🧵 1/
This may be the most important graph of the pandemic so far.
2/ We know that 3 infections compared to one can result in an increase in health problems.
8 x risk of being hospitalised
5x risk of cardiovascular disease
4 x risk of blood clots
3/ Obviously individual risk will depend on your risk to start with.
However, if that’s what it looks like after 3 infections, what will it look like after 10?
4/ what’s the end game here? #XBB15 is even more infectious. And possibly more evasive to vaccines and prior immunity.
A more infectious, evasive variant means more infections.
More infections= see graph above.
More infections=more new variants.
Playing with 🔥
And a reminder- Covid is a vascular disease (of the blood vessels), not a respiratory disease.
We can’t even get anti-viral treatment for all these infections, unless highly vulnerable.
All should have access to treatment given the sequelae above.
Lastly. Children. How many infections will they get in childhood?
We have no lasting immunity.
They are going to keep being re-infected.
May as well add in the viral persistence research (as if reinfection data and vascular inflammation wasn’t bad enough)
Are we even clearing infections between infections?
What if you have 2 variants persisting at once?
This is why I can’t sleep 😴
On the 2022 child hepatitis outbreak.
If there is even a hint that it is Covid related it should lead to immediate changes in what we are doing with Covid in kids.
Hepatitis is no joke. It is a child’s liver inflamed and can lead to multi organ failure.
These are children.
‘suggests that paediatric hepatitis of unknown cause is likely to have been related to postinfection inflammation. This may have involved complex causal pathways, involving SARS-CoV-2 infection&/or AAV-2 infection or reactivation in genetically susceptible hosts…
Further work is required to establish causality. ‘
This is the woman who said in August 2020 that ‘children were more likely to be hit by a bus than CATCH coronavirus’.
Not only did they catch it, but 16% get long Covid.
When asked when parents were warned their kids could in fact come to harm, she did not answer the question.
In her answer to the UK Covid inquiry she instead said that only a ‘small’ number of children come to harm and waffles about outcomes in the elderly.
Long Covid IS harm.
It’s devastating.
It can end a child’s school career entirely.
I’ve seen gifted teenagers leave school with NO exam results because of long Covid.
ME/CFS Patient: I’ve been fainting or nearly fainting for 10 years.
Me: has anyone stood you up and done pulse/BP readings.
Patient: no 🤷🏻♀️
➡️Lay patient down- pulse 65bpm BP 120/80- nice.
Stood up-9 mins in
Patient: ‘I feel faint& sick’
Pulse 140bpm BP 70/50
🤢🤢🤢🫀🫀🫀
In a hospital a BP of 70/50 would have alarm bells going and half the medical team running to the patient. ‼️ 🛎️
There are thousands upon thousands of patients living like this-for decades.
This is not deconditioning.
This was an ambulant patient who somehow ( god knows how) got a bus to see me.
No wonder they struggle.
POTS: postural orthostatic tachycardia syndrome.
Pulse increase of over 30bpm on 10 mins standing/tilt test
🔴 we need to get away from such rigid thinking.
🟢 home monitoring of pulse/BP/symptoms will give a lot of valuable information on the problem and treatment
I’ve seen POTS as described above.
But also people who have a stand test that doesn’t quite meet the 30bpm criteria but everytime they do anything ( eg walk to the toilet) they have a pulse of 130bpm.
Should we just leave them like that? Of course not.
There are people who have rapid heart rate even lying down. If it’s assessed as sinus rhythm should we just leave it? Of course not.
This is an extremely valid point.
I have been raising this for 2 years.
Your Dr calculates your 10 year cardiovascular risk using a calculator with age/blood pressure/BMI/cholesterol etc.
if over 10% a statin is offered.
HOWEVER Covid doubles cardiovascular risk for 3 years.
‘Children aren’t at any significant risk’ from Covid.
This is the dangerous messaging that has come through from government @wesstreeting @GwynneMP
Resulting in abuse of any doctors who tell the truth.
Children are at significant risk from long Covid.
Having seen many children with long Covid, lives in tatters ( if it happens before or mid A-level they have no exam results even if very intelligent). They are lost amidst a health service with little help. The worst are bedbound with tubes for feeding.
I hope parents are not listening to Randoms on the internet. However non randoms in government are not currently giving any better messaging.