ONS LONG COVID DATA:

I’m still working through the raw data released yesterday by ONS revealing the prevalence of Long Covid in England & Scotland.

Some interesting (& concerning) data points are emerging so I wanted to do a quick thread on what it reveals for CHILDREN…

🧵
Image
▪️111,816 children (aged 3-17 yrs) were estimated to be suffering from Long Covid during the 4 week period ending 7 Mar 2024 (England & Scotland).

▪️Over 20,000 of these kids with Long Covid reported that their ability to undertake day-to-day activities had been limited A LOT. Image
Worryingly, the data suggests that the number of children with Long Covid is steadily increasing with each passing month…

…from 84k in December 2023 to over 111k in March 2024!

It’s risen by A THIRD in just 3 months. Image
Frustratingly, the data on duration of Long Covid symptoms is not broken down by age within the raw data, so we only have an overall aggregated view across all ages… Image
One thing jumps out at me from this chart is:

➡️ 30% of people with Long Covid have been suffering for LESS than a year.

In other words, these are NEW cases that have arisen since the last ONS Long Covid report in March 2023. Image
In fact, prevalence of Long Covid in children is now significantly higher than a year ago, in March 2023, when it was last reported.

At that time, 62,000 children were suffering from Long Covid…

… and that was UK-wide data whereas today’s new figures are for 🏴󠁧󠁢󠁥󠁮󠁧󠁿 & 🏴󠁧󠁢󠁳󠁣󠁴󠁿 only.
Image
Prevalence of Long Covid in children is lower than for adults (in some adult age groups, prevalence is up to 5x higher!)…

…but a small percentage of a big number is still a BIG number.

However you look at it, over 111k children with Long Covid is a horrifically large number. Image
Unless you’ve experienced it yourself, it’s hard to comprehend the devastating impact Long Covid can have on young people.

Please spare a few minutes to watch this ITV News report which illustrates what it’s like for Long Covid kids & their families.

The report above was the first in a series of Special Reports by @StaceyPooleITV.

They are hard to watch, but extremely informative.

You can find them all in the playlist below:

youtube.com/playlist?list=…
Image
The really scary thing is that Long Covid can affect any child, even after a mild initial infection… it’s totally random.

And with no mitigations whatsoever in schools, children keep getting infected over & over again… sometimes multiple times a year.

fortune.com/2023/01/05/ori…
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Previous ONS studies have shown that children are JUST AS LIKELY to develop Long Covid after their 2nd infection as those infected for the 1st time.

Just because they’ve had Covid once & were fine, it doesn’t mean they’ll be fine the next time…

ons.gov.uk/peoplepopulati…
Image
Long Covid does not have one specific set of symptoms.

It can affect any organ in your child’s body.

There are now hundreds of studies about Covid’s serious long-term effects on the lungs, heart, brain, kidneys, immune system… the list goes on & on.

publications.aap.org/pediatrics/art…
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The aspect I’m most concerned about is the long-term damage which Covid can cause to the brain.

We now know that Covid infection can lead to a plethora of new neurological symptoms, including confusion, difficulty concentrating, memory problems, depression & anxiety.
“We fundamentally do not know the extent of the long-term damage continual reinfection with COVID will cause to children.

In spite of all the evidence for caution, we are now tossing children into a world with nearly zero protections.”

calgaryherald.com/opinion/column…
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Another useful insight from the ONS data is prevalence of various symptoms amongst children who tested positive.

The most common symptoms for those with Covid were:
▪️runny nose: 82%
▪️cough: 71%

Fever was far less common, reported in just 25% of children who tested positive. Image
And yet, the government’s latest attendance drive actively encourages parents to send sick children to school, unless they have a fever.

But, as the ONS data clearly shows, around 75% of children who are infectious with Covid will NOT have a fever! Image
And, of course, parents are told NOT to test their kids for Covid, so they’ll just send them to school with their Covid symptoms so they can merrily infect all their classmates.

I don’t blame the parents though - this is the official government guidance!

educationhub.blog.gov.uk/2023/10/11/wha…
Image
This government guidance is so irresponsible and, frankly, dangerous.

What if there’s a clinically vulnerable child (like my son) in the class?

A runny nose for one kid may mean a lengthy hospital stay for another kid. Image
It’s little wonder so many parents are furious about this ‘insulting’ and ‘dangerous’ attendance campaign which encourages parents to send sick children to school, as covered here in iNews by @AasmaDay.

inews.co.uk/news/education…
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And then there’s the fact that the Covid infections themselves can create lasting differences in some people's immune systems which leaves them more susceptible to other diseases like RSV.

This may well be part of the reason we’re seeing a rapid rise in so many other illnesses.
Image
It’s little wonder that pupil absences due to illness remain so stubbornly high!

Since the start of this academic year:

▪️overall absence: 7%
(vs 4.9% in pre-pandemic 2018/19)

▪️illness absence: 3.7%
(vs 2.5% in 2018/19)

➡️ 53% of all absences are due to ILLNESS! Image
And no, this is absolutely NOT normal.

