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Use of the CDC dataset as controls for a non-randomized trial is very problematic. Hard to know what to make of this at all. It has a modicum of bioplausability but I don’t think my posterior probability estimate of effectiveness has changed at all after reading the paper.
I have been doing nasal rinses for a couple of years since I found out I was immunocompromised (CVID) on the recommendation of a Mayo Clinic doctor. It makes sense to me that if they are testing for Covid with nasal swabs because it starts there, then doing regular sinus flushes will help prevent a small exposure from taking root. I use this kit, $9, every time I'm around others like at the store, etc (and still wear masks):

https://www.amazon.com/NeilMed-100-Sinus-Rinse-Complete/dp/B...

I saw a post here recently from a guy who has been doing nasal rinses since the 70's and hasn't been sick in 50 years!

I use the same kit, for oh about 10 years now. Steroid flushes once or twice a day, unfortunately.

I did get COVID, but extremely mild. I can only think of one or two times I've felt sick at all in those 10 years.

Just make sure to use distilled water. Brain parasites are no fun.
Distilled water and sterile water are not the same. You want sterilized water.
The study doesn't have a suitable control group.

However, if the study was re-run with a control group and found the same results, then the outcome is phenomenal. Ie. Far better than vaccination achieved.