The two facets of longer fear are its higher prevalence (up to 30% of those infected) and a link between reinfection and an increased threat of adverse effects.
American scientist Ed Yong, commenting on the government’s responses to the pandemic, described them as a case of survival, approaching “you manage, you’re alone. “
Faced with the laxity of official attitudes to the continuation of the pandemic, many other people no longer even take the precautions over which we have individual control: wearing a mask, physical distancing and choosing whether or not to attend mass events. The consequences are an accumulation of both the number of daily instances and the hidden burden of long COVID.
The first variant of Omicron, BA. 1, appeared at the end of 2021, in particular others, clinically and genetically, of earlier variants. It replaced the delta variant and, in early 2022, replaced itself via BA. 2.
The degree to which BA. 2 had moved away from BA. 1 is much greater than the genetic distance between the original edition of SARS-CoV-2 and the delta variant. BA. 5, a subvariant of BA. 2, now temporarily outperforms the other variants.
The Omicron variants, and BA. 5 in particular, have several disturbing characteristics. They can evade acquired immunity from past infections and advances in vaccinated individuals. BA. 5 is larger at infecting cells, acting more like a delta than previous variants of omicron.
What we know about COVID
SARS-CoV-2 is unique in its ability to cause post-acute symptoms and organ damage. Unexplained chronic disability occurred in a minority of patients after initial infections with Ebola virus, dengue, polio, SARS, and West Nile virus.
What is another is the sheer scale of this pandemic and the number of other people affected by the long COVID. One of the surely critical issues related to the long COVID is that we don’t underestimate it. Several primary studies now show that:
Perhaps most importantly, reinfection can now be a feature of the pandemic for at least the next 12 to 36 months, increasing the risk that covid will take a long time with each repeated infection.
Giant studies in Denmark, England, and the United States show that 20-30% of other people who tested positive for COVID-19 had at least one post-acute symptom, up to 12 months after infection. Symptoms included loss of smell and taste. , fatigue, shortness of breath, decreased limb strength, difficulty concentrating, memory problems, sleep disturbances, and intellectual or physical exhaustion.
In England, the prevalence of persistent symptoms is higher among women and the elderly. Obesity, smoking or vaping, hospitalization, and deprivation were also associated with an increased likelihood of persistent symptoms. Those who have been hospitalised with COVID in the UK have shown even more severe symptoms. results.
In the United States, young survivors were at higher risk than others over the age of 65 for heart rhythm disorders and musculoskeletal pain. This is consistent with other observations that prolonged COVID is not just a disorder of old age.
However, older survivors had a statistically higher risk of developing certain conditions, adding kidney failure, bleeding disorders, cerebrovascular disease (stroke), type 2 diabetes, muscle disorders, and neurological and psychiatric conditions.
A study by EE. UU. de more than five million more people shows that the risk of prolonged COVID increases with the number of reinfections. But vaccination systematically reduces the threat of prolonged COVID, as well as serious illness, hospitalization, intensive care, and death.
The centenary lesson we have still applied
There are classes from the 1918-1919 flu pandemic that we want to include back in our repertoire, for a month or two, but in the long term.
Japan has followed the dressed mask as a key public fitness detail from a short list of available measures. As science Laura Spinney notes in her correct policy on the history of the flu pandemic in 2017, this “probably ushered in the practice of dressing in a mask to protect others from their own germs. “
In Japan, the wearing of a mask is mandatory for some, such as the police. In some cities, other people were not allowed to take public transportation or enter a theater without a mask. Japan had the lowest death rate of any Asian country from influenza. pandemic and is looking to approach the lowest cumulative mortality in the OECD due to the COVID-19 pandemic.
During the 1918-1919 pandemic, the United States and Europe made abundant efforts at public fitness interventions, which reduced overall mortality. San Francisco, St. Louis, Milwaukee and Kansas City had the most effective interventions, reducing transmission rates from 30 to 50 percent.
In Black November and Black Flu through historian Geoffrey Rice (together, the ultimate comprehensive policy of the 1918-1919 pandemic in Aotearoa), there are some photographs of other people dressed in masks and a reference to the “gauze mask” for merchants. However, there is little evidence to recommend that the mask be worn widely or encouraged in New Zealand.
The influential Italian newspaper Corriere della Sera reported on the daily death toll from the 1918-1919 flu pandemic until the civilian government claimed it caused anxiety and forced it to stop. As Spinney points out, other people can see the exodus of corpses from their neighborhoods and the silence caused even more anxiety.
The pandemic and silence have conspired to confuse others about the effectiveness of public fitness measures and compliance has declined further. People went back to church and racing and left their masks at home. The public fitness infrastructure collapsed.
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