Clarity Promotes Safety
The Latest Coronavirus Update
from Dr. Dale Migliaccio, D.C.
Greetings!
This is my 8th Newsletter on Coronavirus and I am glad to say once again, keep up the good work Santa Barbara! Continue to Be Smart, and Be Healthy. Also, please do me a favor and forward this article to as many people as you can. There is very important and updated information below. By sharing this you can help others reduce their risk and at the same time, hopefully reduce their fear. Additionally, I am very proud of my patients. With their great efforts of taking care of themselves, I have seen no severe infections in my existing patients since early January! That is even better than a typical year and I have no doubt it is due to everyone's ramped up protocols and focus.
Product Updates
Our Immune product stock is mostly doing very well, however, we are still running into intermittent shortages. Lately mostly Immune Balancing Complex and Humacel. However, the good news is that we should be getting a shipment of Humacel any day now that is large enough for us to make it available to everyone. And we are fortunate to have an excellent replacement for Immune Balancing Complex, which is Herbal Biotic, which is taken at the same dosage. I have used this product for 19 years now and it is an excellent formula.

I have had to use our new product, MuSolve, now in 4 persistent lung infections, 2 being patients who called needing help fighting the Coronavirus, and so far it has been extremely impressive , getting dramatic results within 5 days, confirmed with measured Oxygen improvements. It is a sophisticated product specifically for someone having significant lung congestion from any infection, or difficulty breathing. This product is now available for those in need or those with a past history of lung problems.

Additionally, we have a new Preventative recommendation, Stellar C, for anyone wanting to do the most to keep their immune system in ready mode and also to help if you get sick.
I'm a Guest on a Podcast Today, Thursday, May 28th!
Please listen in and spread the word to your friends.  

I have been invited by an industrious, curious, smart young man to be interviewed about Covid-19. There will be some material that is not covered in this newsletter that might be considered a bit controversial.

On Instagram Tonight: 8:30-9:00
search for the username n830show
The Critical Keys for Protection During Re-Opening
The good news is that due to the excellent results we've had in Santa Barbara, and the work on behalf of the our county officials to get our Governor to separate the Lompoc Prison from the rest of our county statistics, our re-opening is finally moving forward.

As you may realize by now, I am not an alarmist. However, with our re-opening comes the possibility of our most dangerous time so far . It does not have to be this way if we focus more thoroughly on the key precautions that weren't given proper attention since the beginning of this crisis. Otherwise, if we become more complacent with our "at risk" group, we may see a quick rise in key numbers and be shutdown again within 2 - 3 months, which is a very bad health and economic scenario.

Critical Key #1 : This is a Dangerous Virus for a small percentage of our population, those with chronic health challenges. This Virus is minimally dangerous for a large percentage of our population , most of those with no chronic health problems.

Low Risk vs. High Risk: We have 2 very distinct risk groups and this is our key. The over 65 age group as a whole only makes up 12.5% of our population, and the group at risk is only portion of that age group. However, this age group makes up 80% of the deaths from Covid-19. If we include our 55 and over age group with chronic health problems then we have 92% of U.S. Covid-19 deaths.

The Key to minimizing deaths and re-closure is the Protection of individuals that are most at risk . We know who these individuals are. The are mostly over 65 and in the vast majority of cases have at least one chronic health condition, often two or more. The majority being lung or heart issues, but pretty much any chronic health condition increases an individuals risk, even for the young.

From the beginning, this at risk group should have been where we, as a nation, directed 95% of our focus . My personal opinion since the beginning on this issue is that had our leaders across the board, put the time, attention and resources on this group we would have had far less deaths and we could have avoided shutting down our economy.

It is far easier for everyone to focus on a small group (12.5%) that is at high risk, rather than trying to manage a much larger group, meaning everyone. Especially when most of the much larger group are at very low to zero risk of dying from the Virus.

Last week I read a USA today opinion piece that was focused on encouraging re-opening, which I am all for. However, as with almost all of the media coverage and unfortunately the verbal attention that our leaders have given it, the subject of the "populations that are more vulnerable", received 26 words, while the article itself was 741 words, that is 3.5% of the focus. This was likely a higher average than most articles.

Having scanned way too many articles, and read a significant number of select articles, I can say that 95% have no practical value for helping you during this crisis. Most are misleading, stressful and fear inducing. Much of the information is inaccurate and potentially harmful. There are only a few keys and unfortunately they get a fraction of the attention they should.

