COVID-19 Chronicle October 2022

A- A new study from Scotland by a Public Health Professor, showed that a six-months to 18 months old infection have produced enough long COVID case, for them to be able to study 100,000 cases, in which one on 20 people has not recovered from the disease and 42 have only partially recovered. Leaving a high number of patients still suffering with difficulty in breathing but a majority who has asymptomatic infections for benefiting from the vaccinations. So, a lot of people are affected in their quality of life because of the Long COVID State in their employment, and their ability to exist. The study was published in Nature Communications.

B- More than 20 million of people live with symptoms related to long COVID with chronic fatigue and shortening of breath, because of the long-term effects of the Coronavirus. Experts believe that the numbers will increase while COVID is about to become an endemic disease. The scientists always agree that some patients may have negative PCR tests, and may have been infected in the past.

C- Long haulers have individual symptoms like palpitations, chest pain, “brain-frog”. difficulties in breathing and also reduced mental acuity. Symptoms were worse in people who needed hospitalization for the disease or sicker with the symptoms. Rarely, mild cases may develop the same symptoms and we should not assume they may not be presenting persistent symptoms. Women and older people with other unprivileged persons are more affected with Long COVID. Incidental findings that people who have physical and mental heath problems with depression and respiratory problems are also prone to Long COVID. Strong evidences showed that vaccination reduces the chance of developing the disease.

D- Community transmission remains high in most of the states. We should talk to our patients about individual and household level of prevention regarding individuals in the household based on the risk for severe disease. The Omicron strain continues to count for most of cases. For physician taking care of patients, it is still recommended to wear mask for protection while examining patients.

E- Anyone with even mild COVID-19 symptoms, regardless of the ir vaccination status, should receive a virus test as soon as possible. should receive. Testing is generally not recommended in an asymptomatic patient who have recovered from the disease after 30 days. But if it is after 2-month. they should get an antigen test if the PCR is positive.

F-  Everyone should stay up-to-date with the COVID-10 vaccination. It is now recommended to people aged 6 months to 4 years, to get the primary shots but people 5 years and olde to get the bivalent.  Both booster-shots from Moderna or Pfizer have been updated for people older than 5.

 

Maxime Coles MD

 

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