International: World Health Organization News (news relevant to ME/CFS, Long Covid and related conditions)

From a Solve email

Solve M.E. President Oved Amitay Joins World Health Organization Seminar on Long COVID

Solve M.E. President and CEO Oved Amitay will join other experts as a participant in a series of seminars presented by the World Health Organization (WHO) designed to improve our understanding of the Post COVID-19 condition and optimize the health of patients who have suffered from COVID-19.

Amitay will be featured in the first webinar, Expanding Our Understanding of the Post COVID-19 Condition, held tomorrow, Tuesday, Feb 9, 2021, from 1-6pm CET (4 am-9 am PST). The focus of the webinar will be on finding consensus on the clinical description of Post COVID-19 condition, based on the most up-to-date evidence, acknowledging the uncertainties and defining research priorities.

In it, Amitay will share insights from other post viral diseases, such as ME/CFS, and highlight the scientific opportunity to bridge existing knowledge gaps to benefit people with Post COVID-19 condition, as well other diseases.

The goal of the WHO seminars is to create a forum for sharing scientific data and clinical experiences, while also building collaborations for future research.

To register for this webinar, follow the link below:

http://go.solvecfs.org/e/192652/ster-WN-r1LkC1VRSHCTG7u2nOghjQ/297v2z/190733399?h=Wv8fhTfVGesuyVqoh7OH5U8kSrHXNcT1CGthFLZ8-eY

Upon registration, participants will receive a confirmation email with the information about joining the webinar (Zoom connection details).

Registration will close on Feb 8, 2021 (end-of-day CET).

There’s a thread.
 
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Hannah Davis is live tweeting on the WHO's Long Covid webinar.

Working Group 2 is presenting first (Dr. John Marshall): -potentially 2-3 conditions going on:
1) very sick ICU patient, post-ICU syndrome, psychiatric & PTSD
2) patients with disproportionately mild disease but long term debilitating symptoms: fatigue, PEM, cog dysfunction 22/
Code:
https://twitter.com/ahandvanish/status/1359176839093223425



That group 2 sounds very familiar to me...
 
I didn't want to get up at 4 am to attend this!
I don't know Dave, where is your commitment to the cause???? ;)
(And before anyone misunderstands me, that is very much a joke.)

I didn't see/listen to it all, and as with these types of things there was a lot of talking that didn't really say much, at least in my opinion. And the interesting parts were also the frustrating parts as, from my perspective, they talked about an emerging cohort of ME patients without naming it as such. I will say though that during her presentation, Hannah Davis acknowledged the ME patient community a number of times - from memory she was the only one to do so.
 
I don't know Dave, where is your commitment to the cause???? ;)
(And before anyone misunderstands me, that is very much a joke.)

I didn't see/listen to it all, and as with these types of things there was a lot of talking that didn't really say much, at least in my opinion. And the interesting parts were also the frustrating parts as, from my perspective, they talked about an emerging cohort of ME patients without naming it as such. I will say though that during her presentation, Hannah Davis acknowledged the ME patient community a number of times - from memory she was the only one to do so.
Although I had a quick flick through her slides and I couldn’t see any mention of ME on them even on the PEM slide.
 
Although I had a quick flick through her slides and I couldn’t see any mention of ME on them even on the PEM slide.
Not directly but this slide was mostly about ME research that could serve as a foundation:



And if I got this right the Dr Ryan mentioned here is the executive director of WHO, which certainly would change things:



As let's be honest here, almost everyone motivated towards ME and chronic illness research in general has personal reasons for it, usually family members. We literally depend on who gets sick and how badly for any progress and it's very likely to be true for LC. Ugh.

Not convinced by the weight of the words that they won't be left behind. We are told the same things. It's way too easy for medicine to just move on, it's basically the norm.

It certainly rings hollow while continuing to do just that to the far larger population already suffering from chronic illness. Some people find it worthwhile to say "let's not repeat the mistakes of ME/CFS", but I haven't seen anyone say that we should actually fix them. Which I'm not sure how it's supposed to work but whatever, I don't think anyone has thought that far yet.
 
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Long covid: WHO calls on countries to offer patients more rehabilitation
The World Health Organization has urged countries to prioritise rehabilitation for the medium and long term consequences of covid-19 and to gather information on “long covid” more systematically.

