News from Austria and Switzerland

ME/CFS Symposium @FENSorg
Yesterday the @oeg_mecfs in co-operation with @AustrianNeuros1 (ANNA), @MedUni_Vienna and @Weandmecfs Foundation organized #MECFS Symposium

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Neuroscientist @MBVanElzakker reported on international studies and results. He described neuroinflammation as smoke: It is not the smoke that needs to be investigated, but the fire! This is detective work - especially with different pathogens.
Prof Untersmayr-Elsenhuber presented our #CareforMECFS practical guide and discussed the fact that the majority of patients are no longer able to work. Further training, a special outpatient clinic adapted to the needs and outreach care are urgently needed
Discuss on the podium @neurostingl, BM aD @rudi_anschober & @JoSchweighardt (ÖG ME/CFS) on the dramatic care situation and message from a patient: her illness is not taken seriously, is constantly worsening, and incorrect treatment leads to a deterioration in her condition
Rudolf Anschober criticizes himself for not making #MECFS a priority during his term of office: "[...] if I had known that back then, I would probably have acted differently." We would like to thank co-organizers, speakers, audience & @DrMeryn for moderation.
 
Article in Swiss news about 12 year old with Long Covid who is unable to attend school (in german)

https://www.nau.ch/news/schweiz/cor...gen-long-covid-nicht-mehr-zur-schule-66785816

Claude AI english translation:
Here's the English translation of the text:

Actually, Olivia* is an active and athletic girl. She plays music and basketball, and likes to meet up with her friends. But an infection with the coronavirus has suddenly changed the life of the now 12-year-old from Bern.

She became increasingly tired, was extremely exhausted. The energy was missing.

Olivia has been suffering from Long Covid, a sequela of a corona infection, for almost two years.

Last fall, Olivia was infected with the virus for a second time. "From then on, it went more and more downhill," her mother Deborah S.** tells Nau.ch.

"Absolutely exhausted"
First, the 12-year-old had to give up her hobbies. And at school, she had increasing difficulties concentrating and participating. "She would come home absolutely exhausted," says her mother.

Olivia became ill, suffering from fever, racing heart, and dizziness. Added to this were headaches, digestive problems, and exercise intolerance.

When school was no longer an option, they had to cut back her schedule. She was supposed to focus on the main subjects initially, could skip early morning lessons and miss tests.

But even that was too much. "After two to three lessons a day, she was flat out and had no more energy. The day was over," says Deborah S.

The situation got worse and worse. Even after a short exertion, she was confined to bed for a whole week, unable to get up. "Sometimes she couldn't even speak because it would have cost too much energy."

Long Covid reduces children's future chances
The consequence: Since the spring holidays, Olivia has not been in school and has therefore received hardly any education since then, social contacts are missing.

The association "Long Covid Kids Switzerland" warns Nau.ch that children like Olivia are losing part of their youth, if not all of it. "And because of the often missing/insufficient schooling, they also lose valuable months/years of education and future opportunities. We already have young people in our group who have no school-leaving qualification because of their illness."

Estimates of the number of people affected by Long Covid vary: Between 70,000 and 300,000 Swiss are said to suffer from it.

Chantal Britt, President of "Long Covid Switzerland", tells Nau.ch: "It is unacceptable that after more than four years, no reliable statistics on the frequency of Long Covid in children are known."

No official data on Long Covid
"At 'Long Covid Switzerland', we base our estimates on figures collected abroad." According to these estimates, at least 23,000 children and adolescents in Switzerland would meet the criteria for Long Covid. At least 9,000 of them would have persistent complaints, says Britt.

Claudia Schumm, Co-President of "Long Covid Kids Switzerland", adds: "Around 280 families from German-speaking Switzerland with affected children/adolescents are currently exchanging information in our Facebook group."

Meanwhile, Olivia's mother Deborah S., who works in social pedagogy, is fighting with the doctors. She and her daughter were not believed, Long Covid was dismissed as depression, she reports.

The single mother of three children then networked in self-help groups. And spent hours exchanging information with those affected. There she learned about the possibility of oxygen and blood washing therapy.

Clinical data lacking in Long Covid therapy
As clinical data is lacking, all approaches are "off-label" (outside approved use), explains "Long Covid Switzerland". "Many health insurance companies and insurers do not recognize Long Covid as a disease, let alone as a physical illness."

President Britt confirms: "As with disability insurance assessments, it is usually attributed to the psyche. For this reason, those affected have to bear the costs of blood washing themselves."

Nau.ch accompanied Olivia to her fourth blood washing therapy. For this, she has to fight her way out of bed early in the morning and make her way to Zurich.

Olivia is visibly tired and exhausted before and during the appointment. Every step, every movement is a strain. She only speaks when necessary to save energy.

