2020 SEP 13 HCQ; Saudis MoH vs. Australian MoH; Clearly Saudis MoH  are not killing their citizens with COVID-19

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Remarks: What Would the Saudi Arabian Ministry of Health Know About Using Hydroxychloroquine to Treat COVID Patients ? CLEARLY FOR MORE THAN Australia’s Prime Minister Scott Morrison, MoH Greg Hunt MP, DoH Secretary Brendan Murphy, Acting  Chief Medical Officer Paul Kelly &  Deputy Chief Medical Officer Dr Nick Coatsworth. FULL STORY HERE: https://www.4cmitv.com/2020/09/13/2020-sep-13-hcq-saudis-moh-vs-australian-moh-clearly-saudis-moh-are-not-killing-their-citizens-with-covid-19/

These Australian Government bureaucrats who continue to prop up the unscientific interference between Practitioner and Patient concerning the use of HCQ in treatment of COVID 19. This unscientifically based stonewall they’ve placed  runs contrary to more than 65 studies which demonstrate HCQ (Hydroxychloroquine) used with Zinc is very effective companion medication therapy especially when taken in the early stage of COVID 19 infection; Studies have clearly demonstrated using this treatment regime massively reduces Hospitalisation and Mortality.  

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxSaudi Arabia exert full treatment flow chart here

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Crag Kelly MP:

CASE FATALITY RATE1)deaths/positive tests for COVID
Saudi Arabia: 1.3%
Australia: 3%
Victoria AU: 4%

Australia our health bureaucrats killing Australians

The official government protocol to treat COVID patients in Saudi Arabia includes Hydroxychloroquine (HCQ) and Zinc. See below: 10.1101/2020.09.09.20184143 

In Australia our health bureaucrats believe they know better and Australian COVID patients are denied access to HCQ – and it’s illegal for Australian doctors to prescribe it.

In Saudi Arabia, the case fatality rate (deaths/positive tests) for COVID is 1.3%

In Australia it’s 3%. In Victoria it’s 4%.

In other words, in Australia (where HCQ is banned) if you get COVID, you are more than twice as likely to die than in Saudi Arabia (where HCQ + Zinc is standard treatment).

I wonder how many lives the Hydroxychloroquine deniers club are responsible for so far ?

APPENDIX.1: The Saudi Arabian Ministry of Health ambulatory fever clinic program recommendation for patients presenting with mild to moderate symptoms during the COVID-19 pandemic.

Appendix.1: The Saudi Arabian Ministry of Health ambulatory fever clinic program recommendation for patients presenting with mild to moderate symptoms during the COVID-19 pandemic.

click on image to enlarge

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PAPER:
The Effect of Early Hydroxychloroquine-based Therapy in COVID-19 Patients in Ambulatory Care Settings: A Nationwide Prospective Cohort Study
Posted: September 13, 2020.
AUTHORS:

Tarek Sulaiman2)Tarek Sulaiman, King Fahad Medical City, Riyadh, Saudi ArabiaAbdulrhman Mohana3)Abdulrhman Mohana, Saudi Center for Disease Prevention and Control; Laila Alawdah4)Laila Alawdah, King Fahad Medical City, Riyadh, Saudi ArabiaNagla Mahmoud5)Nagla Mahmoud, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaMustafa Hassanein6)Mustafa Hassanein, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaTariq Wani7)Tariq Wani, King Fahad Medical City, Riyadh, Saudi ArabiaAmel Alfaifi8)Amel Alfaifi, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaEissa Alenazi9)Eissa Alenazi, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaNashwa Radwan10)Nashwa Radwan, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaNasser AlKhalifah11)Nasser AlKhalifah, King Fahad Medical City, Riyadh. Saudi ArabiaEhab Elkady12)Ehab Elkady, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaManwer AlAnazi13)Manwer AlAnazi, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaMohammed Alqahtani14)Mohammed Alqahtani, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaKhalid Abdalla15)Khalid Abdalla, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaYousif Yousif16)Yousif Yousif, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaFouad AboGazalah17)Fouad AboGazalah, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaFuad Awwad18)Fuad Awwad, Quantitative analysis department, College of Business Administration, King Saud University, Riyadh, Saudi ArabiaKhaled AlabdulKareem19)Khaled AlabdulKareem, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi ArabiaFahad AlGhofaili20)Fahad AlGhofaili, King Fahad Medical City, Riyadh. Saudi ArabiaAhmed AlJedai21)Ahmed AlJedai, Assistant Deputy Minister for Therapeutic Affairs, Ministry of Health, Riyadh, Saudi ArabiaHani Jokhdar22)Hani Jokhdar, Deputyship of Public Health, Ministry of Health, Riyadh, Saudi ArabiaFahad Alrabiah23)Fahad Alrabiah, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

ABSTRACT

METHODS:

This observational prospective cohort study took place in 238 ambulatory fever clinics in Saudi Arabia, which followed the Ministry of Health (MOH) COVID-19 treatment guideline.

