Amanda Kvalsvig Profile picture
Sep 8 7 tweets 2 min read Read on X
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.

rnz.co.nz/news/national/…
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.

6/
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

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Amanda Kvalsvig

Amanda Kvalsvig Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @AmandaKvalsvig

May 26
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.

2/5
rnz.co.nz/news/national/…
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.

3/5
Read 5 tweets
May 22
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.

Mask work & New Zealanders are missing out.

phcc.org.nz/briefing/scien…
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.

Next steps include:

journals.asm.org/doi/10.1128/cm…
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.
Read 7 tweets
Apr 16
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.

1/4
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
Read 4 tweets
Mar 29
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:

2/4phcc.org.nz/briefing/long-…
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
Read 4 tweets
Mar 27
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 🧵

1/5
rnz.co.nz/news/national/…
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.

Link to the full memo:


2/5 fyi.org.nz/request/20877/…

Image
Image
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
Read 6 tweets
Dec 2, 2023
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?

2/5 ncbi.nlm.nih.gov/pmc/articles/P…
Table from AlKhater et al. Features suspicious of an underlying primary or secondary immunodeficiency: 6 or more new infections in 12 months 2 or more serious sinus infections or pneumonias within 1 year 2 or more episodes of sepsis or meningitis 2 or more months of antibiotics with little effect Need for IV antibiotics and/or hospitalisation to clear infection Failure to gain weight or grow normally Resistant superficial or oral candidiasis Recurrent tissue or organ abscesses Infection with opportunistic organism such Pneumocystis jiroveci pneumonia Complications from a live vaccine Family...
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
Read 5 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(