Arriving at the practice in Zurich, she has to lie down similar to a blood donation. The accesses are laid at her veins. In blood washing - in technical jargon called HELP apheresis - the blood is sucked off and then filtered in a machine.

After blood clots and spike proteins are filtered out, the blood is guided back into the body. This treatment takes between three to four hours each time.

During the therapy, Olivia falls asleep again and again. She lacks the strength to answer questions from Nau.ch. Her mother provides information in her place.

Therapy gives Olivia strength
"After the therapy, my daughter feels better. She has strength again and is sometimes full of energy," reports the mother. Then she also has to slow Olivia down to prevent a setback.

"But it's always a balancing act. After all, she also needs social contacts and experiences," says Deborah S.

Her daughter's Long Covid illness not only pushes her to her limits emotionally and in terms of time. It also costs money. Not opting for the treatment is not an option.

"My daughter needs this treatment now. I can't not treat her because of a health policy gap," she says. Otherwise, there's a fear that her daughter's illness could become chronic.

15,000 francs collected through crowdfunding
That's why she started a crowdfunding campaign on the platform "Go Fund Me" and collected 15,000 francs. Chantal Britt from "Long Covid Switzerland" says about this: "The fact that those affected are conducting crowdfunding to pay for their treatment should really give us pause for thought as a country."

Additionally, the family is given hope by the Spitex, whose support for care they will be able to count on in the future after months of waiting.

Furthermore, Deborah S. hopes that society and politics will not sweep the processing of the pandemic under the carpet. But that solutions will be sought and implemented in a timely manner. Her appeal: "Don't forget us, we need your help!"

*Name changed by the editorial team
**Full name known to the editorial team

Highlights:
* Talks about exercise intolerance and worsening
* Features commentary on the fact that the swiss government hasn’t even bothered to estimate the number of people suffering from long covid
* Highlights the fact that her doctors dismissed it as depression, and disability benefits application treat it as a psychological problem
* Unfortunately at the end goes into detail about an unproven “blood washing” therapy
 
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News Release from Swiss parliament (translated)

On September 11, 2024, Federal Councillor [one of the leaders of the executive branch] Baume-Schneider spoke in the Federal Parliament on the motion by Yvonne Feri, "Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS): Care Situation." The motion was indeed withdrawn by National Councillor Barbara Gysi after a long statement, following consultations with Ms. Feri, but with these meaningful words: "We don't need more reports, we need to act now." The Federal Councillor took note of this and confirmed that the desire to act now exists within the Federal Office of Public Health (FOPH).

https://www.mecfs.ch/blog/mecfs-postulat-parlament-bundsrat-schweiz
 
Post-viral syndromes: New National Reference Center opens at the MedUni Vienna
https://www.meduniwien.ac.at/web/en...-reference-center-opens-at-the-meduni-vienna/

The Austrian Ministry of Health has commissioned the Medical University of Vienna to establish a National Reference Center for Postviral Syndromes. The center will advance research into post-viral syndromes and offer training for healthcare professionals. Around one million euros will be made available for this purpose. The new National Reference Center will be headed by Kathryn Hoffmann and Eva Untersmayr-Elsenhuber.
...
As a renowned expert in the field of post-viral diseases, Eva Untersmayr-Elsenhuber and her team are currently setting up the first Austrian biobank for ME/CFS
...
In particular, the reference center will promote healthcare research and training of the healthcare staff involved in post-viral syndromes.
...
The coronavirus pandemic has given additional importance to post-viral syndromes such as Long COVID and ME/CFS. In Austria, it is estimated that up to 80,000 people are affected by ME/CFS alone. Due to the lack of a clear biomarker, the path to a correct diagnosis is still lengthy. Disease patterns and treatment options vary greatly. Different medical disciplines often have to work together to care for those affected.
 
In Switzerland, a Long COVID treatment trial for a potassium channel blocker had to be discontinued because most of the patients interested were of too poor health to undergo the cognitive testing and trips required.

From AargauerZeitung (in german) (translated)

Researchers from the University of Basel, led by neurologist Dominique de Quervain, were pursuing another approach: They aimed to test the drug Fampridine on Long-COVID patients. Fampridine blocks the potassium channel, enhancing neurological functions in patients with multiple sclerosis.​

In July, de Quervain mentioned that interim results were expected soon. But when asked again, the neurologist now states: “Unfortunately, we had to discontinue the study due to recruitment difficulties.”​

For many Long-COVID patients, participating in the study was too demanding: Participants needed to travel to Basel five times and undergo extensive cognitive tests. “This was too much for many patients, who often suffer from severe fatigue,” says de Quervain.​

In the end, only seven patients completed the study instead of the 44 planned. Unfortunately, no reliable conclusions about the effectiveness of Fampridine could be drawn from such a small sample size, according to de Quervain.​
 
Did they not have any patient input into the study design?
That really doesn’t sound like something we’d do in Switzerland. Though I have no medical experience so what do I know. But culturally doctors are very highly regarded and would never ask patients this kind of stuff.

