Quick! Someone please alert the surgeons, firefighters, painters, chemical workers, etc!Up to now, the safety of long-term and frequent wearing of masks...[has] been poorly investigated.
#LongCovid update at 5 months: no progress to report - so instead a on things best not to say to someone with Long Covid:
1: Wow you’ve been housebound for X whole months, how absolutely terrible that you’re missing out on so much.
No reminder necessary
Let's talk about Post-acute Viral Syndromes like Long COVID and ME/CFS (Myalgic Encephalitis/Chronic Fatigue Syndrome). These are highly debilitating conditions that follow an acute viral illness, but are chronic and in many cases poorly understood.
Long Covid could cripple health service with over 336,000 patients
Government must treat the surge in #LongCovid patients with the same urgency as the initial Covid-19 infections.
In every other profession and industry, experts act before disasters happen, at least try to prevent them.
The Swedish Covid Associaion Twitter thread auto-translate said:SBU has completed its report on the review of the scientific support for treatment and rehabilitation of post-covid.
Since the government assigned them the task, we the Swedish Covid Association has argued that it is too limited:
1) Research is still in the process of pinpointing the mechanisms behind postcovid and it is complex. Some kind of well-founded theory is needed before starting a treatment study.
2) Treatment studies take time to conduct. Setting the deadline for reporting at August 15, 2022 means that the SBU will not have much to report.
Were we right? Yes.
- SBU identified 11 articles on treatment and rehabilitation in postcovid that were assessed as having a moderate risk of systematic error.
- SBU did not identify any scientific treatment studies conducted on children with postcovid.
"Overall, the scientific evidence has very low reliability. It is therefore not possible to assess whether any of the treatments or rehabilitative measures studied are effective or not, based on the evidence identified by the SBU."
August 16, 2022 | Evidence is emerging that long COVID (formally “post-acute sequelae SARS-CoV-2 infection,” or PASC) bears a striking, molecular-level resemblance to the disabling and complex illness now known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). One key difference is that long COVID has one causal agent, the SARS-CoV-2 virus, while ME/CFS has multiple potential sources, says Warren Tate, emeritus professor in the department of biochemistry at the University of Otago (New Zealand) who has been studying both post-viral disorders.
The similarities between long COVID and ME/CFS are particularly intriguing to Tate, whose daughter’s health dramatically deteriorated more than 30 years ago after a bout of glandular fever, commonly known in the United States as the Epstein-Barr virus and best known for causing mononucleosis. With every viral illness, including the flu, “a forgotten minority population” experiences lingering physical, cognitive, emotional, and neurological difficulties long after they have fought off the infection, he says.
COVID-19 has been an unexpected game-changer in that it has put post-viral syndromes on the radar of clinicians and scientists, bringing attention and resources to the study and treatment of PASC, continues Tate. Long COVID is thought to impact as much as 30% of the population infected by SARS-CoV-2, threatening to produce a secondary pandemic.
Tate says he is hopeful progress will be made in not only ameliorating the symptoms of long COVID but finding a way to reverse the condition and get the brain functioning normally again. Less certain is whether research to that end will extend to ME/CFS.
“I have to learn to accept that my life before, it may not come back. This is probably what is the most difficult, to accept. But if I choose to speak about it today, it is to help others who suffer in silence. And also to say that we will have to be helped, because we have no idea how much there are people who are suffering at the moment.
Marie-Ève Marchildon's life changed completely on March 18, when she contracted COVID (...) who had nevertheless received her three doses of vaccines. If the disease only added to her a few small discomforts during the first 48 hours, she was completely struck down from the third day. And for five months, Marie-Ève has been struggling to climb the slope, she who was diagnosed with a severe form of Long COVID.
Postural tachycardia, respiratory problems, intense shortness of breath, memory loss, loss of concentration and above all, extreme fatigue that forces her to sleep almost 20 hours a day without ever recovering, this is what life looks like now for this woman who was yet very active and who worked as a representative in the food industry..
Because beyond the 15 weeks of health insurance provided for by the government, a largely insufficient period for affected patients, many people struggle to have the diagnosis recognized by their insurer, their employer or even the RRQ.
Because if we tended to think that a drop in energy could be relieved by encouraging effort, we now know that it is rather the opposite for long COVID.
“Physical and cognitive effort is the sinews of war(...)
About twenty clinical trials are currently underway to test the effectiveness of certain drugs on the effects of long COVID, including those similar to myalgic encephalomyelitis, formerly called chronic fatigue syndrome. We also study the various potential hypotheses likely to be sources of development of the long COVID. Among them, the professor identifies the possibility that the virus has caused damage to blood vessels through the formation of micro blood clots, the persistence of virus replication in certain reservoir organs or even a dysfunction of the immune response.
“ We are currently thirty years behind in research on disabilities following viral diseases. We haven't paid enough attention to that, and that's why we're here. Our Sherbrooke clinic initially accepted patients from all over Quebec, but we now have four to six month waiting lists (...)"
Carrie Anna McGinn believes the government needs to talk more about the effects of Long COVID when talking about the pandemic...even if it doesn't pay off politically.
“Looks like the Long COVID victims were intentionally overlooked. But I believe that if we communicated the risks better, if we explained well to people what persistent symptoms they can live with, that we can even develop a condition that will make us unfit for work forever, I believe that people would be more able to make an informed decision on the measures to adopt to protect themselves from the virus”, she confides.
Articles with low risk of bias: 0.SBU (The Swedish Agency for Health Technology Assessment and Assessment of Social Services) has published their final report on their systematic evidence review of treatments and rehab for long covid.
Available in English here:
https://www.sbu.se/en/publications/...d-19--effective-treatment-and-rehabilitation/
Swedish version here:
https://www.sbu.se/sv/publikationer/sbu-bereder/postcovid/
The Swedish Covid Association summarises and comments on Twitter:
In every other profession and industry, experts act before disasters happen, at least try to prevent them. I don't understand how it's OK for healthcare industry to operate on the basis of doing nothing unless a problem completely cripples the entire system. Because the message here is very loud and clear: unless you sick people with your complaints completely render healthcare services unable to function, no one cares, no one does anything, sick people are of no concern to anyone in this industry as long as they don't see or hear from them.
Meanwhile the thousands of us who warned about this are still completely ignored, no one even acknowledges that people warned about this disaster, warnings that are still ignored.
https://thespinoff.co.nz/society/17...ovid-get-strength-from-growing-facebook-groupNB: This article was written by someone whose cognitive function has been impacted by Covid-19. It was worked on in one-hour chunks over several weeks as brain clarity, pain and energy levels allowed… often from bed.
This pandemic has been brutal, right? It upended my family’s life in a multitude of ways, but throughout the first two years whenever I felt myself freaking out about job losses, solo parenting in lockdown, or the MIQ roulette my overseas husband was playing, I’d remind myself of all the people who’d succumbed to the virus and the loved ones left behind. “At least I have my health” became an oft-repeated mantra for the moments when it all felt too much. Then in March, Covid-bloody-19 descended upon our household and hit me hard. Unfortunately, I’ve never recovered.