Dr Elisa Perego Profile picture
Aug 5 16 tweets 6 min read Twitter logo Read on Twitter
I'm going through the "One Name Campaign" to "rebrand" and rename diseases like #LongCovid. I'm troubled from what I see: a "satirical documentary", attempts to "move this cause forward into pop culture"
At least 20 millions are estimated to have died from Covid. It's not "pop"


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I have already expressed my concern, today and yesterday, about this attempt to rebrand "post viral and post trauma illness" into one basket, with the risk of minimizing suffering and delaying scientific progress. A thread I did today on the topic

I want to express further concerns about how this "campaign" is being "branded" and developed. Human suffering is not a "brand". References to "satirical" pieces, "pop culture", "adventures in the United States" (which lost more than 1 millions to Covid) are imo inappropriate
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I strongly believe a more sobering and sensitive approach to chronic diseases would be necessary. The suffering of hundreds of millions of people should not be framed in my opinion within contexts such as "pop culture".
This is especially the case for a disease and its sequelae, Covid and #LongCovid, which have claimed millions of lives in one of the worst health crises in a century. The Covid-19 pandemic is also still ongoing, with people including children being infected, reinfected. And again
I am also personally disconcerted about these references to "satire", "adventures in the United States", and "pop culture" in relation to chronic diseases, like MECFS and fibromyalgia, that been characterized by abandonment, misdiagnosis, and severe suffering for generations
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I am also concerned about this mention of the "need to rebranding" diseases that portrayd as "a bad brand", with this focus on patients as "weak, malingeres and hysterical". I don't feel represented here as a chronic patient myself. Patients are humans, powerful, strong, brave Image
As regards specifically #LongCovid, which is my area of expertise here (while I've myself multiple chronic diseases): Long Covid is not a "bad brand". Long Covid is a patient-made name and social-research movement which contributed to change history

sciencedirect.com/science/articl…
There is a salient power in the advocacy and patient-driven research that people in #LongCovid and other chronic disease communities have mobilized, often against all odds, to gain recognition for their disease. This is not something to "rebrand", erase

sciencedirect.com/science/articl…
This is the website for the One Name Campaign. I wonder also how it's funded. Or the team is working for free? Many in the disability and chronically ill space are advocating and doing science for free, including those who have no income at all

onenamecampaign.com/illness
@justanotheramy I also understand the organisation which is doing this campaign is heavily involved in the field, so it might be impactful at a high policy level. It's troubling. There are also other aspects but it would be quite long to address.
@justanotheramy Many people in the community were unaware of what was happening. It was a difficult choice to intervene. This material is upsetting imo and it took a lot of (unpaid) work while I am ill to go through this.
@wildswim There is much more in the website linked and in the video shared.
@PubliceProfugo @justanotheramy See the whole website. Conflating "post viral and post trauma illness" and failing to address the specific causes (e.g. virus) and manifestations of each disease (which would all be put into one basket) is troubling

onenamecampaign.com/illness
@itzelflora Of course, with medicine involved (the potential for financial profiteering and a career is immense) and with pandemic ongoing (which is a huge socioeconomic/political problem) there is the risk of interference from many "stakeholders"
@itzelflora Also, some parts involved are not real advocates and were not since the beginning; they just jumped on the #LongCovid bandwagon when it became popular and profitable. But I am ready to admit certain moments are very hard. People are dying with no medical help

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More from @elisaperego78

Aug 6
"Death is relatively common in COVID-19 patients after their discharge from hospital" with particular regards to the elderly. "An urgent return to hospital should be advised when the first signs of a COVID-19 relapse are observed."

#LongCovid

pubmed.ncbi.nlm.nih.gov/37543879/
A retrospective study of clinical data from 614 covid patients discharged from the hospital between February 18 and July 20, 2020. The team assessed as a primary outcome mortality data up to six months post-discharge.
Of the 614 patients in the study, 48 patients died (7.8%). The cause of death in 26 patients (54.2%) was what the authors describe as a "relapse of COVID-19." Also, 44.2% of deaths happened in the first week after discharge and 74.4% in the first month.

#LongCovid
Read 9 tweets
Aug 5
I am very concerned about this initiative, the "One Name Campaign", that seems to unilaterally conflate "post viral and post trauma illness" into one basket. "A horse with no name" they call diseases which a name they have, and guidelines, research, funding, and recognition https://t.co/z4J4v2cPN2
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I am very concerned about the language used in the "illness" description on the website campaign, and in the video, which I have hesitated to share since seeing it yesterday. This all can lead to the minimization of the diseases and conditions listed

onenamecampaign.com/illness
The position expressed in the campaign material is scientifically untenable: we cannot forget the in-depth scientific evidence which has been uncovered regarding the aetiology (causes) and manifestations of the diseases and conditions listed.

onenamecampaign.com/illness
Read 18 tweets
Aug 4
New research shows that different SARS-CoV-2 variants might affect the brain differently + have different effects on the long-term neurological impact of Covid 🔺️
An easy-to-read report |🧵⏬ |

#neurocovid #LongCovid

crick.ac.uk/news/2023-08-0…
"Researchers at the Francis Crick Institute have shown in lab-based experiments that variants of SARS-CoV-2, the virus that causes COVID-19, can affect the blood-brain barrier and damage brain cells in different ways."
"This work gives clues as to how the virus could enter the brain, but doesn’t take into account the protection that people have acquired through vaccination."
Read 17 tweets
Aug 3
The Covid heart ❤ A new review of COVID-19-induced arrhythmias, with a focus on atrial fibrillation. Atrial fibrillation (AFib) is an irregular and often very rapid heart rhythm, which is also documented in #LongCovid

tehj.springeropen.com/articles/10.11…
On cardiac arrhythmias, atrial fibrillation and other cardiovascular manifestations in #LongCovid, you can also have a look at many other existing publications, including

.ncbi.nlm.nih.gov/pmc/articles/P…
Atrial fibrillation triggered by or associated with Covid, including in hospitalized patients, have been discussed in many publications, including

nature.com/articles/s4159…
Read 10 tweets
Aug 2
"The plasma metabolome of long COVID patients two years after infection" Analyses showed at least 27 metabolites that remained dysregulated in #LongCovid patients after 2 years, with the study population displaying heterogeneous metabolic profiles

nature.com/articles/s4159…
The study's scope was "to assess the plasma metabolome in a total of 100 samples collected from healthy controls, COVID-19 patients, and long COVID patients recruited in Mexico between 2020 and 2022."
"A targeted metabolomics approach using a combination of LC–MS/MS and FIA MS/MS was performed to quantify 108 metabolites. IL-17 and leptin were measured in long COVID patients by immunoenzymatic assay."
Read 39 tweets
Jul 29
A two-year-long retrospective study of adult #LongCovid in the Madrid area based on medical records
LC was noted in 27% (n=66) of the 244 PCR-positive Covid patients, who survived from March 2020 to August 2022
Reinfection was recorded in 17.8% (n=45)

mdpi.com/2414-6366/8/7/…
494 adult patients were diagnosed with SARS-CoV-2 infection in the team's hospital in Madrid's area 3–16 March 2020. 124 died, with a crude mortality rate of 25.1% (124/494). This left a cohort of around 370 people, some of whom couldn't be followed up for different reasons.
Of those who survived into April, 253 were selected for the follow up. Nine had died by 12 August 2022 (=end of study period), bringing the cohort down to 244 people, 27% of whom were considered to have #LongCovid (considering symptoms from 12 weeks)
Read 23 tweets

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