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Content ArticleLong-term health sequelae of COVID-19 are a major public health concern. However, evidence on Long Covid is still limited, particularly for children and adolescents. Using comprehensive healthcare data on approximately 46% of the German population, Roesller et al. investigated post-COVID-19-associated morbidity in children/adolescents and adults.
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Content ArticleEmer Joyce is a Cardiologist at Mater University Hospital in Dublin who developed myocarditis as a result of a Covid-19 infection. This article by Professor Joyce in the European Journal of Heart Failure aims to "give a birds-eye view of the physician as patient, the sub-specialist as sub-specialist condition sufferer, the one on the far side of the bed as the one in the bed." She also looks at the pattern of previously healthy, highly active healthcare professionals developing serious long-term health issues as a result of Covid-19.
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Content ArticleThe aim of this study was to measure the impact of post-acute sequelae of COVID-19 (PASC) on quality of life, mental health, ability to work and return to baseline health in an Irish cohort. It found that patients with PASC reported prolonged, multi-system symptoms which can significantly impact quality of life, affect ability to work and cause significant disability. Dedicated multidisciplinary, cross specialty supports are required to improve outcomes of this patient group.
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Blog - Long Covid: A catalogue of shame (2 November 2022)
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In this blog, Roger Kline, Research Fellow at Middlesex University Business School, highlights the lack of support from the Government and NHS that healthcare staff with Long Covid face. He looks at the impact of the Government’s decision to scrap extended sick pay for NHS staff with Long Covid and argues that healthcare workers deserve better support. The blog includes accounts from 31 NHS nurses and midwives with Long Covid; some are having to use annual leave as they cannot work their full hours and some have been threatened with redundancy. Others describe their experiences of phased return to work and applying for the NHS Injury Allowance or ill health early retirement.- Posted
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Understanding Covid-19 as a vascular disease and its implications for exercise
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Content ArticleWorld Physiotherapy is the international voice for physiotherapy, representing more than 685,000 physiotherapists worldwide, through 125 member organisations. Recognising the lack of good quality evidence relating to Long Covid and physical activity, this briefing paper aims to support healthcare professionals to provide safe and effective Long Covid rehabilitation practice, research and policy. It recommends screening for post-exertional symptom exacerbation (PACS), cardiac impairment, exertional oxygen desaturation and autonomic dysfunction before exercise is recommended to people with symptoms of Long Covid.
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APPG Coronavirus evidence session: Long Covid
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Recording of the recent All-Party Parliamentary Group (APPG)Coronavirus evidence session on Long Covid.- Posted
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Content ArticleMany are still reporting minimisation of their Long Covid symptoms – and it’s partially attributable to the fact that female patients are routinely dismissed. Five women share their experiences.
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Content ArticleDr Anthony Fauci, America’s top infectious disease expert, has warned against prematurely declaring victory over the pandemic, not only due to short-term needs but because long Covid represents an “insidious” public health emergency for millions of people. In an interview with the Guardian, Fauci urged US Congress to avoid complacency and resume funding to combat the virus as well as Long Covid, a chronic and prolonged illness that continues to elude scientists and healthcare providers.
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Content ArticleLong Covid is now estimated to affect 2 million people in the UK, and almost 145 million globally. It’s a complicated diagnosis to receive and those affected have to cope with both the physical symptoms and the psychological strain of having an illness that is not yet well understood and does not have well-established treatments. Three Long Covid patients share with the Guardian on how they navigated this journey.
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Content ArticleThe impact of Long Covid needs urgent action – and there are five key elements to drive the effort forward, writes the WHO director general Tedros Adhanom Ghebreyesus in this article for the Guardian.
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Content ArticleThis article in The Atlantic by Adam Gaffney, a doctor who works in both primary and secondary care, looks at the difficulty of defining and estimating the number of people living with Long Covid. The condition presents in a variety of different ways in people who were hospitalised with Covid-19, as well as people who had mild illness. He argues that incomplete and limited perspectives on what Long Covid is or isn’t, limits people's understanding of who is suffering and why, and of what we can do to improve the lives of people with the condition. More research is needed to understand the mechanisms involved in varied presentations of Long Covid.
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Content ArticleThe Office for National Statistics reports that 98,000 children are now living with the symptoms of Long Covid in the UK. To support these children and young people at school and college, Long Covid Kids has collaborated with education resource website Twinkl to produce a series of resources for teachers and teaching staff about Long Covid. Although the resources are free to download, you will need to sign up for a Twinkl account to access them.
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Content ArticleThis framework from NHS England supports nurses, midwives and care staff in ensuring care remains at a high standard, as well as demonstrating the contribution to the Long Covid response. It aims to give the opportunity to embrace collective leadership in supporting people and communities served and showcase good practice as it emerges across England.