This guideline included multiple treatment options for COVID-19 based on the best available evidence at the time, among which was Hydroxychloroquine (HCQ).

Patients with confirmed COVD-19 (by reverse transcriptase polymerase chain reaction (PCR) test) who presented to these clinics with mild to moderate symptoms during the period from 5-26 June 2020 were included in this study.

Our study looked at those who received HCQ-based therapy along with supportive care (SC) and compared them to patients who received SC alone.

The primary outcome was hospital admission within 28-days of presentation.

The secondary outcome was a composite of intensive care admission (ICU) and/or mortality during the follow-up period. Outcome data were assessed through a follow-up telephonic questionnaire at day 28 and were further verified with national hospitalisation and mortality registries.

Multiple logistic regression model was used to control for prespecified confounders.

RESULTS:

Of the 7,892 symptomatic PCR-confirmed COVID-19 patients who visited the ambulatory fever clinics during the study period, 5,541 had verified clinical outcomes at day 28 (1,817 patients in the HCQ group vs 3,724 in the SC group).

At baseline, patients who received HCQ therapy were more likely to be males who did not have hypertension or chronic lung disease compared to the SC group.

No major differences were noted regarding other comorbid conditions. All patients were presenting with active complaints; however, the HCQ groups had higher rates of symptoms compared to the SC group (fever: 84% vs 66.3, headache: 49.8 vs 37.4, cough: 44.5 vs 35.6, respectively).

Early HCQ-based therapy was associated with a lower hospital admission within 28-days compared to SC alone (9.4% compared to 16.6%, RRR 43%, p-value <0.001).

The composite outcome of ICU admission and/or mortality at 28-days was also lower in the HCQ group compared to the SC (1.2% compared to 2.6%, RRR 54%, p-value 0.001).

Adjusting for age, gender, and major comorbid conditions, a multivariate logistic regression model showed a decrease in the odds of hospitalisation in patients who received HCQ compared to SC alone (adjusted OR 0.57 [95% CI 0.47-0.69], p-value <0.001).

The composite outcome of ICU admission and/or mortality was also lower for the HCQ group compared to the SC group controlling for potential confounders (adjusted OR 0.55 [95% CI 0.34-0.91], p-value 0.019).

CONCLUSION:

Early intervention with HCQ-based therapy in patients with mild to moderate symptoms at presentation is associated with lower adverse clinical outcomes among COVID-19 patients, including hospital admissions, ICU admission, and/or death.


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References   [ + ]

1. deaths/positive tests
2. Tarek Sulaiman, King Fahad Medical City, Riyadh, Saudi Arabia
3. Abdulrhman Mohana, Saudi Center for Disease Prevention and Control
4. Laila Alawdah, King Fahad Medical City, Riyadh, Saudi Arabia
5. Nagla Mahmoud, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
6. Mustafa Hassanein, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
7. Tariq Wani, King Fahad Medical City, Riyadh, Saudi Arabia
8. Amel Alfaifi, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
9. Eissa Alenazi, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
10. Nashwa Radwan, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
11. Nasser AlKhalifah, King Fahad Medical City, Riyadh. Saudi Arabia
12. Ehab Elkady, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
13. Manwer AlAnazi, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
14. Mohammed Alqahtani, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
15. Khalid Abdalla, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
16. Yousif Yousif, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
17. Fouad AboGazalah, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
18. Fuad Awwad, Quantitative analysis department, College of Business Administration, King Saud University, Riyadh, Saudi Arabia
19. Khaled AlabdulKareem, Assisting Deputyship for Primary Health Care, Ministry of Health, Riyadh, Saudi Arabia
20. Fahad AlGhofaili, King Fahad Medical City, Riyadh. Saudi Arabia
21. Ahmed AlJedai, Assistant Deputy Minister for Therapeutic Affairs, Ministry of Health, Riyadh, Saudi Arabia
22. Hani Jokhdar, Deputyship of Public Health, Ministry of Health, Riyadh, Saudi Arabia
23. Fahad Alrabiah, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

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