Dr K Fearnley Profile picture
Jun 2 23 tweets 21 min read
1/ Important thread.

Why UK government failure to acknowledge & invest in #LongCovid will have irreparable health & economic consequences. 🧵

@Conservatives @UKLabour @LibDems @LSHTM @markjit @AnnaVassall
2/ In April 2021, #LongCovidKids hand delivered letters to Prime Minister, @BorisJohnson, requesting investment & treatment for #LongCovid.
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.
I ask you, @sajidjavid, what do you think of your cabinets response to #LongCovidKids?

Do you not think children with #longcovid are worthy of proper treatment?

Do you think your relative needs mental health services or biomedical research?
8/ Attempts are clearly being made by UK government to psychologise a v serious, organic medical condition.

This cannot be allowed to happen. Denial of #LongCovid will have both serious health and economic consequences. @CMO_England @Thomas_Waite
9/ Each wave of infection adds to the growing health and economic burden of #LongCovid & #ME. Both of which are currently absent of treatment or cure.
10/ One in four employers in the UK recently sited #LongCovid as the main reason for long-term absence at work. reuters.com/world/the-grea…
11/ The economic cost of #LongCovid to the UK will - with ease - run into **multiple Billions** of pounds.

Moral argument aside, there is a financial argument to aggressively fund research.@RishiSunak @economics_ma @MoodysAnalytics @Reuters @LSHTM @markjit @AnnaVassall
#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:
And this is a conservative estimate, which does not account for increased prevalence of #ME since early 2000s or cost of inflation.
This article warns of the increased prevalence of #ME in America due to #COVID19 and associated economic consequences.
tandfonline.com/doi/full/10.10…
“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.

Pls listen to @drsoonshiong speak from 2:50:
21/ There is growing evidence of #viralpersistence within the published literature.

The UK must invest in meaningful research, starting with serious investment into how to clear #SARSCoV2 from our bodies. @NIHR @NIHR @NIHDirector @CMO_England @Thomas_Waite
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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More from @fearnley_k

Jun 2
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.
Read 5 tweets
May 25
1/ An important thread on Long Covid and #viralpersistence

“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.”

🧵

bbc.com/future/article…
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”

Some also reported ‘sleeping extremely poorly’.
Read 25 tweets
May 24
I’d love to say I find this amusing. But in truth, I’m heartbroken.

I am heartbroken because I watched peoples loved ones die while they partied.

🧵 1/7
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
Read 7 tweets
May 24
🚨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
Read 22 tweets
May 23
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
Read 4 tweets
May 22
This patient was ‘fortunate’ her d-dimer was raised.

Attention medics: why a normal d-dimer and CT imaging do *not* exclude the presence of micro clots 🧵 #MedTwitter #MedEd
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.
Read 6 tweets

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