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Found 198 results
  1. News Article
    The Government’s out-of-date advice on Covid symptoms that should trigger a PCR test could be causing around 20,000 cases a day and needs to be changed urgently, a leading researcher has warned. Speaking with Pulse, Professor Tim Spector, who heads the ZOE Covid study at King’s College London said the picture is ‘now fairly clear’ that the most common symptoms among those now testing positive are nothing like when the pandemic began. ‘It’s the wrong message and it’s not a joke, it’s killing people,’ he told Pulse. The ZOE Covid study was first launched in March 2020 and tracks infections using an app with millions of users. According to the app, the traditional symptoms of cough, shortness of breath, and fever rank way down the list in vaccinated adults and unvaccinated children. Instead the virus is presenting more like a regular cold with runny nose, headache, sneezing and sore throat leading the way. ‘One in two people with a positive PCR test across the country lack any of the three government approved symptoms,’ he said. ‘We’re missing lots of cases.’ Read full story Source: Pulse, 17 September 2021
  2. News Article
    One in 40 people with coronavirus has symptoms lasting at least three months, Office for National Statistics figures suggest. In April, an ONS report put the proportion at about one in every 10. The latest, large and comprehensive analysis suggests long Covid may be less common than previously thought. But the condition is not fully understood and still has no universally agreed definition, leading to different studies producing different figures. However, like many other reports, the analysis suggests women, 50- to 69-year-olds and people with other long-term health conditions are the most likely to have symptoms of long Covid 12 weeks after a Covid infection. People with high levels of virus in their body when testing positive are also more likely to have long Covid, the analysis suggests. Read full story Source: BBC News, 17 September 2021
  3. News Article
    Dr Kelly Fearnley caught COVID-19 in November 2020, after being redeployed to work on a coronavirus ward. Ten months on, she’s still living with debilitating symptoms of the condition known as long Covid. The latest estimates, published in June, suggest more than two million people in the UK have had long Covid since the pandemic began, while figures released by the Office for National Statistics in April show that more than 120,000 of those are NHS staff. Dr Fearnley discusses with iNews her experience of being taken to hospital after becoming seriously unwell. Dr Fearnley had a high resting heart rate and wasn’t able to get out of bed. She had pins and needles and was experiencing attacks of breathlessness, as well as violent shaking of her entire body. Yet, after running tests, she says the senior doctor she saw made it clear they believed Dr Fearnley was suffering from anxiety. “I was [treated as] an anxious little girl. My concerns weren’t taken seriously. Despite being a doctor myself, I felt let down by my colleagues at a time when I needed help but help wasn’t there,” Dr Fearnley said. “Sadly, I know my experience isn’t uncommon. I know a lot of long haulers have had their symptoms dismissed as anxiety.” But Dr Fearnley’s experience is also not unique to long Covid patients. “There’s a long history in medicine of dismissing hard-to-diagnose and hard-to-treat patients as having psychological or behavioural problems,” says Brian Hughes, Professor of Psychology at the National University of Ireland, Galway. “Historically, these problems have also been far more likely to emerge where illnesses primarily affect women,” he added. There are countless examples of this, but the condition that’s been most closely linked to long Covid is myalgic encephalomyelitis (ME) – also known as chronic fatigue syndrome or ME/CFS. 2020 research into GPs’ knowledge and understanding of the condition found that between a third and half of GPs did not accept ME as a “genuine clinical entity“. As a result, patients have continued to have their symptoms disbelieved or dismissed as psychological for decades. Read full story Source: iNews, 9 September 2021
  4. News Article
