Dr. T. Rama Prasad wrote this article which is published in
The Antiseptic, a monthly Journal of Medicine and Surgery,
of November 2023 - Indexed in IndMED www.theantiseptic.in Vol.120,No.11
Opinions and projections connected with this subject are loaded with bias and logic as well, as it is difficult to draw a line between what is right and what is wrong, and between common and uncommon. Readers may draw their own conclusions depending upon their experience and perception.
Over-prevention, Over-investigation, Over-diagnosis and Over-treatment
Author : Dr. T. Rama Prasad
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Dr. T. Rama Prasad,
Formerly: Medical Superintendent (Special) of RTS & IRT Perundurai Medical College and Research Centre, Perundurai, Tamil Nadu, India
Presently: Director of ‘PAY WHAT YOU CAN CLINIC’, Perundurai, Erode District, Tamil Nadu – 638052, India.
Specially Contributed to “The Antiseptic” (Medical Journal Indexed in IndMED) www.theantiseptic.in
“Science is always wrong. It never solves a problem without creating ten more.”
-- George Bernard Shaw
INTRODUCTION
The unrelenting spread of COVID-19 had set off a lot of ‘emergency’ and ‘experimental’ initiatives in ‘Modern Medicine’ (Allopathy) which is the most accepted scientific system of medicine all over the world. It has been based on a robust foundation of science, logic, rationale and wisdom. The rigid regulatory checks and balances of ‘normal times’ have become flexible and arbitrary in many countries during the Covid pandemic. Some pharmaceutical companies and some hospitals had taken advantage of this to promote certain drugs and vaccines for profiteering. Fear among the public paved the way for profiteers. It's a see-saw like situation with evidence for and against coupled with shifting advisories which had become commonplace. The phenomenon of ‘over-prevention, over-investigation, over-diagnosis and over-treatment’ which started around 1970s got tremendous traction during the Covid pandemic period. Some of the issues are brought to focus directly or indirectly in this article written in an informal way which may provoke thought and may even make some people squirm restlessly in their seats.
Over-investigation inevitably leads to over-diagnosis, and over-diagnosis has the disastrous consequence of over-treatment which includes death.
AMAZING ACHIEVEMENT
Vega, a medical student, asked me: “Doctor, why are these people awarded the Nobel Prize for developing the dangerous ‘mRNA COVID vaccines’ ?” My reply was: “It is a monumental work of decades which enabled timely manufacture of an effective and safe vaccine at an unprecedented speed, of less than a year, which saved millions of people from one of the greatest threats to human health in modern times. It’s rather poetic that they could reduce the vaccine-making time from 10 years to 10 months ! At last, Katalin Kariko and Drew Weissman, the joint awardees of the 2023 Nobel Prize in Physiology or Medicine for their pioneering mRNA vaccine development, stopped the pandemic – hallelujah ! But, why did you call it dangerous ?”
With a wry smile, she quoted the blasting and damning ‘testimony’ of Dr. Peter A. McCullough, an American cardiologist and a professor at Texas A&M University, at an event of ‘Health & Democracy under WHO’s new proposed rules’ on September 13, 2023, around the same time as of the announcement of the Nobel Prize. The meeting was held within the European Parliament building, but, of course, the speech was not addressed to the European Parliament, as had been widely reported in the media.
DUMP COVID VACCINES
Dr. Peter said : “COVID-19 vaccines and all of their progeny and future boosters are not safe for human use. I implore you to apply all pressure and due urgency to remove the COVID-19 vaccines from the market. The spike protein – the lethal protein from the vaccines – is proven in 3,400 peer-reviewed manuscripts to cause four major domains of disease – cardiovascular, neurological, blood-clotting and immunological abnormalities.”
