No evidence suggests a causal link between ivermectin recommendation and the decline of COVID-19 cases in the Indian state of Uttar Pradesh
After a second devastating COVID-19 wave, India experienced a sharp decline in the number of COVID-19 cases in many regions, some of them promoting ivermectin use. However, no evidence suggests that ivermectin recommendations are behind the drop in COVID-19 cases. Instead, this decline likely results from a high level of immunity among the population due to previous infections and COVID-19 vaccines, combined with control measures such as lockdowns. Public health agencies, including the Indian Council of Medical Research discourage ivermectin use to treat COVID-19, due to the lack of evidence supporting its efficacy for preventing or treating COVID-19.