(B) Although hand washing helps spread infection and is a good thing to do, it does not clean the air.
Given #COVIDisAirborne, the best way to protect yourself from (re)infection is to wear a good-fitting, high-grade #FFP2, or preferably #FFP3, mask 😷
Remember, the fit of the mask is just as important as the grade of mask.
Make sure the mask forms a good seal around your face and there are no gaps. Avoid cloth masks and lose fitting surgical masks.
(C) Do not be vaxed-relaxed.
Omicron subvariant, #BA5, (which is currently driving rates of infection in the UK), resists and escapes neutralising antibodies induced by previous Omicron (#BA2) infection and triple vaccination. sciencedirect.com/science/articl…
and no, immune escape does not mean the vaccine was pointless. To date, vaccines have prevented serious illness and death in many, saving countless lives.
However, current antibody based vaccines have their limitations.
Firstly, although they have been historically good at reducing risk of serious illness, they only partially reduce risk of #LongCovid by 15%
So even in the vaccinated, #LongCovid remains a significant & serious risk.
Secondly, with the emergence of new variants, notably #BA5, we are now seeing increased incidence of immune escape.
We ideally need second generation T cell vaccines to clear the virus.
Until T- cell vaccines become available, and treatment for Long Covid and Covid becomes available and easily accessible, the best way you can protect yourself from (re)infection is to #WearAMask😷, especially when in indoor, public spaces.
(D) To all those who’ve had Covid, who say “It’s just a cold”, please do not overlook long-term infection harms.
Firstly, every (re)infection carries risk of Long Covid. Just because you didn’t develop #LongCovid after round 1 or 2, do not assume round 3 will be the same.
Every infection you play roulette with your health.
To understand more about #LongCovid, and why you should avoid it, please read this thread.
Secondly, even if the acute stage of infection was mild and short lived, every (re)infection damages your body in ways you cannot yet see.
This large-scale study of 150k people showed even a mild case of COVID-19 can substantially increase a person’s risk of cardiovascular problems - some 20 types in all - for at least a year after diagnosis nature.com/articles/s4159…
For example, the study found those recovered from COVID-19 were 52% more likely to have a stroke and 72% more likely to experience heart failure compared to a control group.
Covid causes a prothrombotic vasculitis. This means, it causes widespread inflammation of blood vessels and causes clots to form.
Look around you. How many people do you know who’ve developed blood clots in the brain 🧠(stroke), legs 🦵 (DVT), Lungs (PE) 🫁??
Moreover, Covid has been shown to persist in tissues for many months after infection. We know viruses which persist in tissues have been linked to the development cancer & neuro degenerative disease.
Although we do not yet know the long, long term harms of this virus, they are predicable.
You may wish to listen to @DrPatSoonShiong speak from 2:30 mins.
Given the above, it makes sense to be cautious.
Yes, live your life. But live your life safely and do all you can to avoid (re)infection.
Take home:
Currently - in absence of air filtration systems in public buildings; second generation T cell vaccines; and available and widely accessible treatments for Long Covid and Covid - the single best thing you can do to protect yourself is #WearAMask😷 #FFP2#FFP3
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I qualified as a doctor at the start of the pandemic. Like thousands of others, I volunteered to start work early to help with the pandemic effort. I contracted #Covid is November 2020 caring for Covid positive patients in absence of RPE and airborne protections. I was .. 🧵
subject to huge viral loads.
A few days later I tested +ve. I was naive. As a fit 34 yr old I expected to recover. I experienced a flu-like illness for 2 wks. Barring a lingering fever in wk 3, I thought I had recovered.
I returned to work in day 4. Lasted 2hrs on ward round.
A switched flipped in my body. Light headed and breathless, I just about made it home.
My condition from that point rapidly deteriorated. I became breathless as rest. I had a resting HR 130bpm increasing to 180bpm on standing. Physically, it was like being on a treadmill I
> have a stroke
> start hallucinating
> lose your hearing
> develop cardiac chest pain
> drop your O2 levels
> become tachycardic at rest
#SARSCoV2 #CovidIsNotOver #LongCovid #CleanAirNOW
> have a heart attack
> develop a PE
> can no longer sleep
> start losing your eyesight
> develop tremors
> find yourself in constant pain
> live with crushing headaches
> are unable to work
> are unable to support yourself
> can no longer play with your children
> find yourself financial destitute
> are in threat of losing your home
2/ Patients with #MyalgicEncephalomyelitis and approximately 50% of patients with #LongCovid experience Post-Exertional Malaise (#PEM), also called, Post-Exertional Symptom Exacerbation (#PESE)
3 #PEM or #PESE is a worsening of symptoms after any form - physical, cognitive, emotional - exertion.
You cannot announce 1 in 10 infections with #SARSCoV2 lead to #LongCovid and that we are heading for a mass disabling event, then declare the pandemic over in the next breath.
Nonsense @WHO. #SARSCoV2 continues to circulate at high levels & remains a serious risk to health. 🧵
1/ After 10 yrs study, 100k in debt, I graduated as a doctor in spring 2020 at the start of pandemic.
I remember watching the heartbreaking scenes in Italy. A wave of infection was making its way around the world, soon to hit the UK.
🧵
2/ On March 24, 2020, then-Health Secretary Matt Hancock announced that all final-year medical students who met the General Medical Councils (GMC) outcomes to graduate were to be fast-tracked through graduation to be made available to help on the wards.
3/ Under the emergency framework, newly graduated doctors were eligible, but under no obligation, to apply to the GMC for a provisional registration on the medical register, enabling them to become foundation interim year 1 doctors and start work early.