Bewildered, I disagreed saying that the U.S. Center for Disease Control and Prevention (CDC) has recommended at around the same time in September 2023 to vaccinate nearly all the American citizens with the new ‘updated’ / ‘modified’ COVID-19 vaccines. Absurd, Vega said. Betraying a tinge of derision, she cited various events – three Canadian doctors died after taking COVID vaccine, all within a week in July 2022; the Indian comedian movie actor Vivek died one day after being vaccinated; as of April 10, 2023, a total of 50,648 deaths caused by ‘COVID vaccines’ had been reported in‘EudraVigilance’ alone; Novak Djokovic preferred to forego the French Open and Wimbledon titles rather than getting vaccinated; American President Joe Biden, British Queen Elizabeth II, and the young U.S. Surgeon-General Dr. Vivek Murthy got the COVID infection after receiving multiple COVID vaccinations.
Defensively, I said that airbags in cars are no guarantee against death, and that over 700,000 Americans die each year due to side effects of treatment with government-sanctioned conventional medicines and treatment protocols. Compared to this, the deaths due to COVID-19 vaccines are few and far between, considering the total number of 13,513,207,231 vaccine doses given until September 26, 2023. The ongoing ‘safety surveillance’ at the FDA of the US demonstrates that the benefits of their use outweigh their risks.
DETRIMENTAL VACCINES
Not convinced, she reinforced her stance by citing several statements -- Klaus Steger, a molecular biologist, opined that modified RNA vaccines can end up in attacking perfectly healthy cells and bypass the protective barriers in human body, like the ‘blood-brain’ barrier, as the vaccine cannot target specific cells to make viral protein; Dr. Phillip Buckhaults, a professor at the University of South Carolina testified that ‘DNA contamination’ in COVID-19 vaccines is a plausible cause for some of the rare but serious consequences like death from cardiac arrest; Dr. Harvey Risch, a professor emeritus at the Yale School of Public Health, observed that there is evidence of more cancers among those vaccinated, and said that the news reports about a new COVID variant that is expected to arrive shortly are a ‘propaganda agenda’ to sell new vaccines that are programmed to come out in a short time.
‘ILL-ACADEMIC’ SCENARIO
After twittering about what all is bad about the vaccines, Vega asked me to opine on the COVID academic scenario which is bogged down in a mire of controversies, with ‘Big Pharma’ also being a big player – a BIG one which can influence even WHOand NOBEL committees. With clinical coolness, I said that we go by the ‘evidence-based’ science and medicine that is presented in ‘good-standard conferences’ and published in ‘well-reputed journals’. Shooting down pointedly at this, she shot the question: “Are the journals ‘The Lancet’ and ‘The New England Journal of Medicine’ ill-reputed ? They published and retracted the infamous articles allegedly based on fraudulent and fabricated data generated by the ‘Surgisphere’ on COVID-drug-related issues. There might be a myriad of such articles which are not retracted. Is this science or nonsense ?”
The student marshalled another inconvenient question : “What’s the truth about the relationship between the ‘pharma academics’ and the doctors’ practice? As no amount of spin and gloss can hide the painful truth, I suggested Vega to read the article published in the British Medical Journal (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1126035/ ) wherein Dr. Kamran Abbasi and Dr. Richard Smith wrote the following: "An article in this theme issue of the BMJ identifies 16 ways in which doctors are entangled with the drug industry. … Virtually all of the new drugs developed in the past 60 years—drugs that have transformed medicine—have been either developed or manufactured by drug companies. … Drug companies are commercial companies that must market their products. Sometimes they bend the rules, but it is doctors who are perhaps more to blame in coming to depend on drug company largesse. … Doctors and drug companies must work together, but doctors do not need to be banqueted, transported in luxury, put up in the best hotels, and educated by drug companies. ... How did we reach the point where doctors expect their information, research, education, professional organisations, and attendance at conferences to be underwritten by drug companies ? Both doctors and drug companies know there is something unhealthy in this relationship, but seem unable to stop themselves.”
This sums up the problem and the solution too. Vega bid goodbye saying “Now the ‘Modern Medicine’ has its own bitter pill to swallow !”
