TallGuyJohninBKK

fyi.... I don't think the older bivalent Pfizer vaccines for adults are available anymore from the BMA health clinics. But these below now are available.

Not from the history of the past 20th Century or the current century thus far, as shown below: "A pandemic is an epidemic of an infectious disease that has spread across a large region, for instance multiple continents or worldwide, affecting a substantial number of individuals. Widespread endemic diseases with a stable number of infected individuals such as recurrences of seasonal influenza are generally excluded..." https://en.wikipedia.org/wiki/List_of_epidemics_and_pandemics Plus another one, with a lower estimated number of deaths: 2009 Swine Flu Pandemic In 2009, the H1N1 flu virus, known as "swine flu," spread quickly worldwide. Researchers had not previously identified the novel H1N1 flu virus in either animals or humans.6 Between April 12, 2009, and April 10, 2010, swine flu caused 60.8 million cases, 274,304 hospitalizations, and about 12,469 deaths in the United States. The Centers for Disease Control and Prevention (CDC) estimates that up to 575,400 people died worldwide.7 ... The pandemic officially ended on August 10, 2010. Still, the H1N1 flu virus circulates seasonally.7 https://www.health.com/condition/infectious-diseases/worst-pandemics-in-history

It's coming... just a matter of how soon, and how bad... World health leaders warn of pandemic 20 times worse than COVID Without preparedness, the WHO warned, a pandemic from Disease X could cause much more damage than COVID, which has killed more than 7 million worldwide. Jan. 24, 2024 (NewsNation) — At the recent World Economic Forum, the World Health Organization issued a warning to world leaders, saying the world could face a pandemic 20 times worse than COVID-19 in the future. Scientists call it Disease X, a term that recognizes the next global pandemic could come as the result of an unknown pathogen rather than the spread of a currently recognized disease. ... While Disease X was the focus of the session, it’s not the only illness that concerns epidemiologists. Other viruses that could potentially cause a pandemic include Ebola, Marburg, Crimean-Congo hemorrhagic fever, Lassa fever, SARS, MERS, Nipah virus, Rift Valley Fever, Zika virus and new evolutions of COVID-19. https://thehill.com/changing-america/well-being/prevention-cures/4424600-world-health-leaders-warn-of-pandemic-20-times-worse-than-covid/

User report: Filed my online 90-day report to BKK Immigration on Monday morning about 8 a.m. Got the approval and confirmation back today/Tuesday by about 10 a.m. That's probably the fastest turnaround time I've ever experienced with 90-day online reporting to BKK.

Did Sweden beat the pandemic by refusing to lock down? No, its record is disastrous "One fact that tends to be glossed over by anti-lockdown advocates is that Sweden did eventually tighten its social distancing regulations and advisories, though only after the failure of its initial policies became clear." ... in December 2020, King Carl XVI Gustaf shocked the country by taking a public stand against the government’s approach: “I think we have failed,” he said. “We have a large number who have died and that is terrible.” He was correct. If Sweden had Norway’s death rate, it would have suffered only 4,429 deaths from COVID during the pandemic, instead of more than 18,500." https://www.latimes.com/business/story/2022-03-31/sweden-covid-policy-was-a-disaster

If anyone becomes aware of any other locations that are offering the new COVID XBB vaccines here locally, please share that information here with others on the forum. Also, if you have any experiences in obtaining the vaccine from any of the above providers. The purpose of this thread is to share practical information on the local availability of the COVID XBB vaccine -- not to debate the merits of COVID vaccinations.

