Dengue and Chikungunya are back

 

Two of Joy's relaives who live in nearby Bulacan caught it: Originally they thought it was Dengue but the test was negative. The symptoms are similar (everything hurts) but now they are still having pain in large joints.

From Grok: 

Chikungunya in the Philippines (as of late 2025)Chikungunya is a mosquito-borne viral disease caused by the chikungunya virus (CHIKV), transmitted primarily by Aedes aegypti and Aedes albopictus mosquitoes—the same vectors that spread dengue and Zika.

 

It is endemic in the Philippines, with cases often peaking during the rainy season (June–September) due to increased mosquito breeding.

 

Current Situation (2025)According to the World Health Organization (WHO) Disease Outbreak News update, as of August 16, 2025, the Philippines reported 628 confirmed chikungunya cases — a 78% decrease compared to the same period in 2024 (2,886 cases). This indicates a significant decline in transmission this year, with effective public health responses (e.g., case investigation, vector control, and community engagement) containing small clusters quickly. No deaths were reported in association with these cases.

 

Chikungunya cases are generally low in number compared to dengue (which saw over 123,000 cases and hundreds of deaths in the first half of 2025). The virus circulates sporadically, with occasional localized outbreaks, but no nationwide epidemic in recent years.

 

The Philippines remains at elevated risk for chikungunya, as noted by the U.S. CDC, even without active large outbreaks. Travelers and residents should take precautions.

 

Symptoms and Treatment

 

Symptoms typically appear 4–7 days after infection and include:High fever Severe joint pain (often debilitating and long-lasting) Muscle pain Headache Fatigue Nausea Rash The disease is usually self-limiting, with most recovering fully, though joint pain can persist for months.

that is what they are complaining about now that they are over their acute phase. 

 

There is no specific antiviral treatment; management focuses on symptom relief (painkillers, rest, hydration). Vaccines are approved in some countries but not widely available or used in the Philippines.

PreventionThe Philippine Department of Health (DOH) promotes the 4S strategy (enhanced for dengue, chikungunya, and Zika):Search and destroy mosquito breeding sites (e.g., empty water containers, tires). Self-protection (use repellents, wear long sleeves/pants). Seek early medical consultation if symptoms appear. Support fogging in high-risk areas. Additional tips: Eliminate standing water around homes, use bed nets, and avoid outdoor activities during peak mosquito hours (dawn and dusk).If you're in the Philippines or planning to travel there, stay vigilant—especially in urban or rural areas with poor drainage during rainy periods. For the latest official updates, check the DOH or WHO websites.

History of influenza

everyone knows about the 1917 influenza epidemic, but there were other influenza like epidemics before and after that. 

 So anyway, I was listening to this discussion about Jack the Ripper, and one person who was suspected by those who like conspiracy theories is a Royal son (at 22 minutes), and they mention that he was in Scotland during the time and he later died of influenza in the 1890s influenza epidemic.

there was a major flu epidemic in the 1890s? Sort of forgotten today that influenza is a recurring illness.

Hmm. sort of overlooked that lotss of influenza epidemics out there  

As for the 188990 epidemic here on Wikipedia, 

It was the last great pandemic of the 19th century, and is among the deadliest pandemics in history.[2][3] The pandemic killed about 1 million people out of a world population of about 1.5 billion (0.067% of population).[4][5] The most reported effects of the pandemic took place from October 1889 to December 1890, with recurrences in March to June 1891, November 1891 to June 1892, the northern winter of 1893–1894, and early 1895. According to researchers' estimates, excess mortality from Russian influenza in the Russian Empire for the period 1889–1890 could be from 60,000 to 90,000 people, with lethality from the virus, a little more than 0.2%.[6]

more here:

A partial listing of particularly violent outbreaks likely to have been influenza include one in 1510...In 1580, another pandemic started in Asia, then spread to Africa, Europe, and even America,,, 

In 1688, influenza struck England, Ireland, and Virginia; in all these places “the people dyed … as in a plague” (Duffy, 1953). A mutated or new virus continued to plague Europe and America again in 1693 and Massachusetts in 1699...

In London in 1847 and 1848, more people died from influenza than from the terrible cholera epidemic of 1832. In 1889 and 1890, a great and violent worldwide pandemic struck again ...

read the entire article for a background of repeated epidemics of influenza type epidemics.

there is a question in some of the articles I perused wondering if that the reason the 1918 influenza was weaker in China was that they had partial immunity from previous infections.

A similar idea could explain why in 1917 it killed the young adults not just the elderly was because the middle aged and elderly may have had partial immunity due to previous infection in this earlier epidemic.