CORDIAL RELATIONSHIP
And now, the new regulations, framed by the National Medical Commission (NMC), like barring doctors to attend medical conferences sponsored by medical companies, mandating doctors to prescribe by generic names, etc. are out on hold, consequent to protests by ‘pharma’ and ‘medical’ associations. This reflects the strength of the 'pharma-doc' relationship -- call it 'brotherly' if you want to be nice, or 'nexus' if you want to be rude. Money and material seem to be important in any relationship these days ! Yet, it’s a fortunate stroke of serendipity that the relationship in India is not as strong as that in the US, what with all the complex health insurance compulsions existing there.
EVIDENCE-BASED MEDICINE
The ‘wicked relationship’ and the vested interests exponentially promoted ‘Evidence-based Modern Medicine’ and the public awareness of ‘good health’ to the extent that people run to ‘specialists’ and ‘huge hospitals’ for every small illness, and run into the risk of ‘over-prevention, over-investigation, over-diagnosis and over-treatment’ leading to needless, expensive and often harmful investigations and treatment. The expenses and the possible risks are justified by the vested interests, citing scientific literature. Evidence of harmful effects of the ‘Evidence-based Modern Medicine’ has been growing fast.
‘Modern Medicine’ has mastered the art of justifying the needless and possibly harmful doings under the pretext of following practices of ‘evidence-based’ medicine. Giant hospitals, small hospitals and individual practitioners too follow the ‘evidence-based’ practices for various reasons -- to protect themselves from the teeth of rules and legal regulations; to expand their facilities; to make themselves economically viable or even to profiteer. Some are avoiding to treat selectively certain patients, to avoid medico-legal problems. The subject is a very complex one, and we need to ruminate on this, and do some soul-searching about the state of the ‘Evidence-based Modern Medicine’. Three years on into the pandemic we still have only a patchy knowledge about this disease, and decades on into vigorous research we couldn’t come to really robust evidence on many aspects of many diseases.
OVER-PREVENTION
‘Over-prevention’ (lockdowns, travel restrictions, vaccination mandates, etc.) is no less a devil, as had been witnessed during the Covid pandemic. Opinions among even scientists are divided and even amusing sometimes, let alone those of the world leaders and politicians. It is abundantly evident in the following sentence of a recent court order by a Justice: “scientists believe cow is the only animal that inhales and exhales oxygen” (www.toi.in October 10, 2021). There had been protests against ‘lockdowns’, ‘face masks’, ‘Covid vaccination’, etc. backed by some scientists and world leaders around the globe. Due to the ‘pressure’, the US government was obliged to relax precautions. Over-hygiene among some affluent people may make them more susceptible to infections.
OVER-INVESTIGATION
The following is an abstract of a paper on ‘over-investigation’ (https://link.springer.com/chapter/10.1007/978-1-349-05776-4_4 ) :
“The extent to which patients and doctors alike are becoming mesmerized by the contemporary diagnostic technology is indeed remarkable. It appears that no doctor is now willing to make a diagnosis — and no patient is willing to accept one — without recourse to the formidable diagnostic armoury of the medical-industrial complex. One hears nowadays of patients attending their doctor merely for ‘tests’ or who are admitted to hospital solely for ‘investigation’. The medical establishment has become so preoccupied with its new sophisticated diagnostic gadgetry that it appears that it has forgotten the priority of treatment in the management of a patient’s illness. This is not to say that diagnosis is not important, it is; but many of the tests performed are superfluous and irrelevant to this task.”
OVER-DIAGNOSIS & OVER-TREATMENT
“Why then, can one desire too much of a good thing ?”
.—William Shakespeare, AS YOU LIKE IT (1600)
Yes, a good question by the Bard of Avon. Healthcare has been glorifying ‘Modern Medicine’ which has been thriving well on ‘too much healthcare’. ‘Too much healthcare’ includes too much screening of asymptomatic individuals, too much investigation of those with symptoms, too much reliance on biomarkers, too many quasi-diseases, too much diagnosis, too much treatment, too much of cost-ineffective medicines, too costly medicines that are too rapidly approved for marketing, too many adverse reactions, and too much inappropriate monitoring. Thus, too much healthcare implies too little of ‘effective healthcare’.