The new Pfizer COVID XBB vaccine is confirmed to be available at the following Bangkok locations: Thai Travel Clinic, Mahidol University Located in the Victory Monument area, the Thai Travel Clinic on the third floor of Mahidol University’s Hospital for Tropical Diseases may be the most transparent of the currently confirmed locations in Bangkok offering the new COVID vaccine, along with being one of the more affordable. The clinic that specializes in vaccinations has an English language website – thaitravelclinic.com -- with comprehensive information about its hours of operation and other details, an online link for making the recommended advance appointment for receiving the vaccine, and clinic staff who can communicate well in English. For foreigners age 12 and above whether tourist or expat, the current total price for the new COVID vaccine is about 2,100 baht for a first-time patient (1,762 baht of that for the vaccine itself), and about 100 baht less for Thais, due to the government university hospital pricing the included doctor consultation at a slightly lower rate. Like the other vaccination locations listed here, expats and foreign tourists are asked to bring their passport as a form of identification, and also encouraged to bring whatever documentation they may have of their prior COVID vaccinations. Upon arrival, patients are asked to complete a detailed questionnaire on their health status and any issues such as allergies, which the doctor then reviews during the consultation prior to the vaccination. Although the clinic allows walk-ins for COVID vaccinations, advance appointments are strongly encouraged, to help ensure the availability of the vaccine. Regular hours are Monday to Friday 8 a.m. to 4 p.m., with the latest time for walk-ins being 3 p.m. The clinic also operates extended hours Monday to Thursday 4 p.m. to 7 p.m., and Saturday 9 a.m. to 4 p.m. The cutoff time for walk-ins is one hour before closing. But the vaccine and service charges are higher during those extended hours periods. As of this writing, available appointments during the clinic’s regular hours are available about two weeks into the future. Payments are accepted by cash, bank card or funds transfer. The clinic will be closed for the Song Kran holidays from April 12-16. Queen Saovabha Memorial Institute Located near the Samyan MRT station and adjoining Chamchuri Square along Rama IV Road in the Pathum Wan area, the institute is offering the new COVID vaccine for about 1,800 baht total for expats, foreign tourists and Thai citizens ages 18 and older. Service there is on a walk-in basis only. Expats and foreign tourists also are asked to bring their passport and prior COVID vaccination history. Institute staff said their vaccination hours are Monday to Fridays 8:30 a.m. to 4 p.m., and Saturdays 8:30 a.m. to noon. in their Rajuthit Building. The institute’s website -- www.saovabha.org/home -- doesn’t appear to offer any English language info about their COVID vaccination program. But their Facebook page did do a Thai language post with details on the new COVID vaccine in the past week. In its announcement, the institute said the new vaccine is especially recommended for those who previously haven’t received any COVID vaccine, people age 60 and above, those with chronic medical conditions, pregnant women and medical personnel, but also will be available upon request to others. The institute, which is offering the COVID vaccine via its ongoing Immunization and Travel Clinic, is affiliated with the nonprofit Thai Red Cross Society. The institute can be contacted by telephone at 02-252-0161. Praram 9 Hospital Located on Rama IX Road in the Huai Khwang area, Praram 9 Hospital is offering the new COVID vaccine daily between 7 a.m. and 3 p.m. for an all-inclusive package price of 2,700 baht, according to their customer service staff. Vaccinations can be done on a walk-in basis or via scheduled appointment at the hospital’s Vaccination and Travel Medicine Center on the 12th floor of Building B. The new COVID vaccine at Praram 9 is available to expats, foreign tourists and Thai citizens ages 12 and above, and as usual, non-Thais are asked to bring their passports and any prior COVID vaccination history. Payment is accepted by cash or bank card. The hospital’s pharmacy initially said their list price for the new vaccine alone is 3,761 baht, but then upon checking, confirmed the hospital does have the 2,700 baht all-inclusive price as a “promotion.” A hospital staffer said the COVID vaccinations also will be available there even during the upcoming Song Kran holidays period. The hospital’s Call Center can be reached by calling 1270. As of this writing, there doesn’t appear to be any English language info regarding the new COVID vaccine on the hospital’s website at www.praram9.com/en/ or its Facebook page. Bumrungrad International Hospital Located on Sukhumvit Soi 3 in the Nana area, Bumrungrad, the most prominent private hospital in Thailand, confirmed it has begun offering the new COVID vaccine on a private payment basis. Hospital reps said they could not provide an all-inclusive price, but gave varying estimates for the vaccine itself in the 4,600 to 4,900 baht range, not including an added doctor consult fee of typically 1,000 baht or more and other hospital charges. Hospital representatives said the new vaccine, approved for people ages 12 and above, is available there to expats, foreign tourists and Thais. They suggested contacting the hospital’s Contact Center at 02-066-8888, or direct to the hospital’s Medical Clinic department that is handling the vaccine, located on the 15th floor of Building A, phone 02-011-3594. A hospital rep recommended arriving to that department between 8 a.m. and 6 p.m. daily, and said the department will remain open for vaccines during the upcoming Song Kran holidays. The hospital rep said the COVID vaccine should be available there on a walk-in basis, but like elsewhere, encouraged patients to schedule an advance appointment if possible.

