Excitement about the cheap, generic steroid dexamethasone is finally dying down, perhaps because the real numbers are sinking in:
Dexamethasone reduced deaths by one-third in ventilated patients (rate ratio 0.65 [95% confidence interval 0.48 to 0.88]; p=0.0003) and by one fifth in other patients receiving oxygen only (0.80 [0.67 to 0.96]; p=0.0021). There was no benefit among those patients who did not require respiratory support (1.22 [0.86 to 1.75]; p=0.14).It's somewhat depressing that this is the best showing for a drug after six months of pandemic, and that we only have it because some folks at Oxford decided to try out a steroid (among a bunch of other treatments), even though steroid use for ARDS was thought to be a fairly bad bet. But it's still better than nothing, and almost as cheap.
Based on these results, 1 death would be prevented by treatment of around 8 ventilated patients or around 25 patients requiring oxygen alone.
Massachusetts cases are up a quarter of a percent. Though some people are still holding their breath for protest repercussions, we seem to have escaped them. The statewide increase in cases for this week was only 1%, and the only major city with ongoing significant activity is Fall River, at 5% with 71 new cases for the week:
(Pop out.)
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