    New research has found symptoms in the early days of Covid-19 may differ between men and women. The study by King's College London, examined 18 symptoms from data obtained from the ZOE COVID Symptom Study App. Results found men were most likely to experience shortness of breath, fatigue, chills and fever, whereas women were more likely to report loss of smell, chest pain and a persistent cough. "It's important people know the earliest symptoms are wide-ranging and may look different for each member of a family or household. Testing guidance could be updated to enable cases to be picked up earlier, especially in the face of new variants which are highly transmissible. This could include using widely available lateral flow tests for people with any of these non-core symptoms." Lead author and reader at King's College London, Claire Steves has said. Read full story. Source: Sky News, 30 July 2021
  5. News Article
    Researchers from the 'Therapies for Long COVID (TLC) Study Group' at the University of Birmingham are studying long COVID is and what influences it by pooling data from lots of separate studies to find out the prevalence of reported symptoms and to see what the impacts and complications of long COVID are. Their review showed just how varied long COVID is. Patients may experience symptoms related to any system in the body – including respiratory, neurological and gastroenterological symptoms. The pooled data showed that the ten most commonly reported symptoms in long COVID are fatigue, shortness of breath, muscle pain, cough, headache, joint pain, chest pain, an altered sense of smell, diarrhoea and altered taste. Other common symptoms include “brain fog” – when thinking is fuzzy and sluggish – memory loss, disordered sleep, heart palpitations and a sore throat. Rare but important outcomes include thoughts of self-harm and suicide and even seizures. Most long COVID patients complain of symptoms experienced during their acute infection persisting beyond it, with the number of symptoms experienced tending to decline as patients move from acute to long COVID. Some, though, report developing new symptoms during their long COVID illness, while some also report symptoms reoccuring that had previously resolved themselves. What the huge variability of long COVID suggests is that it actually comprises a number of different syndromes, potentially with different underlying causes. A better understanding of the underlying biological and immunological mechanisms of long COVID is therefore urgently needed if we’re to develop effective treatments for it. Read full story Source: The Conversation, 27 July 2021
  6. Content Article
    Sarcomas are uncommon cancers that can affect any part of the body including bone, muscle, ligaments, fatty tissue and blood vessels. It is a condition which 75% of people in the UK are not aware of. Early detection is key to improving survival rates. In this blog, published on the NHS website, Dr Suma Kuna, MacMillan GP and Clinical Lead for Cancer and Palliative Care, talks about what sarcoma cancer is, and the signs to look out for.
  7. News Article
    Scientists have called for the list of Covid-19 symptoms to be expanded. The call comes after scientists warned cases may be missed if the symptoms are not included on the official list. However, others are warning that including too many may be confusing and result in unnecessary tests being carried out. Currently, the government maintains that the list is under constant review. Read full story. Source: BBC News, 01 July 2021
  8. Content Article
    In March 2021 the advocacy group LongCovidSOS launched a survey in partnership with the University of Exeter and University of Kent to find out how people with Long Covid respond to COVID-19 vaccines. The analysis, which is yet to be peer reviewed showed that 56.7% of respondents experienced an overall improvement in symptoms, with 24.6% remaining unchanged and 18.7% reporting a deterioration in their symptoms. In general, those who received mRNA vaccines (Pfizer/BioNTech or Moderna) reported more improvements in symptoms, compared with those who got an adenovirus vaccine (Oxford/AstraZeneca). In particular, those who received the Moderna vaccine were more likely to see improvements in symptoms such as fatigue, brain fog and muscle pain, and less likely to report a deterioration, the analysis found.