WHO has produced a standardised form to report clinical data from individual patients after hospital discharge or after their acute illness to examine the medium and long term consequences of covid-19.1 It has also set up technical working groups to build a consensus on the clinical description of what WHO now calls “the post-covid-19 condition” and to define research priorities.

Speaking at the first of a series of seminars, WHO’s director general, Tedros Ghebreyesus, highlighted the “three Rs”—recognition, research, and rehabilitation. Recognition of the post-covid-19 condition was now increasing, he said, but still not enough research was carried out. He added that countries needed to show commitment to including rehabilitation as part of their healthcare service. “Long covid has an impact on the individual, on society, and on the economy,” he warned.
https://www.bmj.com/content/372/bmj.n405
 
Long covid: WHO calls on countries to offer patients more rehabilitation

https://www.bmj.com/content/372/bmj.n405

Not much, just a recap of the WHO panel but it has useful quotes from Hannah Davis about PEM, which rehabilitation programs still mostly doesn't even know about.

No one has yet argued what "rehabilitation" would even look like, it's been nearly a year of such attempts, the clinics have overwhelmingly a bad reputation and are considered at best useless, sometimes more harmful if they are far away and make excessive demands of patients.

Medicine is still fully stuck on the rehabilitation record. Despite there being no understanding of what needs to be rehabilitated and despite the failure of nearly a full year of attempting this. It's as if medicine simply does not pay attention to anything they do unless there is clear binary dead/not dead outcome that can't be argued philosophically.
“If 10-20% of the globe’s covid-19 infections lead to long covid, we have a legacy of 10-20 million long term cases to manage. This has massive ramifications for the lives of the affected and for healthcare planning,” he said.
Oh, would that be bad? Because there are already far more such cases and no one who can fix this is doing anything about it. I would really like to hear more about why this would be bad yet even though it is already the case there is simply no motivation to do anything about it.
 
https://www.rnz.co.nz/news/national...mics-help-plan-world-s-recovery-from-pandemic

A International Science Council project - ISC Covid-19 Scenarios Project has recently been launched. The panel of international science leaders include representatives from the World Health Organisation, the United Nations Office for Disaster Risk Reduction, an advisor to US President Joe Biden's Covid-19 advisory board and other microbiologists and epidemiologists.

The panel, which was announced today in The Lancet, will report on the possible Covid-19 scenarios the world faces over the next three to five years, and on the choices for governments, agencies, and citizens.....
"A nationalistic approach is not only morally wrong, but it could also delay any return to a level of normality - such as relaxed border controls. No country can be safe until all are safe."

A good initiative, but there is no mention of Long Covid in the brief article. Might be worth finding out who is involved and ensuring they understand the Long Covid risk, and need for coordinated research.

(I've also noted this project on the New Zealand thread, as two well-known New Zealand scientists are involved in the project.)
 
https://www.euro.who.int/en/health-...of-the-pandemic-preparing-for-long-covid-2021

In the wake of the pandemic: preparing for Long COVID (2021)
English (PDF, 2 MB) https://apps.who.int/iris/bitstream/handle/10665/339629/Policy-brief-39-1997-8073-eng.pdf

This brief’s key messages are:

  • COVID-19 can cause persistent ill-health. Around a quarter of people who have had the virus experience symptoms that continue for at least a month but one in 10 are still unwell after 12 weeks. This has been described by patient groups as “Long COVID”.
  • Our understanding of how to diagnose and manage Long COVID is still evolving but the condition can be very debilitating. It is associated with a range of overlapping symptoms including generalized chest and muscle pain, fatigue, shortness of breath, and cognitive dysfunction, and the mechanisms involved affect multiple system and include persisting inflammation, thrombosis, and autoimmunity. It can affect anyone, but women and health care workers seem to be at greater risk.
  • Long COVID has a serious impact on people’s ability to go back to work or have a social life. It affects their mental health and may have significant economic consequences for them, their families and for society.
  • Policy responses need to take account of the complexity of Long COVID and how what is known about it is evolving rapidly. Areas to address include:
    • The need for multidisciplinary, multispecialty approaches to assessment and management;
    • Development, in association with patients and their families, of new care pathways and contextually appropriate guidelines for health professionals, especially in primary care to enable case management to be tailored to the manifestations of disease and involvement of different organ systems;
    • The creation of appropriate services, including rehabilitation and online support tools;
    • Action to tackle the wider consequences of Long COVID, including attention to employment rights, sick pay policies, and access to benefit and disability benefit packages;
    • Involving patients both to foster self-care and self-help and in shaping awareness of Long COVID and the service (and research) needs it generates; and
    • Implementing well-functioning patient registers and other surveillance systems; creating cohorts of patients; and following up those affected as a means to support the research which is so critical to understanding and treating Long COVID.
 
