We,
Belgian doctors and health professionals, wish to express our serious
concern about the evolution of the situation in the recent months
surrounding the outbreak of the SARS-CoV-2 virus. We call on politicians
to be independently and critically informed in the decision-making
process and in the compulsory implementation of corona-measures. We ask
for an open debate, where all experts are represented without any form
of censorship. After the initial panic surrounding covid-19, the
objective facts now show a completely different picture – there is no
medical justification for any emergency policy anymore.
The current crisis management has become totally disproportionate and causes more damage than it does any good.
We
call for an end to all measures and ask for an immediate restoration of
our normal democratic governance and legal structures and of all our
civil liberties.
‘A
cure must not be worse than the problem’ is a thesis that is more
relevant than ever in the current situation. We note, however, that the
collateral damage now being caused to the population will have a greater
impact in the short and long term on all sections of the population
than the number of people now being safeguarded from corona.
In
our opinion, the current corona measures and the strict penalties for
non-compliance with them are contrary to the values formulated by the
Belgian Supreme Health Council, which, until recently, as the health
authority, has always ensured quality medicine in our country: “Science –
Expertise – Quality – Impartiality – Independence – Transparency”. 1
We
believe that the policy has introduced mandatory measures that are not
sufficiently scientifically based, unilaterally directed, and that there
is not enough space in the media for an open debate in which different
views and opinions are heard. In addition, each municipality and
province now has the authorisation to add its own measures, whether
well-founded or not.
Moreover, the strict repressive policy on
corona strongly contrasts with the government’s minimal policy when it
comes to disease prevention, strengthening our own immune system through
a healthy lifestyle, optimal care with attention for the individual and
investment in care personnel.2
The concept of health
In
1948, the WHO defined health as follows: ‘Health is a state of complete
physical, mental and social well-being and not merely the absence of
disease or other physical impairment’.3
Health,
therefore, is a broad concept that goes beyond the physical and also
relates to the emotional and social well-being of the individual.
Belgium also has a duty, from the point of view of subscribing to
fundamental human rights, to include these human rights in its
decision-making when it comes to measures taken in the context of public
health. 4
The
current global measures taken to combat SARS-CoV-2 violate to a large
extent this view of health and human rights. Measures include compulsory
wearing of a mask (also in open air and during sporting activities, and
in some municipalities even when there are no other people in the
vicinity), physical distancing, social isolation, compulsory quarantine
for some groups and hygiene measures.
The predicted pandemic with millions of deaths
At
the beginning of the pandemic, the measures were understandable and
widely supported, even if there were differences in implementation in
the countries around us. The WHO originally predicted a pandemic that
would claim 3.4% victims, in other words millions of deaths, and a
highly contagious virus for which no treatment or vaccine was
available. This would put unprecedented pressure on the intensive care
units (ICUs) of our hospitals.
This
led to a global alarm situation, never seen in the history of mankind:
“flatten the curve” was represented by a lockdown that shut down the
entire society and economy and quarantined healthy people. Social
distancing became the new normal in anticipation of a rescue vaccine.
The facts about covid-19
Gradually, the alarm bell was sounded from many sources: the objective facts showed a completely different reality. 5 6
The course
of covid-19 followed the course of a normal wave of infection similar
to a flu season. As every year, we see a mix of flu viruses following
the curve: first the rhinoviruses, then the influenza A and B viruses,
followed by the coronaviruses. There is nothing different from what we
normally see.
The use of the non-specific PCR test, which produces
many false positives, showed an exponential picture. This test was
rushed through with an emergency procedure and was never seriously
self-tested. The creator expressly warned that this test was intended
for research and not for diagnostics.7
The
PCR test works with cycles of amplification of genetic material – a
piece of genome is amplified each time. Any contamination (e.g. other
viruses, debris from old virus genomes) can possibly result in false
positives.8
The
test does not measure how many viruses are present in the sample. A
real viral infection means a massive presence of viruses, the so-called
virus load. If someone tests positive, this does not mean that that
person is actually clinically infected, is ill or is going to become
ill. Koch’s postulate was not fulfilled (“The pure agent found in a
patient with complaints can provoke the same complaints in a healthy
person”).
Since a positive PCR test
does not automatically indicate active infection or infectivity, this
does not justify the social measures taken, which are based solely on
these tests. 9 10
Lockdown.
