“What’s clear is that this is not just a virus that kills people. To a significant number of people, this virus poses a range of serious long-term effects”, says @drtedros at @WHO presser on #covid19. "While people do recover, it can be slow, sometimes weeks or months…"
@DrTedros @WHO Exact numbers of #COVID19 long-haulers are not clear yet, says @drtedros. “WHO will continue to do more research to establish best standards of care to accelerate recovery and prevent such complications."
@DrTedros @WHO “For months, I went through cyclical bouts of dreadful fatigue, sweats, headaches, unable to move, mood swings, and that went on for months. And then I had another three months, completely exhausted”, says @PaulGarnerWoof, himself an infectious disease epidemiologist @LSTMnews.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews Garner says he thought he would be able to brush off the disease, but is only now improving in the last two weeks. "I never thought I would have seven months of my life wiped out by this virus, it's just gone”, says @PaulGarnerWoof.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews Martha Sibanda from Johannesburg says she fell sick with #covid19 in June, went to the ICU for eight days and was put on high-flow oxygen. Four months later she is still suffering. "I still struggle with shortness of breath. I haven't been back to work”, she says.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews Lyth Hishmeh (@lythb7), 26, from UK says he caught #covid19 in March. The doctor said he should be fine. “Unfortunately he was very wrong.” Hishmeh says he is still suffering from long-term sequelae and still cannot do his work as a software engineer.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 “Almost eight months now, and I'm still suffering from fatigue, brain fog, chest pain, heart palpitations, digestive issues,
Short term memory loss”, says @Lythb7 “There is no system in my body that hasn't been affected."
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 "Listening to Paul, Martha and Lyth share their experiences and array of symptoms, it really reinforces what a dangerous virus #COVID19 is”, says @DrTedros. “It also reinforces how morally unconscionable and unfeasible the so called 'natural herd immunity’ strategy is."
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 Emergency Committee met and reiterated that "it’s important for governments and citizens to keep focused on breaking the chains of transmission”, says @drtedros. “Governments should focus on tackling the virus and avoid politicisation."
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 WHO still working to establish origins of the virus, says @drtedros. "Today, a group of international experts had their first virtual meeting with their Chinese counterparts."
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 Q about misinformation and how to stop it if it comes from powerful individuals like Trump.
“It is difficult enough with good information to generate the appropriate behaviors, without having conflicting information”, says @DrMikeRyan.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan “We call for open clear, consistent communications at all levels”, says @DrMikeRyan. “Everyone is responsible for this from presidents to people on the street... It is our responsibility to ensure that we pass on good information to others.”
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan Q: what can help deal with resurgences?
"We know that cluster investigations help us bring outbreaks that seem overwhelming under control and break chains of transmission”, says @mvankerkhove. “That workforce that is being built across the world needs to continue to be built.“
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan @mvankerkhove "Physical distancing works, hand hygiene works, the wearing of masks works”, says @mvankerkhove, also mentions ventilation. Stresses that it’s not about one measure alone, but combining them.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan @mvankerkhove Q about quarantine
“Your chance of being exposed during the travel process is actually relatively low because of all the measures that have been taken”, says @DrMikeRyan. "The problem we face is what we do with arriving travelers in another country and how that risk is managed."
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan @mvankerkhove "If you are a case yourself: Make a list of the people that you were in contact with in the 14 days before you got sick. Make a list of all of those people all of the places that you went and pick up the phone and make some phone calls”, says @mvankerkhove.
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan @mvankerkhove Q: are countries testing enough?
Not just about number of tests, says @DrMikeRyan. “I’ve seen countries with relatively low levels of availability of testing using that testing in a very strategic way, investigating clusters, trying to find out how disease is transmitted."
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan @mvankerkhove "Many people have paid a heavy price”, says @DrMikeRyan pointing to 50 million confirmed cases, a million deaths from #covid19. "Have we learned? Yes, we have. That's not the problem or the challenge. The question is can we apply the learning? And can we do that now?"
@DrTedros @WHO @PaulGarnerWoof @LSTMnews @Lythb7 @DrMikeRyan @mvankerkhove “It's not one measure alone”, says @mvankerkhove. "It can't just be testing alone. It can't just be contact tracing alone. It can't just be masks alone, can't just be hand hygiene alone. We will continue to say that over and over again.” (Trust me, she’s not bluffing.)