Weird how all the stuff that wasn't possible to do for us is perfectly possible and in fact being done quite naturally because it's the normal thing medicine does when it's decided that a problem is worth solving.

Medicine did not solve ME as a choice. This could have been done decades ago. Instead we got maximum disaster, still ongoing, even as the thing that was said to be impossible is happening naturally and obviously.

No technical obstacles. It's all will, or lack thereof.

That it is completely naive of the context is not encouraging for everyone involved, still manages to make baseless claims based entirely on the invalid definition of "CFS" as just fatigue, which at this point is completely indefensible to maintain:
While the symptoms of Long COVID do bear some semblance to the postviral symptoms observed in those with CFS (Institute of Medicine, 2015), Long COVID seems to manifest as a broader spectrum of symptoms and may potentially be more common, although further.
No evidence to back this up, this is mostly false and speculative, "seems to" is not based on actual expert understanding here. But with people like Greenhalgh involved more of this is guaranteed, they can't stop playing ideological politics with millions of lives.
 
Weird how all the stuff that wasn't possible to do for us is perfectly possible and in fact being done quite naturally because it's the normal thing medicine does when it's decided that a problem is worth solving.

I don't think anything will actually be done.This is just a soundbite.
If anything is done it will be the same as for ME - trials of exercise, multidisciplinary clinics with psychologists.
Nobody of relevance has decided anything is worth solving. It has just been decided to sound like it. That is the new way.
 
I don't think anything will actually be done.This is just a soundbite.
If anything is done it will be the same as for ME - trials of exercise, multidisciplinary clinics with psychologists.
Nobody of relevance has decided anything is worth solving. It has just been decided to sound like it. That is the new way.
Medical politics, not medical science. We still need to advocate for the science.
 
I don't think anything will actually be done.This is just a soundbite.
If anything is done it will be the same as for ME - trials of exercise, multidisciplinary clinics with psychologists.
Nobody of relevance has decided anything is worth solving. It has just been decided to sound like it. That is the new way.
There has indeed mostly been talking, with not much walking happening yet. So far nothing actually useful has yet to come out of this, pending however the NIH spend that fortune. The UK's NIHR effort is too tiny to even count, frankly.

All shows how much "attention" is worth: a whole thesaurus' worth of bupkis as long as it's poorly informed. But the attention is about 1,000x the size ME ever got in total and sometimes, sometimes, it's even described competently, including neurological symptoms that aren't somehow dismissed as irrelevant. So there's that new ground being broken, surface-deep anyway.

But the issue has not yet met the heavy BPS resistance that will try to sabotage it all, a wounded animal with nothing to lose. The real test is where money counts, the size and scope of disability and the likely failure of the early research at finding anything by looking in familiar places. Will that interest survive? Likely will all depend on the size of advocacy, long haulers are still way too hopeful about how medicine actually works.
 
While the symptoms of Long COVID do bear some semblance to the postviral symptoms observed in those with CFS (Institute of Medicine, 2015), Long COVID seems to manifest as a broader spectrum of symptoms and may potentially be more common, although further.
Reference for this was Perego et al. Dr Perego is well-known on Twitter for trying to separate long Covid and ME/CFS.
 
long haulers are still way too hopeful about how medicine actually works.
So is almost everyone until reality grinds that hope down. Things will improve if we make them improve, but its a long road not a sprint. In many areas of life you just have to keep working toward it to make it happen. Advocacy is no different.

You are right that changing attitudes is a big part of it. There is an opportunity here for ME advocates as well as long Covid advocates. This is a time to convince even more long haulers that their life may improve faster if they start advocating now. Research takes years, and the sooner more is done the faster it all moves.
 
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