Global ivermectin adoption for COVID-19: 49%

Ivermectin is currently used for about 27% of the world's population. Countries where COVID-19 mortality is close to zero may not have incentive to adopt treatments. When excluding these countries, ivermectin adoption is about 49%. We excluded countries where the cumulative mortality over the preceding month was less than 1 in 1 million, according to the data at https://ourworldindata.org/. For the estimated population coverage, isolated use, some regions, mixed usage, and many regions use a factor of 0.05, 0.25, 0.5, and 0.75 respectively. Please send us corrections/updates.

References

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Argentina - mixed usage - Jan 26, 2021

https://www.perfil.com/noticias/agro/coronavirus-san-antonio-de-areco-implementara-tratami.. (Internet Archive)

https://www.clarin.com/sociedad/cientificos-argentinos-investigaron-ivermectina-defienden-.. (Internet Archive)

https://diario33.com.ar/misiones-profundiza-la-implementacion-de-la-ivermectina-en-pacient.. (Internet Archive)

https://www.lapoliticaonline.es/nota/86800-en-argentina-atribuyen-una-drastica-bajada-de-c.. (Internet Archive)

https://twitter.com/Covid19Crusher/status/1354043772527648768 (Internet Archive)

https://twitter.com/Covid19Crusher/status/1349328179710873601 (Internet Archive)

https://rcm.imrpress.com/article/2020/2153-8174/RCM2020264.shtml (Internet Archive)

Bangladesh - country-wide adoption

https://twitter.com/audowla/status/1356958164512604161 (Internet Archive)

https://www.thedailystar.net/opinion/news/shield-those-waiting-covishield-2052277 (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

https://www.researchsquare.com/article/rs-57011/v1 (Internet Archive)

https://rcm.imrpress.com/article/2020/2153-8174/RCM2020264.shtml (Internet Archive)

https://www.medrxiv.org/content/10.1101/2022.03.01.22271740v1 (Internet Archive)

Belize - country-wide adoption - used for serious cases - Dec 18, 2020

https://www.breakingbelizenews.com/2020/12/18/ministry-of-health-now-using-ivermectin-to-t.. (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

Bolivia - country-wide adoption

https://trialsitenews.com/bolivian-region-authorizes-ivermectin-as-treatment-against-covid.. (Internet Archive)

https://www.youtube.com/watch?v=xy85K1hENn4 (Internet Archive)

https://www.nature.com/articles/d41586-020-02958-2 (Internet Archive)

Botswana - mixed usage

https://twitter.com/SkipTheHype/status/1433334809833652224 (Internet Archive)

Brazil - used in some regions - Jan 26, 2021

https://terrabrasilnoticias.com/2021/01/associacao-medica-do-rn-defende-tratamento-precoce.. (Internet Archive)

https://twitter.com/Covid19Crusher/status/1354033424546336768 (Internet Archive)

https://www.fatonews.com.br/estado-nao-adotara-protocolo-com-hidroxicloroquina-e-ivermecti.. (Internet Archive)

https://twitter.com/Covid19Crusher/status/1279735440363397120 (Internet Archive)

Bulgaria - country-wide adoption

https://www.economic.bg/web/files/richeditor/marketing-authorization-ial.pdf (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

https://www.dunavmost.com/novini/horata-masovo-kupuvat-ivermektin-ot-aptekite (Internet Archive)

https://www.youtube.com/watch?v=TdTmplAe1Gs (Internet Archive)

https://darik.news/en/people-buy-ivermectin-en-masse-from-pharmacies-medicines.html (Internet Archive)

https://trialsitenews.com/ivermectin-debate-intensifies-in-portugal-as-use-as-prophylaxis-.. (Internet Archive)

Cambodia - country-wide adoption

https://trialsitenews.com/ivermectin-included-in-national-government-protocol-for-treating.. (Internet Archive)

Colombia - used in many regions

https://rcm.imrpress.com/article/2020/2153-8174/RCM2020264.shtml (Internet Archive)

https://www.nature.com/articles/d41586-020-02958-2 (Internet Archive)