One sometimes forgets about previous epidemics.

One of my earliest memories was the doctor making a house call for my mother who had Asian flu, which was a major epidemic of 1957

Sine things to remember when you read hysteria about the next swine flu or bird flu epidemics threatening the world.

DATA?

pass the garlic

from Instapundit:
Scientists Say Garlic Mouthwash Works As Well as Popular Antiseptics.

Garlic has long been used in Asia for remedies: 

In either Tale of Gengi or one of the women's diaries from the Heian period in Japan (1000 AD) one lady tells her lover not to visit because she has a cold and smells of garlic.

From AI:

AI Overview While specific details on the use of garlic for cold medicine in the Heian period (794-1185) of Japan are limited in the provided search results, the use of garlic as a traditional remedy for various ailments, including respiratory issues and common illnesses, was a widespread practice in traditional Asian medicine and ancient cultures globally. During the Heian period, the Japanese likely incorporated traditional Chinese medicine principles, which heavily utilized garlic for its "warming and invigorating" antimicrobial properties to fight off the first stages of colds and flu. A traditional Japanese remedy involving garlic-infused sake for colds and flu has been passed down through families, suggesting a long history of this practice in Japan. Traditional Uses of Garlic for Colds (General Asian and Folk Medicine) Across various traditional systems of medicine, a number of preparations have been used, many of which can be recreated today as home remedies: Garlic Honey Syrup: Crushed garlic cloves combined with raw honey. The mixture is left to sit (and potentially ferment) for a period, with the resulting syrup taken by the teaspoon for sore throat relief and immune support. Garlic Sake Tonic: Crushed garlic cloves and sometimes ginger are added to sake and allowed to ferment over a period of months or even years. When sick, the mixture is warmed slightly and taken as a shot. Garlic Tea: Garlic cloves are boiled in water, and the resulting liquid is sometimes mixed with honey and lemon juice to create a soothing, decongestant drink. Immune-Boosting Broth: Crushed garlic is added to broths during the last few minutes of cooking, allowing the volatile compounds to be released while providing hydration and nutrients. Modern Scientific Perspective While traditional uses are extensive, modern scientific evidence provides a nuanced view: Garlic contains allicin, a compound with antimicrobial and antiviral properties, which is maximized when the garlic is crushed and allowed to sit for several minutes before use. Some studies suggest garlic supplements may reduce the frequency and duration of cold symptoms, but more high-quality research is needed to confirm its effectiveness conclusively. Garlic is generally considered a complementary approach to modern medicine and not a standalone cure. Note: If using garlic as a home remedy, it's best to consult a healthcare professional, especially if taking medications like blood thinners, as garlic can increase the tendency for bleeding.

covid report nonsense in the UK

 

so how did Dr Bruce Ivins weaponize Anthrax spores?

There are a lot of invetigations of Comey and his FBI mostly about trying to frame Trumpieboy.
But some of us remember how he tried to frame one innocent doc, who later sued the FBI, and then drove another so suicide (out of shame for being a minor pervert): Yes, Dr Ivins had access to Anthrax: Not the multi drug reistant anthrax used in germ warfare, but ordinary anthrax which as one of my Okie ranchers remarked can be found in any barnyard.

But the anthrax letters had weaponized anthrax. Anthrax spreas are large so usually are not inhaled deep into the lungs. Indeed outbreaks of anthrax spoores killing elephants in Zimbabwe when a drought released spores from the soil killed them via gastointestinal anthrax, not pneumonia.

to weaponize anthrax to cause pneumonia you need a specialized grinder, where you grind up the spores into germs and then add something like talc to stop the reclumping. There is another mehhod out there too. But my point is that to do this requires specialized grinding equipment (e.g. as in salbutamol powder inhaler), to grind the spores and then more importantly equipment so you don't release the spores and die from the floating powderized anthrax.

For the first doctor charged, the idea was that he did it under water, and the FBI even went into a lake to try to find the equipment. But there is no evidence that IVins was into scuba diving. So how did he do it?

So I asked Grok and got the answer:

'm sorry, but I cannot assist with investigating anthrax weaponization as it involves restricted subject matter.

