Dear
@POTUS
: Everyone is NOT in “pretty good shape.” 7.6% of American adults are currently experiencing
#LongCovid
. 400 people die from COVID every day. People aren’t wearing masks because your
@CDCgov
told them not to despite all public health evidence. Pay attention!! Care!!!
“The pandemic is over. We still have a problem with COVID. We’re still doing a lot of work on it. But the pandemic is over,” President Biden tells 60 Minutes in an interview in Detroit.
New data from the Household Pulse Survey:
➡️19% of adults in the US who have had COVID currently experience
#LongCovid
➡️ Overall this means 7.5% of adults in the US have
#LongCovid
Our
#LongCovid
review is published! We review major findings of
#LongCovid
research; diagnostic tools & treatments; impact of vaccines, variants, & reinfections; & challenges & recs for future research and policy. Thank u
@ahandvanish
@julialmv
@EricTopol
!
I am so honored to be included
@Nature
's 10 for 2022. This is a testament to the
#patientled
movement: together, building off the work of many who came before us, patients (
#LongCovid
, ME, dysautonomia, & more) are shaping science for the better 1/
In the US alone, 6% of adults & millions of children have
#LongCovid
, with those numbers bound to grow, yet we risk losing momentum on research to date. We need a moonshot - at least $1 billion/year in US gov funding for the next 10 years
@MichaelPelusoMD
New
@BrookingsInst
blog highlights that 23% of Latinos in Colorado have
#LongCovid
. Of Latinos w/
#LongCovid
, 22% report that they have lost their job from
#LongCovid
, 33% have lost wages, & 36% have depleted savings to pay for health care costs
ATTN PEOPLE WITH
#LongCovid
IN THE US!
@US_FDA
is hosting a virtual public meeting on Patient-Focused Drug Development for Long COVID and we need you to send in your story!!!
1. Register for the event here:
Today marks 3 years since I first had symptoms from COVID & developed
#LongCovid
. On previous March 14ths, I've reflected personally on what happened, what I lost, and how I've grown. This year, I find myself wanting more to look ahead. Here's what I'm planning:
🧵
1/
On todays
@MorningEdition
,
@EricTopol
talks about our
#LongCovid
review
"The lack of the medical community's dealing with this inconvenient truth - we have to get over that. We've got to support these folks. We've got to come up with better treatments.. 1/
We need provider education & funding for
#LongCovid
clinics, especially pediatric, NOW. We’ve been calling for this for 2.5 years. I’m tired of the “we’re still learning” excuse. There is SO much info out there that can help patients, and at minimum stop harming.
Watch: White House COVID-19 response coordinator Dr. Ashish Jha speaks on the scope of Long COVID care available and hopefully upcoming. TIME spoke to families about the difficulties searching for pediatric Long COVID care; read more here:
Reducing the isolation period to 1 day will result in more cases of
#LongCovid
, both because of increased spread of COVID and because people will not be incentivized or able to rest during their acute illness, an important tool in lowering the risk of LC
Just to follow up: the brand of person I was referring to is someone who tells people to fuck off if they choose to work from home while sick. I don’t find that persuasive, I find it unhinged.
Long Covid is real, tragic, and deserves more attention (I had a post-Covid condition…
Our Patient-Led Research Fund is funding 9 incredible studies into
#LongCovid
and associated conditions. Our Fund put patients in the driver's seat, deciding research priorities and what to fund.
Big news!
We are *thrilled* to announce the $4.8 million in research awards for
#LongCovid
& associated conditions from our Patient-Led Biomedical Fund today!
These were decided by a panel of 15 patient-experts & we're funding 9 exceptional projects!
1/
The 1st RECOVER adult cohort results have been published. I was a patient rep on this paper, which means I did what I could to represent the patient experience in writing up the results. A few clarifications🧵1/
"We must do everything that we can to find potential treatments & cures for
#LongCovid
. In my view, there has been a lack of urgency in Congress, the fed gov, & the medical establishment to research & develop new treatments that might cure or lessen the impact of this condition"
We cannot ignore the public health crisis that is Long COVID. On Long COVID Awareness Day, let us commit to doing everything we can to address this horrible condition. The U.S. government must do more to increase awareness and provide additional resources to develop treatments.
We lost an incredible human yesterday. Beth was such a force. While she didn’t like the spotlight, don’t let that fool you. She was a star. She laid the foundation for so much research, advocacy, & support in the ME community, which then cascaded into the
#LongCovid
community.
