What have we been learning about long covid? The first thing is to answer questions that try to look for reasons it isn’t bad:

- Maybe it is in your mind: No, it is real biological damage.

- Maybe it is rare: No, it affects tens of %s, and even those without symptoms have organ damage and acute events like heart attacks and strokes, as well as cognitive loss.

- Maybe it goes away: No it lasts for years, some get better most do not get completely well.
- Maybe vaccination stops it: No, it reduces somewhat the effects, but is not a solution.

- Maybe getting infected protects you: Repeated infections are similar if not worse than the first, leading to long covid symptoms and acute events that are associated with organ damage.

- Maybe we have treatments: No, similar chronic diseases don’t have treatments. There are some things we can do, but we can’t do much at this time, and we are just starting substantial research and can’t expect results soon.

- Maybe the economy will be ok? No, disability of people, reduction in cognitive capabilities including but not limited to experts, are all harmful and have systemic effects on the labor market and supply chains.

So Long COVID is bad. What can we do?

The main thing remains to avoid being infected. If you have have been infected before, whether or not you have long covid, the main thing is to avoid being reinfected. This gives the best chance of both not getting Long covid, and getting better if you have it.

As Rae Duncan has said: “There is no such thing as mild covid” and this means that it causes damage. And the damage it causes is both direct damage and potential for other damage, including through disabling the immune system that protects us from diseases,..

..cancers and other harms. The consequences of immune deficiency are constantly being referred to these days, but we should recognize that we have immune deficiency that is now widespread in the population.

So most importantly:

We have the ability to prevent infection: There are five pillars of prevention: Ventilation and HEPA air purifying for clean air, masking, testing, social distancing, and vaccination. Each of these has multiple levels of action.

This means there are many ways to do more to protect ourselves and the people we love from getting infected. This is not a biological problem it is a technology adoption challenge that we as individuals and as a society can decide to win.

For example:

We can increase ventilation to 5-10 fold per hour—the standard that has been set for air pollution, or we can do it at a significantly higher level to better prevent transmission, or we can even use directed air flow so the air we breathe is clean.

We can wear N95 masks, or we can go one step higher and wear elastomeric respirators, or we can use PAPRs that can fully stop transmission. The best of course for masking is to do two way masking so that everyone in the space masks which multiplies the effect.

We can do testing. We can test a couple of times a week, or we can test daily, which our calculations say can by itself control transmission. Or we can even test just before we meet with people. PCR or LAMP tests are much better than antigen lateral flow tests.

We can also do different levels of social distancing. Yes, stringent lockdowns are the highest level, but we can also focus on limiting as much as possible in person meetings, and make sure that any meetings have the best ventilation, masking, and testing possible.

Finally, we are just now developing next levels of vaccines but how effectively we use them along with other prevention measures will impact the effectiveness of all the measures. The better we do at preventing transmission the fewer mutations there will be.

And the less we will have new variants that undermine the immunity we have gained from the vaccine. The power of vaccines is directly related to limiting the transmission itself.

What we have learned about long covid it that the choice continues to be in front of us, to choose health over disease by prevention, both for those we love and for ourselves.

Statement at Long Covid Sympsium

Full symposium

Symposium in German on Long Covid

Symposium in Spanish on Long Covid


• • •

Missing some Tweet in this thread? You can try to force a refresh

Keep Current with Yaneer Bar-Yam

Yaneer Bar-Yam Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!


Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @yaneerbaryam

Sep 23
'I'm Dropping My COVID Hubris,' Vows a Top Immunologist

"After the virus harmed Chris Goodnow’s heart, he joined a growing chorus against reinfection complacency.

via @TheTyee thetyee.ca/Analysis/2022/…
"Last May a subvariant of the ever-evolving Omicron stunned Chris Goodnow, an internationally renowned immunologist.

"The extremely fit Australian scientist, who hiked, biked and surfed at Sydney’s Manly Beach, had been bolstered by four doses of vaccine.

"Having spent nearly four decades studying how white blood cells in the immune system protect us from infection, he felt pretty safe about removing his mask.
“Maybe it would be better to catch ’rona and get it over with, now that I’m fully vaccinated?” he remembers speculating
Read 22 tweets
Sep 22
New study: Long term neurologic impacts of COVID

7 per 100 infected individuals!

cognition & memory disorders
peripheral nervous system disorders
migraine & seizures
extrapyramidal & movement disorders
mental health disorders
musculoskeletal disorders
sensory disorders
encephalitis or encephalopathy

Even mild COVID-19 can lead to serious neurologic consequences

Risks developing these long-term consequences were evident even among people who were not hospitalized during the acute phase of COVID-19 infection

And for all ages and health conditions.

Read 8 tweets
Sep 8
Stop Telling Americans That They’re “Tired of Covid”

"Shifting responsibility for the pandemic onto individuals is bad policy—and risks becoming a self-fulfilling prophecy of doom.


"Since last winter, the Biden administration’s response to the Covid-19 pandemic—at its best never very inspiring—has continued giving up the ghost.

"Amid a record-breaking level of infections and deaths in the Omicron wave earlier this year, Americans saw the rollback of indoor masking mandates in many states—soon followed by the repeal of the federal mask mandate on public transportation.

Read 21 tweets
Aug 22
"Think the CDC F–ked up Covid-19? Monkeypox and Polio Aren’t Going Any Better
"The government agency tasked with ensuring our safety isn't up to the job — and they're going to need a full overhaul to tackle three disease outbreaks at once

"IT’S RIGHT THERE in the name: the U.S. Centers for Disease Control and Prevention is supposed to prevent outbreaks of infectious diseases — or, failing that, control them.

"But the Atlanta-based CDC by its own admission screwed up the initial response to the Covid-19 pandemic back in early 2020. And now there’s a growing sense of worry among epidemiologists that the agency is screwing up the responses to outbreaks of monkeypox and polio, too.

Read 17 tweets
Aug 14
If you have, use, or work at a business, service or organization that provides covid safe conditions add it to the directory on covidmeetups.com so that others can benefit from it. There are almost 100 posted already.
To add an organization, sign in and click on the account menu on the far right, look for "My directory listings"
There are schools listed, including Abrome in Texas.

There are homeschool co-ops

There are gyms

There are dentists

There are book stores

There are veterinarians
Read 4 tweets
Aug 6
Report: Poliovirus in sewage in London:

"As part of routine surveillance, it is normal for 1 to 3 ‘vaccine-like’ polioviruses to be detected each year in UK sewage samples but these have always been one-off findings that were not detected again. 1/
"These previous detections occurred when an individual vaccinated overseas with the live oral polio vaccine (OPV) returned or travelled to the UK and briefly ‘shed’ traces of the vaccine-like poliovirus in their faeces. 2/
"Investigations are underway after several closely-related viruses were found in sewage samples taken between February and May. 3/
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!


0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy


3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!