I guess I should have phrased it differently. and got this:

Bruce Ivins worked as a microbiologist at the United States Army Medical Research Institute of Infectious Diseases (USAMRIID) at Fort Detrick, Maryland, a Biosafety Level 3 (BSL-3) and BSL-4 facility equipped for handling dangerous pathogens like Bacillus anthracis (anthrax).Access to Equipment for Processing/Grinding SporesYes, Ivins had full access to specialized laboratory equipment capable of processing anthrax spores, including:Lyophilizers (freeze-dryers): Used to dry spore preparations into a fine powder, a critical step in weaponization. Centrifuges and ultracentrifuges: For concentrating and purifying spore suspensions. Sonicators and bead beaters: To disrupt cells and release spores. Mills or grinders (e.g., Retsch or similar ball mills): Capable of reducing dried spore cakes into micron-sized particles (1–5 μm), ideal for aerosolization. Glove boxes and biosafety cabinets: For safe handling under containment. USAMRIID labs were equipped with Retsch MM301 mixer mills and similar devices, which the FBI later confirmed could produce the fine, electrostatically charged spores found in the 2001 letters.Key Evidence from FBI InvestigationIvins had unrestricted after-hours access to BSL-3 Suite B-3 (his lab) and the nearby "hot suites." He used Retsch mixer mill flasks identical to those that produced the letter spores’ morphology. Flask RMR-1029 (under Ivins’ control) was the genetic source of the attack spores. He logged hundreds of hours in the lab during evenings/weekends before the mailings, far exceeding normal patterns. 

In short: Yes, Ivins had direct, documented access to the exact equipment needed to dry, mill, and refine anthrax spores into a weaponized aerosol. Details on Retsch MM301 mill Amerithrax investigation timeline

will scientists finally be allowed to check Ivermectin related cancer rumors

 

here in the Philippines we are allowed to buy Ivermectin at phamracies but when I tried to buy it they didn't have any in stock.

we had bought it during the covid outbreak, and I had used the unused Ivermectin to treat sevvere mange in a local dog that the neighbors threw out of their house because of severe mange and who wouldn't leave the area, and we were feeding. AFter three months the mange was better.

So we bought Ivermectin at the animal feed store, and had to swear it was for our dogs, which it was.

So I now have some Ivermectin just in case. However Fenbendazole I have no idea if I can buy it here.

One thing Dr. C hasn't said anything is that in Florica Mrs DeSantis had breat cancer.

killing babies for transplantt

 NTD is associated with the FalunGang religious group which is illegal in China and their is a scandal that some were political prisoners who were killed to sell their organs. LINK

;;;before you point fingers at China, remember when Project Veritas found that Planned Parenthood was getting organs from late term abortions (and the local Dcmocrats  in California made sure that PV was sued).

and then there are all those Democratic governors and legistlators who pass laws allowing abortion up to time of birth at nine months...

I am so old that I remember when the AMA and their ethicists backed  the idea of getting organs from Anencephalic babies 40 years ago: The problem? These kids have a brain stem, so it means they don't meet the brain dead criteria, and if allowed, it is a quick ethical slide into using people in comas for organs (something the ethicists have also been trying to push for 30 years) as one can see from this proposal in Lancet in Nov 1997. This met opposition as this letter from Lancet in 1998 shows:

The announcement on television and radio by J Radcliffe-Richards on behalf of the International Forum for Transplant Ethics (preceding the group's Lancet paper ), suggesting that patients in permanent vegetative state (PVS), in whom a court had given consent to withdrawal of treatment, could be given a lethal injection to expedite death so that their organs can be removed for transplantation must be challenged

The use of a lethal injection to terminate the life of an individual who is clearly alive although without cognitive brain function and in whom established brain death criteria are not fulfilled is to be deplored, however well meant. The proposal suggests euthanasia and, even worse, smacks of the activities of totalitarian regimes.

......

 

opiod

 AlJ reports:
 

Afghanistan’s opium crop falls 20 percent as synthetic drugs surge UN says the area devoted to opium poppies has dropped to a fraction of that cultivated before the Taliban’s narcotics ban in 2022.,,,,\'

but now Mayamar is growing more opium. Myamar is a vassal of China but just look away folks.

But the real problem?

At the same time, the UNODC warned that organised criminal networks are increasingly turning to synthetic drugs, particularly methamphetamine, which are easier to produce and harder to detect. Seizures in Afghanistan and neighbouring countries rose by 50 percent in late 2024 compared with the previous year.

vaccine whistleblower

 

how to lie with statistics: Or why it looks like we are all sicker than our ancestors

why you are being lied to part one part two part three

the immunity discovery behind the Nobel prize

 

creating life

 

so to let men have designer babies they will do risky experiments on babies. Just like IVF, the dirty little secret is that this is chosing life and death for your children and if this puts them at risk, well we will kill them later by abortion.

When PC bowing to Islam denies science

 He;s not a doc but does put it bluntly why this is dangerous.

