The PCR test and treatment for Covid19.

NB; Don't worry about a positive test, and don't celebrate a negative test.

Follow these principals:

1. Everyone with symtoms of Covid19 should be treated for Covid19 even if their test is negative. The PCR test has a 30% false negative rate.

2. If you don't have symptoms, you don't need treatment for Covid19 even if your test is positive.
The PCR test does not detect the virus, but the genetic material of the virus.
A positive test without symptoms could mean old healed disease or a very mild asymptomatic disease that your immune system has overcome.

3. Don't bother repeating your test after treatment. The test may remain positive many weeks after you have healed. As explained above, the test detects genetic material of the virus, not the actual virus.

Ivermectin out- patient treament protocal for an adult with Covid19

a) NB: Ivermectin should not be taken by a pregnant/breastfeeding mother. For those, we propose a different protocol.
b) The protocols may change with time due to evolving experience & new evidence.

1. Ivermectin 12mg dissolved in half a glass of water and taken after a meal, then repeat another 12mg in 5 days.

2. Azithromycin 500 mg once a day for 3 days.
3. Vit D3 (Devit 3 - 300,000iu/ml orally once. (If you get a different dose, please ask the pharmacist how to take it)

4. Steaming twice a day for 7 days. Take 10 deep breaths through the mouth and out through the nose and another 10 breaths this time through the nose and out through the mouth.

5. Paracetamol 1gm 4 times a day for three days if in pain or feverish.

6. Monitor oxygen levels twice a day and if they drop below 90% go to hospital urgently for admission and inpatient treatment as you may need oxygen support.

Covid19 treatment for pregnant and breast feeding mothers.

NB: The protocols may change with time due to evolving experience new evidence.

1. Hydroxychloroquine 200mg twice a day for 5 days.
2. Zinc Sulphate 40mg once a day for 5 days
3. Azithromycin 500 mg once a day for 3 days.
4. Vit D3 (Devit 3 - 300,000iu/ml orally once. (If you get a different dose, please ask the pharmacist how to take it)
5. Steaming twice a day for 7 days. Take 10 deep breaths through the mouth and out through the nose and another 10 breaths this time through the nose and out through the mouth.
6. Paracetamol 1gm 4 times a day for three days if in pain or feverish.or
Aspirin 75mg once a day.
6. Monitor oxygen levels twice a day and if they drop below 90% go to hospital urgently for admission and inpatient treatment as you may need oxygen support. Monitor oxygen levels at least twice a day.

Happy hypoxia
This is when oxygen levels go below 90 without difficult in breathing. By the time difficulty in breathing starts, the patient has severe hypoxia.

Preventive treatment for persons with higher risks of developing sever Covid19 infections.

This include:
1. 60+ years old
2. HIV/AIDS
3. Cancer
4. Chronic illness e.g. Diabetes, Hypertension, kidney failure, heart diseases etc.

1. Ivermectin 12mg dissolved in half a glass of water and taken after a meal weekly for four weeks. This covers them for an additional 8 weeks without taking any more Ivermectin. By then, the crisis will be over.
2. Vit D3 (Devit 3 - 300,000iu/ml orally once. (If you get a different dose, please ask the pharmacist how to take it).
3. If in the same house as a person on treatment for Covid19, add steaming twice a day for 7 days. Take 10 deep breaths through the mouth and out through the nose and another 10 breaths this time through the nose and out through the mouth.

NB
Let us preserve the Zelenko protocol for the pregnant and breast feeding mother's - we cannot afford to have those drugs going out of stock.

Please don't put any person who is not high risk on prophylaxis. With availble treatment and considering that only 90% of the infected are developing symptoms and therefore at risk, the general population, including pregnant and breast feeding women don't need prophylaxis.

Mild infection is helping us to develop immunity.

Dr Wahome Ngare - KCDA

27th March 2021

https://youtu.be/FmK1G2JbdoA

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