Some six months after they made their debut in the West, the newest version of COVID vaccines has begun surfacing in Thailand among at least a handful of locations in the Bangkok area, amid almost no publicity on their arrival. Unlike the Thai government’s widely publicized mass and freely provided COVID vaccines campaign of 2021 and 2022, the newly arrived Pfizer monovalent Omicron XBB.1.5 vaccine thus far appears limited to a group of private hospitals and nonprofit or university clinics. Unlike their no-fee predecessors, the venues offering the new Pfizer vaccines identified here are only available thus far by payment, starting at about 2,000 baht and up. Contacts at Thailand’s Department of Disease Control within the Ministry of Public Health and the Bangkok Metropolitan Administration’s Health Department both confirmed the arrival in recent weeks of the Pfizer XBB vaccine. But neither could identify more than a handful of locations offering it, and none were outside the Bangkok region. The four locations thus far confirmed to be offering the Pfizer XBB vaccine are: --Mahidol University’s Thai Travel Clinic, --the Queen Saovabha Memorial Institute affiliated with the Thai Red Cross Society, --and at least two private hospitals, Bumrungrad International and Praram 9 Hospital. [see below for further details on these sites] There may be other locations, but public contact officials at the two Thai government agencies couldn’t confirm any others, and two other private hospitals they did identify turned out not to be offering the new vaccine, which seems to suggest the government is not taking the lead in this latest chapter in COVID vaccinations. In fact, staff members at two of the venues offering the new Pfizer vaccine said they’re obtaining the vaccine directly from Pfizer, not from the Thai government. And when the two private hospitals that turned out to not have the new vaccine were asked why they didn’t have it, staff members there said they were waiting for some directive or policy on the new vaccine from the Thai government. The Pfizer XBB vaccine is the third generation of the COVID vaccines, following on the original versions and then the bivalent versions from 2022. The new XBB vaccines were widely approved last fall to fight the then predominant XBB.1.5 variant of the COVID virus, though health officials say the new vaccines also are effective in helping prevent illness and death from the currently predominant JN.1 version of the virus. The United States and the United Kingdom both approved new XBB COVID vaccines last fall, and mounted campaigns leading to many tens of millions of XBB vaccinations. The U.S. recommends the new vaccines for everyone six months and older, while the U.K. is only targeting the elderly and others considered at risk. The new single-dose vaccine is recommended both for those with prior COVID vaccinations and those without. Thailand until recently still had been using the older bivalent version of COVID vaccines, no longer approved in the U.S., but those had been becoming harder to find here locally moving into this year, leaving somewhat of a local vacuum of available COVID vaccines until now. Of note, the Thai government agencies and the venues offering the new vaccine said they only have the Pfizer XBB version for ages 12 and above, not the Moderna version or any others. And at least thus far, none of the four confirmed locations here are offering the two other Pfizer XBB vaccine versions available for children ages 6 months to 11 years. Although COVID in Thailand now is much less severe than in 2021 and 2022, in part due to the past vaccination campaigns, Thailand is still reporting more than 600 new COVID hospitalizations per week as of last week. Reported COVID deaths thus far this year have been running in the single digits per week, although the last major spike last May and June saw those weekly COVID deaths climb into the 60s. COVID deaths and hospitalizations tend to occur with seasonal peaks, with the last major peak in Thailand occurring last May and June when weekly COVID hospitalizations briefly exceeded 3,000, before declining in the fall, and then having a smaller peak into the 700s in late January and early February. The World Health Organization reported a recent peak of global COVID deaths of nearly 10,000 last December among the some 50 countries still regularly reporting those numbers, with most among the elderly and people with various chronic health conditions, and about half of those deaths reported from the U.S.

Thailand MoPH Weekly COVID report for Mar. 17 - Mar. 23, 2024: --630 new COVID hospitalizations, up 129 from the prior week --5 new COVID deaths, up 1 from the prior week --222 current COVID patients hospitalized in serious condition, up 5 from the prior week (dark purple) --74 current COVID patients hospitalized requiring intubation/ventilation to breathe, up 6 from the prior week (light purple) (cumulative figures are COVID new hospitalizations (6,238) & deaths (60) since the start of the current year) https://ddc.moph.go.th/covid19-dashboard/?dashboard=main

