Long Covid/PASC (general)

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L0NG C0VID is not a simple yes or no; it exists on a spectrum that ranges from asymptomatic today to severe, with many nuances in between(Personal simplified perspective):
L0NG C0VID is not a simple yes or no; it exists on a spectrum that ranges from asymptomatic today to severe, with many nuances in between(Personal simplified perspective):

“L0NG C0VID is not a simple yes or no; it exists on a spectrum that ranges from asymptomatic today to severe, with many nuances in between(Personal simplified perspective):

  1. Asymptomatic: You may feel fine now, but future health issues could emerge in months or years to come.

  2. Mild: You can carry out your daily tasks but face challenges that you might try to conceal from others.

  3. Moderate: Your ability to perform everyday activities, such as work, sports, and hobbies, is noticeably affected, requiring adjustments to your routine.

  4. Severe: You are bedridden and unable to function normally.

🔥Each new reinfection can increase the risk of developing Long COVID, potentially worsening the condition for those already suffering. And remember, LC has NO TREATMENT, NO CURE today, only some possible symptomatic relief at best.”

·x.com·
L0NG C0VID is not a simple yes or no; it exists on a spectrum that ranges from asymptomatic today to severe, with many nuances in between(Personal simplified perspective):
Temporal trajectories of long-COVID symptoms in adults with 22 months follow-up in a prospective cohort study in Norway
Temporal trajectories of long-COVID symptoms in adults with 22 months follow-up in a prospective cohort study in Norway

Norway study followed people for 22 months starting in March 2020 prior to infection. Memory and concentration problems persisted after infection, and didn't attenuate with time.

“Memory or concentration problems and dyspnoea were long-COVID symptoms. •
Other long-COVID symptoms were anosmia, dysgeusia and fatigue…

…This can have profound effects on everyday functioning. The fact that cognitive symptoms are persistent, and most of the population have been, or will be, infected by the SARS-CoV-2 virus, makes it crucial that further research focuses on the pathophysiology, and treatment”

·ijidonline.com·
Temporal trajectories of long-COVID symptoms in adults with 22 months follow-up in a prospective cohort study in Norway
Persistent dysfunctions of brain metabolic connectivity in long-covid with cognitive symptoms
Persistent dysfunctions of brain metabolic connectivity in long-covid with cognitive symptoms

FDG-PET scans revealed persistent brain dysfunction in long covid

“Hypoconnectivity and absence of hypometabolism suggest that connectivity derangement in frontal networks could be related to protraction of neurological symptoms in long-term COVID patients.”

·link.springer.com·
Persistent dysfunctions of brain metabolic connectivity in long-covid with cognitive symptoms
Long COVID facts and findings: a large-scale online survey in 74,075 Chinese participants
Long COVID facts and findings: a large-scale online survey in 74,075 Chinese participants

(MY NOTE: China vaccines are not MRNA technology. The better reduction in long-term Long Covid symptoms relative to multiple boosters compared to studies with MRNA patients is significant. Would like to see Long Covid data out of Cuba, a country that also did not use MRNA.)

Summary:

New study of 74,000 participants found:

-those infected with COVID had more other infections (including bacterial, influenza & mycoplasma infections)

-COVID reinfections had milder acute-phase symptoms but led to higher rate & severity of Long Covid

“Analysis of 68,200 valid responses revealed that the most frequent long COVID symptoms include fatigue (30.53%), memory decline (27.93%), decreased exercise ability (18.29%), and brain fog (16.87%). These symptoms were less prevalent among those infected only once: fatigue (24.85%), memory decline (18.11%), and decreased exercise ability (12.52%), etc. Women were more likely to experience long COVID, with symptoms varying by age group, except for sleep disorders and muscle/joint pain, which were more common in older individuals. Northern China exhibits a higher prevalence of long COVID, potentially linked to temperature gradients. Risk factors included underlying diseases, alcohol consumption, smoking, and the severity of acute infection (OR > 1, FDR < 0.05). Reinfection was associated with milder symptoms but led to a higher incidence and severity of long COVID (OR > 1, FDR < 0.05). Vaccination, particularly multiple boosters, significantly reduced long-term symptoms by 30%–70% (OR < 1, FDR < 0.05). COVID-19 participants also self-reported more bacterial, influenza and mycoplasma infections, and 8%–10% of patients felt SARS-CoV-2-induced chronic diseases.”

