Connect with us

Published

on

The risk of contracting long COVID may have been exaggerated due to flawed research, leading to unnecessarily high levels of anxiety about suffering from it, a new study has suggested.

“Major flaws” in the literature on the condition likely exaggerated the true threat of contracting it, the new research argues.

For most people with COVID-19, they feel better within days or weeks, but some can have symptoms for longer than three months.

Fatigue, brain fog, chest pain and shortness of breath are reported as symptoms by those who have long COVID – which is officially known as post-acute sequelae of COVID-19 (PASC).

Now, researchers from the UK, along with Denmark and the USA, say “many scientific publications” overestimated the prevalence of long COVID because of “overly broad definitions, lack of control groups, inappropriate control groups, and other methodological flaws”.

Instead, the authors of the new study argue that the symptoms are common among upper respiratory viruses.

The research team said this lack of definition could end up leading to an increase in healthcare spending and more anxiety, as well as misdiagnoses and a diversion of funds.

More on Covid-19

Please use Chrome browser for a more accessible video player

Long COVID patient: ‘I lost my identity’

Concerns about too many symptoms and no required link to COVID

Published in the British Medical Journal’s Evidence-Based Medicine, the new paper looked at the definition of the condition by several global health organisations – including the National Institute for Health and Care Excellence (NICE) and the World Health Organisation (WHO).

The study argues none of the definitions “requires a causal link” to COVID-19 infection, adding any symptoms that happen after a confirmed or suspected infection could be considered consistent with long COVID.

“In general, in the scientific literature, imprecise definitions have resulted in more than 200 symptoms being associated with the condition termed long COVID,” the researchers said.

Researchers also said the studies in the early stages of the pandemic are more likely to have included fewer patients with mild or no symptoms, which could have led to a sampling bias.

They said: “Our analysis indicates that, in addition to including appropriately matched controls, there is a need for better case definitions and more stringent (long COVID) criteria, which should include continuous symptoms after confirmed SARS-CoV-2 infection and take into consideration baseline characteristics, including physical and mental health, which may contribute to an individual’s post-COVID experience.”

Research in the future should include properly matched groups, the paper added, as well as “sufficient” follow-up time following infection.

Read more:
Risk of long-term damage to multiple organs – study
Patient says she lost ‘identity, independence and joy’
Doctors with long COVID forced to stop working or cut hours

The study’s authors also want to see “internationally established” diagnostic criteria and called for future studies to avoid “umbrella terms” and instead “narrowly define” the symptoms.

“Ultimately, biomedicine must seek to aid all people who are suffering,” the research team added. “In order to do so, the best scientific methods and analysis must be applied.

“Inappropriate definitions and flawed methods do not serve those whom medicine seeks to help.

“Improving standards of evidence generation is the ideal method to take long COVID seriously, improve outcomes, and avoid the risks of misdiagnosis and inappropriate treatment.”

Please use Chrome browser for a more accessible video player

Booster jabs amid new COVID variant

Study criticised for ‘some odd conclusions’

However, Dr Adam Jacobs, senior director of biostatistical science at Premier Research, said although the paper “makes some sensible points” it goes on “to draw some odd conclusions”.

He added: “It is, of course, inevitable that much of this literature is imperfect.

“Long COVID simply didn’t exist four years ago, so researchers have had to get to grips with a new and challenging topic at top speed.

“It is, therefore, not surprising that different studies have different estimates of the prevalence of long COVID, as studies have used different case definitions, different populations etc.”

Dr Jacobs said a survey by the Office for National Statistics (ONS), which was discontinued in March, found that 1.9 million people in the UK had long COVID.

He said this was a “staggeringly high” number.

“We don’t know how long those people will remain ill,” he added. “If we are lucky, most of them will be healthy again within a year or two.

“If we are unlucky, a large number of them may have a permanent disability.”

Continue Reading

UK

‘Death isn’t like a video game where you pop back up’: The case for and against assisted dying

Published

on

By

'Death isn't like a video game where you pop back up': The case for and against assisted dying

Warning: this article contains references to suicide.