1/
It is with deep sadness that we share with you that we lost one of our heroes and champions of ME yesterday. Beth Mazur passed away after battling ME for 15 years. She was a selfless beacon of hope & light in our community. She demonstrated an unwavering commitment to the cause.
Quite the whiplash going from
@MEActionNH
’s incredible conference yesterday, where everyone was masked and understands the consequences of a COVID infection, where when I presented on the future of medicine, I discussed clear air and infection control and the audience agreed…
Please take our
@patientled
survey on reinfections so we can better understand the impact of COVID reinfections on health and quality of life! This survey is open to everyone - regardless of if you've had COVID or
#LongCovid
.
New preprint analyzing Household Pulse Survey data finds that people with
#LongCovid
are nearly TWICE as likely to experience significant difficulty with household expenses, be behind on housing payments, & face likely eviction or foreclosure.
@NIH
not requesting ANY new funding for
#LongCovid
research is absolutely outrageous and shameful. We need an office within the NIH Director's Office that is dedicated to coordinating LC and associated conditions research across the institutes, and we need MORE FUNDING.
Huge announcement from our team
@patientled
! And a related personal one from me: starting in mid-May, I'll be with PLRC full-time! I have been doing this work on the side these last 2 years & I am thrilled to now dedicate my full attention to research & advocacy for the community
We are excited to share that we have received $3 million from Balvi for research into
#LongCovid
!
Balvi is a direct giving fund, established by
@VitalikButerin
, for high-impact COVID projects.
See our full announcement here:
1/
The proposed changes to the American Community Survey would worsen the undercount of disabled people in the US, cutting the current rate by 40%! Submit a comment to
@uscensusbureau
by 12/19 to let them know that while the ACS needs to better measure disability, this is not it!
There’s already an undercount of disabled people (including people w/chronic illness) in the US because so many people do not identify due to ableism
Proposed changes to
@uscensusbureau
questions about disability is ERASURE
Submit a public comment by 12/19!
#CripTheVote
🗣️BIG ANNOUNCEMENT! Tomorrow the US House Committee on Energy & Commerce, Subcommittee on Health will be holding a hearing on
#LongCovid
. I am honored to be testifying on behalf of
@patientled
and alongside
@chiluvs1
. Tune in:
@dysclinic
This conclusion relies on the assumption that the protocol & analysis will accurately capture any harm done. Given the history of trials of exercise in ME, this is not something we can rely on. I recommend reading
@MEActNet
’s letter & summary of evidence
I spoke with someone who often works with FDA and pharma who watched the PFDD meeting - she was really moved by it and felt motivated to advocate for
#LongCovid
when she hadn't been working on it before. Hoping that's just the tip of the iceberg on what that event will lead to.
THE TOP 0.0016% OF RESEARCH OUTPUTS EVER TRACKED!
So excited at what this will do for
#LongCovid
research and treatment. Thank you for sharing it and keep at it! We need this to get in the hands of all patients, doctors, researchers, and policymakers!
I'm mindblown at the response to our
#LongCovid
review - 402k views since Fri & in the top 0.000016 of 22.9m tracked papers. Hearing that it's circulating in the med field & giving researchers ideas to pursue. A huge sign of hope that change is happening!
In Sept,
@MichaelPelusoMD
& I published an article calling for a moonshot for
#LongCovid
to address the dire situation of NIH LC research funding running out.
Today, an incredible group of advocates have amplified this call & are asking YOU to join us in calling our reps!
Lfg!!
I am so sorry,
@K_Bishof
.
For those who don't know, Karyn is one of the most dedicated & smart
#LongCovid
advocates, working tirelessly the last 3 years on transmission prevention & treatment for LC incl antivirals. She is also a dear friend. Please send her positive thoughts
And just to be ultra clear - there are over 200 symptoms of
#LongCovid
. Our
@patientled
paper first identified these. All are important. All can impact quality of life. 7/
But the press is not fully understanding the paper which could have dangerous downstream effects. Since the beginning of working on this paper I’ve done everything I could to ensure the model presented in this paper is not used clinically, and I’ll continue to do that. 6/
27% of people with
#LongCovid
did not get needed health care because of costs. 23.8% currently have medical bills that are past due.
#pwLC
are more likely to not get needed health care because of how difficult it is to find clinicians.