Over-diagnosis has two major components -- over-detection and over-definition of disease. Though over-diagnosis manifests in different forms, the consequences are the same -- wrong direction that ultimately causes more harm than benefit. Confusion around diagnosis undermines progress to correct treatment.
DATA SCIENCE SENSE
Covid-19 pandemic has exposed the cracks in our data systems. It’s a dreadful reminder that data deficiency led to catastrophic consequences. Systemic failure of triaging led to needless hospitalisations and the consequent shortage of beds, oxygen and drugs for the really needy patients. People’s confidence in healthcare systems and the governance gets eroded when deaths are grossly underreported while the skyline is lit up continuously with tragic flames from burial grounds. Dead bodies were floating in the sacred waters of the Ganges river. The confidence ran low when a lot of their kith and kin died due to oxygen shortage while it was ironically stated that no deaths were reported due to lack of oxygen – again due to the failure of data science. That’s the science sense despite guidelines of checklists and advance monitoring issued by the National Institute of Medical Statistics. Poor data automatically translates into poor service.
PSEUDOSCIENCE
No other disease had generated so much of fake news, rumours and misinformation than COVID-19. Honestly speaking, we don't have much of proven facts about this disease. This could be the reason for the great confusion about the ‘sense and nonsense’ about this disease. While the scientific world is struggling to find facts about this new virus, innumerable preventive and curative suggestions have been making rounds sans any scientific proof. Millions of dollars are being spent on ‘pseudoscience’ and its products of unproved efficacy.
The myriad uncertainties in the ‘Covid science’ had brought to the fore the pseudoscience, both in allopathy (‘modern medicine’) and other systems of medicine. It’s natural that people embrace any nonsense when ‘modern medicine’ says it has no specific medicine against COVID-19 and certain other diseases. It comes even from political heads in the form of touting for Hydroxychloroquine or ‘paapads’ (‘appalams’). Countless wellness gurus, holistic healers, herbalists, naturopaths, chiropractors, potions, ‘kashayams’, pills and practices had promptly stepped in. Of course, donkey milk, cow urine, bleach, cocaine, zinc, vitamin D, vitamin C and a host of other immune-boosters to prevent or cure COVID-19 had enjoyed a great patronage. Many of these which were considered nonsense to prevent a disease in the pre-Covid times are now being religiously consumed. The poppycock is transformed into science by using the language of real science, language of stem cell research, language of quantum physics and the language of double-blind randomized control trials – a phenomenon called ‘scienceploitation’.
People have come to trust this pseudoscience as real science, especially when all this guff is tacitly recognized by ‘integrative health centres’ in many countries including Canada, Singapore and the UK, and at universities and reputed institutions such as the Cleveland Clinic in Ohio which offers ‘Reiki’ – a method of treatment by using hands without even touching the patient to balance the “vital life force energy that flows through all living things.” Research at the University of Florida was cited for activation of immune system-related genes by ‘Inner Engineering’ practices. Studies at the Harvard Medical School were cited for improvement of sleep quality by ‘Inner Engineering’, and the research at the Rutgers Universitywas quoted for stress reduction through ‘Brain Engineering’ programmes. Some Indian ‘gurus’ and ‘godmen’ claimed that such ‘Mind Engineering’ programmes increase ‘endocannabinoids’ in the brain creating a natural ‘state of bliss’.
“India’s premier healthcare institute, the All India Institute of Medical Sciences (AIIMS) has just formed a committee to recommend a roadmap for a department on SPIRITUAL MEDICINE. Sections of the staff and faculty panned the decision, claiming it was deviating from evidence-based approach” ( TNIE, October 6, 2023). It is also reported that Dr. Rama Dada, AIIMS spokesperson, said that Yoga and Reiki will be part of the proposed faculty, and that University of Michigan and Yale School of Medicine already have dedicated courses for ‘spirituality in science’.