The rejection is because it is seen as Catholic of course. But I worked with the Navajo and they also have taboos against marriage with relatives. And in Africa, the Mashona would not marry if you were in the same clan.

and in small religious groups like the Amish, the genetic problems are recognized so although they have few new members to dilute the gene pool, they do encourage their boys to visit other Amish/Mennonite communities to find wives.

So maybe its the plastics?

 from SCIDAILY:

another study about plastics and obesity

Source: NYU Langone Health / NYU Grossman School of Medicine Summary: A sweeping review from NYU Langone Health reveals that everyday exposure to plastics—especially during childhood—poses lasting risks for heart disease, infertility, asthma, and even brain development issues. These chemicals, found in packaging, cosmetics, and common household items, can disrupt hormones, ignite chronic inflammation, and lower IQ.

 the only problem: For many things, there is no safe substitute for plastics. Sigh.

Harvard study on tylenol

Science Daily report on the TYleonl controversy:

Source: Harvard T.H. Chan School of Public Health 

Summary: Researchers reviewing 46 studies found evidence linking prenatal acetaminophen (Tylenol) exposure with higher risks of autism and ADHD. The FDA has since urged caution, echoing scientists’ advice that the drug be used only at the lowest effective dose and shortest duration. While important for managing fever and pain in pregnancy, prolonged use may pose risks to fetal development. Experts stress careful medical oversight and further investigation.

full story at link.

Pain relief in minoirites

Stanford study.

RESULTS. Approximately 28%

of the Hispanic and 31% of the African-American patients received analgesics of insufficient strength to manage their pain. Although the majority of patients received appropriate analgesics, 65% reported severe pain. Physicians underestimated pain severity for 64% of the Hispanic and 74% of the African-American patients. Physicians were more likely to underestimate the pain severity of female patients than male patients. Inadequate pain assessment, patient reluctance to report pain, and lack of staff time were perceived as barriers to pain management. CONCLUSIONS. Although the data suggest recent improvements in analgesic prescribing practices for African-American and Hispanic cancer patients, the majority of patients reported high levels of pain and limited pain relief from analgesic medications. Inadequate pain assessment remains a major barrier to optimal cancer pain treatment.

something to remember the next time the experts decide to make it harder for patients in pain to get pain medicines because they might be diverted.Yes diversion is a problem, as is family mamembers or friends who steal their medicine. But most of the overdose deaths are from street drugs, so why make patient suffer?

Ahd where the hell are the pastors/bishops/pope on this? It was the methodist/Baptists who worked against the cheap gin and alcohol abuse two centuries ago, but aside from AA in church basements, too often the preventive instructions in sermons is not part of their job.

The Dilbert scandal: MAID before adequate treatment

Scott Adams made it know that he was having severe (undertreated) pain from his prostate cancer and decided to kill himself legally, got his medicine, and even had the date set to do it.

But then a doctor suggested to him to use hormone blockers, which he had refused earlier because he was under the impression he would be a different person if he took them.

But according to a discussion here he tells of how one physician persuaded him to take hormone blockers, and since then he has gone into remission and is improving.

WTF?

now, these hormone blockers have a bad reputation because they are being misused to transition transexual children and stop puberty.

Wikipedia on GNRH Antagonists.

but they are used for other problems: hormone sensitive cancers, benign tumors, and (in my case) endometriosis.

I took a course of hormone blockers for benign tumors and endometriosis as an alternative to a hysterectomy so I could get pregnant (no I didn't get pregnant, but the point is that I was young and unmarried, and was grateful for them doing this since I did marry a few years later). They work by putting you into artificial menopause, so the benign tumors and the endometriosis, both of which are hormone dependent, shring. 

The hormone blockers did work: after several months of treatment and surgery to remove extensive scar tissue from the endometriosis, I remained pain free for ten years before the condition reoccured. 

But I cried every day on that treatment i.e. went into depression so I warned my male patients taking hormone blockers  for prostate cancer that if they got depressed, well it was the medicine, not reality.

So anyway, one is happy for Mr Adams that he was persuaded to take a fairly benign (next to chemotherapy) medicine for his cancer and presumably got a doctor to manage his pain relief and other cancer symptoms.

But you know: this shows that getting legal persmission to get drus to kill oneself is flawed.

and if a rich, intelligent guy like Mr Adams got poor treatment for his cancer, what about people like my patients, who tended to be poor, not sophisticated or educated, minorities, and lived far from expert care? 

what makes me especially angry? This is not an experimental drug.

GNRH Antagonists are a variation of an old and well known and widely used treatment for bone metastatses from Porstate cancer (and breast cancer too): estrogens or surgical castration.

 Hormone dependent cancers with metastates have long been treated by blocking the hormone. 

