'Trump’s Inaccurate Claims on Hydroxychloroquine' diff viewer (4/5)

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Trump’s Inaccurate Claims on Hydroxychloroquine	Trump’s Inaccurate Claims on Hydroxychloroquine
2020-06-09 12:00:42 UTC	2020-06-09 22:38:50 UTC (about 11 hours later)
As President Trump has promoted hydroxychloroquine as a treatment for the coronavirus and claimed to be taking it himself, he has continued to make inaccurate or incomplete statements about the drug. Here is a fact check of his recent claims.	As President Trump has promoted hydroxychloroquine as a treatment for the coronavirus and claimed to be taking it himself, he has continued to make inaccurate or incomplete statements about the drug. Here is a fact check of his recent claims.
What Mr. Trump Said	What Mr. Trump Said
“You’d be surprised at how many people are taking it, especially the front-line workers before you catch it. The front-line workers, many, many are taking it.”— at a round table with restaurant executives on Monday	“You’d be surprised at how many people are taking it, especially the front-line workers before you catch it. The front-line workers, many, many are taking it.”— at a round table with restaurant executives on Monday
“Hydroxychloroquine is used by thousands and thousands of front-line workers, so that hopefully they don’t catch this horrible disease or whatever you want to call it.”— in a cabinet meeting on Tuesday	“Hydroxychloroquine is used by thousands and thousands of front-line workers, so that hopefully they don’t catch this horrible disease or whatever you want to call it.”— in a cabinet meeting on Tuesday
This lacks evidence. It is certainly possible that some doctors and health care workers are still taking hydroxychloroquine as a preventive treatment, but there is little support for the president’s repeated suggestion that the practice is widespread.	This lacks evidence. It is certainly possible that some doctors and health care workers are still taking hydroxychloroquine as a preventive treatment, but there is little support for the president’s repeated suggestion that the practice is widespread.
The American Medical Association said in a statement that it “does not know of any tracking or surveys examining personal use of hydroxychloroquine among health care workers.”	The American Medical Association said in a statement that it “does not know of any tracking or surveys examining personal use of hydroxychloroquine among health care workers.”
The American Nurses Association was more emphatic, saying that it “has not received reports from nurses or other front-line health care workers utilizing hydroxychloroquine as a preventative treatment for Covid-19. Furthermore, to date, research has not shown clear evidence that hydroxychloroquine has a preventative effect for Covid-19.”	The American Nurses Association was more emphatic, saying that it “has not received reports from nurses or other front-line health care workers utilizing hydroxychloroquine as a preventative treatment for Covid-19. Furthermore, to date, research has not shown clear evidence that hydroxychloroquine has a preventative effect for Covid-19.”
In March, The New York Times and other news organizations reported that some doctors were prescribing themselves and their family members hydroxychloroquine and hoarding supplies, according to pharmacy boards across the country.	In March, The New York Times and other news organizations reported that some doctors were prescribing themselves and their family members hydroxychloroquine and hoarding supplies, according to pharmacy boards across the country.
That behavior, however, appears to have declined after a warning from the Food and Drug Administration that the drug could cause serious heart problems for coronavirus patients, studies questioning its efficacy and a series of regulations from states and medical boards restricting its use.	That behavior, however, appears to have declined after a warning from the Food and Drug Administration that the drug could cause serious heart problems for coronavirus patients, studies questioning its efficacy and a series of regulations from states and medical boards restricting its use.
“We have not received from the state boards of pharmacy any new concerns regarding the continued stockpiling of hydroxychloroquine,” said Al Carter, the executive director of the National Association of Boards of Pharmacy.	“We have not received from the state boards of pharmacy any new concerns regarding the continued stockpiling of hydroxychloroquine,” said Al Carter, the executive director of the National Association of Boards of Pharmacy.
“Once states began implementing emergency limitations and guidelines on the amount of hydroxychloroquine that could be prescribed and dispensed for acute use, the complaints from pharmacists and state boards of pharmacy decreased significantly,” Mr. Carter added.	“Once states began implementing emergency limitations and guidelines on the amount of hydroxychloroquine that could be prescribed and dispensed for acute use, the complaints from pharmacists and state boards of pharmacy decreased significantly,” Mr. Carter added.
Mr. Trump may have been referring to front-line workers who are participating in clinical trials on the efficacy of hydroxychloroquine in preventing Covid-19 infection. Thousands are currently enrolled in these trials, and many are still recruiting eligible volunteers. Participants in these trials, however, represent a tiny fraction of the health care and front-line workers across the country. There are over one million active doctors and nearly three million registered nurses alone.	Mr. Trump may have been referring to front-line workers who are participating in clinical trials on the efficacy of hydroxychloroquine in preventing Covid-19 infection. Thousands are currently enrolled in these trials, and many are still recruiting eligible volunteers. Participants in these trials, however, represent a tiny fraction of the health care and front-line workers across the country. There are over one million active doctors and nearly three million registered nurses alone.
Researchers conducting these trials also said that interest in taking the drug, even in a clinical setting, had waned recently.	Researchers conducting these trials also said that interest in taking the drug, even in a clinical setting, had waned recently.
