Two years ago today the term #LongCovid was first used as a Twitter hashtag. A single tweet by a patient linked together a growing, grassroots movement of people who weren't recovering from covid. Across the world, we were fighting for recognition and studying our own disease

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#LongCovid is now one of most studied diseases in history. It's not "rare" or "mysterious". It was recognized by the WHO in August 2020 already, after an history-making meeting with advocates and patient-researchers. We have come that far.

theatlantic.com/health/archive…
And yet, this pandemic is a mass disabling event. Treatment options, open communication, and support for patients are still lagging behind. We will not stop fighting for the rights of people living with #LongCovid and other complex chronic diseases.
On this day, I want to thank all of those with #LongCovid and allies who have been here, fighting together, or supporting us in the recognition and research of Long Covid 💙
A special thought and thank to my co-authors in the very first pandemic months @preshitorian @LaurieStras @keyeri @felicitycallard @Dr2NisreenAlwan
@Dakota_150 @TruthAbout_ME2
@MEwarrior_au (to name just a few!) of course all the allies in the #pwME #MECFS and disability community
@Amy_Ant =》 creator of #longhaulers Long Haul Covid @katemeredithp
I add again @james__glen for creating #FBLC Follow Back Long Covid (should have added above the hashtag too!). You can use it to connect with the community

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More from @elisaperego78

May 21
Full genome report from a
monkeypox case in Belgium | analysis links the case to the Portugal outbreak | patient = 30-year-old man with travel history to Lisbon | presented at clinic on 13 May with lesions | partner later developed similar symptoms

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virological.org/t/belgian-case…
The patients was initially screened for conditions like Herpes simplex virus and Treponema pallidum | growing awareness of the multi-country monkeypox virus (MPXV) outbreak prompted further analysis, with the skin swab giving a positive result
Team managed to reconstruct almost 100% of the viral genome | the reported MPXV Belgian case is linked to the West African clade ("subtype") of monkeypox virus. It appears related to the draft genome reported yesterday from Portugal, from the West African clade, too
Read 8 tweets
May 20
The UK Health Security Agency has "upgraded" Omicron BA.4 and BA.5 to Variants of Concern. The European ECDC did the same on 12 May.
BA.4 and BA.5 display enhanced immune evasion, which could impact "on the epidemiological situation in the EU/EEA" (ECDC).

news.sky.com/story/covid-19…
On the enhanced immune escape capacity of a subset of omicron sub-lineages, including BA.4 and BA.5

see e.g. [preprint]

biorxiv.org/content/10.110…
An easy to read report on research on BA.4 and BA.5. Note that immunity provided by BA.1 infection against these new sub-lineages appear to be quite poor, with particular regard to unvaccinated individuals

news-medical.net/news/20220503/…
Read 5 tweets
May 20
We know, scientifically, that #LongCovid is a complex, multi-system, multidimensional disease. It can affect, basically, all organs and body systems. There are thousands of publications on Long Covid and around half a million on covid in general. Children are affected, too.

🧵
#LongCovid can present with a wide range of manifestations, including severe, life threatening. This is not surprising: it's the same for acute covid, and it's well documented in the scientific literature. We know that many, including pediatric patients, have been ill since 2020.
I have not followed the interview in question. But any medical professional, or researcher, who deny the huge amount of scientific evidence available on #LongCovid should not be involved in managing patients, research, consultancy, or advising governments and health bodies.
Read 6 tweets
May 20
The WHO is convening an emergency meeting over the #monkeypox outbreak, now basically reported across all continents. About Europe, note that the draft genome just published was taken from a skin lesion swab in Portugal on *4 May*. The disease has been here for a while already
This is the 1st draft genome sequence for the 2022 multi-country outbreak. The information notes 4 May as the day of sample collection from the skin lesions of a male patient in Portugal. ~20 cases were confirmed in the country as of 19 May

virological.org/t/first-draft-…
The incubation period of monkeypox is given as variable in the WHO timesheet. The brodear range is reported at 5 to 21 days. The average range is at 6 to 13 days. After symptom onset, the disease has a "prodromal" | early phase with flu-like symptoms

who.int/news-room/fact…
Read 10 tweets
May 19
My solidarity to all healthcare professionals, including nurses, who contracted covid at work and are now living with #LongCovid. It is of paramount importance healthcare professionals, as well as other people living with Long Covid, are fully supported
As we have just passed #NursesDay it is important to consider how much talent and expertise can be lost, if optimal care and support pathways aren't implemented by providers and employers. Healthcare professionals are among the most hit by #LongCovid
The loss of healthcare expertise to #LongCovid is a huge hit for providers and new patients alike. Healthcare systems are under severe duress in this pandemic.
And, as usual, my solidarity to all sufferers beyond age, gender, and profession
Read 4 tweets
May 19
Ok not exactly breaking news. We have known since 2020 thanks to the patient community that #LongCovid can come after a "mild" or even asymptomatic infection. Many people with Long Covid were never hospitalized in the acute phase

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However, I think it's important to be clear here: many people who were never hospitalized in the acute phase *did* experience what I would define as severe disease. First, we know people with severe symptoms in hotspots were left at home because of healthcare collapse
Second, severity in acute covid was initially defined by guidelines as based on the severity of respiratory symptoms, the gravity of covid pneumonia, and the likelihood to develop ARDS, respiratory failure and organ failure. But covid is much more than a respiratory illness
Read 4 tweets

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