Czechia - isolated use - authorized, but reportedly almost no use

https://www.idnes.cz/zpravy/domaci/invermektin-v-cesku-konci-ministerstvo-mu-neda-dalsi-vy.. (Internet Archive)

https://www.novinky.cz/domaci/clanek/ivermektin-bude-moci-jit-do-vsech-lekaren-40353842 (Internet Archive)

https://www.sukl.cz/leciva/informace-o-povoleni-pouzivani-neregistrovaneho-leciveho-5 (Internet Archive)

https://www.mzcr.cz/rozhodnuti-o-docasnem-povoleni-distribuce-vydeje-a-pouzivani-neregistr.. (Internet Archive)

https://www.mzcr.cz/wp-content/uploads/2021/03/Rozhodnut%C3%AD-o-do%C4%8Dasn%C3%A9m-povole.. (Internet Archive)

https://www.respekt.cz/rozhovor/nasim-pacientum-ivermektin-pomohl-obavy-chapu-ale-nemyslim.. (Internet Archive)

https://www.novinky.cz/domaci/clanek/brnenska-nemocnice-dostala-ivermektin-pro-25-tisic-pa.. (Internet Archive)

Dominican Republic - country-wide adoption - Sep 30, 2020

https://twitter.com/Estoi_ko/status/1355493236614303746 (Internet Archive)

https://www.youtube.com/watch?v=V6gsk8irBps (Internet Archive)

Ecuador - mixed usage

https://papers.ssrn.com/sol3/papers.cfm?abstract_id=4210389 (Internet Archive)

Egypt - country-wide adoption - Nov 30, 2020

https://www.researchgate.net/publication/345813633_Management_Protocol_for_COVID-19_Patien.. (Internet Archive)

https://www.frontiersin.org/articles/10.3389/fphar.2023.1209286/full (Internet Archive)

El Salvador - country-wide adoption

https://www.agenciaocote.com/blog/2020/08/25/el-salvador-guatemala-y-bolivia-ofrecen-kits-.. (Internet Archive)

Germany - isolated use - Dec 31, 2020

https://www.barmherzige-muenchen.de/medien/meldungen/artikel/global-partner-flccc-alliance.. (Internet Archive)

https://www.br.de/mediathek/video/covid-19-therapie-hoffnungsschimmer-aus-muenchen-av:607c.. (Internet Archive)

https://www.tobias-reiss.de/trans_1_4_1839_Wirkstoff-Ivermectin-CSU-Fraktion-will-Therapie.. (Internet Archive)

Guatemala - country-wide adoption - Jan 23, 2021

https://twitter.com/Covid19Crusher/status/1384427448872443904 (Internet Archive)

https://twitter.com/BohemioAl/status/1353053315408539648 (Internet Archive)

https://www.agenciaocote.com/blog/2020/08/25/el-salvador-guatemala-y-bolivia-ofrecen-kits-.. (Internet Archive)

Honduras - country-wide adoption - Apr 23, 2020

https://www.prnewswire.com/news-releases/honduras-treatment-for-covid-19-stands-out-worldw.. (Internet Archive)

https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00024-9/fulltext (Internet Archive)

https://www.facebook.com/noticierohoymismo/videos/512243633070709/ (Internet Archive)

https://8days.org/success-in-honduras (Internet Archive)

https://www.voxpopulihn.com/sesal-implementar-ivermectina-como-tratamiento-preventivo-cont.. (Internet Archive)

https://medwinpublishers.com/EIJ/early-multidrug-treatment-of-sars-cov-2-covid-19-and-decr.. (Internet Archive)

India - used in many regions

https://trialsitenews.com/icmr-includes-ivermectin-for-covid-19-indication-in-national-lis.. (Internet Archive)

https://zeenews.india.com/india/covid-19-uttarakhand-government-to-distribute-ivermectin-t.. (Internet Archive)

https://transformingindia.mygov.in/covid19/guidelines-for-home-isolation-of-mild-asymptoma.. (Internet Archive)

https://www.mohfw.gov.in/pdf/RevisedguidelinesforHomeIsolationofmildasymptomaticCOVID19cas.. (Internet Archive)

https://www.medrxiv.org/content/10.1101/2021.09.27.21264070v1 (Internet Archive)

