I'm truly sad to hear there are plans for covid care to be rationed in Australia.
This is what's been happening throughout the pandemic.
We need honesty from public health.
An unleashed or poorly controlled SARS-CoV-2 spread *will* bring *any* healthcare system to its knees 🧵
We saw in early 2020 Wuhan and Lombardy already how SARS-CoV-2 can literally wipe healthcare out. People were left to die at home with no care. We've seen the Italian Army bringing the coffins of covid victims out of Bergamo because the local crematorium couldn't cope.
We know SARS-CoV-2 can led to long-term symptoms and sequelae in a large percentage of those infected i.e. #LongCovid. Many of people with Long Covid aren't receiving any medical care because healthcare systems remain stretched all over the world. Some have died.
We've now the powerful weapon of vaccination. Yet, SARS-CoV-2 remains a big threat in most countries due to numerous factors: reinfection, cases of waning immunity, breakthrough infections, low vaccination rates, poor policy, and/or long-term damage inflicted on the healthcare
*All* policy makers, medical workers and public health experts need to be crystal clear about the consequences of "living with covid", the nature of the disease --no, it's not a "common cold"-- and the long term effects of infection #LongCovid --no, it's not just a bit of fatigue
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👉 a wide range of cardiovascular disorders noted
👉 mechanisms can be multiple
👉 disease burden is vast: the authors expressly recommend policy makers to prepare for potential huge increase in patients
👉 huge control group (from existing medical records)
This study (coupled with similar large-scale follow ups, for example of long-term kidney injury) provides further, overwhelming evidence that
👉SARS-CoV-2 is far from being a benign virus
👉 those with #LongCovid who've been reporting cardiovascular symptoms were totally correct
An easy-to-read account of the recent paper by @resiapretorius et al. on micro-clotting in both acute and #LongCovid
In the community, we've been discussing the need to address coagulation problems in Long Covid. Not only from a research, but also from a clinical perspective!
Original scientific paper attached below 🔽
We've been discussing how some in #LongCovid with proven clotting and coagulopathy have been benefiting from appropriate treatment.
Unfortunately, not everyone has access to appropriate imaging or diagnostic
We need to ascertain how common these problems (coagulopathy etc.) are, which treatment could be beneficial, how care can be deployed as fast as possible for those who need it.
We have known covid is prone to clotting and cardiovascular events since early 2020!
The emerging scientific evidence shows that a non insignificant percentage of children develops long-term symptoms and sequelae following SARS-CoV-2 infection
Davis et al (2021) characterize #LongCovid in a large cohort of patients at 7 months from symptom onset. Patients come from support groups in many different countries.
Countries that managed to eliminate or strictly contain SARS-CoV-2, like New Zealand, have been put at continuous risk by poor policy making from the rest of the world.
This includes poor political and public health choices in the EU, the UK and the US.
Quite a few other countries, like Italy in the first wave, came close to elimination, too
Lombardy, one of the worst hit areas in the world in 2020, managed to crush the curve despite many mistakes in active pandemic management. Yes, I was there. I speak of reality, not models