4/Despite evidence of multi-organ damage, & once active, healthy children now having to use wheelchairs, & growing evidence of #viralpersistence#autoimmunity#endotheliitis & abnormal clotting within the medical literature, UK government decided to #gaslight unwell children
5/ This government, and all those who attempt to psychologise and minimise #LongCovid harms, are beneath contempt.
It is one thing to #medicallygaslight an adult. Its another to #gaslight a vulnerable, sick child. History will not look kindly upon you
@sajidjavid you recently spoke on the inappropriate psychologisation of #ME & need for research - thank you.
You may or may not be aware that a significant portion (50-70%) of those with #LongCovid fit diagnostic criteria for #ME.
#ME cost the UK economy at least £3.3 billion in 2014/15
The National Institute of Health and Care Excellence (NICE) estimated the prevalence of #ME to be ‘at least’ 0.2-0.4% of the UK population, implying up to 1 in 250 people affected, or 260k in total theoptimumhealthclinic.com/wp-content/upl…
Current ONS figures estimate UK Prevalence of #LongCovid to be 2M and counting = x8 number of #ME sufferers in the UK.
It is not unreasonable to assume similar healthcare and social burden between ME and Long Covid. On that basis:
£3.3bn x 8 = £26.BN econ cost of #LongCovid in the UK ANNUALLY.
“Prior to the COVID pandemic, we estimated a United States ME/CFS prevalence of 1.5 million and an annual economic impact of $36–51 billion. Now, due to COVID and its resulting post-acute sequalae, we estimate total ME/CFS prevalence could rise to between five and nine million..
.. This would incur an annual U.S. economic impact of $149 to $362 billion in medical expenses and lost income, exclusive of other costs, such as disability benefits, social services, and lost wages of caretakers.” @RishiSunak@economics_ma@Reuters@LSHTM@markjit@AnnaVassall
The economic cost of #LongCovid to the UK is expected to be £26.8BN
This figure puts the £50M so far invested by UK government into #LongCovid research into perspective, doesn’t it?
20/ Moreover, a few of us can predict the long term harms of this virus: in the near future we are likely to see a wave of neurodegenerative disease, Alzheimer’s & cancer.
50M is pocket change when the economic cost of #LongCovid is predicted to be *26BN* per annum.
Failure to aggressively invest in meaningful research and we will see the inevitable long-term health and economic consequences of Long Covid for decades to come.
End.
Edit *@DrPatSoonShiong
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1/ Captain Daniel Chertow (MD, MPH Head, Emerging pathogens Sections, Clinical Centre, NIAID, NIH) presents results from a series of 44 autopsies showing evidence of SARS CoV-2 infection and persistence through the human body and brain. videocast.nih.gov/watch=45296?jw…
2/ All autopsies were performed & samples collected within 24 hours of death.
“SARS CoV-2 can replicate within tissue for over 3 months after infection in some individuals, with RNA failing to clear from multiple compartments for up to 230 days.”
3/ He says they found indirect evidence of replication competent virus in the brain.
“Almost all infectious outbreaks leave behind a proportion of pts who remain chronically unwell with symptom patterns similar to #LongCovid. This is known as the ‘long tail’ of epidemics.”
2/ Clues can be gained from studying survivors of the SARS (SARS CoV-1) outbreaks of the early 2000’s, and the West Africa Ebola crisis of the past decade.
3/ After SARS CoV-1 in 2002 - 2004, some survivors were reported to feel “weak, extremely fatigued, had aches and pains all over their body, and they were completely unable to work”
I am heartbroken because healthcare workers - including myself - risked their own lives to care for those Covid positive while they partied.
2/7
I am heartbroken because the conservatives made “extensive use” of emergency procurement contracts and misused £9BN pounds of taxpayers money to pay their mates for unsafe and unusable PPE, leaving healthcare workers exposed to a deadly virus.
3/7
🚨Attention medics.🚨 An important thread on #MyalgicEncephalomyelitis Forget what you think you know. It is not psychosomatic. These pts are desperately physically unwell, likely with a chronic infection. #MedTwitter#MedEd#TeamGP 🧵 1/
Bedbound & housebound, they make up #millionsmissing. They maybe out of sight, but they are never far from my mind.
Neglect of #ME is the biggest medical scandal of the 21st century. The medical community will soon look back on their treatment of #pwME with horror & shame./2
But some Drs maybe forgiven for their ignorance. #ME fails to feature on the UK medical curriculum and as such, awareness & understanding is low.
The condition has also been highly stigmatised & erroneously - but deliberately - labelled psychological./3
I think we need to stop referring to these people as ‘experts’. Our immune systems are exhausted fighting against repeated infection with SARS CoV-2 and, in the case of long covid, chronic infection. @WHO@bbchealth 🧵1/3
From a medical perspective, nothing about this is the least bit puzzling.
What is concerning, is the moral compass of those in charge; leading politicians, scientists, medical professionals, who all play their part to deny #COVIDisAirborne & infection harms. #CovidIsntOver 2/3
I have two questions:
(I) When are we going to invest in #CleanAir? Air filtration systems must start to be installed in public buildings, starting with schools & hospitals.
(II) When are we going to stop breaking HSA legislation & equip patient facing NHS staff with RPE? 3/3
A raised d-dimer is often indicative of clots. If raised, CT PA imaging is requested to further investigate for the presence of clots.
Despite micro-clots being present in blood of Long haulers our d-dimer is often normal. D-dimer is a break down product of clots & our micro-clots are not being broken down.
In the presence of a normal d-dimer, imaging isn’t requested.