If
we compare the waves of infection in countries with strict lockdown
policies to countries that did not impose lockdowns (Sweden, Iceland …),
we see similar curves. So there is no link between the imposed
lockdown and the course of the infection. Lockdown has not led to a
lower mortality rate.
If we look at the date of application of the
imposed lockdowns we see that the lockdowns were set after the peak was
already over and the number of cases decreasing. The drop was therefore
not the result of the taken measures. 11
As
every year, it seems that climatic conditions (weather, temperature and
humidity) and growing immunity are more likely to reduce the wave of
infection.
Our immune system
For
thousands of years, the human body has been exposed daily to moisture
and droplets containing infectious microorganisms (viruses, bacteria and
fungi).
The penetration of these
microorganisms is prevented by an advanced defence mechanism – the
immune system. A strong immune system relies on normal daily exposure to
these microbial influences. Overly hygienic measures have a detrimental
effect on our immunity. 12 13 Only people with a weak or faulty immune system should be protected by extensive hygiene or social distancing.
Influenza
will re-emerge in the autumn (in combination with covid-19) and a
possible decrease in natural resilience may lead to further casualties.
Our immune system consists of two parts: a congenital, non-specific immune system and an adaptive immune system.
The non-specific immune system
forms a first barrier: skin, saliva, gastric juice, intestinal mucus,
vibratory hair cells, commensal flora, … and prevents the attachment of
micro-organisms to tissue.
If they do attach, macrophages can cause the microorganisms to be encapsulated and destroyed.
The adaptive immune system
consists of mucosal immunity (IgA antibodies, mainly produced by cells
in the intestines and lung epithelium), cellular immunity (T-cell
activation), which can be generated in contact with foreign substances
or microorganisms, and humoral immunity (IgM and IgG antibodies produced
by the B cells).
Recent research shows that both systems are highly entangled.
It
appears that most people already have a congenital or general immunity
to e.g. influenza and other viruses. This is confirmed by the findings
on the cruise ship Diamond Princess, which was quarantined because of a
few passengers who died of Covid-19. Most of the passengers were elderly
and were in an ideal situation of transmission on the ship. However,
75% did not appear to be infected. So even in this high-risk group, the
majority are resistant to the virus.
A
study in the journal Cell shows that most people neutralise the
coronavirus by mucosal (IgA) and cellular immunity (T-cells), while
experiencing few or no symptoms 14.
Researchers
found up to 60% SARS-Cov-2 reactivity with CD4+T cells in a
non-infected population, suggesting cross-reactivity with other cold
(corona) viruses.15
Most
people therefore already have a congenital or cross-immunity because
they were already in contact with variants of the same virus.
The
antibody formation (IgM and IgG) by B-cells only occupies a relatively
small part of our immune system. This may explain why, with an antibody
percentage of 5-10%, there may be a group immunity anyway. The efficacy
of vaccines is assessed precisely on the basis of whether or not we have
these antibodies. This is a misrepresentation.
Most people who
test positive (PCR) have no complaints. Their immune system is strong
enough. Strengthening natural immunity is a much more logical approach.
Prevention is an important, insufficiently highlighted pillar: healthy,
full-fledged nutrition, exercise in fresh air, without a mask, stress
reduction and nourishing emotional and social contacts.
Consequences of social isolation on physical and mental health
Social isolation and economic damage led to an increase in depression, anxiety, suicides, intra-family violence and child abuse.16
Studies
have shown that the more social and emotional commitments people have,
the more resistant they are to viruses. It is much more likely that
isolation and quarantine have fatal consequences. 17
The
isolation measures have also led to physical inactivity in many older
people due to their being forced to stay indoors. However, sufficient
exercise has a positive effect on cognitive functioning, reducing
depressive complaints and anxiety and improving physical health, energy
levels, well-being and, in general, quality of life.18
Fear,
persistent stress and loneliness induced by social distancing have a
proven negative influence on psychological and general health. 19
A highly contagious virus with millions of deaths without any treatment?
Mortality turned out to be many times lower than expected and close to that of a normal seasonal flu (0.2%). 20
The number of registered corona deaths therefore still seems to be overestimated.
There
is a difference between death by corona and death with corona. Humans
are often carriers of multiple viruses and potentially pathogenic
bacteria at the same time. Taking into account the fact that most people
who developed serious symptoms suffered from additional pathology, one
cannot simply conclude that the corona-infection was the cause of death.