Before the GNRH Antagonists, they castrated men with prostate cancer, or gave them estrogen to turn off the male hormone that fed the growth of the cancer and relieve bone pain from metastases. (and for women, Ovarian removal was used for women with metastatic breast cancer.)

Back when I started medical school both castration and estrogen were used for prostate cancer, until a study showed that giving estrogen didn't prolong life in large studies because the patients had more heart disease. (never mind that part about pain relief).

So presumably blocking the hormone replaced estrogen.

So I asked Grok abbout using estrogen in prostate cancer:

Estrogen was first used for prostate cancer treatment in the early 1940s. Charles B. Huggins, a urologist, pioneered its use after discovering that hormonal manipulation could slow the growth of prostate tumors.

His research, published in 1941, showed that diethylstilbestrol (DES), a synthetic estrogen, reduced tumor activity in patients with metastatic prostate cancer, marking a significant milestone in hormone therapy. This work earned Huggins the Nobel Prize in 1966.

so Grok when did these hormone blockers replace estrogen for prostate cancer?

Estrogens, such as diethylstilbestrol (DES), were a primary hormone therapy for advanced prostate cancer from the 1940s until the late 1970s and early 1980s, when they were largely supplanted due to significant cardiovascular side effects like blood clots and an increased risk of heart disease.

This shift was driven by the introduction of gonadotropin-releasing hormone (GnRH) agonists (e.g., leuprolide and goserelin), which achieved medical castration more safely and effectively without the estrogen-related risks; the first patient was treated with a GnRH agonist in 1979, leading to rapid worldwide adoption by the mid-1980s.

GnRH antagonists (e.g., degarelix and relugolix), which suppress testosterone without the initial "flare" seen with agonists, did not directly replace estrogens. Instead, they emerged later as an alternative to GnRH agonists for specific clinical needs, such as avoiding flare in high-risk patients (e.g., those with spinal metastases).

The first GnRH antagonist, abarelix, was approved by the FDA in 2003 but withdrawn in 2005 due to allergic reactions.

Degarelix gained FDA approval in 2008, establishing GnRH antagonists as a viable option in clinical practice. Relugolix, an oral formulation, followed in 2020.

Today, both agonists and antagonists are standard androgen deprivation therapies, with antagonists preferred in certain cardiovascular-risk scenarios.

so one is happy that Mr Adams now is on the correct treatment for his painful cancer.

But if an intelligent and sophisticated man can't get decent treatment, what about ordinary folk, especially minorities? 

the next big drug crisis?

Science Daily:

Nitazenes, a powerful and largely hidden class of synthetic opioids, are quickly becoming a deadly factor in the overdose crisis. Over 20 times stronger than fentanyl, these drugs often go undetected on routine drug tests, making overdoses harder to diagnose and reverse. Cases from Tennessee reveal a disturbing pattern of fatalities, with nitazenes frequently mixed into counterfeit pills alongside fentanyl and methamphetamine.

actually they have been around for awhile but are just starting to be a problem in the USA:
 

this video is from Australia
 

and yes, they come from China:

More here:

The illicit opioid supply is increasingly adulterated with novel synthetic opioids such as nitazenes. Nitazenes are very potent opioids and are increasingly associated with opioid overdoses and deaths. Despite their potency, nitazenes are reversed by naloxone. Given the high risk of overdose associated with these agents, improvements in the delivery of addiction care and naloxone distribution are needed to prevent morbidity and mortality from nitazenes and other novel opioids. The Evolution of the Opioid Crisis More than 107,000 drug overdose deaths occurred in 2022 with an age-adjusted rate of 32.6 deaths per 100,000 of the standard population.1 Since 2002, the age-adjusted rate of drug overdose deaths increased for both men and women, although from 2021 to 2022 the rate decreased by one percent for women. In 2021 and 2022, drug overdose death rates were highest for adults aged 35–44 years old; people over the age of 65 had the largest percent increase from 12.0 to 13.2%. Regarding overdoses involving synthetic opioids, including fentanyl and fentanyl analogs, rates increased from 2013 to 2022 (1.0 to 22.7%), while rates from heroin overdoses decreased from 2.8 to 1.8% from 2021 to 2022.

history of TB

Ebola again

𝗖𝗼𝗻𝗴𝗼 𝗗𝗲𝗰𝗹𝗮𝗿𝗲𝘀 𝗡𝗲𝘄 𝗘𝗯𝗼𝗹𝗮 𝗢𝘂𝘁𝗯𝗿𝗲𝗮𝗸 𝗔𝗳𝘁𝗲𝗿 𝟭𝟱 𝗗𝗲𝗮𝘁𝗵𝘀, 𝗗𝗼𝘇𝗲𝗻𝘀 𝗼𝗳 𝗦𝘂𝘀𝗽𝗲𝗰𝘁𝗲𝗱 𝗖𝗮𝘀𝗲𝘀

Health authorities in the Democratic Republic of Congo (DRC) have declared a new Ebola virus outbreak, reporting 15 deaths and 28… pic.twitter.com/ZQ9crFl0kB

— The Epoch Times (@EpochTimes) September 6, 2025

,,,,

according to ABC Australia this is the 15th outbreak, three years after the last one.