I obviously wish/hope they do do it.

I have to note I appreciate the “no reliable conclusions could be drawn” with n=7, instead of publishing a study with 7 participants claiming the drug works.
 
This looks like a very successful grant round at the university of Vienna:
https://twitter.com/user/status/1849126235940544859


The WWT and WE&ME Foundation provided funding for a call on Understanding ME/CFS of maximal 100.000 euros in funding per project. They received 13 applications and 7 were funded. These include research on severe ME, rare genetic mutations, mast cell activation, and skeletal muscle metabolism.

The funded projects can be found here:
https://www.wwtf.at/funding/programmes/ei/#ME-CFS24

The Austrian ME/CFS organisations Tweeted that there are plans for a second round of funding.
 
From the link above:

Understanding ME/CFS

The call “ME/CFS 2024 - Understanding ME/CFS” invited researchers in Vienna who seek to conduct a cutting-edge research project (15 months max.; max funding per project € 100,000) that aim to advance our understanding of etiopathogenesis, diagnostics and/or therapy of post-acute infectious diseases, namely ME/CFS. This call was co-financed by the WE&ME Foundation and WWTF in equal shares. WWTF funded a total of seven excellent projects.

Funding volume: € 695,445
Number of applications: 19 proposals
Awarding procedure: single stage selection process by international expert panel
Jury meeting: September 12 and 13th, 2024
Formal decision by WWTF Board of Directors: 9th of October 2024

Contact person: Benjamin Missbach

Chair: Chris Ponting / University of Edinburgh
Nancy Klimas / University of Miami, US
Eliana Lacerda / London School of Hygiene & Tropical
Medicine, UK
Elisa Oltra / Catholic University of Valencia, ES
David Putrino / Icahn School of Medicine - Mount Sinai, US
Keith Geraghty / University of Manchester, UK

Funded projects

That's a substantial amount of research funded, it will help grow the Medical University of Vienna into a significant force in ME/CFS research.
 
It looks like these studies are all going to be rather small, but seeing so much biomedical research funded is exciting. Way to go, Vienna. Funnily enough, if I never got ME, I would still be living in Vienna.
 
Good news. Switzerland solved Long Covid. Well, the government sent out pamphlets to raise awareness. Only took them 4 years. Surely it will be solved quickly. Because if there's something that emphasizes the urgency of a public health crisis, it's definitely sending a pamphlet years later and doing nothing else about it.

Long Covid cases in children are exploding - now the federal government is responding
https://www.bluewin.ch/en/news/swit...e-federal-government-is-reacting-2426856.html

In Switzerland, the number of Long Covid cases in children is rising. The FOPH has published an information sheet to support schools, while organizations emphasize the urgency of the situation.
...
The number of children and young people affected is steadily increasing, as a press release from Long Covid Kids Switzerland and ProtectTheKids Switzerland shows. Around 300 families, mainly from German-speaking Switzerland, meet in online groups to find support. The most common symptoms include exhaustion, tiredness and cognitive impairment.​

So hard to say whether LC has anything to do with ME/CFS. I guess we'll never kno...

Post-exertional malaise (PEM), which leads to a worsening of symptoms after little exertion, is particularly severe. Claudia Schumm criticizes the fact that it often takes too long for affected children to receive support at school. The canton of Thurgau is the only one to have issued a regulation for individual tuition, but this is not sufficiently communicated.
...
Medical care is inadequate and many pediatricians are overworked. Claudia Schumm emphasizes that the children's suffering is exacerbated by a lack of understanding on the part of adults. Some children are so severely affected that they can no longer leave their beds, which leads to a loss of education and social contact. "We have children and young people in our group who have said that they no longer want to live," Schumm told Blick.​
 
I may have been beaten down into accepting crumbs, almost certainly I have... But in my country a pamphlet acknowledging Long Covid sent out to support schools would be progress*.

In my country, people are wringing their hands over the poor attendance rates** in schools and, while of course school absence has a range of causes***, Long Covid is never mentioned in the media as one of them.

* That sentence remind me of 'in my day, home was a cardboard box on the road...'
**In New Zealand: "In Term 2 of 2024 53.2% of students met the criteria for regular attendance at schools and kura."
*** Families taking their children for holidays to Fiji outside of school holidays in order to get cheaper airfares is frequently mentioned in the media as a cause. "School anxiety" is mentioned as a major cause.

Medical care is inadequate and many pediatricians are overworked. Claudia Schumm emphasizes that the children's suffering is exacerbated by a lack of understanding on the part of adults. Some children are so severely affected that they can no longer leave their beds, which leads to a loss of education and social contact. "We have children and young people in our group who have said that they no longer want to live," Schumm told Blick.
:(
 
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