This was mostly not taken into account in the statistics.
The most vulnerable groups can be clearly identified.
The vast majority of deceased patients were 80 years of age or older.
The majority (70%) of the deceased, younger than 70 years, had an
underlying disorder, such as cardiovascular suffering, diabetes
mellitus, chronic lung disease or obesity. The vast majority of infected
persons (>98%) did not or hardly became ill or recovered
spontaneously.
Meanwhile, there is an affordable, safe and efficient therapy
available for those who do show severe symptoms of disease in the form
of HCQ (hydroxychloroquine), zinc and AZT (azithromycin). Rapidly
applied this therapy leads to recovery and often prevents
hospitalisation. Hardly anyone has to die now.
This effective
therapy has been confirmed by the clinical experience of colleagues in
the field with impressive results. This contrasts sharply with the
theoretical criticism (insufficient substantiation by double-blind
studies) which in some countries (e.g. the Netherlands) has even led to a
ban on this therapy. A meta-analysis in The Lancet, which could not
demonstrate an effect of HCQ, was withdrawn. The primary data sources
used proved to be unreliable and 2 out of 3 authors were in conflict of
interest. However, most of the guidelines based on this study remained
unchanged … 48 49
We have serious questions about this state of affairs.
In
the US, a group of doctors in the field, who see patients on a daily
basis, united in “America’s Frontline Doctors” and gave a press
conference which has been watched millions of times.21 51
French
Prof Didier Raoult of the Institut d’Infectiologie de Marseille (IHU)
also presented this promising combination therapy as early as April.
Dutch GP Rob Elens, who cured many patients in his practice with HCQ and
zinc, called on colleagues in a petition for freedom of therapy.22
The
definitive evidence comes from the epidemiological follow-up in
Switzerland: mortality rates compared with and without this therapy.23
From
the distressing media images of ARDS (acute respiratory distress
syndrome) where people were suffocating and given artificial respiration
in agony, we now know that this was caused by an exaggerated immune
response with intravascular coagulation in the pulmonary blood vessels.
The administration of blood thinners and dexamethasone and the avoidance
of artificial ventilation, which was found to cause additional damage
to lung tissue, means that this dreaded complication, too, is virtually
not fatal anymore. 47
It is therefore not a killer virus, but a well-treatable condition.
Propagation
Spreading
occurs by drip infection (only for patients who cough or sneeze) and
aerosols in closed, unventilated rooms. Contamination is therefore not
possible in the open air. Contact tracing and epidemiological studies
show that healthy people (or positively tested asymptomatic carriers)
are virtually unable to transmit the virus. Healthy people therefore do
not put each other at risk. 24 25
Transfer via objects (e.g. money, shopping or shopping trolleys) has not been scientifically proven.26 27 28
All
this seriously calls into question the whole policy of social
distancing and compulsory mouth masks for healthy people – there is no
scientific basis for this.
Masks
Oral masks
belong in contexts where contacts with proven at-risk groups or people
with upper respiratory complaints take place, and in a medical
context/hospital-retirement home setting. They reduce the risk of
droplet infection by sneezing or coughing. Oral masks in healthy
individuals are ineffective against the spread of viral infections. 29 30 31
Wearing a mask is not without side effects. 32 33 Oxygen
deficiency (headache, nausea, fatigue, loss of concentration) occurs
fairly quickly, an effect similar to altitude sickness. Every day we now
see patients complaining of headaches, sinus problems, respiratory
problems and hyperventilation due to wearing masks. In addition, the
accumulated CO2 leads to a toxic acidification of the organism which
affects our immunity. Some experts even warn of an increased
transmission of the virus in case of inappropriate use of the mask.34
Our
Labour Code (Codex 6) refers to a CO2 content (ventilation in
workplaces) of 900 ppm, maximum 1200 ppm in special circumstances. After
wearing a mask for one minute, this toxic limit is considerably
exceeded to values that are three to four times higher than these
maximum values. Anyone who wears a mask is therefore in an extreme
poorly ventilated room. 35
Inappropriate
use of masks without a comprehensive medical cardio-pulmonary test file
is therefore not recommended by recognised safety specialists for
workers.
Hospitals have a sterile environment in their operating
rooms where staff wear masks and there is precise regulation of humidity
/ temperature with appropriately monitored oxygen flow to compensate
for this, thus meeting strict safety standards. 36
A second corona wave?