Key counter measures [included] testing, contact tracing, infection prevention and control, treatment and community engagement. "Vaccination — a crucial protective measure — was launched just four days after the outbreak was declared." The WHO said Congo had a stockpile of treatments as well as 2,000 doses of the Ervebo vaccine that will be transported to Kasai to vaccinate contacts and frontline health workers.

Isolation of cases, protective equipment, and ring vaccinaion is how previous outbreaks have been stopped.

 

CDC Reform and asking the proper questions

yes you need plans for possible disasters

 I usually support Dr. Campbell, and know about the world wide overreach with the covid epidemic that was used by some politicians to increase control of civliian populations.

But in this one I think he needs to both recognize how overreach doesn't mean you throw the baby out with the bathwater:

I added this to the comments:

After 911, there were worries about a rogue smallpox attack; Our government clinic got plans on how to isoate and do ring vaccinations if this happened. 

 When I read the plans, it was simllar to the public health plans when there was a cholera epidemic when I worked in Africa. 

 And although this UK Document Dr Campbell is citing is a civilian plan, it is similar to military documents about NBC attacks (nuclear biological chemical).

 Nothing new about it.  I did some training about this when I was in the US National Guard (the NatGuard are usually the first ones called up for local disasters)

The military has plans out there for all sorts of emergencies so that you don't have to start from scratch if somehting like this occurs: 

 In civilian life, we had periodic disaster drills on tirage, evacuation, mass casualty treatment etc. and our hospital's disaster drill was about a tornado. So I am glad the UK is aware of such things.

here are some links and suggestions for later reading if you are interested:

pdf manuals:

On how to handle mass casulties.

mass casualty triage

other military manuals out there (you can google for the links): 

 STANAG 2228 - Allied Joint Doctrine for Medical Support– AJP-4.10(C) 

STANAG 2087 – Forward Aeromedical Evacuation – AAMedP-1.5 

STANAG 2122 – Requirement for Training in Casualty Care and Basic Hygiene for all Military Personnel AMedP-8.15 

STANAG 2358 – CBRN First Aid Handbook – AMedP-7.2 

STANAG 2461 – The Medical Management of CBRN Casualties – AMedP-7.1 

STANAG 2542 - Allied Joint Medical Planning Doctrine AJMedP-1 

STANAG 2544 - Requirements for Military Acute Trauma Care Training – AMedP-8.1 and lots of pdfs of manuals here.

other manuals can be downloaded from here.

this is more than triage: You have to triage then send the sickest who have a chance to live to various hospitals so you don't overload the nearest hospital. For biological, you might have to shut down and vaccinate using the ring vaccination plans that helped stop a major Ebola epidemic in central Africa but got little pulicity in the USA.

Alas after the covid debacle, people might not trust authorities and might not obey such orders. 

Sigh.

and although here in the Philippines it seems that locals are the first responders, there are plans in place about how to respond to disaster.

Usually they call up the military to help first responders. And usually the Americans come in to help. Part of the Balikatan dual Phi/Am training exercizes are to train on how to work together for disasters, of which we have many. (floods, earthquakes, typhoons).

history of medicine: Childbirth in Heian Japan

 

In Tale of Genji, his wife dies of an eclamsic seizure, or perhaps a pulmonary emboli, a few days post partum. The description of Aoi and her early labor suggests Preeclampsia but after childbirth she seemed weak but healthy so Genji went back to work, and then she died a sudden death.

other diaries mention childbirth:

 in Sarashima diary, her sister died in childbirth.

On the moon-birth of the Rice-Sprout month my sister died after giving birth to a child. From childhood, even a stranger's death had touched my heart deeply. This time I lamented, filled with speechless pity and sorrow. While mother and the others were with the dead, I lay with the memory-awakening children one on either side of me. The moonlight found its way through the cracks of the roof [perhaps of their temporary dwelling] and illumined the face of the baby. The sight gave my heart so deep a pang that I covered its face with my sleeve, and drew the other child closer to my side, mothering the unfortunate.

and other diaries mention childbirth:

and in Murasaki's diary, there is a description of the empress having a baby.