HEAL THYSELF
‘Modern Medicine’ may have to keep its own house in order. To not do so would amount to criminal negligence. They need to take cudgels in the battle against the bunk. There has always been an issue between practitioners of ‘modern medicine’ and those of ‘traditional Indian systems of medicine’. Anything from any system which doesn’t make a tall claim and which gives benefit without harmful side effects is good. ‘Pseudoscience’ has been present in all the systems and it flourished too well during the ‘confused Corona times’. Clear subversion of scientific process had been evident in modern medicine too. As emerged recently, some stakeholders were quick to join an opprobrium against a tall claim of a “cure” for Covid by a pill of ‘alternative medicine’ while their own houses were disorderly.
DEVILISH DRIVERS of MODERN MEDICINE
‘Modern Medicine’ did alleviate the suffering from diseases and disabilities in a big way, prevented plenty of fatal scourges, and saved innumerable lives to a phenomenal extent, thanks to the dedicated doctors and researchers. It has been firmly in the driver’s seat with the support of science, research, manufacturers, politicians and the media. It has been unquestioningly rated as the best medical option until around 1970s. Later, its ‘drivers’, driven by greed, exploited the anxiety of the people to that extreme extent that they may be called ‘devils’. The documenting of exploitation of desperate patients, scientific frauds, spurious drugs, medical malpractices, surgical rackets, pharmaceutical scandals, health insurance ghosts, etc. represents just the tip of the iceberg. Just to have a glimpse of it, go to my articles : The Science and Nonsense around COVID. The Antiseptic, 2021 November; Vol. 118; No. 11; P: 8-14; Indexed in IndMED -- www.antiseptic.in ; https://drtramaprasad.blogspot.com/2017/04/science-and-nonsense-about-covid.html ; https://drtramaprasad.blogspot.com/2017/04/hydroxychloroquine-hcq-and-coronavirus_29.html
Disastrous Second COVID Wave in India. The Antiseptic. 2021 June; Vol.118; No.6; P: 20-27; Indexed in IndMED – www.antiseptic.in ; https://drtramaprasad.blogspot.com/2017/04/modern-medicine-good-bad-and-ugly_30.html .
As an example of many misused anti-COVID drugs, let us take up the drug Remdesivir. The WHO issued a conditional recommendation against the use of Remdesivir. ‘Gilead pharma’ said that the WHO findings are “inconsistent with more robust evidence.” While the WHO said that Remdesivir did not have a substantial effect on patients’ length of hospitalisation or chances of survival, the ‘Gilead pharma’ projected a $3 billion sale of their Remdesivir in 2020.
The grossly overused Remdesivir recorded a sale of Rs. 593 crore from June to December 2020 in India. During the ‘second wave’ in India, one dose of Remdesivir was sold for more than Rs. 35,000, and one dose of Tocilizumab for more than Rs. 160,000, and a hospital bed for more than Rs. 100,000 per day, in the ruthless black market that fends on the artificial demand and patronage by some professionals, while people were standing on a bed of shrieking cadavers – shameful exploitation in the times of despair ( The Antiseptic, June 2021). The General Insurance Council, in an affidavit filed before the Supreme Court in September 2020, alleged that private hospitals were overcharging insured patients – in one instance, as much as Rs. 14 lakh for a patient. Many had sold their properties including their cattle and sheep to pay ‘overtreatment’ bills. Yet, most of them landed at overflowing graveyards. Has the nobleness in the ‘Noble Profession’ reached the ‘RIP/Om Shanthi’ status ! And many doctors hurriedly opened COVID HOSPITALS (with facilities only on paper) ostensibly to help people and perhaps to make a fast buck. Not to disappoint them, COVID has turned into ‘LONG COVID’. Somewhere in the ethereal heavens, Lady Mary Wortley Montagu must be musing as the incredulous LONG story of COVID brings to memory her quote : “Life is too short for a long story” (The Antiseptic, October 2022). Medical service all over the world is largely run on business models – just a competition, profit driven (https://drtramaprasad.blogspot.com/2020/06/coronavirus-covid-19-sars-cov-2_43.html ).
