Dr. Dizdarević: Every death is a death - no one argues about that

By Dr. Kemal Dizdarević

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After four months of corona, it's time for evaluation and reflection. We need to try to present the known facts, emphasize the dilemmas, and bring things into some meaningful correlation. A review of our local, Sarajevo, and BiH (scam) response requires additional and ample space, so we will skip it for now. I will only quote what The New York Times knows: Even before the pandemic Bosnia's health system was in poor shape, and the country has suffered severe doctor and nurse shortages……. In 2013, the last year for which reliable data is available, it had some 188 physicians to 100,000 people or nearly 2.4 times less than the norm prescribed by the WHO. Health care workers are underpaid, overworked and short on protective and medical equipment. Bosnia’s largest hospital, in Sarajevo, has fewer than 2,000 in-patient beds, with only 173 in intensive care units.’ …. My husband was not killed by the coronavirus, he was killed by our health care system,” Elna Pasagic wrote in an open letter. (www.nytimes.com/aponline/2020/04/07/world/europe/ap-eu-virus-outbreak-death-in-sarajevo.html).

Three facts from this quote should be highlighted. Bosnia has 2.4 times fewer doctors than prescribed by the World Health Organization; healthcare workers are poorly paid, exploited, without protective and medical equipment; and most sadly - our Dr. Pašagić is a victim of such a healthcare system, not the coronavirus! At the top of that healthcare system is a person who studied for 11 years, had an average grade of 7, whose specialization should be the subject of prosecution due to suspicion of falsification, and who became a university professor after unwritten scientific papers were recognized for her. Even Haso can confirm this because it's like a joke!

It is known to everyone that SARS-CoV2 (Severe Acute Respiratory Syndrome-CoronaVirus 2) causes the disease called COVID-19 (Coronavirus Disease 2019). It is a new strain of the virus to which we have no developed immunity, which explains its rapid spread to all continents and efficient transmission from person to person. Before elaborating on the essence of the events related to COVID-19, I want to explain an implicit phenomenon that we all think we understand - breathing. During breathing, through inspiration, we introduce air with molecular oxygen (O 2 ) into the lungs. At the end of the respiratory tract, O 2 reaches the alveoli, and through the alveolar-capillary membrane, it enters the blood, while at the same time, carbon dioxide (CO 2 ) is eliminated from the blood into the alveoli and further out of our body through exhalation (expiration).

The essence of the events in COVID-19 was initially understood exclusively in the professional literature as a manifestation of ARDS (Acute Respiratory Distress Syndrome), and later this entire ARDS story, in more severe and complicated cases, was supplemented by an emphasis on 'immuno-mediated pneumonitis' based on the phenomenon of a 'cytokine storm'.

Recently, and after the publication of a created model by two Chinese authors (Wenzhong L. & Hualan L.), who, incidentally, are not doctors of medicine at all, the influence of the virus on the displacement of iron ions from hemoglobin as a key event in the pathophysiology of this disease has begun to be emphasized in professional circles.

ARDS is characterized by increased permeability of the walls of small blood vessels in the lungs, which causes the accumulation of protein-rich fluid on the alveolar-capillary surface, which can no longer perform its basic function - the exchange of O 2 and CO 2 . Clinical ARDS is accompanied by the following signs: sudden onset, bilateral lung changes, absence of cardiac decompensation, and hypoxia in the blood and tissues that is difficult to treat with standard oxygen administration measures.

SARS-CoV2 uses ACE 2 receptors, located on the surface of cells, to penetrate the respiratory tract. These receptors are more prevalent in smokers. After the virus penetrates the cells, signaling proteins of the immune system called cytokines are activated, which begin to attract the immune (defense) cells of the body to direct their attack on the virus. The normal immune system is controlled by T lymphocytes, which balance the adequacy of the immune response. These lymphocytes, like a referee in a ring, monitor the rules of the fight and prevent fouls. The problem arises when the referee is old, slow, and not functioning adequately, allowing one of the actors to excessively break the rules, which translates to an uncontrolled immune response with the occurrence of a cytokine storm.

This cytokine-mediated defense storm implies an excessive action that includes not only an attack on the virus but also on one's own cells, which ultimately leads to immuno-mediated pneumonitis with bilateral, morphological lung damage caused by autoimmune mechanisms. The model that prioritizes blood over lungs is imaginary and based on certain clinical observations. I admit that I found it acceptable at first glance. However, it has a flaw; the virus primarily attacks the respiratory tract because it is a respiratory coronavirus. This virus needs the ACE 2 receptor from the surface of cells, which form the multi-layered respiratory epithelium, to penetrate those cells and utilize their metabolism to realize the sole purpose of its existence, which is multiplication!

What this model describes may be clinically significant in certain complicated cases, but not as something that applies to most infected individuals. I will describe it briefly. Red blood cells (erythrocytes, which are not cells at all) contain hemoglobin. It consists of protein (globin) and four heme groups. When you add an iron ion (Fe) to the porphyrin ring, you get heme. Divalent iron from heme captures an oxygen atom from alveolar cells and becomes trivalent through oxidation. This oxygen goes to all tissues and is released there; trivalent iron is reduced to divalent, and instead of O 2 , CO 2 , the final product of metabolism in the tissue, binds and goes back to the lungs via hemoglobin, where it is eliminated.

