The head doctor at an Arkansas jail has been treating inmates suffering from
COVID-19 with
ivermectin, a drug commonly used to treat parasites in animals. A version of the same drug has been approved by the FDA for topical diseases in humans, but warned against by the agency as completely unproven—and downright dangerous—in treating the coronavirus.
Still, the drug has been prematurely and widely hyped by conservatives and far-right types—some of whom oppose vaccines—as a sort of latter-day pandemic miracle drug. As The Daily Beast
reported, this recently set off a wave of disturbing prescriptions and even calls to poison-control centers, in some cases over people who apparently took the “horse paste” version of the drug intended for animals.
Eva Madison, a Justice of the Peace in Washington County, told The Daily Beast she found out about the treatments of the inmates on Tuesday, which were first reported by the
Northwest Arkansas Democrat Gazette.
According to Madison, a county employee had been sent to the jail to get a COVID test, which turned out to be negative. Nonetheless, Robert Karas, a doctor who has overseen treatment and testing of inmates throughout the pandemic, allegedly prescribed the employee with 50 tablets of ivermectin, with a recommended dosage of 10 tablets per day. The pharmacy where the prescription was sent, Live + Well Pharmacy, confirmed to The Daily Beast that Karas has been filling out prescriptions there for ivermectin for both inmates and other patients.
Karas did not immediately respond to a request for comment for this story.
According to Madison, the county employee instead told his primary care physician about the prescription and his doctor told him to “throw it in the trash.”
Madison said she is concerned that the more than 600 inmates rotating in and out of the Washington County Detention Center don’t have the same ability to get a second opinion or question the treatment they’re given. “Our inmates do not have that choice,” she said.
Madison said she brought the issue up to Washington County Sheriff Tim Helder on Tuesday, who she said she’d always had a good relationship with. She expected Helder to handle the situation or at least express concern. But instead, she said, he defended Karas.
“I was shocked,” Madison told The Daily Beast.
A spokeswoman for Helder initially declined to answer questions about the treatment or when it began to be used on inmates. “Dr. Karas with Karas Correctional Health is the medical provider contracted to care for the needs of the detainees, so I will have to refer you to him,” she told The Daily Beast.
Later, the spokeswoman told The Daily Beast that Helder only learned about Karas treating inmates who had tested positive for COVID with ivermectin on Tuesday afternoon. The
Democrat Gazette reported Helder was informed about the use of ivermectin on inmates in July by Karas, but the spokeswoman said that was incorrect.
Madison said she spoke to Karas directly about the treatment on Tuesday, but that the doctor seemed unmoved and told her that he and members of his family have been taking the treatment to prevent against COVID. When questioned about the fact that the
FDA has been adamant in warning against the use of the drug for COVID treatment, she said Karas cited a National Institutes of Health study to make his case.
But when Madison said she pointed out that the NIH concluded in a February report that there was “insufficient evidence” to recommend for or against the use of the drug for COVID treatment, Karas cited a
web page published by the Front Line COVID-19 Critical Care Alliance that purports to contain the “scientific rationale that justifies the use of ivermectin in COVID-19.”
According to
The Scientist, the FLCCC wrote a paper arguing the benefits of ivermectin as a treatment that had been provisionally accepted and posted by the journal
Frontiers in Pharmacology in January. However, by March, the paper was rejected and removed because editors found that it contained unsubstantiated claims. Nonetheless, the outlet reported, the paper had been widely viewed and shared by that point.