A wise man once said, "that which matters most should never be at the mercy of that which matters least". Goethe. Unfortunately the current media coverage is mostly the perfect example of "that which matters least".
Concentration x's Time - How Are People Getting Sick?
The data show us that most people get infected in their own home. A household member contracts the virus in the community and brings it into the house where shared space between household members leads to infection.
 
What are the key infection risks while reopening?
A Cough: A single cough releases about 3,000 droplets and droplets travels at 50 miles per hour. Most droplets are large, and fall quickly (gravity), but many do stay in the air and can travel across a room in a few seconds.
 
A Sneeze : A single sneeze releases about 30,000 droplets, with droplets traveling at up to 200 miles per hour. Most of these droplets are smaller and travel great distances (easily across a room).

If a person is infected, the droplets in a single cough or sneeze may contain as many as 200,000,000 (two hundred million) virus particles which can all be dispersed into the environment around them.

Breathing: Unlike sneezing and coughing which release huge amounts of viral material, the respiratory droplets released from breathing only contain low levels of virus. We don't have a number for SARS-CoV2 yet, but we can use influenza as a guide. Studies have shown that a person infected with influenza can releases up to 33 infectious viral particles per minute .

Remember this formula: Successful Infection = Exposure to Virus Particles x's Time
Where have the larger numbers of infections started? Ignoring the terrible outbreaks in nursing homes (estimated to be 40% of our deaths), we find that the biggest outbreaks are in prisons, religious congregations, and workplaces, such as meat packing facilities and call centers. Any environment that is enclosed, with poor air circulation and high density of people, spells big trouble, high risk.  This is where viral particles can concentrate over time and people are inhaling those particles over time!

This is also why it is much, much, safer being outdoors . The overall risk for getting an infection outdoors is dramatically lower. Only in an outdoor environment where people are very close together over an extended period of time, add in yelling and screaming, would the risk for infection be high. Or if someone is up close, contagious and sneezes, coughs or sings in your face.

I like the idea of church services outdoors or in a very well ventilated large room. And the more our towns allow our restaurants to expand outdoor seating the faster they can support their staff, and themselves, while happily serving us. Outdoor exercise should be encouraged, not discouraged. We are very fortunate with our weather. If stuck indoors with many others, ventilation is critical.

During this re-opening time, we must be smart and thoughtful, using the above information and most critically keeping our at risk protected . Of course it is critical that these individuals do all they can to stay safe and healthy themselves.

With these precautions, the majority of our population can return to a more normal life and begin to rebuild our society and economy.

Much of the technical information above is extracted from an article by Professor Erin Bromage.
Immune/Covid-19 Successes and Supplement Protocols
I have had 3 Covid 19 patients, none were patients before and I was called on after they were severely rundown and suspicious of infection. Two had already tested positive. All have responded very favorably. Two are happily back to work. None have been to the office.

As I've mentioned before, the good news is that over the years I've had excellent results with all kinds of infection cases! I love helping patients with infections. What I am referring to is my track record with treating patients with acute and chronic infections, both Bacterial and Viral. The cases range from severe staph infections and chronic or acute strep, to viral infections like Hepatitis C, Mononucleosis, and the "so far so good" Covid-19 patents. Really, we are not treating the infection, we are helping the patient's immune system rise to the occasion and win the war.

In general, conventional medicine has very few and generally ineffective options when it comes to viruses. The wonderful exceptions are HIV and Hepatitis C; these have seen life saving drug therapies, but once again, they are the exceptions.

The very complex Medical Podcasts that I listen to regularly can only "hope" that something along those lines comes along for Covid-19, but they are not expecting it.

Once again, it comes down to how responsive the Immune System is of the Host!
Below I have given you basic options, and add-ons if you feel the need, or fall into specific categories. If you have additional questions regarding any of this please call the office or email your doctor and we will get you an answer ASAP.

The most recent strong recommendation  is from some SARS researchers in Europe. They found that Vitamin C was strongly indicated for that virus, and their projections are that it is equally important for COVID19. Our Immune Balancing Complex and Herbal Biotic both contain Vitamin C. However, if you are taking a Preventative dose of 2 - 3 per day, of either of those,  I'd recommend for the next 4-8 weeks additional high quality Vit. C . My preferred version currently is either Stellar C or Bio C 1:1. Both are rich in Vit. C, plus critical co-factors for C, which are Bioflavonoids. An additional capsule at lunch and dinner is added protection, and then  at the first sign of any infection symptoms ramp up to as many as 2 with each meal in addition to the C in Immune Balancing Complex .