SCIENCE and NONSENSE
The following few lines, which are revealing, are excerpts from my article titled “The Science and Nonsense around COVID” published in The Antiseptic of June 2021 : “ … The scientific medicine has been ever-evolving and dynamic with no bias and vested interests. This is what is ideal about it. And most of the people have unflinching faith in the system. That said, alas, many scientific calculations and research findings pertaining to ‘Covid (SARS-CoV-2 / COVID-19) medicine’ went on unexpected lines over the past 20 months, making people stare at the ‘modern medicine’ with a sliver of suspicion, especially because of the growing shade of commercialism in the application of medical science over the past few decades, locally and globally. … Contradictory reports about preventive measures and confusing statements about treatment protocols prevailed. And there were fraudulent ‘scientific and medical’ activities with vested interests which made science vulnerable to be questioned. During the 'Corona period', various drugs and vaccines were permitted for 'emergency use / experimental use / compassionate use' by various authorities across the world without robust evidence of benefit. … It is estimated that with the sale of Covid booster doses alone (let alone the paediatric doses), just one manufacturer would be benefitted to the extent of $26 billion (let alone the other competitors). After all, the business of selling is for making profit mainly. Waning of the vaccine-generated immunity would puff up the coffers of companies. “Ill-health is wealth” ! All the same, the ‘Big Pharma’ needs to be in good ‘economic health’, as most of the advancements in medicine have been due to their investment of billions of dollars in ‘Research and Development (R&D)’. … A greater worry with regard to children is about the yet unknown long-term health impacts of Covid infection and Covid vaccination in this age group. The latest surprising (and an apparently nonsensical) news as on September 6, 2021 was administering Covid vaccine to children as young as two years. …” The Covid peregrination is not yet over. It may not be a surprise if manufacturers find an indication for annual Covid vaccine shots. Already, many countries had the 3rdbooster and some had the 4th one.
A CONUNDRUM
Inability to explain satisfactorily certain ‘Covid happenings’ caused a terrible embarrassment to science. Happenings in America exemplify this. The number of Covid-related deaths in the US is proportionately more than that in many equal and also disadvantaged countries. More than one million deaths occurred in the US out of the global figure of around six million. Does it make any sense in the context of a century of medical advancements in the US which brags about its de la crème de status of healthcare on the planet, and its $15-trillion economy ? This is just one example of the uncertainty of application of science. Covid has upended everything and everybody on the planet, a beggar to a billionaire. It even made science to look like a bundle of nonsense. The history of mankind shows that every age expresses sorrowful nostalgia for bygone healthy generations, yet this does not preclude rising longevity.
“MONEYISM”
‘Earning money’ appears to be the most attractive ‘religion’. ‘Modern Medicine’ too seems to be a devotee of it. Stakeholders are numerous at varied fields – investors to manufacturers; raw material suppliers to finished product dealers; tiny hospitals to mega corporates; chemists to doctors. Many elders of the medical fraternity lament that ‘Modern Medicine’ is making money, after around 1970s, by terrifying people with alarming statistics, over-investigating, over-diagnosing and over-treating.
Read what the editor of an internationally reputed medical journal wrote -- Dr. Kamran Abbasi, Editor-in-Chief of the British Medical Journal (BMJ) wrote the following in the ‘Editor’s Choice’ column of the BMJ of 16 June 2022 under the title “A system reset for the campaign against too much medicine” (https://www.bmj.com/content/bmj/377/bmj.o1466.full.pdf ) : “… The current burden on health systems is undoubtedly worsened by overdiagnosis and overtreatment. … Drawing on Ivan Illich’s argument that the “medical establishment has become a major threat to health,” Ray Moynihan and Richard Smith explained “how life’s normal processes can be medicalised.” … The risk-benefit calculus does not favour treatment. … Yet, the forward march of “industrial medicine” is relentless. The reasons are complex, but MONEY is the prime driver. “Selling sickness” is a profitable business, and marketing disease exploits the fears and emotions of patients. … All this is amplified and complicated by the covid pandemic. … Above all, the campaign against too much medicine needs a system reset to move from rhetoric and scattered evidence to actionable evidence and measurable impact. …”
The Editor-in-Chief of the BMJ has delivered a few home truths.