  9. News Article
    COVID-19 vaccines tend to alleviate the symptoms of long Covid, according to a large survey of more than 800 people that suggests mRNA vaccines, in particular, are beneficial. Although COVID-19 was initially understood to be a largely respiratory illness from which most would recover within a few weeks, as the pandemic wore on increasing numbers of people reported experiencing symptoms for months on end. There is no consensus definition of the condition of these people who have symptoms ranging from chronic fatigue to organ damage, let alone a standardised treatment plan. As vaccines hit the mainstream, concerns arose that vaccination could precipitate relapses or a worsening of symptoms. But conversely, anecdotal reports suggested that vaccines helped some people with long Covid. The analysis, which is yet to be peer reviewed, was conducted on the basis of a survey of 812 people (mostly white, female participants) with long Covid in advocacy groups in the UK and internationally who were contacted via social media. The participants (a small proportion of whom also said they had ME/CFS) were asked to wait at least a week after their first dose to avoid their responses conflating with side-effects of the vaccine. In general, those who received mRNA vaccines (Pfizer/BioNTech or Moderna) reported more improvements in symptoms, compared with those who got an adenovirus vaccine (Oxford/AstraZeneca). In particular, those who received the Moderna vaccine were more likely to see improvements in symptoms such as fatigue, brain fog and muscle pain, and less likely to report a deterioration, the analysis found. Read full story Source: The Guardian, 18 May 2021
  10. News Article
    On Christmas Day, Gail Jackson’s 16-year-old daughter said she was in so much pain she thought she would die. Liliana had been briefly admitted to hospital with Covid in September. Her symptoms never went away and, as time went on, new ones had emerged. “For months she had a relentless, agonising headache, nausea, tinnitus, fatigue and insomnia, but the worst thing was the agonising nerve pain,” said Jackson. “I couldn’t even touch her without her screaming in pain.” On Christmas morning, Jackson drove to hospital with her daughter vomiting from pain in the passenger seat. When they got to the hospital, however, the A&E doctor said there was no such thing as long Covid in children. “He said she just needed to go home and get on with her life,” Jackson said. “It was jaw-dropping.” It is extremely rare for children and young people to contract severe Covid, but recent research has shown that even mild or asymptomatic infection can lead to long Covid in children. A study at UCL is investigating long Covid in 11- to 17-year-olds who were not hospitalised with the disease. The National Institute for Health and Care Excellence (NICE) has recommended more research to produce guidance on how children and young people are affected and how they can be treated. However, there is no case definition of long Covid in children and young people in the way there is in adults. Read full story Source: The Independent, 3 May 2021
  11. News Article
    A nurse says the effects of "long Covid" mean she is "not the same person any more". Lynne Wakefield from Holyhead is still suffering with fatigue and "brain fog" after contracting Covid in June 2020. She said her employer had been "very good" supporting her, but other NHS staff told BBC Wales they felt pressurised to go back to work. The NHS Confederation said there was a package of support for staff affected by "longer term effects of Covid". A recent survey suggested about 56,000 people in Wales have symptoms of long Covid, which include fatigue, headaches and coughing. Other NHS workers with long Covid symptoms, who did not want to be named, told BBC Wales Live how they feel about the ways they are being treated by their employers: "I knew that returning to work would put my recovery at risk, but it was work or starve. On my return, I was informed that any further days absent in the next 12 months would result in a formal warning." "I'm so worried about losing my job as I've been off work for so long and I'm still nowhere near well enough to return." "If they say I have to come back or be dismissed, I'll have to do it, I'll have to try [and go back] and survive. I am so emotional at the moment, I can't stop crying - I feel I am going crazy." Read full story Source: BBC News, 28 April 2021
  12. News Article
    That throbbing headache just won’t go away and your mind is racing about what may be wrong. But Googling your symptoms may not be as ill-advised as previously thought. Although some doctors often advise against turning to the internet before making the trudge up to the clinic, a new study suggests that using online resources to research symptoms may not be harmful after all – and could even lead to modest improvements in diagnosis. Using “Dr Google” for health purposes is controversial. Some have expressed concerns that it can lead to inaccurate diagnoses, bad advice on where to seek treatment (triage), and increased anxiety (cyberchondria). Previous research into the subject has been limited to observational studies of internet search behaviour, so researchers from Harvard sought to empirically measure the association of an internet search with diagnosis, triage, and anxiety by presenting 5,000 people in the United States with a series of symptoms and asked them to imagine that someone close to them was experiencing the symptoms. The participants – mostly white, average age 45, and an even gender split – were asked to provide a diagnosis based on the given information. Then they looked up their case symptoms (which, ranging from mild to severe, described common illnesses such as viruses, heart attacks and strokes) on the internet and again offered a diagnosis. As well as diagnosing the condition, participants were asked to select a triage level, ranging from “let the health issue get better on its own” to calling the emergency services. Participants also recorded their anxiety levels. The results showed a slight uptick in diagnosis accuracy, with an improvement of 49.8% to 54% before and after the search. However, there was no difference in triage accuracy or anxiety, the authors wrote in the journal JAMA Network Open. These findings suggest that medical experts and policymakers probably do not need to warn patients away from the internet when it comes to seeking health information and self-diagnosis or triage. It seems that using the internet may well help patients figure out what is wrong. Read full story Source: The Guardian, 29 March 2021
  13. Content Article
    Findings from this study, published in BMC Infectious Diseases, suggests that patients who recovered from COVID-19 disease may still experience COVID-19 like symptoms, particularly fatigue and headaches. Therefore, careful monitoring should be in place after discharge to help mitigate the effects of these symptoms and improve the quality of life of COVID-19 survivors.