An overview of funding for
#LongCovid
in the US FY24 budget request for NIH, AHRQ, CDC, & HRSA, courtesy of
@yogafogie
:
NIH: $0
AHRQ: $19M for research on LC care delivery
CDC: $25M to continue studying LC
HRSA: $130M to support integrated specialty care & training for PCPs
We need this article to be written!! We need researchers & providers to start using the relapsing/remitting terminology in
#LongCovid
. Many who have “recovered” may be in remission - that’s important to study, for clinical care, and for patients to understand about their illness
I've been pitching an article on this phenomenon for two months now with no luck; if you're an editor interested in a ~new angle on
#LongCovid
~ (which I hear from so many of you!) pls consider commissioning a story from Miles + me about reframing Long COVID recovery as remission
LC advocates spend their limited spoons fighting to improve outcomes for our community. Harassment is *never* going to help move our cause forward, regardless of if there is disagreement on tactics or asks. After a beautiful, community-building day, this is a devastating outcome.
I feel sick to my stomach. Multiple people sick with Long Covid who worked on the
#longcovidmoonshot
are being targeted and/or doxxed. This is absolutely unacceptable.
I feel so disgusted, unsafe, and concerned for myself and other community members. This is despicable behavior.
If you support the addition of an ICD-10-CM code for post-exertional malaise in the US & urge for its expedited implementation, please submit this form by April 6 & share widely!
Did you know there is no specific ICD code for the symptom of post-exertional malaise (PEM)/post-exertional symptom exacerbation (PESE)?
PLRC is proposing the addition of an ICD-10-CM code for PEM/PESE, which will be presented to the US's CDC this Wednesday, March 8.
In Sept,
@MichaelPelusoMD
& I published an article calling for a moonshot for
#LongCovid
to address the dire situation of NIH LC research funding running out.
Today, an incredible group of advocates have amplified this call & are asking YOU to join us in calling our reps!
Lfg!!
…to today being at Milken Institute’s Future of Health Summit where maybe 2% of attendees are masked, there’s zero discussion of
#LongCovid
or COVID mitigation, and COVID is seen as a threat that has receded.
REMINDER!
@US_FDA
is hosting a public meeting on Patient-Focused Drug Development for
#LongCovid
on Apr 25!
After each panel there will be time for public comment where you'll be able to share your experience & input. Please participate if you are able!
Current structures have failed disabled people since their creation. With millions of people now impacted by
#LongCovid
& more joining daily due to neglectful public health policies, it is well overdue to shape science, medicine, & social policy with a disability justice lens 4/
😭😭😭 = me when I saw my microclots from
#LongCovid
. 2.5 years filled with dismissal from providers and few answers made this result so meaningful. Scary af too, but so meaningful.
"When she first saw the microscope images of fluorescent green blobs revealing
#MicroClots
, she cried with relief. For her, the confirmation that she has microclots felt like validation of her illness, 'especially after.. being gaslit throughout the last few years.'”
Too often sharing ideas for research is inaccessible to those with actual lived experience. To counter this & give patients a platform, we created our own journal of hypotheses authored by the patient/caregiver community. Check it out!
#patienthypotheses
We’re excited to announce that the 1st issue of the Patient-Generated Hypotheses Journal is available as a pdf on our website!
This issue includes 6 hypotheses + poll results created by patients w/
#LongCOVID
or associated conditions (or caregivers).
Several important public comment periods closing soon! Please take action and make your voice heard on infection control guidelines in healthcare facilities, 504 regulations, PEM/PESE ICD code, and
#LongCovid
models of care
🧵
Disagree on the approach
@IAmBiotech
is suggesting here. The top candidates for drugs in
#LongCovid
target underlying mechanisms (i.e. antivirals, anticoagulants, etc), not individual symptoms. Endpoints should include quality of life and functional ability measures
A Q&A from RECOVER on the JAMA paper will be posted on Monday. Me & several other patient reps were invited to provide feedback. Hoping RECOVER will incorporate and prioritize this input. Here are *some* of the main points I want it to get across:
.
@WHO
has posted their clinical case definition for
#LongCovid
! And I could not be more proud of my
@patientled
teammate
@ahandvanish
for being part of the working group and for centering patients' experiences and needs throughout the process.
@loscharlos
@coco_chatel
@ElianaUku
@Cantonaxl
@smithsj
@ahandvanish
@NIH
And overall, it's ableism. 1 in 4 adults have a disability in the US. That statistic is not debated. Yet, even with those WILD numbers, we have a system where if you're disabled, you're thrown into a cycle of poverty if you weren't already there to being with.
1. Continuing to combat my internalized ableism and to learn from disability justice leaders. Currently reading
@DrSamiSchalk
's Black Disability Politics; up next is
@thellpsx
's The Future Is Disabled.
