But fundamentally, has any recognised medical authority recommended that Ivermectin is beneficial in terms of Covid-19?
There are all kinds of stories about of Ivermectin being approved for Covid-19 treatment. From what I can make out a report of Japan approving its use seems to have gotten the most traction. Some have made bold statements about Japan having reduced the number of Covid-19 cases due to replacing the use of the Moderna vaccine with the administration of Ivermectin. According to USA Today this story came about on the heels of a press conference on August 13th this year where Dr Haruo Ozaki, Chair of the Tokyo Medical Association recommended the use of Ivermectin at a press conference. However the medical association is not part of Japan's official regulatory authority. Meanwhile the Moderna vaccine was not halted, rather a faulty batch was withdrawn. It seems the promoters of Ivermectin exaggerate the facts while the opponents say it has been fact checked to be false. Like I've already said the real story, with its nuance, gets lost in the cultural and political wars.
Apparently Peru and Bolivia recommended the use of Ivermectin back in 2020. However one has to be careful of what one reads because the topic of Ivermectin has become so toxic (couldn't resist that) that it seems nobody is dispassionate and always seems to try and spin things a certain way. People are so triggered that the mere mention of the drug, in one way or another, elicits a backlash like response. If a person even so much as suggests it might prove to have benefits they are ponced upon as being irresponsible. On one side Ivermectin is talked about as some sort of a miraculous drug, which it isn't, and on the other side it seems deliberately portrayed as a fringe veterinary drug, which also isn't quite true. Ivermectin is the result of a collaboration between a Japanese scientist named Satoshi Nomura and William Campbell. it's a fascinating story.
Here is an excerpt from an American Chemical Society article titled
National Historical Landmark Chemicals - Chemists and Chemistry that Transformed Our Lives:
The story is so improbable it defies belief: a soil sample from Japan stops suffering in Africa. It starts when a scientist discovers a lowly bacterium near a golf course outside Tokyo. A team of scientists in the United States finds that the bacterium produces compounds that impede the activity of nematode worms. It is developed into a drug that wards off parasites in countless pets and farm animals, averting billions of dollars in losses worldwide. Extraordinarily, the drug also prevents or treats human parasitic diseases that would otherwise cause blindness and other severe symptoms in hundreds of millions of people in many of the poorest countries on Earth. The tale depends on an international cast of thousands of scientists, medical practitioners and other dedicated participants. It also involves a company and research institute willing to give a drug away for free to rid the developing world of debilitating diseases. Yet none of this would have happened without that soil dug up in Japan—and a healthy dose of serendipity.
In the late 1960s and early 1970s, Satoshi Ōmura (*1935), a microbiolo-gist and bioorganic chemist at Tokyo’s Kitasato Institute, hunted for new sources of pharmaceuticals. He knew that some existing drugs, includ-ing antibiotics, had been derived from compounds found in nature. So he developed screening methods to identify medicinally promising compounds from soil. His team col-lected thousands of soil samples from around Japan, cultured bacteria from them, and screened each culture for medicinal potential.
In 1971, Ōmura took a sabbatical in the laboratory of Max Tishler (1906–1989), an eminent professor of chemistry at Wesleyan University in the U.S. A year earlier, Tishler had
retired from an illustrious research career at the pharmaceutical company Merck. Before returning to Japan in 1973, Ōmura arranged a pioneering agreement between the company and the research institute. Kitasato would continue to collect samples and screen them, and then send the most promising ones to Merck Research Laboratories in Rathway, New Jersey, for testing and development. The institute would receive royalties from any products that were commercialized through the partnership.
At Merck Research Labs, a team led by parasitology specialist William Campbell (*1930) began testing the samples as potential treatments for parasitic worms. A veterinary scientist and zoologist by training, Campbell identified compounds that could be effectively developed as drugs for livestock and other animals.
To test potential treatments, the Merck researchers first infected mice with nematodes and then fed each mouse a different culture sample supplied by Ōmura’s team. They found that one culture was extraordinarily effective at ridding mice of worm infestations. This culture was derived from soil collected near a golf course in Kawana, about 80 miles southwest of Tokyo. Ōmura identified the bacterium in that culture as a new strain, which was ultimately christened Streptomyces avermectinius.
The Merck team isolated the active component produced by the bacterium and named it “avermectin.” They found that avermectin is actually a combination of eight closely related compounds. The researchers began chemically modifying the compounds, tweaking their molecular structures slightly to see if they could make avermectin even more potent against parasites and safer for the animals being treated. By synthesizing thousands of similar compounds, Merck scientists found that, with slight chemical modification, some of the avermectin compounds displayed enhanced activity as well as safety. They dubbed the resulting pair of avermectin derivatives “ivermectin.” The mixture was 25 times more potent than existing treatments for parasitic worms. Further testing at Merck showed that ivermectin could also fight infestations by mites, ticks and botfly parasites that cause huge economic losses in the livestock industry. It was effective against parasites in horses, cattle, pigs, sheep and dogs, and was largely nontoxic to these animals.
These gratifying results led Merck to commercialize ivermectin as a veterinary treatment beginning in 1981. Starting in 1987, the drug was also marketed to the public under the brand name Heartgard® (now sold by the animal-health company Merial) to prevent heartworms in dogs. These products quickly became the top-selling veterinary medicines in the world, with sales topping $1 billion annually."
And most remarkable of all, the pharmaceutical company, Merck donated the drug to the world's poor:
"Most patients who would benefit from Mectizan® live in developing nations. Recognizing that these patients would not be able to afford the drug at any price and no donors were willing to pay for it, Merck CEO P. Roy Vagelos (*1929) in 1987 announced the company’s commitment to donate “as much as needed, for as long as needed,” with the goal to help eliminate river blindness."
Imagine that, a soil sample from a golf course outside Tokyo and a pharmaceutical company that gave away a medicine for free in the interest of humanity.
"The American Chemical Society designated the discovery of ivermectin as a National Historic Chemical Landmark in a ceremony at Merck & Co., Inc., in Kenilworth, New Jersey, on 2 December 2016. The commemorative plaque reads:
The synthesis and development of ivermectin by Merck in the 1970s and 1980s provided a breakthrough treatment against infectious diseases transmitted by parasites. This discovery resulted from an international collaboration that screened hundreds of natural products to identify a promising lead compound. Merck scientists synthesized thousands of analogs of this lead and tested them. The result, ivermectin, offered a highly effective treatment for several parasitic diseases affecting a variety of animals. Following its approval for human use in 1987, Merck established a worldwide program to donate ivermectin as Mectizan® to treat onchocerciasis (river blindness), greatly reducing the prevalence of this debilitating disease. In 2015, Merck scientist William Campbell shared the Nobel Prize in Physiology or Medicine [with Satoshi Nomura]for his role in developing ivermectin."
Whatever the politics of the matter I think it is a shame that this medicine is disparagingly described as a horse dewormer and the object of derision. Oxford University went back on it's promise to distribute the vaccine at cost and Moderna, who received billions of dollars in US taxpayer funds is now suing the US government.
Mahmoud.