have to lose? … because I feel very good about this but Tony (Anthony Fauci MD - the Director of National Institute of Allergy and Infectious Diseases, a part of NIH) would feel that he wants some samples to be done about this … many doctors would agree with that … we do not have much time … we are going to be delivering a lot of samples to NY and other places and we are going to find out, if this is going to work … I feel very confident, I seen many things which surprised me … there are other things we are looking into … vaccine is incredible but this is more immediate, to me it will be the best thing could happen, this can be a gift from Haven, this can be a gift from God, if this works, so we are going to pray to God that it does work, it will be a fantastic thing”. Please note: this is Dr. Why transcript, it may not be word to word, but it is close!

Got the point?

If not, here are a few bullet points about Chloroquine:

  • Chloroquine is anti-malaria drug, which was discovered in 1934

  • It is on The WHO list of essential medicines

  • The wholesale cost in the developing world is about $0.04. Naturally, in the USA it is $5.40-$23.85 per dose, which is 135 to 596 times more expensive!

  • It is taken once per week for malaria prophylaxis and 4 doses are needed to treat malaria

  • It does have side effects, including irreversible blindness due to retinopathy, but also cardiovascular, neurologic, hematologic, and others

  • It is also used for amebiasis - another parasitic disease and Lupus (off label)

  • Mechanism of action: inhibition of enzyme allowing for making DNA and RNA (genetic codes), interfering with metabolism of parasites resulting in inhibition of parasites growth

  • It DOES NOT work for all types of parasites causing malaria: only for 4 out of 6 types

What is Malaria:

  • Malaria is a parasitic disease transmitted by mosquitos

  • There are 6 types of parasites causing malaria

  • Parasites are one-cell organisms

  • The main way to prevent malaria is protection from mosquito bites

  • There is NO approved vaccine for malaria

  • The efficacy of malaria vaccines in clinical trials was between 16% and maximum of 44%

  • In October 2015, the Strategic Advisory Group of Experts on Immunization (SAGE) and the Malaria Policy Advisory Committee (MPAC) decided NOT to recommend widespread employment of the vaccine but rather advised pilot implementation studies to guide decisions regarding subsequent deployment

Can Chloroquine work in viral infections?

  • the PubMed.gov search for “chloroquine and viral infections” produced 532 matches https://www.ncbi.nlm.nih.gov/pubmed/?term=chloroquine+and+viral+infections

  • The oldest article Severe infectious mononucleosis treated with chloroquine phosphate was published in 1960. Mononucleosis is caused by Epstein-Barr virus (EBV)

  • It was also tried for treatment (in alphabetical order)

    • Adenovirus

    • Avian retrovirus

    • Betanodavirus, also referred to nervous necrosis virus 

    • Bovine viral diarhea virus

    • Chikungunya virus

    • Common wart (caused by HPV virus)

    • Coxsackievirus B4

    • Cytomegalovirus

    • Dengue virus

    • Ebola virus (the first report was published in 1976!)

    • Encephalomyocarditis virus

    • Filoviridae viruses

    • Grass carp reovirus

    • Hand, foot, and mouth disease (most commonly caused by Enterovirus A)

    • Hendra virus

    • Hepatitis B and C

    • Herpesviruses (including Herpes Zoster - shingles, herpes simplex virus 1, herpesvirus-6, Kaposi’s sarcoma-associated herpervirus)

    • HIV and other retro-viruses

    • Human coronavirus OC43

    • Human parvovirus B19

    • Infectious salmon anemia virus

    • Influenza viruses

    • Kidney necrosis virus

    • Lassa fever (caused by Lassa virus)

    • Measles

    • Murine cytomegalovirus

    • Murine norovirus 1

    • Nelson Bay orthoreovirus

    • Nipah virus

    • Orf virus

    • Parvovirus Kilham rat virus

    • Peste des petits ruminants virus

    • Porcine circovirus 2

    • Porcine hemagglutinating encephalomyelitis virus

    • Porcine reproductive and respiratory syndrome virus

    • Pseudorabies virus

    • Rabies

    • Respiratory syncytial virus

    • Rhinovirus

    • Ross River virus

    • SARS coronavirus

    • Sendai virus

    • Simian virus 40 (SV40)

    • Simian immunodeficiency virus

    • Semliki Forest virus

    • Sindbis virus

    • Soft-shelled turtle iridovirus

    • Spleen necrosis virus

    • Vaccinia virus

    • Vesicular stomatitis virus

    • Yellow Fever

    • Zika virus

Got the point?

If not, remember - the definition of insanity is doing the same thing over and over again and expecting a different result (credited to Albert Einstein).

Rephrasing: if you try the same drug for different viruses (I counted 53 viruses above - my head is spinning - I did not know that half of these even existed!) and get the same result - an object failure - it is probably a good time to move on…. Stop fooling the public and waste resources!

If you do decide to waste public funds on this drug and associated research, please do NOT pay US prices, buy it in Africa at $0.04 per dose. I am sure you can make a good deal!

It is called wishful thinking otherwise. The only excuse POTUS has is that he might not have been given the information above by geniuses surrounding him, including “Tony” - the expert! In fact, this is the most likely scenario.

Got the point?

If not, pray to God!

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