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Dr Elisa Perego Profile picture
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Apr 12 • 7 tweets • 4 min read
Article @guardian by Twitter blue check starts by trying to defend the "herd immunity" strategy in 2020.
No.
We had known since day 1 covid was SARS-like. Since January 2020 it was sending the "young" and "healthy" to the hospital
Herd immunity was always a deranged strategy

🧵
I offer here the basic scientific evidence that covid was never a "flu", a "cold", or a disease you would infect your child or any person with. The science was out in early 2020. Any action taken afterwards by policy makers must be evaluated in view of these data.
Out on 31 December 2019
"China health officials investigating potential SARS outbreak". SARS, not influenza, or the common cold. There are many such articles on the web if you want to look for it yourself.

crisis24.garda.com/alerts/2019/12…
You can read even on Wikipedia what SARS was [retrived today]. I did threads on the long-term effects of SARS-CoV infection under #longSARS
Many patients were ill for years or never recovered. Some had raised the alarm from January 2020 onwards already.

en.m.wikipedia.org/wiki/Severe_ac…
In top @TheLancet on 24 January 2020: "a novel coronavirus outbreak of global health concern"

"By 7 January, Chinese scientists had isolated a novel coronavirus"

"of 893 [known cases] 25 had died and 93% remain in hospital"

"no room for complecency"

thelancet.com/journals/lance…
Out in top @TheLancet on 24 January 2020 "clinical features of patients infected with novel coronavirus".

By 2 January 2020, 41 patients had been admitted. Median age was 49. More than half had no commorbities. All had abnormal CT scan. 32% needed ICU.

thelancet.com/journals/lance…
Out in top @TheLancet on 24 January 2020 "a family cluster of pneumonia associated with the novel coronavirus".

Adults were 33 to 66 years. A 10 year-old had ground glass opacities on CT lung scan.

It was known covid affected children in early 2020.

thelancet.com/journals/lance…

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More from @elisaperego78

Dr Elisa Perego Profile picture
Apr 13
Top cycling road racer Peter Sagan, 32, has temporarily left cycling with post covid issues

Sagan had covid at least twice and had struggled with form since. He suffers from symptoms like fatigue, inability to sustain effort, and leg pain

#LongCovid
🧵

cyclingnews.com/news/peter-sag…
Sagan tested positive for SARS-CoV-2 a second time on January 4, 2022 | likely omicron then | both Peter and his brother were positive. He had been reported to not be in favour of vaccination, although I can't report on his vaccination status

road.cc/content/news/p…
I mention the potential issue of vaccination in view of the scientific value of the information | of course, this is an anedoctical newspaper article, not a scientific study!
Sagan had some tests after covid, but he is now taking time off the sport for further testing
Read 12 tweets
Dr Elisa Perego Profile picture
Apr 13
Nellie Korda, the number 2 female golf player in the world, just needed surgery to remove a blood clot in her subclavian vein. Korda had covid in January. She is only 23.

#LongCovid
In her Instagram story, Korda doesn't mention a direct link between covid and the clot, although she mentions the two in the same message. We know scientifically covid leads to prolonged coagulopathy and clotting risk.

#LongCovid
While I don't like to speculate on other people's health on Twitter, I think it also important to draw attention to these events, when they are made public by the patients themselves. People remain largely obviously to the real risks of SARS-CoV-2 infection.
Read 6 tweets
Dr Elisa Perego Profile picture
Apr 13
Yes, it key to underline this every time. Medical professionals and policy makers were appropriately informed about the risk of #LongCovid in early 2020. By May 2020, Long Covid was an established phenomenon. By August 2020, it was formally acknowledged by @WHO.
It was already known at the beginning of the pandemic many SARS survivors were ill for years, or had never recovered. I collected information around this under #longSARS. SARS-CoV-2, of course, is called as such for its similarities with SARS-COV.
Therefore, the pandemic has been mismanaged since the beginning. Morbidity from a SARS virus was not accounted for. MERS, the other severe coronavirus to have spilled into humans, similarly had high morbidity. Covid is not a "bad flu" or a "cold".

#longMERS
Read 4 tweets
Dr Elisa Perego Profile picture
Apr 11
It is now reported Queen Elizabeth is suffering from #LongCovid symptoms, like severe exhaustion. I find it troubling, from the interview, she seemed not really aware of the possibility of Long Covid even after a "mild" case, at the beginning

🧵

thedailybeast.com/queen-elizabet…
Apparently, the Queen insisted to keep working through symptoms in the early phase of the disease. She is now asking for confirmation that feeling rough after covid is "normal". I don't know how much of this is fully genuine (it's the press!). But just a few pointers.
#LongCovid is not uncommon. It can happen even after a "mild" case and even after a post-vaccination infection. Feeling rough, exhausted and sick is not unheard of for viral infections. This is especially the case of a severe, pandemic disease like covid.
Read 7 tweets
Dr Elisa Perego Profile picture
Apr 11
Your daily reminder that covid is not becoming "endemic".
In epidemiology, endemic means present in limited geographical area, at a baseline level, with no external imput.
Covid is a pandemic disease.

🧵
SARS-CoV-2 is evolving fast. It's not present at a stable, baseline level in any area. Cases go up and down hugely, and (for now) are coming in waves. International travel and a deeply interconnected world make it impossible to avoid "external input". Variants may travel globally
I see the chart tries a reclassification of influenza as an "endemic" disease (we all know influenza doesn't meet the criteria I outlined above!). And, lol we are really in an age of speed-of-light re-writing of epidemiology, public health, and recent pandemic history
Read 6 tweets
Dr Elisa Perego Profile picture
Apr 11
Many cyclists and bikers, including top C. Sagan and V. Nibali, are reporting prolonged symptoms and/or multiple SARS-CoV-2 infections. These are having a severe impact on their careers

"We probably underestimated the effects of the virus"

#LongCovid

meteoweb.eu/2022/04/colbre…
Note how the article (in Italian but one of the many on the topic) avoids to mention #LongCovid directly, although the link with covid is addressed. It also speaks of a mysterious flu-like illness that would have been massively hitting professionals in the last few months (uhm)
Thanks @Jennings18Karl for mentioning this issue a few days ago, too! This article in Italian is more explicit about the covid link
Read 4 tweets

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