Since viral proteins have an affinity for hemoglobin, iron is displaced from heme, significantly reducing hemoglobin's ability to deliver oxygen to tissues. Due to iron accumulation, the body produces more ferritin, a protein that binds and stores iron. Excess iron in the lungs contributes to intensifying the immune response and lung damage. A vicious cycle of error is created; damaged lungs further reduce the amount of oxygen in the body. In the further course, the immune response is exhausted, set values on ventilators cannot raise the oxygen level in the body, prolonged ventilation on the apparatus contributes to the occurrence of secondary lung infections, and all this can lead to sepsis and disseminated intravascular coagulation with liver, kidney, and other organ failure.

This RNA virus is most likely of natural origin, and its host is the only flying mammal - the bat. The story about the 5G network sounds like fantasy, but the claim that the virus may have originated as a result of biological manipulation can be considered. However, there is not enough convincing data to support the latter thesis. One must be aware of its implications because this thesis may soon be at the center of the conflict between globalists and their opponents. Also, one must be aware that SARS-CoV2 is already a political virus, whether of natural or artificial origin. Globally, there are two main currents in the approach to this virus: one dominant one that promotes rigid closure of everything and strict control of human lives, and another that says my freedom is limited by the freedom of others, not by the fear of others. At this moment, the first option is persistently and clearly represented in the centers of globalization, and the second by those who oppose globalization conceived in this way, more or less, in one way or another.

The dominant political elites in most countries of the Western civilizational circle (except in America and Sweden, although there is also a clear difference between them) are predominantly still on the side of the forces of globalization. It is important to emphasize that the primary goal in the initial phase of the fight against the rapid spread of COVID-19 had to be flattening the curve due to the potential overloading of the healthcare system and its eventual blockage by COVID-19 patients. This overload was seen in northern Italy, partly in Spain, and now in New York.

However, the following example partially clarifies the current events in America. Recent studies have shown that in America, one in five deaths comes from overcrowded 'nursing homes facilities' where the elderly population lives. Care for them is provided by insufficiently trained, poorly paid, and few staff who usually have various additional jobs and live in risky environments. China, as America's main competitor globally at the moment, is special in many ways. However, something is not right there regarding this epidemic. It has just been announced that the initial number of deaths in Wuhan, the city of origin of the epidemic, has increased by 1290, so the official death toll is now 3869 (out of 11 million inhabitants in Wuhan).

America has suspended funding for the World Health Organization (WHO) as the main exponent of globalization policy at this moment. The explanation for this move is an alleged response to some kind of Chinese-WHO corona conspiracy, but the real reason is the new trend in American politics, best illustrated by Trump's words: 'Make America Great Again'. It is now clear to us that he uses this prescribed slogan, which is actually a modification of Reagan's earlier slogan, in an original way.

For him, it represents the use of American resources only for America, not their distribution with others for political influence over them. This is also the case with his attitude towards globalization and the so-called deep state, but also towards corona. It is expected that the opening and exit from quarantine will soon start precisely from America because the pressure exerted on the WHO inevitably leads to the WHO retreating from these excessive measures, all under the guise that global closure and the stoppage of the planet have nevertheless yielded good results.

It should be emphasized again that collective immunity (I avoid the literal translation of 'herd immunity') and vaccination are the only real protection against this virus. Sweden is an example of moderation and correct long-term anticipation of events. They did not underestimate the virus but approached it rationally and bravely. Their current numbers indicate this.

Every danger requires a proportionate response. It seems that the global response to COVID-19 is disproportionate. This coronavirus, in its first four months, caused only slightly more deaths than the common flu. Most people died with the virus, not because of the virus. Many of them did not develop an infectious disease; rather, the virus was a trigger in the worsening of an existing condition. Or the presence of the virus was only incidentally proven. However, the cause of death is always one by definition. That defined cause actually triggers a cascade of pathological events leading to death. It seems to me that the virus was recognized as the cause of death in a large number of elderly people and those with significant comorbidities, even though it was not. It is important that the official data be placed in the context of current global events and current political guidelines.

So far, no significant increase in the total number of deaths has been observed in the first four months in some countries considered seriously affected by this virus. If people are mostly dying from coronavirus, and this pandemic is as terrible as they say, with existing comorbidities in the population, the total number of deaths must be higher than in previous years. The exact mortality rate from corona is not known; I emphasize that a significantly larger number of people are infected than is recorded. What is certain is that the overall mortality rate from this virus cannot be estimated based on the current number of tested individuals worldwide.

The implications of this extreme closure can be clearly seen in the case of India. Imagine a country with 1.3 billion people and a huge number of employed people who literally live on daily wages, meaning they have to get some kind of job every day to survive and feed their families, and a large number of people moving in search of work between overcrowded cities. Imagine the potential repercussions that strict and complete quarantine carries in such a country. Some consequences are already visible and seem unrelated to the actual cause, e.g., the outbreak of aggressive xenophobia, which is already being reported as a separate form of epidemic.

Of course, every death is a death. No one argues about that. Here, we present a non-typical and completely new way in which this pandemic has been presented by the WHO and local sheriffs.