https://www.medrxiv.org/content/10.1101/2021.07.24.21261007v3 (Internet Archive)

https://www.medrxiv.org/content/10.1101/2020.11.25.20237883v1 (Internet Archive)

https://www.youtube.com/watch?v=P3sNBbakpB0 (Internet Archive)

https://www.icmr.gov.in/pdf/covid/techdoc/COVID19_Management_Algorithm_22042021_v1.pdf (Internet Archive)

https://transformingindia.mygov.in/wp-content/uploads/2021/04/Guidelines-for-Home-Isolatio.. (Internet Archive)

https://twitter.com/Bhashyam1987/status/1390312774769598464 (Internet Archive)

https://www.panchayat.gov.in/documents/20126/0/MoPR-Advisory+on+SoPs+on+COVID-19+Containme.. (Internet Archive)

https://transformingindia.mygov.in/covid19/clinical-guidance-for-management-of-adult-covid.. (Internet Archive)

https://transformingindia.mygov.in/covid-19/?type=en§or=govt-advisories (Internet Archive)

https://www.deshgujarat.com/2021/04/22/live-ivermectin-and-fevipiravir-added-to-clinical-p.. (Internet Archive)

https://twitter.com/Covid19Crusher/status/1387709368389545984 (Internet Archive)

https://web.archive.org/web/20201004145236/http://dgmhup.gov.in/DocumentsCovid19/1621.pdf

https://www.wbhealth.gov.in/uploaded_files/corona/WB_Covid_protocol_book_25.09_.20_(1)_.pd.. (Internet Archive)

https://twitter.com/drakchaurasia/status/1383102960788402177 (Internet Archive)

https://twitter.com/OutOfTheDarkAge/status/1340555345895202817 (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

https://trialsitenews.com/an-unlikely-nation-is-kicking-this-pandemic-guess-which-then-why.. (Internet Archive)

https://indianexpress.com/article/opinion/columns/coronavirus-pandemic-covid-vaccine-track.. (Internet Archive)

https://www.sciencedirect.com/science/article/pii/S0975947622000183 (Internet Archive)

Indonesia - mixed usage

https://www.cnbcindonesia.com/news/20210621181555-4-254839/ivermectin-dapat-izin-bpom-obat.. (Internet Archive)

https://en.tempo.co/read/1483423/bpom-approves-ivermectin-as-covid-19-therapeutic-drug (Internet Archive)

https://bisnis.tempo.co/read/1475110/terpopuler-bisnis-obat-covid-ivermectin-resmi-dirilis.. (Internet Archive)

https://bisnis.tempo.co/read/1475161/erick-thohir-genjot-produksi-ivermectin-4-juta-per-bu.. (Internet Archive)

https://jateng.tribunnews.com/2021/06/07/ivermectin-obat-yang-dipercaya-mampu-kalahkan-cov.. (Internet Archive)

https://nusantara.rmol.id/read/2021/06/30/494371/bantu-penanggulangan-covid-19-ia-itb-inis.. (Internet Archive)

Iran - mixed usage - now manufacturing their own ivermectin, but the level of usage is unclear

https://www.sciencedirect.com/science/article/pii/S2049080121007299 (Internet Archive)

https://www.tehrantimes.com/news/457126/Iran-begins-production-of-new-anti-corona-medicine (Internet Archive)

Jamaica - isolated use - authorized for off-label use, availability delayed

https://trialsitenews.com/jamaica-public-hospitals-approach-the-brink-while-ivermectin-shi.. (Internet Archive)

Japan - used in some regions - May 18, 2020

https://www.yomiuri.co.jp/choken/kijironko/cknews/20210818-OYT8T50030/ (Internet Archive)

https://www.yomiuri.co.jp/choken/kijironko/cknews/20210427-OYT8T50019/ (Internet Archive)

https://www.nikkei.com/article/DGXZQOFB25AAL0V20C21A1000000/ (Internet Archive)

https://www.mhlw.go.jp/content/000646531.pdf (Internet Archive)

https://lecourrierdesstrateges.fr/2021/08/30/le-japon-prend-partie-pour-livermectine-dans-.. (Internet Archive)

https://twitter.com/brenontheroad/status/1431112472958685186 (Internet Archive)

