I feel bad for everyone who was exploited in this article. The blame obviously lies with the author; I can't get over the fact that there are people willing to try to discredit the experiences of millions of people, in exchange for some funding behind the scenes.
I also think there were advocacy gaps that allowed this to happen. And I feel frustrated, because this harms our whole movement.
I hope #LongCovid groups take away a few lessons from this, including:
Advocates must be historically informed. There's a long history of...
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discrediting virus- and infection-initiated illnesses, in many cases starting with articles just like these. This happens constantly in ME & Lyme & happened early on with AIDS & other illnesses, & has started ramping up with #LongCovid.
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A lot of institutions stand to lose a lot of money from waves of newly disabled people, & have the resources to sway the narratives around it. It's important to a) be aware this is happening & b) be able to recognize & not strengthen the people who are in this camp. #LongCovid
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Once you learn it, it's easier to see. This is especially true with pieces like this- to an uninformed eye it initially looks innocuous, but on second read is full of intentionally discrediting & undermining language.
Being historically informed is not perfect protection -
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there are always some writers who are insidious, who don't list their funding or past works online, or don't answer questions, etc. But being historically informed does make it more possible to recognize & not grant interviews to those fostering this agenda. #LongCovid
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Secondly: getting press and/or attention can't be the goal of advocacy. All press is not good press!
Basic checking of journalists' backgrounds is necessary. This one's history was found easily.
You *have* to ask yourself why someone is writing the article, and not let ego answer for you. Be careful who you work with and make sure it is in the service of the movement. Err on the side of caution where it seems vague.
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Third: work with multiple people & groups, lift up work that is not only your own. Anything that centers one person is harmful not only as a movement, leaving out countless views and perspectives (no one can be 100% right or see every issue!), and is also exploitable.
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Prioritize patient-led engagement. #NothingAboutUsWithoutUs & related concepts shouldn't be new to anyone in this space, whether they are a patient or ally. Advocacy issues should be decided by patients; patient voices should be highlighted (not going through a middleperson).
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If you make a mistake, don't buckle down on it. Everyone makes mistakes! I personally have made more in the last 18mo than I can count. But the way through is to address it & make changes going forward. The more this article spreads, the more it will harm #LongCovid...
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patients. Good non-patient allies serve the patients they work for. That means listening to them and doing better. #LongCovid
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Being historically uninformed, focusing primarily on press/attention, & centering one person are all exploitable. Knowing your history & focusing on careful collective advocacy goals are vital. Self-interrogate often.
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We're all human & we're all works in progress. I believe in restorative practices & hope there can be changes moving forward. #LongCovid
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Let's talk about...herpesviruses! And other reactivations in #LongCOVID.
When most people hear "herpesvirus" they think of STDs. But herpesviruses are a virus family, like coronaviruses.
Mono is a herpesvirus. So are shingles & chicken pox. All humans have at least one!
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Less familiar herpesviruses include: Cytomegalovirus (CMV, which ~50% of people have by age 40), Human-Herpesvirus-6 (HHV-6, which ~100% of people have), and Human-Herpesvirus-8 (HHV-8).
(Side note that this is all an explanation for laypeople, so I'll be simplifying a bit.)
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Herpesviruses are lifelong infections, but are usually latent, meaning they aren't "active". When the immune system is healthy, most people can keep them at bay. During times of illness/stress or in response to certain triggers (food, heat, hormones), these can flare up.
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They found two major risk factors that predicted a lack of seroconversion:
A) Age: people under 40 are statistically less likely to make antibodies. #LongCovid
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B) Small viral load: people who had higher PCR Ct values (meaning the test had to run more cycles before returning positive) were also less likely to seroconvert. This implies mild and asymptomatic cases are less likely to seroconvert. #LongCovid
This age-adjusted data from Israel shows a deep decrease in vaccine effectiveness against symptomatic COVID infection for people who got vaccinated in January-February. #LongCovid
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This was measured 2 months ago. Now that it's almost Sept, vaccine effectiveness for those vaccinated in April is likely close to the Feb numbers here.
And in the past few weeks, we've started seeing more breakthroughs from people who got vaccinated in April. #LongCOVID
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There's a lot to dig in here but a few things that jump out about Delta particularly:
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Delta objectively spreads faster than the original COVID strain. The original strain was less transmissible than polio & smallpox; Delta is more transmissible than those as well as Ebola, MERS, SARS, & the Spanish Flu.
Delta is *as* transmissible as chicken pox.
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Delta is associated with a higher viral load and longer duration of shedding.
There are many ways to engage with #LongCOVID patients as a researcher without joining support groups, which compromises patients' privacy.
In addition to @patientled (associated with the @itsbodypolitic support group), here are a few options researchers may not know about.
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The COVID-19 Research Involvement Group has been around since spring 2020 and run by patient-researcher @Know_HG. It's associated with @long_covid support group and has over 2500 patients and researchers discussing Long COVID.
The Medical & Scientific Collaboration group has been around since summer 2020 & is run by the renowned Long Haul COVID Fighters support group (@Amy_Ant, @katemeredithp). It also has about 2500 researchers & patients discussing avenues of research:
Happening now! I'll try to live tweet as I'm able.
Note: there are a few times where Q&As are welcome from the public! Questions can be pasted in the chat and will be answered during specific time slots. See the agenda for those times.