The impacts of the COVID pandemic on children have been wide and far-reaching, not the least of which includes the following: Orphanhood and Caregiver Loss Among Children Based on New Global Excess COVID-19 Death Estimates Using WHO excess mortality (more conservative than findings from IHME and The Economist), we estimate that 10 500 000 children lost parents or caregivers (Table), and 7 500 000 children experienced COVID-19–associated orphanhood through May 1, 2022. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2795650 AND https://www.healio.com/news/primary-care/20230130/covid19-a-leading-cause-of-death-among-american-youths

For example: Multisystem inflammatory syndrome (MIS-C) is a rare but serious COVID-19 complication in children. MIS-C causes different body parts to become inflamed, including the heart, lungs, kidneys, brain, skin, eyes, and gastrointestinal tract. "Of 117 MIS-C cases reported [in the U.S.] in 2023, half involved intensive care unit (ICU) care. Of 112 kids with MIS-C who were eligible for immunization with COVID vaccine, 92 (82%) were unvaccinated. And, of 20 vaccinated children, 60% had waned immunity at the time of their MIS-C illness." https://www.cidrap.umn.edu/covid-19/cdc-continues-receive-reports-mis-c-kids-following-covid-infections AND Study of 1 million US kids shows vaccines tied to lower risk of long COVID A study of 1,037,936 US children seen in 17 healthcare systems across the country shows that COVID-19 vaccines are moderately protective against long COVID: 35% to 45%, with higher rates in adolescents. The study was published today in Pediatrics. The researchers estimated vaccine effectiveness (VE) against long COVID in children aged 5 to 17 years. Though severe COVID-19 cases are less common in children than in adults, persistent symptoms in children do occur. https://www.cidrap.umn.edu/covid-19/study-1-million-us-kids-shows-vaccines-tied-lower-risk-long-covid

Seems like the above was a pretty fair rendering of what occurred, as per this non-"Marxist" local newspaper source there. Watch Kyle Rittenhouse storm out of University of Memphis event amid questions USA TODAY NETWORK Kyle Rittenhouse's speaking event at the University of Memphis took a sharp turn when he left the stage as his views on what he considered was racist was questioned. The event was originally met with backlash that soon turned into hundreds protesting outside the UC Theatre at the University of Memphis. One protester held up a sign that said, “Put Rittenhouse behind bars not a podium,” while another’s display said, “Murderers don’t belong here.” (more) https://www.commercialappeal.com/story/news/2024/03/21/videos-show-kyle-rittenhouse-storming-off-during-memphis-event/73050688007/

Thailand MoPH Weekly COVID report for Mar. 10 - Mar. 16, 2024: --501 new COVID hospitalizations, up 55 from the prior week --4 new COVID deaths, up 1 from the prior week --217 current COVID patients hospitalized in serious condition, down 10 from the prior week (dark purple) --68 current COVID patients hospitalized requiring intubation/ventilation to breathe, down 10 from the prior week (light purple) (cumulative figures are COVID new hospitalizations (5,608) & deaths (55) since the start of the current year) https://ddc.moph.go.th/covid19-dashboard/?dashboard=main

Thailand MoPH Weekly COVID report for Mar. 3 - Mar. 9, 2024: --446 new COVID hospitalizations, down 16 from the prior week --3 new COVID deaths, up 1 from the prior week --227 current COVID patients hospitalized in serious condition, down 36 from the prior week (dark purple) --78 current COVID patients hospitalized requiring intubation/ventilation to breathe, down 13 from the prior week (light purple) (cumulative figures are COVID new hospitalizations (5,107) & deaths (51) since the start of the current year) https://ddc.moph.go.th/covid19-dashboard/?dashboard=main

Anyone remember this one??? The clock is ticking: Thai court orders emergency plan to improve air quality Updated Jan 19, 2024 BANGKOK - A Thai court on Jan 19 ordered the government to come up with an urgent plan to curb air pollution within 90 days, as the kingdom braces for its annual peak of noxious haze. ... Bangkok and the northern city of Chiang Mai ranked among the world’s most polluted cities on some days in 2023, prompting a group of people to bring a legal case to get the government to act. The Chiang Mai administrative court on Jan 19 ordered the National Environmental Commission to present “preventive methods to solve pollution both short and long term” within 90 days. (more) https://www.straitstimes.com/asia/se-asia/thai-court-orders-emergency-plan-to-improve-air-quality The current government may well come up with a "plan" at some point. But in all likelihood, whatever plan they come up with will be just as useless and ignored as all the prior empty promises that have come before.