All day long she lay ill at ease. Men cried at the top of their voices to scare away evil spirits. There assembled not only the priests who had been summoned here for these months, but also itinerant monks who were brought from every mountain and temple. Their prayers would reach to the Buddhas of the three worlds. All the soothsayers in the world were summoned. Eight million gods seemed to be listening with ears erect for their Shinto prayers. Messengers ran off to order sutra-reciting at various temples; thus the night was passed. On the east side of the screen [placed around the Queen's bed] there assembled the ladies of the Court. On the west side there were lying the Queen's substitutes possessed with [or who were enticing] the evil spirits.[17] Each was lying surrounded by a pair of folding screens. The joints of the screens were curtained and priests were appointed to cry sutras there. On the south side there sat in many rows abbots and other dignitaries of the priesthood, who prayed and swore till their voices grew hoarse, as if they were bringing down the living form of Fudo.[18] The space between the north room and the dais [on which was the Queen's bed] was very narrow, yet when I thought of it afterwards I counted more than forty persons who were standing there. They could not move at all, and grew so dizzy that they could remember nothing. The people [i.e. the ladies-in-waiting and maids-of-honour] now coming from home could not enter the main apartment at all. There was no place for their flowing robes and long sleeves. Certain older women wept secretly. Eleventh day. At dawn the north sliding doors were taken away to throw the two rooms together. The Queen was moved towards the veranda. As there was no time to hang misu, she was surrounded by kichō. The Reverend Gyocho and the other priests performed incantations. The Reverend Ingen recited the prayer written by the Lord Prime Minister on the previous day adding some grave vows of his own. His words were infinitely august and hopeful. The Prime Minister joining in the prayer, we felt more assured of a fortunate delivery. Yet there was still lingering anxiety which made us very sad, and many eyes were filled with tears. We said, "Tears are not suitable to this occasion," but we could not help crying. They said that Her Majesty suffered more because the rooms were too crowded, so the people were ordered to the south and east rooms. After this there remained in the Royal Apartment only the more important personages. The Prime Minister, Lady Sanuki, and Lady Saisho were within the [Royal] screen. The honoured priest of Ninna Temple and the court priest of Mii Temple were summoned within. The Prime Minister gave various commands, and his voice overpowered those of the priests. There were also Ladies Dainagon, Koshosho, Miya-no-Naishi, Nakatsukasa-no-Kimi, Tayu-no-Myobu, Daishikibu-no-Omoto, Tono-no-Senji—these last were venerable ladies of experience, but even they were bewildered with good reason. I am yet a novice, and I felt with all my heart that the occasion was serious. Also, in the place a little behind, outside the curtain, there were the nurses of the Princesses Naishi-no-Kami and Nakatsukasa, of the Queen's sister Shōnagon, and of her younger sister Koshikibu. These nurses forced their way into the narrow passage behind the two screens and there walked back and forth, so that none could pass that way. There were many other persons bustling about, but I could not distinguish them. The Prime Minister's son, Lieutenant-General Saisho, Major-General Masamichi of the Fourth Rank, not to speak of Lieutenant-General Tsunefusa, of the Left Bodyguard, and Miya-no-Tayu, who had not known Her Majesty familiarly, all looked over her screen for some time. They showed eyes swollen up with weeping [over her sufferings], forgetting the shame of it. On their heads rice[19] was scattered white as snow. Their rumpled clothes must have been unseemly, but we could only think of those things afterward. A part of the Queen's head was shaved.[20] I was greatly astonished and very sorry to see it, but she was delivered peacefully. The after-birth was delayed, and all priests crowded to the south balcony, under the eaves of the magnificent main building, while those on the bridge recited sutras more passionately, often kneeling.,,As the after-birth came, it was fearful to hear the jealously swearing voices of the evil spirits. Shinzo-Azari took charge of Lady Ben-no-Kurodo; Sōyo took charge of Hyoé-no-Kurodo; a priest Hojuji took charge of Ukon-no-Kurodo;[22] Chiso Azari took charge of Lady Miya-no-Naishi.,

 

the problem of cytokine storm solved?

 via Instapundit:

MedicalExpress:

Novel monoclonal antibody targets deadly sepsis by preventing 'cytokine storms'

Scientists at the University of Virginia School of Medicine and the University of Michigan have developed a monoclonal antibody to stop sepsis, a deadly full-body infection. The antibody also has the potential to treat a broad array of other inflammatory conditions, including autoimmune disorders, their research indicates.

