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Dr Elisa Perego Profile picture
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Jun 6 • 9 tweets • 5 min read
Yes. The covid pandemic has created a mass disabling event. This includes the huge omicron wave: the "wall of immunity" some "experts" were talking about wasn't much real
Did we know about the possibility of a mass disabling event 2 years ago?
Yes!

washingtonpost.com/health/2022/06…
The first SARS, a disease which shares many similarities with covid, left many survivors struggling for years. Some never recovered. Some were alerting us in early 2020 already.
A thread I curated on #longSARS

Viruses and other pathogens are linked to many prolonged illnesses and sequelae, from ME to post Ebola syndrome. Sometimes, the damage triggered or driven by infection will emerge decades later.
A thread I curated with viral onset diseases

Substantial evidence of prolonged disease from SARS-CoV-2 infection | covid started to emerge between March to May 2020: many weren't recovering in 2 to 6 weeks as said by authorities. #LongCovid was openly recognized by WHO in August 2020

sciencedirect.com/science/articl…
In September 2020, my co-authors and I wrote "The personal, economic and social costs of #LongCovid are unfathomable. Research indicating sequelae, even in asymptomatic/pauci-symptomatic cases, suggests screening and treatment may be needed for millions"

wellcomeopenresearch.org/articles/5-224
In 2021, the Times was publishing an article entitled "The Race to Cure Long Covid, The World's Next Health Crisis"

#LongCovid

thetimes.co.uk/article/the-ra…
I could go on to post scientific evidence, newspaper articles and patient testimonials for the entire night. Covid and #LongCovid are multi-system, complex diseases, which are among the most studied in history.
A thread I curated on top covid research

Despite the huge knowledge we have on the gravity of covid, policy makers are still failing at treatment, and containment of SARS-CoV-2 infection. People are told covid is a "cold" and #LongCovid is not reported about appropriately.
Policy makers, public health, and most in medicine failed us badly. Many are still reaping rewards, salaries, high profile jobs, and recognition for their failure. People who denied the gravity of covid are now pretending to recognize #LongCovid now that the topic is popular

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More from @elisaperego78

Dr Elisa Perego Profile picture
Jun 8
[death]

Further evidence SARS-CoV-2 infection increases one's death risk beyond the acute phase of covid. Across 1 year, this was especially the case for the over 60
A large-scale group from Estonia

#LongCovid @TheLancet

thelancet.com/journals/lanep…
People infected with SARS-COV-2 had more than 3 times the risk of dying over the following year, compared with those uninfected Short-term mortality= up to 5 weeks post-infection, was significantly higher among the covid group than the reference group

#LongCovid
For covid cases aged 60 or older, increased mortality persisted for the entire first year post infection. It was related to increased risk for cardiovascular, cancer, respiratory system diseases, and other causes of death

#LongCovid
Read 5 tweets
Dr Elisa Perego Profile picture
Jun 8
Now we've a "mysterious syndrome" killing young people suddenly. I wonder whether this "syndrome" is coming from.
I hope it's not connected to the unrelented spread of a SARS virus, which we know can cause severe, sudden cardiovascular events since 2020

dailymail.co.uk/news/article-1…
I add here a link to the real SADS: sudden death presumably due to heart arrhythmias

Thanks @Amalgamquietude for drawing attention to the issue
My concern is that, if such cases are really on the rise, the causative factor could be prior SARS2 infection

sads.org.uk/?doing_wp_cron…
Cardiovascular disease including arrhythmias is noted in #LongCovid

"A range of cardiovascular (CV) abnormalities has been reported among patients beyond the acute phase and include myocardial inflammation, myocardial infarction, right ventricular dysfunction, and arrhythmias"
Read 12 tweets
Dr Elisa Perego Profile picture
Jun 8
I know of dozens of cases like this here in Italy. People who never fully recovered from covid, but remain unaware of the complications, or refuse to admit
This includes people who ended up having events like a stroke, or several visits to the emergency for cardiac symptoms
Some especially in the elderly category never understood to have had covid in the first place, because they had prodromal symptoms like gastrointestinal issues, which are not uncommon in covid, but are rarely reported in the press. This especially for those never tested
Another problem, I think, is understanding of airborne transmission. Many with Long Covid, for example, live in buildings where people had covid, or died: yet, they don't think they could have been infected themselves because never interacted closely with the proven cases!
Read 4 tweets
Dr Elisa Perego Profile picture
Jun 8
I read, allegedly, that healthcare settings are expected to go back to their "pre-pandemic policies".
A kind reminder we are still in a pandemic with a SARS virus
Are we further sanctioning Mass Infection policies likely to kill the most vulnerable more easily?
Dynamic Death
It's extremely sad, scary, and worrying we are increasingly pushing to build such a society: where contracting a potentially fatal, and highly dangerous SARS virus, even in an healthcare setting, is the norm. Wearing a mask is nothing compared to getting covid
Healthcare services are places where people go to get treatment. To feel better. It is horrible to think of people in need of medical attention pushed to choose between getting care and risking contracting covid.
People in need will be pushed out the system
Read 4 tweets
Dr Elisa Perego Profile picture
Jun 8
I agree with the article that cardiovascular disease is a major facet of #LongCovid. I underline, however, we have known about this since 2020. People have been left with no medical care for 2 years, despite growing evidence in the early pandemic days 🧵

nbcnewyork.com/news/health/do…
A lot of the early evidence of cardiovascular disease in #LongCovid came from people living with the condition. We need recognition of this contribution to science by long haulers + accountability for policy makers and health bodies that failed to address people's needs
Recognition that many with #LongCovid have poorly diagnosed cardiovascular disease is a fundamental step forward. Recognition that first wavers have been left for over 2 years with untreated cardiac and clotting disorders, is another necessary step. Damage is likely profound
Read 13 tweets
Dr Elisa Perego Profile picture
Jun 7
Absolutely 🎯 The "mysterious" trope is also useful to prepare the terrain for exploration of #LongCovid patients. It's already happening, with scientists erasing, for example, all the knowledge patients have been putting forward for 2 years, and acquiring top positions on this
And "monetization" of people suffering via concierge care, or the development of new therapies that will be deployed *only* if they will be useful to make money for pharmaceutical companies. It's a worry. Even if treatment is found, will be this deployed to all patients?
Or only to those who can pay? Only to those healthcare systems which will cover top notch medication? Let's think of the costs of insulin in countries like the US. Or the availability of the most innovative therapies for autoimmune diseases. Some are very costly
Read 5 tweets

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