Vitamin D  is always important when it comes to our Immune System and almost all of our bodily systems. Taking 1 D3 5000 per day is a sufficient dose, and for those over 40 K2D3-5000 is preferable for other key benefits for our cardio-vascular and bone health.

At the onset of an infection it is beneficial to ramp up on Vit. D3 5000, by taking 3 caps, 3 times per day for 4 days . Vit. D should always be taken with food.

Melatonin, for all patients over 50 . The most beneficial article I have read since this outbreak was a very complex article based on much research following the SARS and MERS Coronavirus outbreaks. It very specifically outlined the pathways that clarified how Melatonin has an inhibitive affect on the severity of the virus’s ability to impact us.

Therefore I am recommending our 3 mg. capsule for all patients over 50 , taken at dinner or just before bed. I have taken Melatonin myself for many years now.  This has also been associated with the dramatically different levels of Melatonin as we age. Younger children can make up to 10x's the amount of melatonin each night than older healthy adults. Our production of Melatonin gets lower and lower as we age.

My Current Prevention Program includes: 
  • Humacel: 2-3 caps upon arising. If Humacel is on Back Order, then CompliVir at the same dosage. 
  • Immune Balancing Complex or Herbal Biotic: 2-3 caps with breakfast 
  • IG-26: 2-3 caps at breakfast
  • Vit. D5000 or K2D3 5000, 1 per day.
  • Over age 50, 1 3mg. Melatonin capsule at dinner or before bed.
  • Stellar C, 1 lunch and 1 dinner.

If you are someone who gets sick often or more severely, use our powder version of IG-26 and take 2 scoops per day. This is very effective at decreasing infection frequency and severity. 

My Active Viral Infection Protocol:
The key here is to  be prepared , have these on hand and ramp up as soon as you feel something coming on. 
  • Humacel: 3 caps, 3x’s per day away from food. Upon arising, mid-morning and late in the day. If we are out of Humacel the best back up is CompliVir at the same dosage as Humacel.
  • Immune Balancing Complex: 4 caps, 3x’s per day with food, for 4 days then 3, 3x’s per day. 
  •  IG-26: 2 caps, 3x’s per day
  •  If Covid 19 is even suspected, add in QuercisorbSR at 2 breakfast and 2 dinner.
  • If compromised breathing, or severe cough add in MuSolve at 2 upon arising and 2 late afternoon.  This is a very effective product for Lung congestion or restriction.  At times we go up to as high as 3 x’s 3. 

Additional support for strong viruses or older and compromised individuals either:
  • MonoLaurin: 1 cap per meal, or
  • Silvercillin: 2 teaspoons, 3x's per day. Swish, Gargle deeply and swallow. 

Humacel  is a patented anti-viral product that I have used for many years with many, many patients. 

Immune Balancing Complex  is a combination of immune supportive vitamins, glandulars and herbs, designed to support your immune system in fighting infections of all kinds. 

IG-26  is a natural anti-bacterial formula rich in powerful antibodies. 

Note:  Although viruses do not respond to anti-bacterial formulas, viral infections disrupt our microbiome. This decreases our immune resistance, making a subsequent bacterial infection more likely, and demands more of our immune system's overall ability to respond to all infections.

Note #2 : I use our water-based  Silvercillin Liquid  on a daily basis, swishing, gargling and swallowing a teaspoon or two, 1 - 2 x's per day. This is quite effective at killing many viruses and bacteria on contact. It also comes in a spray bottle.

Note #3 : I take at least a preventative dose of Humacel every day of the year, first thing in the morning as a precaution.

Increased anti-viral preventative options:
If you want additional anti-viral/bacterial immune support, choose one of these:
  • MonoLaurin is a specific anti-viral extract of coconut that is used to fight many strong viruses. For prevention, take 1 cap at breakfast, or 1 cap at breakfast and dinner. 
  • Silvercillin is a highly effective antimicrobial composed of pure silver complexed with purified water. Silvercillin utilizes a technological breakthrough allowing for the production of a silver particle small enough to enter a single red blood cell, enabling the silver to travel through capillaries, the tiniest blood vessels in the body, and inactivate viruses at the cellular level. 

If you are not noticing improvement within the first 3 days, call the office  and let them know what your primary symptoms are. We have many other immune products that may be necessary for you.  If necessary, we can set up a phone consult.