A
second wave is now being discussed in Belgium, with a further
tightening of the measures as a result. However, closer examination of
Sciensano’s figures (latest report of 3 September 2020)37
shows that, although there has been an increase in the number of
infections since mid-July, there was no increase in hospital admissions
or deaths at that time. It is therefore not a second wave of corona, but
a so-called “case chemistry” due to an increased number of tests. 50
The
number of hospital admissions or deaths showed a shortlasting minimal
increase in recent weeks, but in interpreting it, we must take into
account the recent heatwave. In addition, the vast majority of the
victims are still in the population group >75 years.
This
indicates that the proportion of the measures taken in relation to the
working population and young people is disproportionate to the intended
objectives.
The vast majority of the positively tested “infected”
persons are in the age group of the active population, which does not
develop any or merely limited symptoms, due to a well-functioning immune
system.
So nothing has changed – the peak is over.
Strengthening a prevention policy
The
corona measures form a striking contrast to the minimal policy pursued
by the government until now, when it comes to well-founded measures with
proven health benefits such as the sugar tax, the ban on (e-)cigarettes
and making healthy food, exercise and social support networks
financially attractive and widely accessible. It is a missed opportunity
for a better prevention policy that could have brought about a change
in mentality in all sections of the population with clear results in
terms of public health. At present, only 3% of the health care budget
goes to prevention. 2
The Hippocratic Oath
As a doctor, we took the Hippocratic Oath:
“I will above all care for my patients, promote their health and alleviate their suffering”.
“I will inform my patients correctly.”
“Even under pressure, I will not use my medical knowledge for practices that are against humanity.”
The current measures force us to act against this oath.
Other health professionals have a similar code.
The
‘primum non nocere’, which every doctor and health professional
assumes, is also undermined by the current measures and by the prospect
of the possible introduction of a generalised vaccine, which is not
subject to extensive prior testing.
Vaccine
Survey
studies on influenza vaccinations show that in 10 years we have only
succeeded three times in developing a vaccine with an efficiency rate of
more than 50%. Vaccinating our elderly appears to be inefficient. Over
75 years of age, the efficacy is almost non-existent.38
Due
to the continuous natural mutation of viruses, as we also see every
year in the case of the influenza virus, a vaccine is at most a
temporary solution, which requires new vaccines each time afterwards. An
untested vaccine, which is implemented by emergency procedure and for
which the manufacturers have already obtained legal immunity from
possible harm, raises serious questions. 39 40 We do not wish to use our patients as guinea pigs.
On a global scale, 700 000 cases of damage or death are expected as a result of the vaccine.41
If 95% of people experience Covid-19 virtually symptom-free, the risk of exposure to an untested vaccine is irresponsible.
The role of the media and the official communication plan
Over
the past few months, newspaper, radio and TV makers seemed to stand
almost uncritically behind the panel of experts and the government,
there, where it is precisely the press that should be critical and
prevent one-sided governmental communication. This has led to a public
communication in our news media, that was more like propaganda than
objective reporting.
In our opinion, it is the task of journalism
to bring news as objectively and neutrally as possible, aimed at finding
the truth and critically controlling power, with dissenting experts
also being given a forum in which to express themselves.
This view is supported by the journalistic codes of ethics.42
The
official story that a lockdown was necessary, that this was the only
possible solution, and that everyone stood behind this lockdown, made it
difficult for people with a different view, as well as experts, to
express a different opinion.
Alternative opinions were ignored or
ridiculed. We have not seen open debates in the media, where different
views could be expressed.
We were
also surprised by the many videos and articles by many scientific
experts and authorities, which were and are still being removed from
social media. We feel that this does not fit in with a free, democratic
constitutional state, all the more so as it leads to tunnel vision. This
policy also has a paralysing effect and feeds fear and concern in
society. In this context, we reject the intention of censorship of dissidents in the European Union! 43
The
way in which Covid-19 has been portrayed by politicians and the media
has not done the situation any good either. War terms were popular and
warlike language was not lacking. There has often been mention of a
‘war’ with an ‘invisible enemy’ who has to be ‘defeated’. The use in the
media of phrases such as ‘care heroes in the front line’ and ‘corona
victims’ has further fuelled fear, as has the idea that we are globally
dealing with a ‘killer virus’.