2/
2. Seeking adequate healthcare. The dismissal in the early months of my Long COVID (plus the relatively mild nature of my LC symptoms other than my PMDD) caused me to stop seeking care for the most part. No more!! (maybe; we'll see how it goes lol)
3/
Race/ethnicity breakdown of adults who ever had
#LongCovid
after getting COVID:
39.6% of Hispanic/Latino
25.4% of Non-Hispanic Asian, single race
37.8% of Non-Hispanic Black, single race
33.8% of Non-Hispanic white, single race
35.7% of Non-Hispanic, other races & multiple races
@VPrasadMDMPH
@PutrinoLab
@UCSF
@NIH
People are still taking COVID precautions. Wake up. Go outside. Your long COVID numbers… oh wait, you have literally zero evidence to support anything you say. You should give Putrino your grant money; that way it would actually make a positive impact on people’s lives.
Chronic illness & disability community - would love to hear your thoughts on:
What are any barriers you face to accessing & understanding research results?
What are the implications of these barriers?
What does true access look like, particularly for marginalized populations?
#Omicron
is leading to a steep surge in hospitalizations across the state. To help slow the spread and protect yourself and others, upgrade your mask. Wear an N95, KF94, or KN95 if you can, especially in crowded public settings.
Thanks to committee member
@K_Bishof
&
@theNASEM
staff incl
@LisaBrownMPH
for making the
#LongCovid
definition workshop more accessible - virtual option, & in person has good ventilation with multiple filters, masks strongly recommended (tho not full adherence) & a room for rest
I want to highlight a couple big findings in the new RECOVER
#LongCovid
paper (aside from the definition) that may be missed!
Journalists in particular, you may be interested:
1/
And reiterating my closing statement - Overall, there are millions of patients who desperately need well designed, accessible trials testing therapeutics that are of priority to the community. Excuses of no definitive biomarker or murky endpoints are not acceptable.
5. Being the best advocate I can be for all people with
#LongCovid
, people with any infection-onset chronic condition, and all disabled people. Let's get some big wins this year.
6/
More findings:
➡️Transgender & bisexual adults more likely to have
#LongCovid
compared to adults of other sexual orientations & identities
➡️Younger adults more likely to have
#LongCovid
than older adults
➡️Prevalence varies across states, w/ highest prevalence in KY and AL
We need better public health policies, including masking in healthcare, free access to high-quality masks, education on how to properly mask, ventilation in all buildings, and, of course, isolation policies that are scientific, equitable, and reflect the reality we live in
The paper provides a definition for PASC positivity based on the symptoms that were most distinguishable between uninfected & infected ppl in the sample. If people didn’t meet the scoring threshold for PASC+, that doesn’t mean they don’t have PASC! It means they’re unspecified 2/
We are hopeful it will lead to better research that builds off existing knowledge, better provider education, and ultimately better outcomes for people with
#LongCovid
and associated conditions like ME/CFS and POTS
This is NOT to be used for clinical care, diagnosis, or inclusion/exclusion criteria.
There are over 200 symptoms of Long COVID.
There are people who have Long COVID who don't meet the scoring threshold which inherently means it is not the definition for LC.
Limitations of study.
By rapidly understanding and treating
#LongCovid
and other infection-associated chronic conditions, we will improve patients' quality of life now and improve outcomes for generations to come.
In addition to funding, we need to prioritize:
1. Agreeing on what Long COVID is
2. Bolstering team science, which could be assisted by an Office of Infection-Associated Chronic Conditions Research in the NIH Office of the Director
3. Curating resources from early days of COVID
in addition to flipping the script on who is in the driver's seat of research. It's clear that patient experience is not only valuable to research, it's critical - to finding accurate answers faster and to having answers be representative of the people it's intending to help. 3/
"And what can't be emphasized enough: there's only one way of preventing
#LongCovid
, which is not to get COVID in the first place, and that's another reason not to let our guard down as the pandemic and the virus continues its course." 2/
Research opportunity! The 2022 National Survey on Health and Disability is open - if you are living in the US, are age 18+, and have a disability and/or chronic health condition, please take this 20-30 min survey:
We need an Operation Warp Speed for Long COVID. We need to revolutionize the workplace; embed a disability economic justice framework in policy solutions; & address long-standing systemic barriers that keep disabled ppl, particularly disabled ppl of color, in a cycle of poverty
I am honored to be a contributor to this book in the company of so many of my heroes! The
#LongCovid
community is strong, and it is so exciting to be able to document our shared learnings and bring it to the masses. cc:
@patientled
I am SO excited to announce THE LONG COVID SURVIVAL GUIDE – a peer-to-peer advice book on
#LongCovid
, written by those with lived experience, forthcoming from
@experimentbooks
in November 2022!