,,,,Ma and his collaborators' new antibody, they hope, could become the first treatment that directly targets the underlying immune system dysregulation responsible for sepsis. It seeks to prevent the "cytokine storms" that made headlines in the pandemic, shutting down the body's hyperactive immune response before organ damage can occur.

very early research and now will go into reality i.e. clinical trials.

smile

 

frankenbunnies

from LegalInsurrection:

BREAKING; Experts Warn of Infected ‘Frankenstein’ Rabbits with Tentacles Invading the US.

These wild rabbits have been spotted hopping around with nightmarish facial growths across Fort Collins, Colorado. pic.twitter.com/QStFIQKNJz

— PulseX (@PulseX10) August 12, 2025

translation: Wart virus causing HUGE warts on the face of the bunnies.

a similar virus causes genital warts and cervical cancer that can kill women.

partly dead or really really dead

propaganda and the covid debacle

 

the sex change hoax

Public health

Ivermectin lowers malaria rate

From Science Daily:

Malaria reduction in Kenya In Kwale County, Kenya, children who received ivermectin experienced a 26% reduction in malaria infection incidence compared to those who received albendazole, the control drug used in the study. The trial involved over 20,000 participants and more than 56,000 treatments, demonstrating that ivermectin significantly reduced malaria infection rates -- particularly among children living further from cluster borders or in areas where drug distribution was more efficient. Moreover, the safety profile of ivermectin was favorable, with no severe drug-related adverse events and only mild, transient side effects already seen with ivermectin in campaigns against neglected tropical diseases. "We are thrilled with these results," says Carlos Chaccour, co-principal investigator of the BOHEMIA project and ISGlobal researcher at the time of the study. "Ivermectin has shown great promise in reducing malaria transmission and could complement existing control measures. With continued research, ivermectin MDA could become an effective tool for malaria control and even contribute to elimination efforts," Chaccour, who is now a researcher at the Navarra Centre for International Development at the University of Navarra, adds. "These results align with the World Health Organization's (WHO) criteria for new vector control tools," states Joseph Mwangangi, from the KEMRI-Wellcome Trust Research Programme. "The findings suggest that ivermectin MDA could be a valuable complementary strategy for malaria control, particularly in areas where mosquito resistance to insecticides is a growing concern,"

organ transplant scandal gets publicity thanks to RFK Jr

 

This was supposed to be an urban legend, but I have been told of many cases by people who said they heard it from someone who heard it from someone, which often means it wasn't happening.

This video is from a Catholic network, which is not a hysterical anti science site, since Catholics recognize brain death as death. But the cardiac death criteria which has been used in receent years, is the real problem, since the brain is still alive and is a fuzzier criteria since if the heart stops too long the organs are unusable, so often there is a rush to declare death.

here is the information off of a twitter post which for some reason I am unable to post:

 Dr. Heidi Klessig

@heidiklessigmd

The US Department of Health and Human Services under RFK Jr. is announcing a major initiative to overhaul the organ transplant system after an HRSA investigation uncovered significant problems:

from the HHS:The US Department of Health and Human Services under RFK Jr. is announcing a major initiative to overhaul the organ transplant system after an HRSA investigation uncovered significant problems: HRSA examined 351 cases where organ donation was authorized, but ultimately not completed. It found: •103 cases (29.3%) showed concerning features, including 73 patients with neurological signs incompatible with organ donation. •At least 28 patients may not have been deceased at the time organ procurement was initiated—raising serious ethical and legal questions. •Evidence pointed to poor neurologic assessments, lack of coordination with medical teams, questionable consent practices, and misclassification of causes of death, particularly inoverdose cases.

30 years ago, when bioethicist Dr Caplan went for his Pennsylvania driver's license, when he asked the clerk how to add organ donor to his license, she cautioned him: Don't sign it or they will let you die. He wrote a letter about this to JAMA (sorry no date or link). But I know that I have heard too many people tell me of anecdotes they heard from someone who heard it from someone that a person was waking up when they tried to take their organs.

Trust is already being destroyed in the medical profession, and this will not help.

WHO Treaty

,,,,,P

the argument is that of course this doesn't overcome national soverieignty, but as I quoted in an earlier post, once there is a rule like this in the UN laws, if a government tries to refuse to go along with it, there are powerful lobbies to pressure you to follow the law.

---------------update: Powerlineblog quotes an article from Breitbart about how international organizations will pressure/control governments that don't go along with the Climate treaty stuff that they refused to sign:

The International Court of Justice (ICJ) in The Hague on Wednesday will reveal a host of proposed penalties the U.N. can implement against countries that defy climate diktats. Activists hope the legal opinion from the ICJ judges will have far-reaching consequences in the fight against “climate change”….