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Dr Elisa Perego Profile picture
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26 Dec, 8 tweets, 3 min read
[covid, post vaccine]

Last week, tennis star Rafa Nadal revealed to be positive for SARS-CoV-2 following a tournament in Abu Dhabi.

In the last few days, several people | players from the event reported symptomatic covid despite being vaccinated

🧵

bbc.com/sport/tennis/5…
Rafa Nadal's coach, Carlos Moya, 45, has reported rather severe breakthrough symptoms (aches, fever, headache etc.) in the first days of disease

He credited the vaccine for avoiding hospitalization

express.co.uk/sport/tennis/1…
Tennis star Belinda Bencic reported rather heavy flu-like symptoms (chills, fever) despite being vaccinated. Another player, Ons Jabeur, revealed to have "strong symptoms"

Emma Raducanu had tested positive before the Abu Dhabi tournament
The Canadian star, Denis Shapovalov, tested positive a few days after the Abu Dhabi tournament, being already in Australia for the next events of the season. He has revealed to have "minor symptoms" so far

express.co.uk/sport/tennis/1…
Take away: we don't know if the Abu Dhabi tournament tennis cluster is from #Omicron

The high attack rate among participants, and the presence of rather heavy early-stage symptoms even in the vaccinated, don't exclude that

This event shows covid can hit even top athletes
Hopefully, everyone will recover soon: best wishes to all!

Yet, the situation is a reminder that covid is a threat

Safety measures beyond vaccination are necessary. We can't be cavalier with SARS-CoV-2. Even if no one will get #LongCovid, some career plans etc. will be affected
Tennis stars may risk a career hit from covid (even a relatively short case) but still have savings, access to healthcare etc

Many "normal" people esp. from marginalised communities, those on precarious contracts etc. can suffer serious socioeconomic and health related issues
We shouldn't normalize hundreds of thousands or millions of new cases a day, even if "mild"

We can't risk death, severe disease, #LongCovid and new variants

We need to contain covid. SARS-CoV-2 is not a benign virus

#nocovid

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More from @elisaperego78

Dr Elisa Perego Profile picture
28 Dec
The US CDC says people with "resolving covid symptoms" can go back to work
Bad
Let's remember: early covid is often a biphasic disease, with a mild prodromal phase
Many people seem to recover around day 5, only to develop more serious issues, including silent hypoxia, in week 2
This key covid feature of symptoms going worse from around day 6, after apparent or partial resolution around day 5, was already well known in 2020!

Forcing people back to work when they might be still really sick as well as infectious is bad

#LongCovid

nytimes.com/2020/04/30/wel…
Many people especially in the youngish category but with severe | moderate disease tend to have a peak in covid severity around days 10 to 12. This has been called the "second week crash"

Some with covid pneumonia can be in life threatening conditions

businessinsider.com/what-its-like-…
Read 6 tweets
Dr Elisa Perego Profile picture
28 Dec
Prof. in Medicine (❗) Paul Hunter of East Anglia University (UK) is reported in the press to say that people with covid shouldn't be isolating anymore

"Expert says people with COVID should be allowed to 'go about their normal lives' at some point"
news.sky.com/story/covid-ne…
He adds that at some point people should behave with covid as they do with any other "cold"
There are thousands dying from covid every day in the world Hundreds of thousands have been hospitalized in the last few weeks and | or have developed debilitating symptoms
We don't even know how many are developing prolonged disease #LongCovid, especially in areas of the world were surveillance and access to care are poor SARS-CoV-2 is a SARS virus which is capable of partial immune escape as we have seen with #Omicron
People are dying of omicron
Read 4 tweets
Dr Elisa Perego Profile picture
28 Dec
I am sorry but another misleading tweet from a verified account, this one from a Health Organisation, sadly. While vaccination is a strong weapon, there is no way to be 100% sure you can "manage covid safely at home" if you "are under 65" and "healthy". Covid is Russian roulette
We have seen accounts on this very same platform of fully vaccinated people who are having a rough time with covid. These include red-flag signs like dropping in O2 saturation. Some people have reported needing hospital care. We don't know who is more susceptible to #LongCovid
It's key those in public health, and official health bodies are crystal clear about the dangers of SARS-CoV-2 infection. This is especially the case of #Omicron which is proven to cause infection |symptomatic disease even in double| triple vaccinated people
Read 5 tweets
Dr Elisa Perego Profile picture
26 Dec
Yes 🔥
It's proven both by the lived experience and scientific literature that SARS-CoV-2 infection | covid can cause prolonged disease and severe events, like pulmonary embolism, months or even years after onset
Just follow the #LongCovid community or look the papers up!

🧵
Just some examples here.

Microvascular damage to the lung bed with the possibility of lung micro-clotting in an adolescent with #LongCovidKids

We have similar experiences from the adult #LongCovid community e.g. @MartaEsperti @JasmineHayer

ncbi.nlm.nih.gov/pmc/articles/P…
In this BBC piece out today, advocate @JasmineHayer speaks further about her #LongCovid experience, including micro-clotting, and cardiovascular issues

bbc.com/news/uk-englan…
Read 4 tweets
Dr Elisa Perego Profile picture
26 Dec
Policy makers should be talking more openly about #LongCovid
But, often, they wouldn't do it. The reason in my opinion is very simple. People would refuse any mass infection policy if they knew about the risks. Also, existing patients would become more vocal in asking for care
Pandemic policy has been generally being dictated by incompetence, short-term macro-economic thinking, and the needs of elite groups. The economic gains of a few have been put over the health and wellbeing of a multitude.
It's the same for debates over airborne transmission
#LongCovid, recognition of covid real nature --- it's a SARS like disease not a "cold" --- and #covidisairborne have been three of the most contentious topics in pandemic awareness.
Failure in addressing these issues drove the disaster which costed us ~5--15 million lives
Read 4 tweets
Dr Elisa Perego Profile picture
18 Nov
Another study proves the important long-term cardiovascular damage of SARS-CoV-2 infection 🧵
| sample n=70 PCR + mild to severe covid patients | ~4 month after infection | evidence of endothelial, cardiac ❤ vascular dysfunction❗

#LongCovid #apresJ20

onlinelibrary.wiley.com/doi/full/10.10…
Main finds in the covid sample include: persistent symptoms like fatigue, dyspnea, cough, chest pain | evidence of arterial stiffness | abnormalities in biomarkers of endothelial function | evidence of oxidative stress | evidence of impaired cardiac function
#LongCovid
Two control groups were used n=70 patients each | 1= healthy controls, 2= hypertensive people ⏩ #LongCovid patients show some similarities with the hypertensive controls but with *worse* results in some biomarkers! | impaired cardiovascular function was noted vs healthy controls
Read 7 tweets

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