Lebanon - country-wide adoption - Jan 27, 2021

https://twitter.com/Estoi_ko/status/1355493236614303746 (Internet Archive)

Malaysia - isolated use

https://www.freemalaysiatoday.com/category/nation/2021/06/25/hospitals-can-apply-for-off-l.. (Internet Archive)

https://www.thestar.com.my/news/nation/2021/06/05/dr-noor-hisham-health-ministry-has-begun.. (Internet Archive)

Mexico - mixed usage - Dec 29, 2020

https://www.youtube.com/watch?v=BDNIripe02U (Internet Archive)

https://twitter.com/jjchamie/status/1354111609803743232 (Internet Archive)

https://twitter.com/Estoi_ko/status/1355493236614303746 (Internet Archive)

https://twitter.com/Covid19Crusher/status/1359417954329382914 (Internet Archive)

https://lopezdoriga.com/nacional/secretaria-de-salud-actualizara-lineamientos-de-atencion-.. (Internet Archive)

https://poplab.mx/article/OficializaSaludGuanajuatotratamientoanticovid19conivermectinapes.. (Internet Archive)

https://rcm.imrpress.com/article/2020/2153-8174/RCM2020264.shtml (Internet Archive)

Nicaragua - country-wide adoption - Jan 25, 2021

https://www.laprensa.com.ni/2021/01/25/nacionales/2776166-minsa-acude-a-la-ivermectina-par.. (Internet Archive)

Nigeria - used in many regions

https://www.francesoir.fr/videos-les-debriefings/pr-femi-babalola (Internet Archive)

https://www.researchsquare.com/article/rs-1373673/v1 (Internet Archive)

https://pubmed.ncbi.nlm.nih.gov/36277966/ (Internet Archive)

North Macedonia - mixed usage - Jan 15, 2021

https://twitter.com/Covid19Crusher/status/1356016755630600193 (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

https://twitter.com/Estoi_ko/status/1355493236614303746 (Internet Archive)

https://trialsitenews.com/ivermectin-debate-intensifies-in-portugal-as-use-as-prophylaxis-.. (Internet Archive)

Panama - country-wide adoption

https://www.metrolibre.com/nacionales/192062-las-medicinas-que-componen-kit-de-covid.html (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

Paraguay - used in some regions

https://covid19criticalcare.com/ivermectin-in-covid-19/epidemiologic-analyses-on-covid19-a.. (Internet Archive)

Peru - used in some regions - was widely used but later restricted, a study shows 14x reduction in excess deaths when used and 13x increase when restricted - May 8, 2020

https://trialsitenews.com/ivermectin-for-covid-19-in-peru-14-fold-reduction-in-nationwide-.. (Internet Archive)

https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3765018 (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

https://larepublica.pe/sociedad/2021/02/06/gobernador-regional-de-piura-promueve-consumo-d.. (Internet Archive)

https://rcm.imrpress.com/article/2020/2153-8174/RCM2020264.shtml (Internet Archive)

Philippines - isolated use

https://www.pna.gov.ph/articles/1153246 (Internet Archive)

https://newsinfo.inquirer.net/1428808/ivermectin-gets-fda-nod-for-human-consumption (Internet Archive)

https://news.abs-cbn.com/video/news/04/08/21/ph-fda-grants-hospital-compassionate-use-perm.. (Internet Archive)

https://newsinfo.inquirer.net/1412505/doctors-hospitals-may-apply-for-compassionate-use-of.. (Internet Archive)

https://twitter.com/Covid19Crusher/status/1376441448485298178/photo/1 (Internet Archive)

https://tribune.net.ph/index.php/2021/03/23/expert-vows-drive-on-ivermectin-merit/ (Internet Archive)

Portugal - used in some regions

https://www.portugalresident.com/portuguese-doctors-support-ivermectin-to-treat-early-sign.. (Internet Archive)

https://trialsitenews.com/ivermectin-debate-intensifies-in-portugal-as-use-as-prophylaxis-.. (Internet Archive)

https://penacovactual.pt/2021/03/07/medicamento-para-piolhos-esta-a-ser-prescrito-contra-a.. (Internet Archive)