One of the largest trials coordinated by Duke University School of Medicine and the Patient-Centered Outcomes Research Institute, a nonprofit established by the Affordable Care Act that funds clinical research, has enrolled 550 health care workers, out of a goal of 15,000. Among a larger group of 12,000 front-line workers who have been sharing their experiences through the school’s website, two-thirds were previously interested in participating in the hydroxychloroquine trial, but that is down to about half “since the media hype,” said Dr. Adrian Hernandez, who directs the Clinical Research Institute at Duke.	One of the largest trials coordinated by Duke University School of Medicine and the Patient-Centered Outcomes Research Institute, a nonprofit established by the Affordable Care Act that funds clinical research, has enrolled 550 health care workers, out of a goal of 15,000. Among a larger group of 12,000 front-line workers who have been sharing their experiences through the school’s website, two-thirds were previously interested in participating in the hydroxychloroquine trial, but that is down to about half “since the media hype,” said Dr. Adrian Hernandez, who directs the Clinical Research Institute at Duke.
Another doctor conducting a clinical trial who spoke on the condition of anonymity said many colleagues had stashes of hydroxychloroquine in their offices and used it as a preventive measure in the early days of the pandemic. Use is continuing but is no longer as widespread, the doctor said, especially after the F.D.A. warning and as supplies of personal protective equipment became less scarce. The doctor’s clinical trial, too, has lost recruitment because “people got scared,” the doctor said.	Another doctor conducting a clinical trial who spoke on the condition of anonymity said many colleagues had stashes of hydroxychloroquine in their offices and used it as a preventive measure in the early days of the pandemic. Use is continuing but is no longer as widespread, the doctor said, especially after the F.D.A. warning and as supplies of personal protective equipment became less scarce. The doctor’s clinical trial, too, has lost recruitment because “people got scared,” the doctor said.
Dr. H. Michael Belmont, a professor of medicine at New York University, said his study had recruited 125 participants out of a capacity of 350, partly because of strict eligibility requirements, partly because cases in New York had decreased and partly because studies showing the drug’s ineffectiveness “reduced somewhat the enthusiasm.”	Dr. H. Michael Belmont, a professor of medicine at New York University, said his study had recruited 125 participants out of a capacity of 350, partly because of strict eligibility requirements, partly because cases in New York had decreased and partly because studies showing the drug’s ineffectiveness “reduced somewhat the enthusiasm.”
Taking hydroxychloroquine as a prophylactic should really be done only in a research setting, Dr. Belmont emphasized. “You do it outside a clinical trial, you lose the opportunity to answer scientific questions,” he said.	Taking hydroxychloroquine as a prophylactic should really be done only in a research setting, Dr. Belmont emphasized. “You do it outside a clinical trial, you lose the opportunity to answer scientific questions,” he said.
What Mr. Trump Said	What Mr. Trump Said
“And if you look at the one survey, the only bad survey, they were giving it to people that were in very bad shape. They were very old, almost dead. It was a ‘Trump enemy’ statement.”— in remarks to reporters on Tuesday	“And if you look at the one survey, the only bad survey, they were giving it to people that were in very bad shape. They were very old, almost dead. It was a ‘Trump enemy’ statement.”— in remarks to reporters on Tuesday
False. Mr. Trump was referring to a study of 368 Veterans Affairs patients — all male with a median age over 65 — hospitalized with Covid-19 infections. It found no evidence that hydroxychloroquine reduced patients’ chances of being put on a mechanical ventilator and that the drug was associated with “increased overall mortality.”	False. Mr. Trump was referring to a study of 368 Veterans Affairs patients — all male with a median age over 65 — hospitalized with Covid-19 infections. It found no evidence that hydroxychloroquine reduced patients’ chances of being put on a mechanical ventilator and that the drug was associated with “increased overall mortality.”
Updated June 5, 2020	Updated June 5, 2020
	So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.	A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.	The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.	Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.	Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.	States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.	Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.	Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)	If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.	Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.	The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.	If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.	If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
But he was wrong that it was the “only bad survey” that threw cold water on the efficacy of hydroxychloroquine.	But he was wrong that it was the “only bad survey” that threw cold water on the efficacy of hydroxychloroquine.
When Mr. Trump dismissed the study of veterans this month, The Times noted that the current body of research was limited to a few studies criticized for methodological errors and was insufficient to support the use of hydroxychloroquine and chloroquine, another malaria drug, as treatments.	When Mr. Trump dismissed the study of veterans this month, The Times noted that the current body of research was limited to a few studies criticized for methodological errors and was insufficient to support the use of hydroxychloroquine and chloroquine, another malaria drug, as treatments.
Since then, more research has been published. Two studies, each observing around 1,400 patients in New York City, concluded that administering hydroxychloroquine was not associated with greatly lower risk of mortality. Smaller studies in France and China reached similar conclusions.	Since then, more research has been published. Two studies, each observing around 1,400 patients in New York City, concluded that administering hydroxychloroquine was not associated with greatly lower risk of mortality. Smaller studies in France and China reached similar conclusions.
What Mr. Trump Said	What Mr. Trump Said