https://www.wsj.com/articles/the-exaggeration-of-long-covid-overmedicalization-research-mortality-children-bivalent-restrictions-11670857268?mod=opinion_lead_pos5
Long Covid is real. I have reliable patients who describe lingering symptoms after Covid infection. But public-health officials have massively exaggerated long Covid to scare low-risk Americans as our government gives more than $1 billion to a long Covid medical-industrial complex.
The Centers for Disease Control and Prevention claims that 20% of Covid infections can result in long Covid. But a U.K. study found that only 3% of Covid patients had residual symptoms lasting 12 weeks. What explains the disparity? It’s often normal to experience mild fatigue or weakness for weeks after being sick and inactive and not eating well. Calling these cases long Covid is the medicalization of ordinary life.
Two studies published this month put long Covid in perspective. The first, in the Journal of the American Medical Association, looked at a spectrum of wellness indicators in 1,000 people who recovered from symptomatic Covid or another respiratory infection. It found that 40% of patients who had tested positive for Covid “reported persistently poor physical, mental, or social well-being at 3-month follow-up.” For Covid-negative patients who had other upper-respiratory infections, the figure was 54%. Covid patients did better than non-Covid patients. While there are certainly unique hallmark conditions of Covid, such as loss of smell, any respiratory infection—flu, RSV, other cold viruses—can knock you down for a while.
The second study, in Lancet Regional Health, looked for long Covid in 5,086 children 11 to 17 and found that symptoms present during infection rapidly declined over time. The researchers found that among children who tested positive and negative for Covid “prevalence patterns of poor well-being, fatigue and Long COVID”—defined by its symptoms without the need for a past diagnosis of the disease—“were broadly similar.” (The study also found that loneliness in children increased steadily in the year after Covid illness.)
The National Institutes for Health has been intensely focused on studying long Covid, spending nearly $1.2 billion on the condition. To date, the return on investment has been zero for the people suffering with it. But it’s been terrific for MRI centers, lab testing companies and hospitals that set up long Covid clinics. I’ve talked to the staff at some of these clinics and it’s unclear what they are actually offering to people beyond a myriad of tests.