Millions and millions of people, especially in the U.S., never got COVID vaccines in the first place. And of those who did, many many thereafter didn't follow-up and stay up-to-date with recommended subsequent boosters. So it's no great surprise if those people still end up contracting COVID at some point. For those who took the two original COVID vaccine doses and then later stayed up-to-date with subsequent vaccine updates, the odds are much reduced that they'll contract COVID at all... And if they do, very very much reduced chance that they'll become seriously ill from it. Pretty much no vaccine protects 100%, and that's especially true for viruses like COVID or the flu that are spread primarily via the respiratory route. Regarding children as cited in the OP here, the vax rate for children is significantly lower than that for adults, meaning an even larger share of the children's population is unprotected by vaccines even now. Vaccines only actually work to the extent they do if people actually take and use them as recommended. PS - Having a prior COVID infection may also provide some immunity protection for a period after the original infection (along with the attendant health risks from the infection). But like protection from vaccines, infection-derived immunity also wanes over time, especially as new and different COVID variants emerge. etc etc etc.

Ya, so the reason I mentioned it was, a helpful tool while the granting party is alive. But apparently not a useful tool when it comes to estate planning provisions.

Under U.S. law, don't power of attorney designation cease/end with the death of the granting party?

Bad things happen when the measles vaccination rates falls below optimal levels: Vaccination Rates Dipped for Years. Now, There’s a Measles Outbreak in Britain. After a national incident was declared in January, officials have been scrambling to address problematically low levels of immunization. ... "Cases of measles, a highly contagious but easily preventable disease, have begun to crop up in clusters as the number of children getting the combined measles, mumps and rubella vaccine has declined globally. The trend worsened after the coronavirus pandemic because of a lack of access and hesitancy among some groups. The measles virus can cause serious illness and, in the most extreme cases, death. ... In Britain, 650 cases of measles were confirmed between Oct. 1 and the end of February, according to the U.K. Health Security Agency, which declared a national incident in January. ... England no longer has the levels of vaccine coverage recommended by the World Health Organization, which advises that more than 95 percent of people must have had two doses of a measles vaccine that contains weakened amounts of the virus to prevent outbreaks." https://archive.is/c4t8r#selection-833.0-833.259

Seems like your ignore the problem prescription would end up making the U.S. and U.K. more like the third and fourth world countries when it comes to measles. "In high-income regions of the world, such as Western Europe, measles still causes death in about 1 in 5000 cases. But in the poorest regions, as many as 1 in 100 will die. Before widespread vaccination was introduced, the disease caused an estimated 2.6 million global deaths each year. And worldwide, measles is still a major cause of death. In 2016 about 90,000 people died of measles, although this was the first year on record when global measles deaths fell below 100,000 a year. However, following these years of decline, when vaccination dramatically reduced the number of deaths, in 2022 measles cases rose by 18%, and deaths by 43%, compared with 2021. During this time, worldwide vaccination coverage also declined to its lowest level since 2008." https://vaccineknowledge.ox.ac.uk/measles#Key-disease-facts

More evidence vaccination reduces risk of long COVID January 13, 2024 A large staggered cohort study from primary care patients in the UK, Spain, and Estonia finds that COVID-19 vaccination consistently reduced the risk of long-COVID symptoms. The study is published in The Lancet Respiratory Medicine. ... "We defined long COVID as having at least one record of any of the pre-defined symptoms between 90 and 365 days after the date of a PCR-positive test or clinical diagnosis of COVID-19, with no record of that symptom 180 days before SARS-CoV-2 infection." ... Across all four staggered cohorts in all three countries, vaccination was associated with a lowered risk of developing long COVID. And a slightly stronger preventative effect was seen for the first dose of BNT162b2 than for ChAdOx1, the authors said. Vaccine efficacy (VE) against long COVID ranged from 29% to 52%. https://www.cidrap.umn.edu/covid-19/more-evidence-vaccination-reduces-risk-long-covid

Among an Australian community where 90+% of the population had been double vaccinated for COVID, yes. Unfortunately, the U.S. primary vaccination rate (two shots) for COVID among adults is far less, under 70%, and even lower among children, only about 44%. Source: and https://www.aafp.org/news/health-of-the-public/pediatric-covid-vax-disparities.html