The relentless bombardment with
figures, that were unleashed on the population day after day, hour after
hour, without interpreting those figures, without comparing them to flu
deaths in other years, without comparing them to deaths from other
causes, has induced a real psychosis of fear in the population. This is
not information, this is manipulation.
We
deplore the role of the WHO in this, which has called for the infodemic
(i.e. all divergent opinions from the official discourse, including by
experts with different views) to be silenced by an unprecedented media
censorship.43 44
We urgently call on the media to take their responsibilities here!
We demand an open debate in which all experts are heard.
Emergency law versus Human Rights
The
general principle of good governance calls for the proportionality of
government decisions to be weighed up in the light of the Higher Legal
Standards: any interference by government must comply with the
fundamental rights as protected in the European Convention on Human
Rights (ECHR). Interference by public authorities is only permitted in
crisis situations. In other words, discretionary decisions must be
proportionate to an absolute necessity.
The
measures currently taken concern interference in the exercise of, among
other things, the right to respect of private and family life, freedom
of thought, conscience and religion, freedom of expression and freedom
of assembly and association, the right to education, etc., and must
therefore comply with fundamental rights as protected by the European
Convention on Human Rights (ECHR).
For example, in accordance with
Article 8(2) of the ECHR, interference with the right to private and
family life is permissible only if the measures are necessary in the
interests of national security, public safety, the economic well-being
of the country, the protection of public order and the prevention of
criminal offences, the protection of health or the protection of the
rights and freedoms of others, the regulatory text on which the
interference is based must be sufficiently clear, foreseeable and
proportionate to the objectives pursued.45
The
predicted pandemic of millions of deaths seemed to respond to these
crisis conditions, leading to the establishment of an emergency
government. Now that the objective facts show something completely
different, the condition of inability to act otherwise (no time to
evaluate thoroughly if there is an emergency) is no longer in place.
Covid-19 is not a cold virus, but a well treatable condition with a
mortality rate comparable to the seasonal flu. In other words, there is
no longer an insurmountable obstacle to public health.
There is no state of emergency.
Immense damage caused by the current policies
An
open discussion on corona measures means that, in addition to the years
of life gained by corona patients, we must also take into account other
factors affecting the health of the entire population. These include
damage in the psychosocial domain (increase in depression, anxiety,
suicides, intra-family violence and child abuse)16 and economic damage.
If
we take this collateral damage into account, the current policy is out
of all proportion, the proverbial use of a sledgehammer to crack a nut.
We find it shocking that the government is invoking health as a reason for the emergency law.
As
doctors and health professionals, in the face of a virus which, in
terms of its harmfulness, mortality and transmissibility, approaches the
seasonal influenza, we can only reject these extremely disproportionate
measures.
- We therefore demand an immediate end to all measures.
- We are questioning the legitimacy of the current advisory experts, who meet behind closed doors.
- Following on from ACU 2020 46 https://acu2020.org/nederlandse-versie/
we call for an in-depth examination of the role of the WHO and the
possible influence of conflicts of interest in this organisation. It was
also at the heart of the fight against the “infodemic”, i.e. the
systematic censorship of all dissenting opinions in the media. This is
unacceptable for a democratic state governed by the rule of law.43
Distribution of this letter
We
would like to make a public appeal to our professional associations and
fellow carers to give their opinion on the current measures.
We draw attention to and call for an open discussion in which carers can and dare to speak out.
With
this open letter, we send out the signal that progress on the same
footing does more harm than good, and call on politicians to inform
themselves independently and critically about the available evidence –
including that from experts with different views, as long as it is based
on sound science – when rolling out a policy, with the aim of promoting
optimum health.
With concern, hope and in a personal capacity.
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- https://acu2020.org/
- https://reader.elsevier.com/reader/sd/pii/S0049384820303297?token=9718E5413AACDE0D14A3A0A56A89A3EF744B5A201097F4459AE565EA5EDB222803FF46D7C6CD3419652A215FDD2C874F
- https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31180-6/fulltext
- https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31324-6/fulltext
- There is no revival of the pandemic, but a so-called casedemic due to more testing.
https://www.greenmedinfo.com/blog/crucial-viewing-understanding-covid-19-casedemic1 - https://docs4opendebate.be/wp-content/uploads/2020/09/white-paper-on-hcq-from-AFD.pdf