Wake up! We are still in a pandemic and vaccines are our best defense against long COVID.

The COVID-19 deniers are being faced with a new reality, that of long COVID, and no amount of disinformation on how COVID is not dangerous can make this danger go away. Xie and colleagues documented that long COVID is more dangerous than the flu. And COVID’s dangers are compounded by how easily the virus can spread.

COVID continues to rapidly change

The chance of becoming severely sick from COVID when attending a January indoor function is far too great not to take preventative measures. And once you become sick, do not count on developing any long-term protective immunity to this rapidly changing, immune evasive virus. Infections also tear down not build immunity to other infections.

The exact incidence of Long COVID after infection is difficult to determine, but I know far too many friends who have developed this disorder to discount its dangers. Once contacted, approximately 50% of patients do not rid themselves of long COVID’s debilitating symptoms. And the cumulative multisystem damage and incidence of death from these delayed manifestations have been found to be even greater than those arising from acute infections.

A nurse readies a syringe during a free vaccination event for students and faculty at Iroquois High School. The event was voluntary for those wishing to receive vaccinations for measles and Covid-19.  "We are bringing health care into our school buildings," said Angela Hayes, health services nurse practitioner for JCPS. "This is so crucial to keeping our students and staff safe."  Jan. 17, 2023 Jan. 17, 2023

Vaccines are our best defense against long COVID

The good news is that vaccines are one of the best ways to help prevent long COVID. After a large literature review, Marra and colleagues found that three doses of a vaccine had a 69% efficacy in the prevention of long COVID. A more recent study reported a higher efficacy of 73%. Even in those who have been previously infected with the COVID-19 virus, vaccines have been observed to decrease long COVID symptoms by 40%. Unfortunately, similar to cold sores, chicken pox and mono, the COVID virus may persist in individuals leading to chronic symptoms.

Our response is inhibited by disinformation which is mutating and spreading faster than the virus and discourages our population from adopting public health measures. This may be part of an asymmetric warfare effort which had its origins early in the pandemic. Hundreds off thousands of bots have been implicated in its spread, bots which can now be supercharged by Artificial Intelligence. The latest scare is that the public will acquire minuscule amounts of DNA from the vaccine. Reality check, this is more likely to happen every time one eats a steak or even a carrot. The DNA does not enter a cell’s nucleus or affect our genes, and the body efficiently handles this occurrence.

Herd immunity is a pipe dream

Relying on herd immunity is also a pipe dream, it does not exist. People are being re-infected and long COVID is frequently occurring. The damage appears to be additive. The incidence of long COVID in the CDC’s pulse survey of adults with previous COVID-19 has dropped in half, but then stabilized at 11%. Its peak incidence is found in ages 30 to 49, possibly because this age group is one of the most vaccine hesitant.

The public’s reliance on the publicly built and accessed VAERS database is misguided. This data is easily manipulated and only points to possible problems. Other sources such as the EPIC’s COSMOS initiative (epicresearch.org), the Veterans Health Administration’s patient records and the CDC’s V-Safe program are much more secure and reliable sources.

Vaccinations are one of our best defenses against long COVID. People can have severe vaccination reactions, but these are rare. And are much rarer than with infection. However, if one does the math, a 75% reduction in long COVID with vaccination is still not great with a highly infectious virus. But it is exceedingly better than zero. Other steps are necessary to prevent infection. These include improvements in ventilation and the abandonment of cloth masks for the use of KN95 and N95 masks.

We are still in a pandemic. We need to wake up as a society before we reach a point of no return, or before the damage to our frontal lobes from repeated viral infections reaches a point where we are unable to form a consensus and effectively respond to this pandemic.

Kevin Kavanagh is a retired physician from Somerset, Kentucky, and chairman of Health Watch USA. ​​​​​​​
Kevin Kavanagh is a retired physician from Somerset, Kentucky, and chairman of Health Watch USA. ​​​​​​​

Kevin Kavanagh is a retired physician from Somerset, Kentucky, and chairman of Health Watch USA.

This article originally appeared on Louisville Courier Journal: Long COVID: The virus is rapidly changing. Vaccines are best defense.