The case for: I want a good death under the oak tree in my garden

Clare Turner, 59, Devon

I want a good death underneath the oak tree in my garden, with my daughters playing guitar and people chatting in the background. I want to look up at the tree, see birds and insects and feel part of nature.

I live on a farm in Devon where right now the sunflowers are blackened by winter, drooping over in a field where birds feast on their oily seeds. Next year’s vegetables sleep in the soil below – everything that lives ends up dying.

Clare would like to die under the oak tree in her garden
Image:
Clare would like to die under the oak tree in her garden

Finding out I have stage four cancer was a shock but I have found acceptance. I hope my energy, my “Clare-ness”, will be released into the natural world to mingle with all those who have gone ahead of me, and all the living things which came before.

When I first told my daughters about my illness, Chloe, my eldest, was terrified about the type of death I would have. She works in a hospital and really wants people to have assisted dying as an option. My other daughter Izzy is fully supportive of that too.

I’ve done a straw poll of friends. One is absolutely against it because of his religious beliefs but others are overwhelmingly in favour of assisted dying.

Clare with her daughters Izzy and Chloe
Image:
Clare with her daughters Izzy and Chloe

My grandfather, Arthur Turner, was a campaigner who at the end of his life battled for safe, affordable housing. I don’t have the energy to fight due to my cancer, but I wanted to speak out now because it means a lot to me.

It is extraordinary to me that under our current laws, if we allowed one of the animals on this farm to suffer, a farmer would be prosecuted.

But assisted dying isn’t just about avoiding suffering. I used to be a counsellor working with adolescents around bereavement. There is a difference between the normal, natural process of death and situations where people become traumatised by the manner of it. That affects the brain in a different way.

Clare Turner has stage four cancer
Image:
Clare Turner has stage four cancer

My oncologist told me that without chemotherapy I have months to live. I’m just hanging on for my daughter to get through university but I’ve got no intention of eking out every single second. If the law doesn’t change, I plan to take my own life.

I wouldn’t want to get anyone in trouble, so I would choose to have a lonely death. I don’t think I deserve that. I’d be at home, but the idea of being surrounded by my loved ones and nature and then contrasting that to aloneness… I find that sad.

Phillip watched his mother die of breast cancer
Image:
Philip’s religion informs his stance against assisted dying

The case against: ‘Death isn’t like a video game where you pop back up’

Philip, Midlands.

I want to live until God wants me to die. He will sort that out, not me. I have no idea how it’s going to happen and I don’t want to know.

This world is temporary, and I have a better one coming. I have pancreatic cancer which not only affects my pancreas, but also my lungs. When we were told I had less than six months to live, my wife Pauline couldn’t stop crying. Sitting in the hospital we sung praises to God. It’s now five months, and I’m grateful for this time.

I don’t think people realise death is a one-way journey. It’s not like games that kids have on their consoles where you get killed then pop back up again.

These days, it seems like people are talking more openly about suicide, which because of my beliefs I see as a sin. Thirty-five years ago, one of my neighbours had lymphoma cancer and was given six months to live. He’s now 67 – imagine if he had taken his own life back then.

Phillip's mother (left) died of cancer when he (right) was young
Image:
Philip’s mother died of cancer when he was young

When I was 15, my mother suffered a slow and painful death from breast cancer. I would sit by her bed and pretend to wipe rats off her chest because she thought they were gnawing at her breasts. Two days before she died she prayed, “God, I want you to either heal me or take me”. She died naturally, with dignity.

Medical science has moved on since then. There is no reason why somebody with cancer should die in excruciating pain. Doctors can manage the pain, but the bigger problem is the lack of services in end of life or palliative care. I’ve paid taxes all my life so I see no reason why that care shouldn’t be available for me.

We all feel for those who want assisted dying but if you allow the law to be changed for just a few people, in a short time it becomes wider to include others.

Phillip doesn't want to know when he will die
Image:
Philip doesn’t want to know when he will die

We can see this in Canada and the Netherlands, where it started off with just people who were terminally ill and now there’s talk of allowing it for people with mental illness, children and even the homeless.

So you start to have a society where life’s value is lessened, where the state gets to decide who has had enough. That is horrendous. It’s not the sort of society I want to live in, or leave behind.

Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK

Continue Reading

UK

David Cameron comes out in support of assisted dying bill after previously voting against in 2015

Published

on

By

David Cameron comes out in support of assisted dying bill after previously voting against in 2015

David Cameron has become the first former prime minister to come out in support of the assisted dying bill.

The former Tory leader has written a piece in The Times explaining his decision, and saying that in the past he opposed moves to introduce measures allowing terminally ill people to end their own life.

Lord Cameron of Chipping Norton wrote: “My main concern and reason for not supporting proposals before now has always been the worry that vulnerable people could be pressured into hastening their own deaths.”

However, he says he has now been reassured by those arguing in favour of the Terminally Ill Adults (End of Life) Bill.

Labour MP Kim Leadbeater will put the bill forward for a vote in the House of Commons on Friday.

Please use Chrome browser for a more accessible video player

MP has ‘no doubts’ about assisted dying bill

“As campaigners have convincingly argued, this proposal is not about ending life, it is about shortening death,” Lord Cameron wrote in The Times.

His intervention comes after Gordon Brown, Theresa May, Boris Johnson and Liz Truss all came out in opposition to the bill.

None of Sir John Major, Sir Tony Blair or Rishi Sunak have made their positions public.

Gordon Brown. File pic: PA
Image:
Gordon Brown. File pic: PA

In his article, Lord Cameron says he asked four questions before reaching his conclusion – whether there are sufficient safeguards to protect vulnerable people, whether this is a “slippery slope”, whether it would put unnecessary pressure on the NHS and will the proposed law lead to a meaningful reduction in human suffering?

On the first point, Lord Cameron says protections like two doctors needing to give approval as well as a judge, alongside the requirement of self-administration of the fatal drugs, are enough.

He also highlights the criminalisation of coercing someone to end their own life.

On whether the bill is a “slippery slope” – as Justice Secretary Shabana Mahmood claimed – he says such an argument can be made for any social change.

The former prime minister writes that the bill is in “a sensible and practical resting place for public policy in this area”, and is explicitly only for the terminally ill, rather than those with mental illnesses and disabilities.

Read more:
What is in the assisted dying legislation?
Lawyer says Canada’s assisted dying has gone too far

The most senior Conservative to back the bill


Jon Craig - Chief political correspondent

Jon Craig

Chief political correspondent

@joncraig

Former prime ministers David Cameron and Gordon Brown both lost a child in tragic circumstances. But they’ve now come to a different conclusion about assisted dying.

Lord Cameron lost son Ivan, aged six, who was severely disabled and suffered from epilepsy and cerebral palsy, in February 2009. Mr Brown, the then prime minister, cancelled PMQs out of respect.

When assisted dying was last debated in the Commons in 2015 – when he was prime minister – Mr Cameron voted against it. But now, in a major and potentially influential intervention, he’s changed his mind.

“When we know that there’s no cure, when we know death is imminent, when patients enter a final and acute period of agony, then surely, if they can prevent it and – crucially – want to prevent it, we should let them make that choice,” Lord Cameron writes in The Times.

But the former premier is in a minority of Conservatives who back the bill and most senior Tory MPs, including Kemi Badenoch, Priti Patel and former leader Sir Iain Duncan Smith, are opposed.

Lord Cameron is also the first of all the UK’s living former prime ministers to back Kim Leadbeater’s controversial bill, which is being debated in the Commons on Friday.

This week three former Conservative PMs – Theresa May, Boris Johnson and Liz Truss – let it be known that they oppose the bill. Baroness May, like Lord Cameron, will have a vote if the bill reaches the Lords.

Mr Brown’s daughter Jennifer, born seven weeks prematurely weighing 2lb 4oz, died after just 11 days in January 2002 following a brain haemorrhage on day four of her short life.

A son of the manse who was strongly influenced by his father, a Church of Scotland minister, Mr Brown says the tragedy convinced him of the value and imperative of good end-of-life care, not the case for assisted dying.

On whether it put undue pressure on the NHS, Lord Cameron dismisses the argument.