  14. Content Article
    A recent NIHR report sets out the state of knowledge on Long Covid, focussing on recent published research framed around questions of the nature and causes of Long Covid and approaches to treatment. Symptoms might include, but not be limited to brain fog, anxiety, breathlessness, fatigue, muscle pain, palpitations and chest heaviness. We still know very little about the clusters and patterns of these symptoms and what this might mean for ongoing treatment and monitoring. In this article, Tara Lamont emphasises the importance of people with Long Covid being involved in these studies pushing these issues to the forefront.
  15. News Article
    Arianna Eisenberg endured long-haul COVID-19 for eight months, a recurring nightmare of soaking sweats, crushing fatigue, insomnia, brain fog and muscle pain. But Eisenberg’s tale has a happy ending that neither she nor current medical science can explain. Thirty-six hours after her second shot of coronavirus vaccine last month, her symptoms were gone, and they haven’t returned. “I really felt back to myself,” the 34-year-old Brooklyn therapist said, “to a way that I didn’t think was possible when I was really sick.” Some people who have spent months suffering from long-haul COVID-19 are taking to social media to report their delight at seeing their symptoms disappear after their vaccinations, leaving experts chasing yet another puzzling clinical development surrounding the disease caused by the coronavirus. “The only thing that we can safely assume is that an unknown proportion of people who acquire SARS-CoV-2 have long-term symptoms,” said Steven Deeks, an infectious-disease physician at the University of California at San Francisco. “We know the questions. We have no answers. Hard stop.” Read full story Source: The Washington Post, 16 March 2021
  16. News Article
    A website is helping healthcare professionals and the public recognise whether a rash could be a sign of COVID-19. The covidskinsigns site carries more than 400 images of rashes collected via the COVID Symptom Study app, which was set up during the first wave of the pandemic to gather information from the public about the signs and symptoms of virus. According to the British Association of Dermatologists, which developed the website, the most common skin rashes are urticaria (a hive-like rash), a ‘prickly heat’ or chickenpox-type rash, and redness that looks like chilblains on the fingers or toes. Rash was added as a sign to the app, which has been downloaded by 4 million people in the UK – reports emerged last spring of rashes in patients admitted to hospital with COVID-19. In August 2020, Mid Yorkshire Hospitals NHS Trust vascular nurse consultant Leanne Atkin warned discoloured toes could be a sign of COVID-19. She spoke out following a rise in the number of patients presenting to vascular clinics with signs that could be attributable to arterial disease. However, Dr Atkin said these patients often go on to test positive for COVID-19. Dubbed ‘COVID toe’, the condition can have a similar appearance to chilblains, which commonly cause swelling and redness at the ends of toes and fingers, and was first identified as a sign of COVID-19 by podiatrists in Spain in April 2020. Read full story Source: Nursing Standard, 29 January 2021
  17. Content Article
    This report from Long Covid Support summarises patient's experiences of Long Covid.
