Globally, economists are estimating the productivity costs of Long Covid. LC is common & affects working-age adults. Costs add up fast to large numbers (9 countries -> 0.5-2.3% of GDP).
What are the costs to New Zealand? No-one appears to be counting. 1/ phcc.org.nz/briefing/long-…
In our Briefing out today, we review some international evidence on the economic impacts of Long Covid, consider the potential effects in the NZ context, and outline actions that the NZ Government can take to mitigate these costs.
@PaulaLorgelly
2/
Three key actions:
1. Reduce Covid-19 case numbers
- use evidenced public health measures: clean the indoor air!
- expand eligibility & coverage of Covid vaccines
...ensuring that these protections are in place for workforces & sectors at high risk of Covid-19 and Long Covid.
2. Strengthen occupational support across all sectors
to protect health and occupational performance, including providing formal screening and support in occupations where occupational performance has safety implications.
Cognitive dysfunction in the workplace is concerning.
3. Conduct comprehensive research and economic modelling of acute Covid-19 infection and Long Covid impacts, to quantify the true value of preventive action.
All serious infectious diseases have the potential to cause chronic disease.
When an infection is common, its longer term health impacts become common too. This is why pandemics cast long shadows of chronic disease in populations.
The cost of inaction adds up fast.
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Unlike earlier generations, we can characterise our pandemic virus. We know its capabilities.
It is not flu and not a cold.
NZ’s response to the ongoing high Covid-19 baseline needs to be strategic, evidence-informed, & proportionate.
We cannot afford any other option.
/fin
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Excellent points here from @jacktame. Protecting the health of school communities has to come first.
Making attendance the #1 goal is manifestly self-defeating.
Sick kids in school -> teachers sick -> families sick -> no-one is learning.
We need an action plan for schools: 1/5
We wrote about this policy gap in 2022 and then again in 2023, calling for an Action Plan for NZ schools and describing what needed to be done. Long Covid adds urgency to the need for safe schools.
More detail in this thread 👇 about the many actions that can be taken to slow the spread of infections through schools: protecting children's health and education + teachers' occupational safety, and keeping older & younger family members safe too.
Here's a new Briefing about implications of our new major mask review for Aotearoa New Zealand.
Winter is on the way, respiratory infection rates are up, & there's a potential new pandemic on the horizon.
The NZ Government needs act on the review, upgrading its outdated mask policies so we can benefit from effective and versatile protection against seasonal, epidemic, and pandemic infections.
1. Identifying situations and settings where mask wearing can protect population health during winter 2024 and beyond.
Healthcare settings are an absolute no-brainer here, and so is public transport.
Anyone who is thinking that if you get Long Covid the system will support you, please understand: the system will not support you.
Anyone thinking that this wouldn't happen to you: for many previously healthy people, it already has.
An ounce of prevention is worth a pound of... well, that's the problem, there isn't a cure.
So @DrAnnaNZ and her colleagues need funding for the vital research they are doing.
In the meantime prevention is what we have, and there's plenty we can do. 2/4 phcc.org.nz/briefing/long-…
You may feel self-conscious wearing a mask on the bus or asking for better air quality at work, but one day that protection may be the only thing standing between you and the loss of your health + everything you hoped to do.
3/4
It's time to shift the burden of proof.
If someone wants to claim that Covid-19 or Long Covid will be less harmful in future, they must provide evidence showing why multiple infections are better for you than one or zero.
You can't choose to have only a 3rd infection. 1/4
The cumulative infections are what matter and around the world they are ticking up.
The evidence is compelling. It shows multiple longer-term harms to individuals, sectors, & societies from this virus.
This week we called for a country-level response:
This Briefing began as an evidence review but it quickly became a call to action.
The evidence will continue to develop at pace, bringing new treatments and solutions, but what we already know is enough to get moving.
We must get case numbers down. We have the technology.
3/4
For those interested in the source for our statement that teaching is a high-risk occupation for Covid-19 and Long Covid in Aotearoa New Zealand, a short 🧵
In 2022 when NZ was experiencing widespread Covid-19 cases for the first time, an internal NZ Government memo (later OIA'd) included a graph of Covid-19 case rates by occupation. Teaching was at the top of the ranking.
In 2024 NZ is seeing the consequences of this failure to protect teachers.
It was entirely predictable and predicted that Covid-19 would spread widely in schools but Government chose a policy of 'business as usual'. I argued in vain for a protective approach in January 2022.
3/5
If some propose that children's immune systems were harmed in 2020 by spending time in minimal/no contact with others, they should apply testable hypotheses and data in support.
eg, Children have always lived on remote islands & farms, isolated for weeks/months at a time. 1/5
1. What types of immune dysfunction are they at risk of and how do these effects manifest in health data? The list from AlKhater shows what you would measure.
And ask the flying doctors. Are country children known for being particularly sickly?
2. If remote children move to a town/mainland (eg, for schooling) they encounter infections that are new to them. Do they suddenly start getting more serious illness than other children? How many years would you expect the immunity debt to continue? Again, measurable in data.
3/5