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The COVID-19 Postscript

A surprising number of COVID-recovered patients deal with an array of troublesome symptoms, well after the disease is gone

Scientific American Health & Medicine, Vol. 3, Issue 2

Scientific American Health & Medicine, Vol. 3, Issue No. 2

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In the early months of the COVID-19 outbreak individuals took to social media to connect with others who, like them, were experiencing a wide array of problems long after they’d recovered from the disease itself. Symptoms included lingering fatigue, shortness of breath, “brain fog” and recurring fevers. In the year since it was officially declared a pandemic, SARS-CoV-2, the coronavirus that causes COVID, has sickened or infected more than 100 million people worldwide and killed more than 2.5 million. And it leaves an insidious postscript: a vague collection of ailments that can persist for weeks, sometimes months, even in patients who experienced only mild symptoms. Some epidemiologists, writes physician Carolyn Barber, estimate that at the end of the pandemic we may have some five million COVID “long haulers” (see “The Problem of ‘Long-Haul’ COVID”).

Particularly troubling, reports writer Stefani Sutherland, are neurological impacts of the virus that disrupt synaptic connections and interfere with brain function, affecting speech and upping the incidence of depression, anxiety and sleep disorders (see “COVID Can Cause Forgetfulness, Mania or a Stutter”). The good news is that vaccinations are well underway and will help curb viral transmission. But assessing, researching and ameliorating the consequences of the virus will be ongoing for a long time.

Andrea Gawrylewski is chief newsletter editor at Scientific American. She writes the daily Today in Science newsletter and oversees all other newsletters at the magazine. In addition, she manages all special editions and in the past was the editor for Scientific American Mind, Scientific American Space & Physics and Scientific American Health & Medicine. Gawrylewski got her start in journalism at the Scientist magazine, where she was a features writer and editor for "hot" research papers in the life sciences. She spent more than six years in educational publishing, editing books for higher education in biology, environmental science and nutrition. She holds a master's degree in earth science and a master's degree in journalism, both from Columbia University, home of the Pulitzer Prize.

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SA Health & Medicine Vol 3 Issue 2This article was published with the title “The COVID-19 Postscript” in SA Health & Medicine Vol. 3 No. 2 ()
doi:10.1038/scientificamerican042021-3VFE7aX6P3UtjkiBJjMULX

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