  18. Content Article
    In this study, Mansab et al. examine the COVID-19 community triage pathways used by Singapore, Japan, USA and UK, specifically comparing the safety and efficacy of national online ‘symptom checkers’ used within the triage pathway.Their results suggest that whilst ‘symptom checkers’ may be of use to the healthcare COVID-19 response, there is the potential for such patient-led assessment tools to worsen outcomes by delaying appropriate clinical assessment. The key features of the well-performing symptom checkers are discussed in the paper.
  19. News Article
    The NHS Covid symptom checker has been criticised by a study which found it may not pick up some people who are seriously ill. By being told to stay at home rather than consult a doctor, they may not receive treatment quickly enough. NHS Digital says the 111 online service, used more than 3.9 million times in the past year, is not a diagnostic tool. The symptom checker has been constantly revised and updated, it adds. The NHS 111 online Covid symptom checker asks a series of set questions about symptoms in order to offer people advice on their condition and what to do next. The study, in BMJ Health and Care Informatics, used 50 simulated cases to compare online checkers used during the pandemic from four countries - UK, US, Japan and Singapore. It found the symptom checkers used by the UK and US were half as likely to advise people to consult a doctor as the systems used in Japan and Singapore. Japan and Singapore also had the lowest case fatality rates of the four nations. Despite improvements in the safety of the NHS 111 symptom checker since the research was carried out in April, the researchers said they still have "ongoing concerns". Read full story Source: BBC News, 9 March 2021
  20. News Article
    Today is an anniversary that George Hencken never imagined. It is exactly one year since she caught COVID-19. But unlike most people who have suffered from the disease, she remains ill. “It’s a year since I’ve felt like myself,” she said. “It’s a year since my life as I knew it came to an end. And I don’t know if I’m going to get it back again.” Long Covid doesn’t quite describe the depths of her fatigue. “It’s not tiredness. It’s like having jet lag and a hangover. It feels like I’ve been poisoned,” she said. The problem for Hencken and the thousands still suffering from the virus months later is that long Covid doesn’t describe much at all. The umbrella term covers people who are breathless and fatigued, or who have brain fog, headaches and tingling arms, or who have chest pains and heart palpitations, or all of those and dozens more symptoms besides. Support groups such as LongCovidSOS have been fighting hard for the condition to be recognised and taken seriously – sufferers say they feel disbelieved, and doctors initially had little information, support or even funding. Last week the government announced £18.5m through the National Institute for Health Research to fund four major studies attempting to understand exactly what long Covid means, why it affects so many apparently healthy people, and how they can be helped. Research by University College London will track the health of 60,000 people, including people with long Covid and a control group who will wear a Fitbit-style wristband to measure heart rate, breathing and exercise levels. The aim is to chart and identify clusters of symptoms, Professor Nishi Chaturvedi said. “My sense is that the multiplicity of symptoms that people are reporting suggests to me and many others that it’s not one thing, but several syndromes. We’re not even at the starting point yet of knowing what it is,” she said. Read full story Source: The Guardian, 20 February 2021
  21. News Article
    New research led by researchers at King’s College London suggests that restricting testing to the ‘classic triad’ of cough, fever and loss of smell which is required for eligibility for a PCR test through the NHS may have missed cases. Extending the list to include fatigue, sore throat, headache and diarrhoea would have detected 96% of symptomatic cases. A team of researchers at King’s and the Coalition for Epidemic Preparedness Innovations (CEPI) analysed data from more than 122,000 UK adult users of the ZOE COVID Symptom Study app. These users reported experiencing any potential COVID-19 symptoms, and 1,202 of those reported a positive PCR test within a week of first feeling ill. While PCR swab testing is the most reliable way to tell whether someone is infected with the SARS-CoV-2 coronavirus that causes COVID-19, the analysis suggests the limited list of three does not catch all positive cases of COVID-19. Testing people with any of the three ‘classic’ symptoms would have spotted 69% of symptomatic cases, with 46 people testing negative for every person testing positive. However, testing people with any of seven key symptoms - cough, fever, anosmia, fatigue, headache, sore throat and diarrhoea - in the first three days of illness would have detected 96% of symptomatic cases. In this case, for every person with the disease identified, 95 would test negative. Researchers also found users of the Symptom Study App were more likely to select headache and diarrhoea within the first three days of symptoms, and fever during the first seven days, which reflects different timings of symptoms in the disease course. Data from the ZOE app shows that 31% of people who are ill with COVID-19 don’t have any of the triad of symptoms in the early stages of the disease when most infectious. Read full story Source: King's College London, 17 February 2021