Slovakia - mixed usage - while approved, press has been divided, censorship is common, and access is limited but improving - Jan 27, 2021

https://trialsitenews.com/slovakia-authorized-ivermectin-then-what-happened/ (Internet Archive)

https://www.health.gov.sk/Zdroje?/Sources/kategorizacia/doku_kl/ziad_lieky/Ivermectin-tabl.. (Internet Archive)

https://spectator.sme.sk/c/22583299/use-of-parasite-medication-to-treat-coronavirus-patien.. (Internet Archive)

https://trialsitenews.com/beyond-the-roundup-first-eu-nation-to-approve-ivermectin-for-cov.. (Internet Archive)

https://www.visegradgroup.eu/news/health-ministry-okays (Internet Archive)

https://twitter.com/Covid19Crusher/status/1354482922926047232 (Internet Archive)

https://twitter.com/Estoi_ko/status/1355493236614303746 (Internet Archive)

https://bratislava.zoznam.sk/kauza-ivermectin-zistovali-sme-kde-sa-da-zohnat-a-kedy-bude-k.. (Internet Archive)

https://www.novinky.cz/koronavirus/clanek/slovensky-prukopnik-lecby-ivermektinem-neni-naho.. (Internet Archive)

https://www.novinky.cz/domaci/clanek/primarka-letanovska-z-aro-lekari-nekdy-potrebuji-odva.. (Internet Archive)

https://trialsitenews.com/ivermectin-debate-intensifies-in-portugal-as-use-as-prophylaxis-.. (Internet Archive)

Thailand - isolated use

https://twitter.com/Covid19Crusher/status/1420296613982097427 (Internet Archive)

USA - used in some regions - Oct 31, 2020

https://covid19criticalcare.com/i-mask-prophylaxis-treatment-protocol/ (Internet Archive)

https://www.evms.edu/media/evms_public/departments/internal_medicine/Marik_Critical_Care_C.. (Internet Archive)

https://twitter.com/DCGreenZone1/status/1386734599301181444 (Internet Archive)

https://twitter.com/Covid19Crusher/status/1349841399768875009 (Internet Archive)

Ukraine - mixed usage

https://www.dec.gov.ua/wp-content/uploads/2021/01/2021_01_kn_covid-19.pdf (Internet Archive)

https://www.dec.gov.ua/mtd/koronavirusna-hvoroba-2019-covid-19/ (Internet Archive)

https://www.dec.gov.ua/wp-content/uploads/2021/12/2021_12_21_kn_klinichne-vedennya-pacziye.. (Internet Archive)

Venezuela - country-wide adoption

https://drive.google.com/file/d/1XLTUt4W1aIjLf34yAZWrCOR9O6dA4w4c/view?usp=sharing (Internet Archive)

http://www.mpps.gob.ve/index.php/sistemas/descargas (Internet Archive)

https://twitter.com/marybethpf/status/1355383994616066049 (Internet Archive)

https://twitter.com/PsuvzuliaApc/status/1369407315066126336 (Internet Archive)

Zimbabwe - mixed usage - Jan 28, 2021

https://www.sowetanlive.co.za/amp/news/africa/2021-06-27-zimbabwe-approves-use-of-ivermect.. (Internet Archive)

https://twitter.com/Covid19Crusher/status/1355062602674675714/photo/1 (Internet Archive)

https://www.aa.com.tr/en/africa/zimbabwe-oks-use-of-ivermectin-after-officials-deaths/2125.. (Internet Archive)

https://www.bloomberg.com/news/articles/2021-01-27/south-africa-allows-use-of-parasite-dru.. (Internet Archive)

https://twitter.com/Estoi_ko/status/1355493236614303746 (Internet Archive)

Please send us corrections, updates, or comments. c19early involves the extraction of over 100,000 datapoints from thousands of papers. Community updates help ensure high accuracy. Vaccines and treatments are complementary. All practical, effective, and safe means should be used based on risk/benefit analysis. No treatment, vaccine, or intervention is 100% available and effective for all current and future variants. We do not provide medical advice. Before taking any medication, consult a qualified physician who can provide personalized advice and details of risks and benefits based on your medical history and situation. FLCCC and WCH provide treatment protocols.

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