Our new @EU_Health #EXPH report on #LongCovid is just out.
Recommendations in 🧵👇

ec.europa.eu/newsroom/sante…
1. Research on long COVID should, as far as possible, be explicitly co-produced with people living with the condition, with co-creation of potential therapeutic interventions, as well as consideration of the pathway along which the findings of the research can achieve impact
2. Research on long COVID, and especially on potential treatments, needs to be done at sufficient scale to provide definitive answers that take account of any heterogeneity within the population and the contexts in which they are situated.
3. Health systems must embed research on long COVID at all levels of care including rehabilitation, identifying incentives that can be applied & barriers that can be removed to facilitate development of health facilities as settings for research and health workers as users of it.
4. As SARS-CoV-2 infection is the cause of long COVID, measures to combat it, including vaccination and reducing transmission, must remain a priority
5. Long COVID is to be recognized as one of many complex chronic conditions that will often co-exist with others, calling for models of care co-ordinated in primary care, with scope for rapid referral to specialist teams while avoiding placing patients in “long COVID siloes”.
6. A coordinated programme of surveillance systems should be established, including data from each member state, using consistent case definitions and methodologies, and encompassing the impact of this condition on health, employment, and the economy.
Thanks to Dionne Kringos, Jelka Zaletel @JanDeMaeseneer @pitabarros @lasleh @mayacmat & others including our special advisor @Dr2NisreenAlwan

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More from @martinmckee

Dec 3
I try to avoid amplifying disinformation but this is dangerous nonsense that some people will believe. Shocked that some otherwise sensible scientists peddling the “immunity debt” nonsense. Someone senior at UKHSA needs to get a grip
Somehow we are to believe that policies that allowed the vast majority of school children (99% in secondary schools) to get COVID somehow stopped them getting other infections!

lshtm.ac.uk/newsevents/new…
As always @anjahuja @ft nails it - great explanation

on.ft.com/3EzWdD3
Read 4 tweets
Jul 29
1/8 Britain's not working
@lu_hiam & I have been looking at the health-related workforce crisis in 🇬🇧 @bmj_latest
bmj.com/content/378/bm…
2/8 Last week @jburnmurdoch published an extraordinary analysis @FT showing 🇬🇧 unique among industrialised countries in not getting pandemic-related loss of workers from ill health back to work. This should have been headline news
ft.com/content/c333a6…
3/8 Part of this likely due to #LongCOVID - see new report from @TheIFS
ifs.org.uk/publications/1…
Read 8 tweets
Jul 28
Our new paper @TheLancetPH argues for shift from “Health in All Policies” to “Health for All Policies”
From @OBShealth w/ @scottlgreer @m_falkenbach @WismarMatthias @josepfigueras @luigi_siciliani

sciencedirect.com/science/articl…
For years, we’ve (rightly) been asking what other sectors can do for health - good housing, safe transport, healthy environments, crime prevention and much else make us healthier
But health can do lots for other sectors. Healthy people stay in workforce, are more productive, pay more taxes. Good mental health reduces demands on criminal justice system.
Read 6 tweets
Jul 27
Some of the greatest mistakes in the pandemic were in procurement. We’ve now published a summary paper from our report for @EU_Health
w/ @annagaal @JanDeMaeseneer @luigi_siciliani @lasleh & colleagues

cambridge.org/core/journals/…
Public procurement widely misunderstood. It’s not just buying stuff. Can also promote innovation, development of small and medium-sized enterprises, sustainable green growth and social objectives like public health and greater inclusiveness.
Good procurement does need highly skilled people - shouldn’t be left to amateurs (or politicians & their friends!) and there are many specific issues to consider with medicines, technology, IT in health
Read 7 tweets
Jul 19
The pandemic is NOT over. The 🇬🇧 may have given up but we on @IndependentSage haven't. Today we set out a 7 point plan @bmj_latest
🧵
1. Clear and consistent messaging concerning covid risk and risk mitigation, reinforced by public statements by those in positions of authority;
2. Increased efforts to promote vaccine uptake, among all age groups, with particular emphasis on groups whose uptake has been low, in particular ethnic minority communities, coupled with a clear long term plan to address waning immunity and immune escape by new variants;
3. Installing and/or upgrading ventilation/air filtration in all public buildings, with schools an urgent priority over the summer holidays;

4. Provision of free lateral flow tests to enable everyone to follow existing public health guidelines;
Read 6 tweets
May 19
Great to be meeting in person with colleagues in our @Magnet4Europe project in Cork. Thanks to @HorizonEU for supporting this important project to improve mental health in the health workplace & to @JdaDrennan for hosting us ImageImage
@LindaAiken_Penn showing shockingly high levels of burnout in European hospitals, but enormous variation even within countries. Also real problems with work environments but again it varies - bad conditions aren’t inevitable ImageImage
Matt McHugh reports really worrying levels of concern by nurses/doctors in Europe about quality of care - and it matters when we face staff shortages ImageImageImage
Read 4 tweets

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