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Læknaneminn - 01.04.1997, Page 129

Læknaneminn - 01.04.1997, Page 129
The drug-AIDS hypothesis' its kind, the Concorde trial, found no prophylactic value, but instead revealed a 25% higher mortality in AZT recipients than in untreated controls 343. In view of these awkward results Seligmann et al. reached the patronizing conclusion: “The results of Concorde do not encourage the early use of zidovudine [AZT] in symptom-free HlV-infected adults” 160. 8) A study that treated HlV-positive, intravenous drug users from New York with AZT observed: “The rate of CD4 lymphocyte depletion did not appear to slow after the initiation of zidovudine therapy...”. This Ied to the conclusion: “Our data failed to provide evidence for an effect of zidovudine on the depletion of CD4+ lymphocytes, but the direction of the modeling results suggested that zidovudine users in this sample may have experienced more rapid CD4+ cell deple- tion” 87. 9) As of 1994 the American NIAID and the CDC promoted the prevention of maternal HIV transmis- sion with AZT 45, l84,185,344. But the costs of the hypo- thetical triumph of reduced HIV transmission in terms of birth defects and abortions were omitted from the reports of the original trial ls4’185,344-M7. However a study from outside the US reported 8 spontaneous abortions, 8 therapeutic abortions and 8 serious birth defects, including holes in the chest, abnormal indentations at the base of the spine, misplaced ears, triangular faces, heart defects, extra digits and albinism among the babies born to 104 AZT-treated women. But these bewildering results were interpreted as just “not prov- ing safety, thus lending tenuous support to the use of this drug” 20°. Indeed, “spontaneous” or therapeutic abortion as a result of AZT was not an unforseeable accident. A review in The Lancet on “non-surgical abortion” docu- rnents that chemotherapeutic drugs, like methotrexate, have been used to abort normal and ectopic pregnan- cies since 1952 188. The article concedes early “con- cerns over teratogenicity”, but concludes: “used cor- rectly, the method could bring great benefits” 18S. 10) In 1996, the American National Institute of Child Health and Human Development reported the consequences of AIDS prophylaxis with AZT for HIV- positive babies: “In contrast with anecdotal clinical observations and other studies indicating that zidovu- dine favorably influences weight-growth rates, our analysis suggests the opposite. Because our analysis of zidovudine effect on standardized growth outcomes was based on limited numbers of patients (no more than 10 at any one visit with prior zidovudine use) and because we could not control for stage of HIV disease in the study design, the result indicating no effect or a negative effect of zidovudine on growth should be interpreted with caution. Presumably, zidovudine use is confounded by progression of HIV disease. The observation that standardized LAZs [Iength for age scores] were lower after the start of zidovudine therapy than before may suggest merely that sicker infants received zidovudine. However, our fmdings suggest that the widely held view that antiretroviral treatment improves growth in children with HIV disease needs further study” 205. Thus AZT toxicity was shifted to HIV. But if the lower health standards of AZT-treated babies were due to prior “HIV disease”, it would have been necessary to conclude that AZT failed to reverse or even maintain the “HIV disease” of these babies. But that possibility was not mentioned nor apparently even considered by the AZT-doctors. Moreover, the likelihood that AZT was the cause of the babies’ dis- eases was obscured by averaging the diseases of AZT- treated with those of untreated HlV-positive babies (see 7.7.). 11) The disquieting observation that AZT increases the annual lymphoma risk of HlV-positives 50-fold, from 0.3 to 14.5%, per year was resolved by the NCI director, Samuel Broder and his collaborators, by claiming a victory for AZT: “Therefore, patients with profound immunodeficiency are living longer [on AZT], theoretically allowing more time for the devel- opment of non-Hodgkin lymphoma or other malig- nancies” 19S. Conclusions. The extent of the evasions, obfusca- tions, and outright censorship of the abundant drug- AIDS connections suggests that AIDS researchers must at least suspect that recreational drugs and AZT cause AIDS. Considering that most AIDS researchers have graduated from university with at least some apprecia- tion of the central importance of DNA synthesis, somewhere in the Richard Feyman-recesses of their minds they must be aware of the high toxicity of DNA chain-terminators. Even if they did not understand that life depends on continued DNA synthesis, the complete failure of drugs like AZT to cure or prevent AIDS should have inspired concern. LÆKIMANEMINN 127 1. tbl. 1997, 50. árg.
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