One mother discusses the "heartbreaking" search for answers Up to 5.8 million young people have long COVID, according to a recent study — and parents like Amanda Goodhart are looking for answers. She says her 6-year old son Logan caught COVID multiple times. But even months later, his symptoms didn't get better. "To see him struggle to stay awake, or crying and saying he doesn't feel good, it's heartbreaking, it's demoralizing, because there's not a lot of treatment options," she told CBS News. ... Doctors say most children with long COVID recover over several months, but about a third experience symptoms even one year later. (more) https://www.cbsnews.com/news/millions-kids-long-covid-study-symptoms-mother-searching-for-answers/ The cited study: Postacute Sequelae of SARS-CoV-2 in Children February 07 2024 "Data regarding the postacute sequelae of severe acute respiratory syndrome coronavirus 2 infection (PASC) in children, or long COVID, are only just emerging in the literature. These symptoms and conditions may reflect persistent symptoms from acute infection (eg, cough, headaches, fatigue, and loss of taste and smell), new symptoms like dizziness, or exacerbation of underlying conditions. Children may develop conditions de novo, including postural orthostatic tachycardia syndrome, myalgic encephalomyelitis/chronic fatigue syndrome, autoimmune conditions and multisystem inflammatory syndrome in children.... Given that ∼20% of COVID cases in the United States are in children,6 and that current pediatric postacute sequelae of SARS CoV-2 (PASC) prevalence estimates are 10% to 20%, PASC is estimated to affect up to 5.8 million children, representing a significant community impact. The scientific community has acknowledged an urgent need to understand more about PASC in children.7 https://publications.aap.org/pediatrics/article/153/3/e2023062570/196606/Postacute-Sequelae-of-SARS-CoV-2-in-Children

Actually, depending on the question being asked, when it comes to trust in scientists, Pew found that it's mostly Republican and Republican leaning voters where there's been a significant decline, and that in turn helped drag down the public numbers at large. In contrast, fairly small decline among Democrat and Democrat leaning folks. So on this question at least, it really is more of a right-wing thing. "unlike Republicans, a large majority of Democrats (86%) continue to express at least a fair amount of confidence in scientists to act in the public’s best interests. The overall differences in partisan views remain much more pronounced today than they were prior to the coronavirus outbreak." https://www.pewresearch.org/science/2023/11/14/americans-trust-in-scientists-positive-views-of-science-continue-to-decline/

It looks like there was consideration given at least to fluvoxamine as a solo treatment for COVID early in the pandemic (not in combination with other drugs as was addressed in the Thai study), but it was not approved in the U.S. at least. And then seemingly not much more after that. FDA declines to authorize common antidepressant as COVID treatment May 17, 2022 May 16 (Reuters) - The U.S. Food and Drug Administration has decided not to authorize the antidepressant fluvoxamine to treat COVID-19, saying that the data has not shown the drug to be an effective therapeutic for fighting the virus. "Based on the review of available scientific evidence, the FDA has determined that the data are insufficient to conclude that fluvoxamine may be effective in the treatment of nonhospitalized patients with COVID-19 to prevent progression to severe disease and/or hospitalization," the agency said in a document, opens new tab published on Monday. University of Minnesota professor Dr. David Boulware submitted the emergency use authorization request to the FDA that would have allowed doctors to prescribe fluvoxamine maleate to treat COVID-19 in non-hospitalized patients... https://www.reuters.com/business/healthcare-pharmaceuticals/fda-declines-authorize-common-antidepressant-covid-treatment-2022-05-16/ Likewise, from the Infectious Diseases Society of America and its recommended COVID treatment guidelines: Section last reviewed and updated 11/8/2021 Last literature search conducted 10/31/2021 Conclusions and research needs for this recommendation The guideline panel recommends fluvoxamine only in the context of a clinical trial to better delineate the effects of fluvoxamine on disease progression, such as need for hospital admission, ICU care, and ultimately, mortality. https://www.idsociety.org/practice-guideline/covid-19-guideline-treatment-and-management/#null And again, just regarding fluvoxamine as a solo COVID treatment, the WHO came to the same conclusion back in 2022. WHO Rules Out 2 Drugs as COVID Treatments It also no longer recommends the use of fluvoxamine for COVID-19, except in clinical trials. There's insufficient evidence that the drugs are of any benefit when it comes to reducing the risk of severe infection or hospitalization from COVID. Paxlovid is a better option. https://www.verywellhealth.com/who-recommends-against-two-drugs-for-covid-19-6374305 Again, all of the above pertained to fluvoxamine as a solo COVID treatment, not as part of a combination drugs treatment as done in the OP's cited Thai study.