  22. Content Article
    The COVID-19 pandemic has caused unprecedented morbidity, mortality and global disruption. Following the initial surge of infections, focus shifted to managing the longer-term sequelae of illness in survivors. ‘Post-acute COVID’ (also known as ‘Long COVID’) is emerging as a prevalent syndrome. It encompasses a plethora of debilitating symptoms (including breathlessness, chest pain, palpitations and orthostatic intolerance) which can last for weeks or more following mild illness. Dani et al. describe a series of individuals with symptoms of ‘Long COVID’, and posit that this condition may be related to a virus- or immune-mediated disruption of the autonomic nervous system resulting in orthostatic intolerance syndromes. They suggest that all physicians should be equipped to recognise such cases, appreciate the symptom burden and provide supportive management. They present our rationale for an underlying impaired autonomic physiology post-COVID-19 and suggest means of management.
  23. News Article
    Hospitals across the country are preparing for a significant increase in children needing treatment for a rare disease triggered by coronavirus. Paediatric departments across the NHS are recalling children’s nurses who have been redeployed to help care for adult patients as well as freeing up specialist intensive care beds to be ready for more cases of the rare condition first identified after the first wave last year. Because of how widespread COVID-19 infections have become in the last month, with the numbers of patients in hospital peaking at almost 40,000, experts believe they will see a larger number of children affected by the disease called Paediatric Multisystem Inflammatory Syndrome (PIMS). Modelling by London’s Evelina Children’s Hospital, which treated around 110 children with PIMS during the first wave of the virus, suggested for every 200 adults admitted to hospital across London, there was one child admitted with PIMS at the Evelina. This modelling cannot be used to predict admissions across the country, but paediatric experts believe they will begin to see a larger number of children with the condition with a peak expected in the next three weeks. It is thought COVID-19 triggers an inflammatory response among a very small minority of children – of all children infected with COVID-19, less than half of one per cent went on to develop PIMS. Those that do suffer severe inflammation in their blood vessels and can have damage to their heart. Symptoms of PIMS include a rash, fever and abdominal pain. Read full story Source: The Independent, 4 February 2021
  24. News Article
    The NHS has been urged to rethink safety for thousands of frontline staff after new research suggested that Covid patients’ coughing is putting them at far greater risk of catching the virus than previously thought. The study found that coughing generated at least 10 times more infectious “aerosol” particles than speaking or breathing – which could explain why so many NHS staff have fallen ill during the pandemic. The research has led to fresh demands that anyone caring for someone with Covid-19, or suspected Covid-19, should be provided with the most protective equipment – including FFP3 respirator masks – and that hospital ventilation should be improved. Health workers are up to four times more likely to contract coronavirus than the general population, with infection rates among those on general hospital wards approximately double those of intensive care unit (ICU) staff – who do have access to the most protective PPE. Read full story Source: The Guardian, 3 January 2021
  25. News Article
    People infected with the new variant of coronavirus that first emerged in the UK are less likely to report a loss of taste or smell, but more likely to report “classic” symptoms, such as coughing, sore throat or fatigue, a survey has found. According to the Office for National Statistics (ONS), the symptom of impaired taste and smell in those with COVID-19 was “significantly less common” in people who tested positive for the new variant compared with those who had other variants. However, there was no evidence of any difference in symptoms related to shortness of breath or headaches, according to the provisional data published in the organisation’s infection survey. The data also indicated that people infected with the new variant were more likely to report having symptoms. These were self-reported and not professionally diagnosed, and cover the period between 15 November and 16 January. Read full story Source: The Independent, 27 January 2021
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