REGRET and RECTIFICATION
Much as we dislike grumbling about the state of the science, the recent events related to Covid leave us with no choice but to package our message in a bundle of barbed wire. How we wish we could puff up our chest with ‘modern medical pride’ and declare in a resonant voice that ‘Modern Medicine’ is a genuine evidence-based system. Alas, however hard we try, it is becoming impossible to deny the harsh reality of ignorance, fraud and exploitation. There are legitimate concerns about how scientific research is funded, interpreted and disseminated. Scientific integrity is crucial to promote both trust in science and trustworthy science.
The integrity manifests only by refraining from hype and by being transparent about conflicts of interest. “Ethics in medical practice is knowing the difference between what you have a right to do and what is right to do.” Good science and kind practice are the twin towers for medical progress. Tentativeness is the hallmark of science and one must adopt what the philosopher of science Lee McIntyre calls a scientific attitude – an openness to seeking new evidence and a willingness to change one’s mind. All the same, we have to keep in mind the following quote:
“Philosophy of science is about as useful to scientists as ornithology is to birds.”
-- Richard P. Feynman
Dr. T. Rama Prasad is the WORLD RECORD holder of authoring 28 articles related to COVID-19 in 30 months, published in a medical journal (The Antiseptic – www.theantiseptic.in -- Indexed in IndMED), and reporting in the same journal the WORLD’s FIRST CASE of ‘Yellow Nail Syndrome’ associated with COVID-19, PT & DM (https://drtramaprasad.blogspot.com/2017/04/yellow-nail syndrome_28.html ). He wrote his first article in the premier journal, The Antiseptic, four decades ago. Many of his articles written over half-a-century may be accessed at https://drtramaprasad.blogspot.com/2017/04/dr-t-rama-prasad.html & https://drtramaprasad.blogspot.com/2017/04/my-in-newspapers_28.html & https://drtramaprasad.blogspot.com .
The END of the ARTICLE
AstraZenica company had withdrawn in 2024 its COVID vaccine Vaxzevria ( named as Covishield in India). The company admitted in a court in the UK that its vaccine may cause side-effects including 'Thrombosis with Thrombocytopenia Syndrome' which might have caused deaths. The company is facing a 'Class-action' lawsuit in the UK. Fifty one cases have been filed against the company.
“It seems that we have done all the RIGHT things during the Covid pandemic, but, perhaps, in a WRONG way.” -- Dr. T. Rama Prasad
https://drtramaprasad.blogspot.com/2023/01/covid-vaccines-safe-or-unsafe.html
New York Supreme Court reinstates all employees fired for being unvaccinated, orders backpay
State Supreme Court found that being vaccinated 'does not' stop the spread of COVID-19
Published October 25, 2022 12:13pm EDT
FacebookA New York state Supreme Court ordered all New York City employees who were fired for not being vaccinated to be reinstated with back pay.
The court found on Monday that "being vaccinated does not prevent an individual from contracting or transmitting COVID-19." New York City Mayor Eric Adams claimed earlier this year that his administration would not rehire employees who had been fired over their vaccination status. NYC fired roughly 1,700 employees for being unvaccinated earlier this year after the city adopted a vaccine mandate under former Mayor Bill de Blasio.
Many of those fired were police officers and firefighters.
NYC MAYOR OFFICIAL EXEMPTS ATHLETES, PERFORMERS FROM COVID VAX MANDATE
The court had reinstated all employees who were fired for not being vaccinated, ordering backpay and saying their rights had been violated.