Children:  The three best products for children, both preventatively and for treatment, are Humacel, Congplex Chewable, ImmunoBerry Liquid and Silvercillin. 

Congaplex Chewable is similar to Immune Balancing Complex, and you can literally have kids take some everyday. They like the taste of it also.

Children under 4 years
  • Congaplex Chewable 1-2 tabs/day, 2 x's 2 if active infection.

Children ages 4-8
  • Congaplex Chewable 2-4 tabs/day, 2 x's per day if active infection
  • Humacel (if fever) 1-2 capsules, 2x/day (empty stomach)

Children ages 9-12 (Over 12 follow adult protocols above)
  • Immune Balancing Complex: With food: 2-3 per day, if active infection 2 capsules, 3x/day,
  • Humacel (if fever) 3 capsule, 2x/day (empty stomach).

For children, If we are out of Humacel or you want additional support, add in ImmunoBerry  at 10 - 20 drops, 1 - 3x's per day (depending on the size of your child and the severity of symptoms). Or  Silvercillin  at a half teaspoon 1-3x's per day.
Coronavirus Antibody Testing is Here!
Quest Diagnostics is now offering antibody testing for the novel coronavirus.  This type of test detects antibodies that show if you have already been exposed to and produced an immune response to SARS-CoV2, even if you never experienced symptoms. Previous exposure means you most likely now have some level of immunity to the virus*.  Understanding your immune response gives you and your doctor the information to assist in making an informed decision about returning to work or activity.

Who can get tested:  Immune response testing is available only to patients who are NOT currently experiencing COVID-19 symptoms and have not experienced symptoms within 10 days. Common COVID-19 symptoms include fever, cough, and shortness of breath.  This applies to existing patients and new patients.

How the testing works : If you would like to check your antibodies, and are not currently experiencing symptoms, give the front desk a call and let them know.  We have negotiated a discounted rate through Quest of $73.03, which needs to be paid in advance (normal price is $165).  We are also charging a $15 processing fee for existing patients and $20 for non-patients.  Once you order your test, we will send the order to Quest.  Do to demand at Quest, it may take us a few days to get everyone processed.  We will email you your lab order along with further instructions.    

Where to get tested : You can  make an appointment  at a Quest patient service center for an immune response test. 

*While the role of antibodies in preventing COVID-19 disease has yet to be established, antibody testing for other respiratory illnesses (SARS, flu) provides insight into immunity to future diseases and deceased risk of infecting others.
New Focused COVID-19 Facts for Santa Barbara
The numbers for this Edition are based on the 5.26.20 Public Health Dept. report.

Widespread community-based Coronavirus testing became available in North and South Counties on May 5th, which accounted for a slight increases in total new cases. However, when we take into account the increased number of tests, we see that a lower percentage of people are actually testing positive.

March 15th - May 7th: 1 in 12 tested positive (8.3%)
May 8th - May 27th: 1 in 55 tested positive (1.8%)
Overall: 1 in 24 tested positive (4.2%)
(These numbers omit stats from Lompoc Prison)

Just like we had done with the daily new cases, we took the 14 day average of percent-positive new cases going back to the beginning. These results are shown in the figure below and are definitely encouraging.

The most critical statistics are changing as we move into a new phase with this Coronavirus. In order to continue through Phase 2 of Re-Opening, SB County requires the following:

  • Less than 10% Positivity of tests in last 14 days
  • Less than 2% Fatality rate in last 14 days
  • Over the past 14 days, number of patients hospitalized with COVID-19 illness is stable

As of May 26th, SB County meets all of these criteria: 1.8% Positivity, 0.5% Fatality, Hospitalizations stable at 10 or 11.
Coronavirus PEMF Special!
Here is another benefit of the Coronavirus, a very special PEMF Package Deal. We have never made this deal available for our full patient population before! For a limited time, buy a 20 PEMF Package for just $950! Usually this package would be at least $1,280!
In Closing
I am very hopeful that one outcome of this catastrophe is that our country shifts from a focus of treating disease to Preventing Disease, Creating Health and Very Strong Hosts.

Additionally, I am very optimistic that this catastrophe will move our federal government to return to the investment into a national pandemic branch of the public health department that the most successful countries had in place when this crisis began.

This could be the beginning of a major positive change for our country that will improve the quality of life for many, save many lives, and save many national resources that can be used for other important causes.

Also, please send me any of our Coronavirus questions or comments at drdale@silcom.com