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More from @kakape

30 Oct
It’s 5 and like most Fridays I’m waiting for @WHO presser to start. That’s not a criticism, these are some of the busiest people on the planet these days. But to turn the wait into something productive, I’ve decided, I’ll try to answer some questions myself.
@WHO So feel free to ask questions with hashtag #waitingforWHO. And if I don’t get any questions (preferably on #covid19, journalism or the color blue), I’ll just answer my own questions. 🤷‍♂️
@WHO Really good question. I think the obvious one is leaders willing to act on evidence and then communicate clearly and consistently. Since our only weapon for now is changing our behaviour, that is a huge part of tackling this pandemic.

Read 12 tweets
12 Oct
"Around the world, we’re now seeing an increase in the number of reported cases of #COVID19, especially in Europe and the Americas”, says @drtedros at @WHO presser. "Each of the last four days has been the highest number of cases reported so far."
@DrTedros @WHO "There has been some discussion recently about the concept of reaching so called herd immunity”, says @drtedros and gives the reasons why that is a bad idea:
1. immunity unclear
2. vast majority of people still susceptible
3. long term health impacts still unclear
@DrTedros @WHO “Allowing a dangerous virus that we don't fully understand to run free is simply unethical”, says @drtedros. "It's not an option."
Read 15 tweets
4 Oct
So Trump is now also receiving dexamethasone. @WHO guidelines very clear that it is to be used only “in patients with severe and critical #COVID19”. Guidelines incl. “conditional recommendation not to use corticosteroid therapy in patients with non-severe #COVID19”.
Idea is not to reduce the immune system’s ability to fight the virus. But in later stages of severe disease, it’s the immune system itself that is creating most of the damage so sensible to dampen it down. Wondering if idea is that infused antibodies change that equation?
Read 8 tweets
2 Oct
"We mourn the loss of so many”, says @DrTedros at #covid19 @WHO presser. "The world is still grappling with the #COVID19 pandemic. Every week we’re adding approximately two million cases."
@DrTedros @WHO "It's never too late to turn the tide”, says @drtedros.
"In Europe, countries have done it. In Asia, countries have done it. In the Pacific, countries have done it. In the Middle East, countries have done it. In Africa, many countries have done it. In the Americas..."
@DrTedros @WHO "This is a critical moment in the #COVID19 outbreak response”, says @drtedros.
"We urge every single leader to strengthen their response, put targeted measures in place that we know can suppress the spread, ensure that health systems and workers are protected, and saves lives."
Read 9 tweets
29 Sep
One million people dead from #covid19.
Imagine losing a mother, a father, a sister, a brother. Multiply that loss, that pain by a thousand then multiply that again by a thousand. That’s what we are looking at.
What a sad day.
And as I have written before we are on track for 1,500,000 deaths by the end of the year.
Last week more than 2 million cases and more than 36,000 deaths were reported to @WHO, similar to the week before. #covid19 is continuing to cause disease and death at a staggering rate. Image
@WHO "The Eastern Mediterranean Region showed the greatest increase (9%) in cases in the past week, while the European Region reported a substantial rise in deaths, with a 9% increase compared to the previous week.” Image
Read 4 tweets
28 Sep
“Last week we reached an important milestone in which, @WHO issued the first Emergency Use Listing for a quality antigen based rapid diagnostic test, and we expect other rapid tests to follow. ”, says @DrTedros at #covid19 presser.
@WHO @DrTedros Good news: 120 million of these tests will be made available to low- and middle-income countries, to "enable the expansion of testing, particularly in hard to reach areas that do not have lab facilities or enough trained health workers to carry out PCR tests”, says @DrTedros.
@WHO @DrTedros These tests are cheaper ("priced at a maximum of 5 US dollars per unit”) and faster (15-30 minutes) than PCR, says @DrTedros. "The quicker #COVID19 can be diagnosed, the quicker action can be taken to treat and isolate those with a virus and trace their contacts."
Read 10 tweets

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