FDNY-Uniformed Firefighters Association President Andrew Ansbro and FDNY-Uniformed Fire Officers Association President Lt. James McCarthy condemned Adams earlier this year after the mayor allowed an exception to the vaccine mandate for athletes and performers, even as firefighters were still being fired over their status. The pair called on the city to expand the exception to all New Yorkers.
NYC WON'T REHIRE UNVACCINATED WORKERS, MAYOR SAYS.
"We're here to say that we support the revocation of the vaccine mandate that the mayor announced on Thursday," McCarthy said. "We think that it should be extended as well. We support the revocation of the mandate for the athletes and performers that work in New York City. We think that the people that work for New York City should also have the mandate relocated for them."
People gathered to protest vaccine mandates for city workers at City Hall Park on Nov. 3, 2021, in New York City.
"If you're going to remove the vaccine mandate for certain people in the city, you need to remove it for everybody in the city," Ansbro said. "If you're going to follow the science, science is going to tell you there isn't any danger right now, and putting hundreds of firefighters, police officers and other emergency workers out of work is not in the best interest of the city. It's not safe."
US Supreme Court Judgment:
‘Covid vaccines are NOT vaccines’. Robert F. Kennedy Jr. won his case against all pharmaceutical lobbies.
“Covid-19 vaccines are NOT vaccines. In its decision, the Supreme Court confirms that the damage caused by Covid mRNA gene therapies is IRREPARABLE. As the Supreme Court is the highest court in the United States, there are no further appeals and all avenues of appeal have been exhausted.”
In a statement, Robert F. Kennedy highlighted that this success was only possible thanks to the international cooperation of a large number of lawyers and scientists.
“ It is clear that this decision constitutes an international precedent. Especially in Switzerland, this ruling should have an impact, because Switzerland has a special position with its federal constitution. On the one hand, the Nuremberg Code is contained in article 118-B of the Constitution and, in Switzerland, the misuse of genetic engineering in humans is prohibited under article 119 of the Federal Constitution. This prohibition is complemented by article 230-A of the Swiss Criminal Code, which means that offenders risk a prison sentence of up to 10 years.
However, this historic judgment should also give pause to the rest of the world, because the Nuremberg Code has international validity and is also contained in Article 7 of the International Covenant on Civil and Political Rights.
In the case of criminal charges, the Statement should refer to the Contergan scandal in order to give special weight to the importance of such charges or allegations.
German lawyer Rainer Füllmich and more than 100 other German lawyers are actively involved in these cases. None of the media talks about the issue, neither in Switzerland nor in Europe.
Unfortunately, it is almost mathematical that, in the case of a disruptive issue capable of altering the financial and economic plans of the powerful LOBBIES in the PHARMACEUTICAL sector, public opinion is not informed. We are in the middle of a promotional campaign aimed at encouraging people to get vaccinated and then re-vaccinated in the light of the upcoming winter.
It is very likely that, if news of the historic trial does get out, it will do so belatedly, it would allow the corrupt medical profession, aligned with the positions of the pharmaceutical lobbies, to make as much progress as possible with the vaccination campaign.
WE, therefore, INVITE all honest people of good will to give maximum publicity to this historic decision of the US Supreme Court, for our own good, but above all for the good of our children and grandchildren.... Let us not let the lobbyists irreparably ruin our health and put our lives in danger.
LET US PROMOTE REBELLION AGAINST THE DIRTY AND UNPUBLISHED BUSINESS OF DEATH.”
You can see the news at the following link:
The New York state Supreme Court has reinstated all employees who were fired for not being vaccinated, ordering back pay and saying their rights had been violated. (Mike Coppola/Getty Images)
Opinions and projections connected with this subject are loaded with bias and logic as well, as it is difficult to draw a line between what is right and what is wrong, and between common and uncommon. Readers may draw their own conclusions depending upon their experience and perception.