·thelancet.com·
Long COVID facts and findings: a large-scale online survey in 74,075 Chinese participants
Outpatient treatment of COVID-19 and incidence of post-COVID-19 condition over 10 months (COVID-OUT): a multicentre, randomised, quadruple-blind, parallel-group, phase 3 trial
Outpatient treatment of COVID-19 and incidence of post-COVID-19 condition over 10 months (COVID-OUT): a multicentre, randomised, quadruple-blind, parallel-group, phase 3 trial

“Participants were randomly assigned via 2 × 3 parallel factorial randomisation (1:1:1:1:1:1) to receive metformin plus ivermectin, metformin plus fluvoxamine, metformin plus placebo, ivermectin plus placebo, fluvoxamine plus placebo, or placebo plus placebo.

When metformin was started within 3 days of symptom onset, the HR was 0·37 (95% CI 0·15–0·95). There was no effect on cumulative incidence of long COVID with ivermectin (HR 0·99, 95% CI 0·59–1·64) or fluvoxamine (1·36, 0·78–2·34) compared with placebo.

There was no effect on cumulative incidence of long COVID with ivermectin (HR 0·99, 95% CI 0·59–1·64) or fluvoxamine (1·36, 0·78–2·34) compared with placebo.

…Outpatient treatment with metformin reduced long COVID incidence by about 41%, with an absolute reduction of 4·1%, compared with placebo. Metformin has clinical benefits when used as outpatient treatment for COVID-19 and is globally available, low-cost, and safe.”

·thelancet.com·
Outpatient treatment of COVID-19 and incidence of post-COVID-19 condition over 10 months (COVID-OUT): a multicentre, randomised, quadruple-blind, parallel-group, phase 3 trial
Long COVID symptoms prevalent among healthcare workers
Long COVID symptoms prevalent among healthcare workers

King’s College of London: “Long COVID symptoms prevalent among healthcare workers”

New research has found that 33.6% of surveyed healthcare workers in England report symptoms consistent with post-COVID syndrome

·kcl.ac.uk·
Long COVID symptoms prevalent among healthcare workers
this is a very emotional town hall. Harris takes a question from a homeless woman whose life was wrecked by long covid about what she'll do for people like her
this is a very emotional town hall. Harris takes a question from a homeless woman whose life was wrecked by long covid about what she'll do for people like her
“this is a very emotional town hall. Harris takes a question from a homeless woman whose life was wrecked by long covid about what she'll do for people like her”
·x.com·
this is a very emotional town hall. Harris takes a question from a homeless woman whose life was wrecked by long covid about what she'll do for people like her
Characterizing long COVID in an international cohort: 7 months of symptoms and their impact
Characterizing long COVID in an international cohort: 7 months of symptoms and their impact
“Patients with Long COVID report prolonged, multisystem involvement and significant disability. By seven months, many patients have not yet recovered (mainly from systemic and neurological/cognitive symptoms), have not returned to previous levels of work, and continue to experience significant symptom burden.”
Patients with Long COVID report prolonged, multisystem involvement and significant disability. By seven months, many patients have not yet recovered (mainly from systemic and neurological/cognitive symptoms), have not returned to previous levels of work, and continue to experience significant symptom burden.
·thelancet.com·
Characterizing long COVID in an international cohort: 7 months of symptoms and their impact
Long COVID's hidden toll: How does post-exertional malaise affect skeletal muscles?
Long COVID's hidden toll: How does post-exertional malaise affect skeletal muscles?
“Significantly reduced exercise capacity was observed in long COVID patients that was not associated with the cardiovascular system but poorer ventilatory function during exercise and peripheral skeletal muscle impairments. These patients had a lower maximal oxygen pulse, gas exchange threshold, and peripheral oxygen extraction, indicative of skeletal muscle issues.”
·news-medical.net·
Long COVID's hidden toll: How does post-exertional malaise affect skeletal muscles?
Rushing back to exercise could cause long Covid
Rushing back to exercise could cause long Covid

“Young Covid-19 survivors say they would never have pushed themselves physically during recovery if they had known it may have played a role in triggering their long Covid, an expert says.”

