charlos Profile picture
Sep 19, 2024 9 tweets 2 min read Read on X
“Without more public or private investment, it’s unclear how research can proceed. The small corner of the private sector that has endeavored to take on #LongCovid is slowly becoming a graveyard.” Screenshot of the article headline in C&EN reading “R&D for long Covid is collapsing. Public and private funding is lacking, scrambling opportunities to develop treatments.”   Date: September 18, 2024
“At least 4 companies that were developing LC treatments have shut down because of.. lack of finances. Others are evaluating a shift away from #LongCovid.”

“Levy says the company tried to communicate with NIH RECOVER multiple times but never heard back” cen.acs.org/pharmaceutical…
“What I know is that nobody wants to hear about COVID. When you say the name COVID, it’s bad . . ., but #LongCovid is not going anywhere, because COVID-19 is endemic. It will stay. At some point, everyone will realize that we have to do more for it.”
“There is that narrative that #LongCovid is over,” says @ahandvanish, cofounder of l @patientled and a coauthor of the review, who has had long COVID since 2020. “I think that’s fairly obviously not true.”
@ahandvanish @patientled “The few biotech companies that have taken matters into their own hands, like Aim, are often reduced to small study sizes with limited time frames because they can’t get outside funding.” #LongCovid
@ahandvanish @patientled “Now what we’ve got is a bunch of half bridges with nowhere to fund the continuation of that work,” says Nathaniel Moorman, cofounder and scientific adviser of the Rapidly Emerging Antiviral Drug Development Initiative #LongCovid
@ahandvanish @patientled “This was a squandered opportunity, not just for pandemic preparedness but to tackle these unmet needs that are being neglected by biotech and pharma,” Chanda says. #LongCovid
@ahandvanish @patientled “This reminds me of HIV days and HCV days,” Kwong says. “This idea that pharma doesn’t want to work on this because we don’t know things about SARS-CoV-2 and #LongCovid is bullshit.”
@ahandvanish @patientled “#LongCovid is really interesting because there’s so many different symptoms…All the autopsy studies show it’s in your brain.. gut… lungs. It’s in your heart. To me, all the different symptoms are indicative of where the virus has gone when it infected you.”

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More from @loscharlos

Mar 11
Hey all this is something I’ve been working on with my spare spoons over the past year & really excited it is out in the world!

Every month I get contacted by ppl who got #LongCovid from reinfection — & I hope this guide can help those looking for what to do.

More thoughts 🧵
About a year ago, @juliamv and I published an op-ed in @statnews making the case that #LongCovid patients have the right to try off label meds and clinicians have an obligation to consider, especially since 1 in 5 meds are already prescribed off label. /2
Once the op-ed was out in the world, I found myself thinking OK well what would I give somebody whose mind we changed — either a #LongCovid patient who is willing to start trialing some meds or a clinician who is willing to take a look with an open mind. /3
Read 12 tweets
Feb 25
“If Covid is quietly accelerating cognitive aging… in working-age adults, the consequences will ripple through workplaces & health systems for years.”

“The incidence & prevalence of Alzheimer’s is going to just escalate,” he says. “It’s a huge public-health problem.” #LongCovid Screenshot of an article headline in Bloomberg: How Covid Quietly Rewires the Brain  Researchers keep discovering more about the long-term neurological effects of SARS-CoV-2.
“Almost 5 years later, #LongCovid has had one of the fastest rises in diagnoses and become one of the most economically disruptive chronic conditions in modern medicine… Another analysis… put the annual economic toll of LC at $1 trillion” — @jwgale bloomberg.com/news/features/…
@jwgale “That scale in turn raises a troubling question: whether Covid is not only leaving millions chronically unwell but also accelerating the slow neurological processes that end in dementia—a pattern that has long been observed after some viral infections.” bloomberg.com/news/features/…
Read 6 tweets
Feb 22
“After practicing medicine in so many different settings, he never imagined his profession could so completely fail his own child at her time of greatest need.”

‘I’m profoundly disappointed,’ he said.” #LongCovid Screenshot of Boston globe article headline, “A doctor watches his 28-year-old daughter suffer from long COVID. He clings fiercely to hope.”  Researchers now recognize eight different trajectories after COVID infection; some are severely ill months later.  By Felice J. Freyer Updated February 20, 2026, 8:19 a.m.
“Focusing her eyes on written words or television brings severe headaches. Music she once enjoyed feels like an assault of noise her brain can’t process. She dons noise-canceling headphones & an eye mask, & lies still” #LongCovid
bostonglobe.com/2026/02/20/met…
“During the first year of her illness, Crausman could walk down the driveway and manage a staircase… The second year, she needed a wheelchair. Now, she rarely goes out at all.” #LongCovid bostonglobe.com/2026/02/20/met…
Read 5 tweets
Jan 2
Turn 36 today & I’ve spent my entire thirties with #LongCovid. When I turned 30 I was biking to work 10 miles a day, & since my mild covid infection — I struggle to walk more than a block or work more than a few hours a week.

Here’s 4 things I wish everyone knew:
1. The risk of this happening today is the same as in 2020. A new @NIH study shows risk of developing #LongCovid has not declined over time. We see new ppl every month in support groups from reinfections.

People do not understand this, & public health needs to communicate it.
2. #LongCovid is now the most common chronic condition in children. A recent NIH study shows the prevalence of LC has surpassed asthma in US kids.

This is nowhere in public discussion in the midst of record breaking chronic absenteeism — public health needs to communicate this.
Read 6 tweets
Sep 26, 2025
"Every subsequent infection increases the risk of #LongCovid & places people who already have it in greater danger. Here's what we don't know, is what it does to reinfect children over.. & over again with no endpoint in sight from the day they were born. We are about to find out” Screenshot of an article headline in Today, “Violet Affleck, 19, Gives Powerful Speech About Long COVID and Children at UN Event: 'I Am Terrified' The daughter of Jennifer Garner and Ben Affleck advocated for filtered indoor air and masking to help prevent children from getting long COVID.”  SEP. 24, 2025, 11:49 AM EDT
"It is neglect of the highest order to look children in the eyes & say, 'We knew how to protect you & didn't do it. We have access to a technology to prevent airborne disease.. that millions of our ancestors.. would kill for, & we refuse to use it,'"today.com/health/violet-…
“We can recognize filtered air as a human right, as intuitively as we do filtered water," Affleck said. "We can create clean air infrastructure that is so ubiquitous and so obviously necessary, tomorrow's children don't even know why we need it." today.com/health/violet-…
Read 4 tweets
Aug 23, 2025
“A growing number of scientists believe the SARS-CoV-2 virus may be subtly altering our immune systems. If correct, their hypothesis will change how we understand everything from RSV to shingles to sepsis.”

“It’s certainly impacting our immune health & probably.. overall health” Screenshot of BMJ article:   Feature Covid-19 Why scientists are rethinking the immune effects of SARS-CoV-2 BMJ 2025; 390 doi: https://doi.org/10.1136/bmj.r1733 (Published 19 August 2025) Cite this as: BMJ 2025;390:r1733
“SARS-CoV-2 is linked to ‘an unusually high level of *indiscriminate* killing of T cells’.. reminiscent of measles, which can cause immune amnesia by depleting memory B cell, leaving people vulnerable to pathogens they were previously immune to.” bmj.com/content/390/bm…
“‘Immunity debt,’ a theory to explain the global surge in non-covid infections since pandemic restrictions were lifted, is increasingly being challenged by emerging evidence.” bmj.com/content/390/bm…
Read 21 tweets

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