“It’s not just that the bill would be applicable in only a very small number of cases, it is that the NHS exists to serve patients and the public, not the other way around,” he writes.

On the fourth point – whether it will reduce human suffering – the former prime minister says: “I find it very hard to argue that the answer to this question is anything other than ‘yes’.”

👉 Listen to Sky News Daily on your podcast app 👈

Lord Cameron adds that, as a member of the House of Lords, he gets letters from terminally ill patients and that poses questions.

He wrote: “When we know that there’s no cure, when we know death is imminent, when patients enter a final and acute period of agony, then surely, if they can prevent it and – crucially – want to prevent it, we should let them make that choice.

“It’s right that MPs are having a free vote on this issue – and our tradition of free votes on such moral issues should be maintained.

“The fact it is a free vote gives legislators the chance to think afresh and, if the evidence convinces them, to change their mind. That’s what I have done. And, if this bill makes it to the House of Lords, I will be voting for it.”

Continue Reading

UK

Mohamed al Fayed: Police investigating ‘more than five’ people who may have ‘enabled’ alleged abuse of women and girls

Published

on

By

Mohamed al Fayed: Police investigating 'more than five' people who may have 'enabled' alleged abuse of women and girls

Detectives have launched a new investigation into more than five people suspected of helping Mohamed al Fayed commit widespread sexual abuse over almost 40 years.

The fresh allegations against the former Harrods and Fulham FC boss, including rape and sexual assault, span the years between 1977 and 2014, with the youngest victim aged just 13 at the time she was allegedly targeted.

The Metropolitan Police were previously contacted by 21 women, who made similar allegations about incidents between 2005 and 2023, but the billionaire businessman was never charged before his death aged 94 last August.

Some 150 people have since contacted the force, 90 of whom have been identified as potential victims, and officers are now looking at Fayed’s associates who are suspected of facilitating or enabling abuse.

More than five people are under investigation so far, the force said, although no arrests have yet been made.

Pic: Dave Cheskin/PA.
Image:
Pic: Dave Cheskin/PA

Commander Stephen Clayman said: “I recognise the bravery of every victim-survivor who has come forward to share their experiences, often after years of silence.

“This investigation is about giving survivors a voice, despite the fact that Mohamed al Fayed is no longer alive to face prosecution.

“However, we are now pursuing any individuals suspected to have been complicit in his offending, and we are committed to seeking justice.”

In response to the new probes into associates of Fayed, Harrods said in a statement: “We are aware of and wholeheartedly support the Met police’s investigation. We have an open, direct and ongoing line of communication with the Met police for the benefit of the survivors.

“We continue to encourage all survivors to engage with the Met police and we welcome the investigation in supporting survivors in their wider pursuit of justice.”

File pic: PA
Image:
The famous Harrods department store in Knightsbridge, London. File pic: PA

Detectives are also reviewing the Met’s previous investigations, including 50,000 pages of evidence, to identify any missed chances or misconduct.

The force said previous investigations were “extensive and conducted by specialist teams” but accepts “contact with and support for some victims at the time could have been improved”.

Two files – the first in 2008 and the second in 2015 – were passed to the Crown Prosecution Service (CPS) for a charging decision, but the CPS has said no charges were brought because there wasn’t a realistic prospect of conviction.

The Met already referred two cases to the police watchdog the Independent Office for Police Conduct (IOPC) after receiving complaints from two women about investigations in 2008 and 2013.

Commander Clayman said: “We are aware that past events may have impacted the public’s trust and confidence in our approach, and we are determined to rebuild that trust by addressing these allegations with integrity and thoroughness.

“We encourage anyone who has information or was affected by Fayed’s actions to reach out to us. Your voice matters, and we are here to listen and to help.”

Hundreds of women – many of whom worked for Fayed – have contacted lawyers alleging abuse following a BBC documentary about his behaviour.

Harrods has previously said it is “utterly appalled” by the claims and said it is a “very different organisation to the one owned and controlled by Fayed between 1985 and 2010”.

Fulham previously said they were trying to establish whether anyone at the club had been affected, and were encouraging people to come forward to the club’s safeguarding department or the police.

Continue Reading

Trending