Pre-pandemic, the average illness absence rate was about 2.5%.

Across the 2022/23 academic year, the illness absence rate was 3.7%.

That’s nearly 50% higher than pre-pandemic!

…and so far this academic year, it’s STILL at 3.7%. Image
If the government is serious about wanting to address the school attendance crisis, then they need to be looking at ways to reduce the spread of illness in schools.

And that means telling sick kids to stay home and also improving VENTILATION & AIR FILTRATION in classrooms.

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More from @_CatintheHat

Dec 17
“When it comes to flu, the focus is often on droplet transmission, but there’s also evidence of aerosol transmission. That means that ventilation & air filtration are HUGELY important.

“Are the Govt looking to improve that to help deal with all the respiratory infections?”

/1
It’s absolutely brilliant to hear Baroness Bennett raising this crucial question in the House of Lords this week.

Thank you, @natalieben 🙏🏻

You can read a transcript of the full question and response received below ⬇️



/2 hansard.parliament.uk/Lords/2025-12-…Image
Given the shocking state of ventilation in UK hospitals ⬇️…

3/
Read 4 tweets
Dec 11
This feels like an important breakthrough moment…

On the BBC News this evening, Medical Editor @BBCFergusWalsh clearly stated:

“As for facemasks, simple surgical masks are *not* good at stopping viruses. You really need a properly fitted tight respirator mask for that”…

/1
…which begs the question, why does the NHS infection control guidance STILL only recommend surgical masks for treating patients with airborne viruses like flu & Covid… and not proper FFP3 masks?

Even Baroness Hallett was rather perplexed by this during the Covid Inquiry.

/2
The IPC experts (Dr Warne & Dr Shin) who provided independent specialist advice to the Covid Inquiry both stated that IPC guidelines should be updated to recommend routine use of FFP3 masks when caring for patients with ANY respiratory virus.

So why has this not been done?

/3
Read 7 tweets
Dec 10
CEO, NHS Providers, @danielelkeles:

“It’s a v nasty variant of flu that we have this year.”

“We need to get back into the habit that, if you’re coughing & sneezing […] then you must wear a mask when you’re in public spaces.”

I’m so pleased to hear Daniel promoting masks BUT…
…I have 3 questions for @danielelkeles:

1️⃣ He only mentions that people who are sick “must wear a mask in public spaces”…

…but why did he not also suggest that people who are *not* sick should wear a mask to prevent themselves getting sick in the first place?!

Like this ⬇️ Image
2️⃣ Why didn’t @danielelkeles mention FFP masks?

Surgical masks DON’T protect against airborne transmission of flu.

“Live viruses could be detected in the air behind ALL surgical masks tested. By contrast, properly fitted respirators could provide at least a 100-fold reduction.” Image
Read 5 tweets
Dec 8
UK ‘SUPERFLU’ OUTBREAK

Schools in England & Wales have been forced to close amid escalating flu outbreaks with hundreds of pupils off sick at a time.

Simon Kidwell, headteacher of Hartford Manor Primary told BBC Breakfast: “The winter bugs spread really easily in schools”…

/1
Headteacher Simon Kidwell is not wrong.

Children are crammed into poorly ventilated classrooms, shoulder-to-shoulder with up to 29 other kids, for around 6 hours a day, 5 days a week.

It’s the perfect environment for airborne diseases to spread…

/2 Image
We had a big wave of Covid in Sept/Oct, followed in very quick succession by the current wave of flu and RSV.

It’s been one perpetual cycle of illness hammering schools.

I often hear people say: “oh, but it’s always been like this”.

But it *hasn’t* always been like this.

/3 Image
Read 18 tweets
Dec 4
NHS England: “It will not be possible to halt the spread of a new pandemic virus, and it would be a waste of public health resources and capacity to attempt to do so.”

This has got to be one of the most 🤯 things I’ve ever seen written down in an official document. Image
And this is an important point from @mdc_martinus ⬇️

The NHS constitution states that they’re meant to PREVENT health problems…

…so how can their pandemic response strategy say it’d be a WASTE of public health resources to attempt to halt the spread of a new pandemic virus?!
@mdc_martinus Here is the full letter from CATA (an alliance of medical organisations, royal colleges & trade unions) raising the alarm about the NHS pandemic response strategy to the Chair of the Covid Inquiry.

For more details, please read the excellent thread from @cv_cev linked below ⬇️ Image
Read 5 tweets
Nov 22
Two countries.

Two charts.

A very similar (and concerning) trend.

…………..

Can you think of anything that happened in 2020 which is still affecting huge swathes of people on an ongoing basis and which may help explain this worrying trend?

/1 Image
If you haven’t figured it out yet, here’s a little clue… 🔎

/2 Image
Still not worked it out?

Here’s another clue from Jim Reed, the BBC’s health reporter… 

/3
Read 10 tweets

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