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Content ArticleThis practice pointer in The BMJ provides an update on treating Long Covid in primary care and outlines how healthcare professionals might respond to questions that patients ask about the condition. The article provides information on: Definition of Long Covid Epidemiology Symptoms and case definition Questions patients ask Further resources for patients and healthcare professionals
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Content ArticleLong Covid is politically problematic, medically uncertain, and personally scary. It is too easy to look away. In media narratives this summer the Covid-19 pandemic was eclipsed by the cost of living and climate crises. But in practice these crises co-exist and interact. Long Covid makes heatwaves and price hikes a whole lot harder to bear. Jo Maybin was healthy, triple vaxed, and had been down with Long Covid since February 2022. In this blog for The King's Fund, Jo describes how she feels and asks you not to look away from Long Covid, this ‘mass disabling event’, which is affecting 2 million people in the UK, and will likely have a direct impact on hundreds of thousands more this winter.
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EventuntilThis webinar will be chaired by Dr Joanne Fillingham, Deputy Chief Allied Health Professions (AHPs), NHS England & NHS Improvement and will include presentations from: Sarah Cooper, Senior Programme Manager- Post Covid Syndrome, Clinical Policy Unit, NHS England & NHS Improvement Sarah Duncan, Head of Clinical Policy Unit, Medical Directorate, NHS England & NHS Improvement Gordon Bigham, Interim Regional Chief Allied Health Professional Lead – Midlands, NHS England & NHS Improvement The webinar will cover: NHS five-point plan for managing long COVID NICE Guidance and clinical definitions of long COVID Educational resources and materials from HEE Post COVID assessment clinics This webinar will be hosted on Microsoft Teams as a live event and can be accessed using this link at 2:00pm on Tuesday the 24th of November.
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Content ArticleIn this blog, Patient Safety Learning reflects on the recent steps taken by the healthcare system in the UK to increase provision and support for people living with Long COVID. It then goes on to consider the importance of engagement and information sharing with patients, outlining suggestions where Patient Safety Learning feel the current NHS approach could be improved.
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Content ArticleMany people are experiencing health difficulties for several months after they have been infected with COVID-19. There is work underway to make sure healthcare staff have more information about the longer-term effects of COVID-19 and how to look after these patients safely. This is due to be published by the National Institute for Health and Care Excellence (NICE) at the end of this year.
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Content ArticleNearly a year into the global coronavirus pandemic, scientists, doctors and patients are beginning to unlock a puzzling phenomenon: For many patients, including young ones who never required hospitalisation, COVID-19 has a devastating second act. Many are dealing with symptoms weeks or months after they were expected to recover, often with puzzling new complications that can affect the entire body—severe fatigue, cognitive issues and memory lapses, digestive problems, erratic heart rates, headaches, dizziness, fluctuating blood pressure, even hair loss. What is surprising to doctors is that many such cases involve people whose original cases weren’t the most serious, undermining the assumption that patients with mild COVID-19 recover within two weeks. Doctors call the condition “post-acute Covid” or “chronic Covid,” and sufferers often refer to themselves as “long haulers” or “long-Covid” patients. “Usually, the patients with bad disease are most likely to have persistent symptoms, but Covid doesn’t work like that,” said Trisha Greenhalgh, professor of primary care at the University of Oxford and the lead author of an August BMJ study that was among the first to define chronic Covid patients as those with symptoms lasting more than 12 weeks and spanning multiple organ systems. Other viral outbreaks, including the original SARS, MERS, Ebola, H1N1 and the Spanish flu, have been associated with long-term symptoms. Scientists reported that some patients experienced fatigue, sleep problems and joint and muscle pain long after their bodies cleared a virus, according to a recent review chronicling the long-term effects of viral infections. What differentiates COVID-19 is the far-reaching nature of its effects. While it starts in the lungs, it often affects many other parts of the body, including the heart, kidneys and the digestive and nervous systems, doctors said. “I haven’t really seen any other illness that affects so many different organ systems in as many different ways as Covid does,” said Zijian Chen, medical director for Mount Sinai Health System’s Center for Post-Covid Care. Read the full article in the Wall Street Journal.
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Content ArticleWhen the COVID-19 pandemic began, initial descriptions of the symptomology focused on the clinical presentations of patients in the acute, inpatient setting. In the months since, information on how patients with mild disease present has become available along with information on the fairly common occurrence of asymptomatic disease. More recently, data have emerged that some patients continue to experience symptoms related to COVID-19 after the acute phase of infection. There is currently no clearly delineated consensus definition for the condition: terminology has included “long COVID,” “post-COVID syndrome” and “post-acute COVID-19 syndrome". Among the lay public, the phrase “long haulers” is also being used. Here the COVID-19 Real-Time Learning Network review the current literature on post-acute symptoms in patients with COVID-19, using the term “post-acute COVID-19 syndrome".
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Reflections of a COVID-19 Long Hauler (11 November 2020)
Patient Safety Learning posted an article in Blogs
Jeffrey Siegelman awoke on a Monday morning with a headache. Fever followed, and the next morning could taste nothing. Now, after more than 3 months of living with COVID-19 and the fatigue that has kept him couch-bound, Jeffrey reflects on what it means to be a patient, how an illness ripples through family and community, and how he will use this experience to be a better physician. Here is what he has learned.- Posted
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