Salvatore Mattera Profile picture
Jul 13, 2024 18 tweets 5 min read Read on X
The 1918 flu is called the "Spanish flu" because in most places, the media censored it. Except Spain, where they reported honestly. This isn't a conspiracy theory - it's a historical fact. And I think it is occurring right now again with COVID:
This article in The New Republic - "How America’s Newspapers Covered Up a Pandemic" - provides an overview of what happened in 1918. In short, the media either avoided talking about the flu altogether, or they blamed something else for the damage the flu was causing.
"the big-city newspapers...sugarcoated the truth, practicing an alarming level of self-censorship. Any article or headline suggesting more than casual concern about the disease would be open to attack"
"Only by putting together the tiny headlines on page 11 of the Boston Post could a dutiful newspaper reader get a sense of the full extent of the epidemic"
Is this happening again right now with COVID? I think for the first few years of the pandemic, most of the press covered it honestly (indeed, some articles at the time noted the contrast between the media's early coverage of COVID and the censorship of 1918)
But as time has passed, there's been a shift towards censorship. Articles that should obviously mention COVID now rarely do. In some cases, this is debatable, like a story on student absences. But for coverage of health trends, this is inexcusable. A few recent examples:
This article from Today reports on an alarming trend: the growing number of young, seemingly healthy people, having unexplained heart attacks. The writer suggests the cause could be obesity, or marijuana use, but does not mention COVID. Image
This is a glaring omission, as COVID infections increase your risk of having a heart attack, and studies have found that this risk is most pronounced among young adults. Image
This article tackles a similar topic, although this time it's strokes rather than heart attacks. Once again, coverage on the growing number of young people having a stroke. And once again obesity is blamed, along with stress and pollution, while COVID is never mentioned. Image
Again, a glaring omission: getting infected with COVID significantly increases your risk of having a stroke. One study found that the odds of having a stroke increased by 52% in the year following a COVID infection. Image
This article is a bit different. It isn't really about a trend, but more of a sort of thinkpiece on the relationship between chronic illnesses and stress: how stress can drive them, and how doctors can ignore them. Image
The article doesn't mention COVID. Chronic illnesses are obviously not new, and the space is much bigger than COVID, but it's odd to write a piece about chronic illness and not mention COVID given that it has been an enormous driver of chronic illness in recent years. According to the CDC, about 6% of all American adults are currently living with long COVID.Image
Recently, a sort of genre of article has emerged: stories about people having odd, unexplained health issues. Many of these health issues are immediately recognizable to anyone who has experienced long COVID, and yet, the articles themselves don't mention it, even as a possibility
This one tackles the number of people developing an odd persistent cough that lasts for weeks or months. The article mentions COVID only to assure the reader that COVID is certainly not the cause, then suggests the culprit might be social distancing, masks, or anxiety Image
But not only do COVID infections themselves frequently result in a cough during the acute stage, but a chronic cough is also one of the more common long COVID symptoms, lasting for at least a year after infection. Image
In this one, the writers visit a rural Texas town where many of the people living there have developed odd, seemingly unexplainable, health issues: blood clots, hearing loss, headaches, hair loss, and autoimmune disease, among other issues. The story clearly tries to place the blame on a BTC mine.Image
And while that may be the case, every symptom mentioned in the article is also a common long COVID symptom. What makes this more compelling is that long COVID disproportionately affects rural populations Image
As you read articles about declining health in the population - unexplained illnesses, the growing number of sick people - look to see if COVID is mentioned as a driver. If it isn't, take whatever symptoms the article is talking about, and look to see if there is research linking those symptoms to COVID or long COVID. More often than not, you'll probably find out that's the case.

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More from @SalvMattera

Dec 13, 2024
There are two camps within the long COVID patient community, and I've never really identified with either:
The first is convinced that long COVID is the same thing as ME/CFS. They typically point to a particular meta analysis that shows somewhere around 45% of people with long COVID meet the diagnostic criteria for ME/CFS: pmc.ncbi.nlm.nih.gov/articles/PMC95…
But other studies, including a new one from Japan, put the percentage much lower. But even if we assume it is 45%, that's still not 100% -- what about the other 55% of people that don't have ME/CFS?
Read 10 tweets
Dec 7, 2024
1 in 5 Americans have had lingering symptoms from a COVID infection. Many people recover naturally after a few months, but others are sick for years. If this happens to you, don't expect to get any form of treatment from your doctor. Instead, you'll have to experiment yourself:
Since there are no approved treatments, the way doctors approach it varies wildly. The most conservative doctors (likely the majority) will give you nothing at all, instead letting you suffer in pain and try to accept whatever is left of your life.
If this happens to you, and if you time, money, and insurance, you can doctor shop, going from one doctor to the next until you get some form of treatment. Eventually, you might run into someone who is willing to prescribe some things.
Read 17 tweets
Dec 3, 2024
~1 in 5 Americans have had lingering symptoms following COVID. Often, they're mild and resolves quickly. Sometimes they are severe and last years, which is what happened to me. Unfortunately, if this happens to you, you are screwed. This is what it's like trying to get care:
I'll start by saying that I have a lot of advantages 95%+ of people do not have, and despite these advantages, my experience seeking care has been terrible.
I live within driving distance of some of the world's best hospital systems. I have enough disposable income that I can afford to spend (and have spent) tens of thousands of dollars on treatments. I have one of the best, if not the best, health insurance plans you could have.
Read 25 tweets
Dec 1, 2024
I think my most controversial take on COVID, and what I think nearly everyone in is getting wrong about this, is that it's a disease whose burden falls primarily on the young. Not the old.
Conventional wisdom is that COVID is only something old people need to worry about. You see this in revisionist arguments over whether it was wise to close schools, or who should get vaccine booster shots. Or if young people needed to get vaccinated at all in the first place.
Underlying all of this is a very simplistic, and very naive view of the data. People are focusing only a single metric: deaths. And to be sure, deaths from COVID are overwhelmingly concentrated among people 65+: Image
Read 18 tweets
Nov 17, 2024
When people talk about the devastation from COVID, they usually cite the number of people who died (7 million, 20 million, 30 million) or the economic cost ($14 trillion, $35 trillion, etc) but this pales in comparison to the true cost, something most people do not understand or talk about:
About 1 in 4 American adults have developed some type of long term health issues from their COVID infections. Data is limited, but it seems reasonable to assume this ratio is similar in other countries. Image
It was once widely believed that children weren't nearly as affected, but recent research has shown that's sadly not the case, with a similar share of kids and teenagers having long lasting health problems from their COVID infections Image
Read 15 tweets
Nov 15, 2024
If you're someone who thought COVID was over and the vaccine saved the day, then the appointment of RFK Jr might come as a surprise or a shock to you. But it's what I expected - I've said for a long time I've assumed the COVID vaccines will eventually be banned in some areas.
This is because COVID is not over. It's given about a quarter of the population a new chronic health condition, and with every reinfection, it gets a little worse. People know their own bodies, and understand that their health is in decline.
But most of them don't know why. Largely because the government and the media has sold a story that COVID is over - that as long as you're vaccinated, you have nothing to worry about. To sell this lie, they have created an increasingly complex web of propaganda
Read 7 tweets

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