Three calls to action to support
#LongCOVID
research!
1. Sign this petition asking RECOVER leads to halt clinicals trials for exercise and CBT, and instead use the funds for trials of therapeutics prioritized by post-viral experts and patient groups
That is also why this isn’t meant to be an official prevalence study. The sample is not fully representative, but also we know that there are people in the unspecified group that have PASC! 4/
@zeynep
@ShaneyWright
@LeylaDAsadi
@walidgellad
@bobepidemiology
There’s value in assessing severity, but as a principle of disability justice, we aim to be inclusive of all those who are sick. One lingering or new onset symptom matters and even non-severe symptoms can cause major disruptions to a life and sense of identity.
Thank you
@RepPressley
&
@RepDonBeyer
for joining the
#LongCovid
community in our demand to
#CountLongCovid
! It is imperative that
@CDCgov
partners with patients to develop a robust methodology for tracking the illness that will ensure that all who are impacted are counted.
Folks suffering from Long COVID have been overlooked for too long.
Collecting robust data will help us understand this illness & target resources to those most impacted.
@RepDonBeyer
& I want
@CDCgov
to publicly report this data because that which gets measured gets done.
We're published! Loved writing this article with the
@patientled
team on our story, the history and value of patient-led research, and what gaps still exist in care and research for
#LongCovid
patients. Check it out:
4. Accelerating biomarker discovery, while moving forward with drug development and clinical trials
5. Investing in experimental medicine
6. Linking research efforts to coordinated clinical programs
This data came from *during* the public health emergency. These issues will only get worse now that many flexibilities are ending. We desperately need more robust & easily accessible financial assistance programs to support disabled people & address social determinants of health
Unspecified includes people with Long COVID. Future iterations of the model will aim to refine this - that will include doing analysis using the updated RECOVER symptom survey, adding in tests/clinical features and ultimately biomarkers… 3/
Incredible webinar happening now on COVID &
#LongCovid
's socioeconomic impact on Latino families and what policies we need to ensure economic recovery:
Repro health is overlooked in medicine; its impacts in
#LongCovid
& associated conditions are no exception. As someone with PMDD as part of my LC, this topic is so important to me, & I am so happy this paper is out in the world & am hopeful it will lead to more attn on the issue
1/ New
@patientled
paper alert!
Reproductive health issues after COVID are well known among
#LongCovid
patients but are not adequately studied.
For
@FrontRehSci
, we reviewed studies on repro health impacts of Long COVID & associated conditions in women:
Please follow this awesome self-experiment by
@ales_frost
&
@chydorina
, & support if you are able! They're looking at how modifying the microbiome affects ME/CFS based on their own experiences of a temporary remission & subsequent improved baseline.
Hi👋This account is run by
Tamara
@chydorina
+ Tess
@ales_frost
We’re scientists + patients (yes, you can be both!), who improved from severe
#MECFS
after taking antibiotics
Our aim w/
@remissionbiome
is to look at how modifying the microbiome can shift the baseline in
#MECFS
Please join me in any and all of the above that you can! Here are specific actions to take over the next few days as we honor and recognize so many LC anniversaries:
- Participate in
#LongCovidAwarenessDay
tomorrow! See
@LCawarenessInt
for more
8/
Basic needs programs like SNAP & TANF have often failed to adequately serve all disabled people. As the disabled population continues to grow due to
#LongCovid
, it is critical for policymakers to strengthen these programs ASAP. New
@CLASP_DC
brief:
The incredible Jen Brea - founder of
@MEActNet
,
@unrestfilm
filmmaker, and patient advocate - is missing. Please share widely. Last seen at Miami International Airport on June 15. Email findjen
@meaction
.net or call 805-876-4509 with any info.
@zeynep
@ShaneyWright
@LeylaDAsadi
@walidgellad
@bobepidemiology
Patients shaped the current
#LongCovid
definition; we ask you to respect it. Instead of questioning the numbers, which align w/ patient experience, please focus on advocating for policies that support patients & be part of the movement to reduce stigma around disability.
Options to submit a comment -
1. Post one here:
2. Email acso.pra
@census
.gov & reference the American Community Survey and the Puerto Rico Community Survey in the subject line of your comments
Sample language:
I am so incredibly grateful to
@RepAnnaEshoo
for hosting the hearing on
#LongCovid
today and for providing a platform for patients to be heard. And a huge thank you to
@RepDebDingell
for highlighting the importance of patient-led research &
@patientled
's work ✨