Becker's Hospital Review

September 2021 Issue of Becker's Hospital Review

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55 FINANCE CMO / CARE DELIVERY Long COVID-19 unlikely among fully vaccinated, physicians say By Erica Carbajal I f a person is fully vaccinated and devel- ops a breakthrough COVID-19 infection, early trends indicate it's unlikely they'll experience long-haul symptoms, NBC News reported July 15. While it's possible and more research is needed, some physicians working at post-COVID-19 clinics say they haven't seen demand from patients who've been fully vaccinated. At Rochester, Minn.-based Mayo Clinic's post-COVID-19 program, it's been "quite rare," Greg Vanichkachorn, MD, an occupa- tional therapist who works with long-hauler patients, told NBC. Although anecdotal reports, physicians lead- ing such clinics at Tulane University in New Orleans and Washington University in St. Louis haven't seen patients come in aer a breakthrough infection either. Additionally, early research hasn't indicated there's a significant risk. "Of the people who get vaccinated and end up with a breakthrough infection, their risk of coming back to the clinic with some long COVID-19 manifestation is very, very small," Ziyad Al-Aly, MD, clinical epidemiologist who is conducting research on the risk of long-COVID-19 among fully vaccinated vet- erans, told the news outlet. It's possible, however, that it's still too early to fully understand how vaccines may affect long COVID-19 symptoms. "I think the trends are going to only real- ly start bearing out in the next six months," Natasha Altman, MD, cardiologist at UC Health University of Colorado Hospital in Aurora, told NBC. Still, given the vaccines' efficacy in preventing a COVID-19 infection to begin with, they re- main "one of the best ways to lower your risk of getting post-COVID-19 syndrome," Dr. Vanichkachorn said. n COVID-19 tied to brain tissue loss, early research suggests By Erica Carbajal C OVID-19 was linked to brain tissue loss in a U.K. brain imaging study, according to early findings published June 15 in the preprint server MedRxiv. The study involved 782 participants, with researchers comparing brain scans from before and after COVID-19 infection. Researchers pulled data from the U.K. Biobank, which scanned more than 40,000 participants before the pandemic hit the region, allowing them to invite participants back for a second imaging visit. Findings showed tissue loss in certain parts of the brain. In a June 17 interview with CNBC, Scott Gottlieb, MD, former FDA commis- sioner who now serves on Pfizer's board, explained the findings. "In short, the study suggests that there could be some long-term loss of brain tissue from COVID-19, and that would have some long-term conse- quences," Dr. Gottlieb said. "You could compensate for that over time, so the symptoms of that may go away, but you're never going to regain the tissue if, in fact, it's being destroyed as a result of the virus," he said. The region where the tissue loss occurred could also help explain why loss of smell is a common COVID-19 symptom. "The diminishment in the amount of cortical tissue happened to be in re- gions of the brain that are close to the places that are responsible for smell," Dr. Gottlieb said. "What it suggests is that, the smell, the loss of smell, is just an effect of a more primary process that's underway, and that process is actually shrinking of cortical tissue." n Experts brace for severe flu season By Mackenzie Bean H ealth experts are bracing for a severe 2021-22 flu season, CNBC reported July 7. "Since our COVID mitigation measures prevented influenza trans- mission last year, there are not a whole lot of people who were recently infected," Lauren Ancel Myers, PhD, an epidemiologist and director of the University of Texas at Austin's COVID-19 Modeling Consortium, told CNBC. "So we may be entering flu season with a higher level of susceptibility than usual, which could exacerbate the risks." This flu season's severity may also depend on the virus' evolution and Ameri- can's personal decisions about whether they get a flu shot or take additional precautions if the virus does start spreading widely, Dr. Ancel Meyers said. Lynnette Brammer, who oversees the CDC's Domestic Influenza Surveil- lance Team, said the agency is preparing for flu circulation to return to lev- els seen before the pandemic given that other respiratory virus levels that fell during the pandemic, such as the respiratory syncytial virus, are already showing unseasonable increases. "We anticipate that something similar may happen with flu, especially as community mitigation efforts continue to be relaxed," she told CNBC. n

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