Young Covid-19 survivors say they would never have pushed themselves physically during recovery if they had known it may have played a role in triggering their long Covid, an expert says.
·renews.co.nz·
Rushing back to exercise could cause long Covid
It’s only October 11th and we now have 3x the number of referrals to our Long COVID clinic than usual.
It’s only October 11th and we now have 3x the number of referrals to our Long COVID clinic than usual.

“It’s only October 11th and we now have 3x the number of referrals to our Long COVID clinic than usual. THREE TIMES MORE.

50% of our referrals contracted COVID in 2024. Of those, half contracted COVID over summer 2024.

COVID prevention is the only to way to prevent Long COVID. We have to do better.”

·x.com·
It’s only October 11th and we now have 3x the number of referrals to our Long COVID clinic than usual.
I spoke to recently about my experience with Long Covid. I feel very grateful to be able to tell my story - so many people are suffering without a voice or the support they need. Progress is happening but *so* much more needs to be done.
I spoke to recently about my experience with Long Covid. I feel very grateful to be able to tell my story - so many people are suffering without a voice or the support they need. Progress is happening but *so* much more needs to be done.
·x.com·
I spoke to recently about my experience with Long Covid. I feel very grateful to be able to tell my story - so many people are suffering without a voice or the support they need. Progress is happening but *so* much more needs to be done.
Antecedent and persistent symptoms in COVID-19 and other respiratory illnesses: insights from prospectively collected data in the BRACE trial
Antecedent and persistent symptoms in COVID-19 and other respiratory illnesses: insights from prospectively collected data in the BRACE trial
“Healthcare workers with COVID-19 experienced more severe and longer-lasting symptoms than those with non-COVID-19 respiratory illnesses, with a higher proportion meeting the WHO or NICE definitions of PACS. Age, chronic respiratory disease, and pre-existing symptoms increased the risk of developing PACS following COVID-19.”
·journalofinfection.com·
Antecedent and persistent symptoms in COVID-19 and other respiratory illnesses: insights from prospectively collected data in the BRACE trial
Long Covid: High economic burden justifies further preventive efforts | PHCC
Long Covid: High economic burden justifies further preventive efforts | PHCC
“Nevertheless, the (NZ) Government(s) can take immediate action to reduce this joint health and economic burden by improving Covid vaccination eligibility and coverage and intensifying interventions that reduce community spread of Covid-19, including improvements in ventilation and air filtration in workplaces, schools, and other public settings."
·phcc.org.nz·
Long Covid: High economic burden justifies further preventive efforts | PHCC
Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome
Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome
"Upon physical activity, affected patients exhibit reduced systemic oxygen extraction & oxidative phosphorylation capacity.. these are mediated by dysfunctions in mitochondria & microcirculation.. maintained by.. immune activation."
·link.springer.com·
Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome
Eighties pop pioneer looks unrecognisable - but who is it?
Eighties pop pioneer looks unrecognisable - but who is it?

Simply Red singer Mick “revealed he's suffering with long COVID and is struggling with the after-effects of the virus.

Speaking to The Sun, Mick told how he suffers with heart palpitations and insomnia, explaining how he often wakes up in the middle of the night 'with my heart going ba-boom, ba-boom.'”

Last year, Mick revealed he's suffering with long COVID and is struggling with the after-effects of the virus. Speaking to The Sun, Mick told how he suffers with heart palpitations and insomnia, explaining how he often wakes up in the middle of the night 'with my heart going ba-boom, ba-boom.'
·dailymail.co.uk·
Eighties pop pioneer looks unrecognisable - but who is it?
In 2022 the sensible warned that hundreds of millions will have long Covid, children will start struggling in school, life expectancy will drop and excess deaths will soar if we let Covid rip. We did and all that came true. What do they think will happen in the next two years?
In 2022 the sensible warned that hundreds of millions will have long Covid, children will start struggling in school, life expectancy will drop and excess deaths will soar if we let Covid rip. We did and all that came true. What do they think will happen in the next two years?
Many of us started warning in 2021.
·x.com·
In 2022 the sensible warned that hundreds of millions will have long Covid, children will start struggling in school, life expectancy will drop and excess deaths will soar if we let Covid rip. We did and all that came true. What do they think will happen in the next two years?