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The next wave of the pandemic: Long Covid

The research is becoming only more clear: People who have had COVID — even those who never had severe infections — are at risk of ongoing health problems, including some serious ones.

Why it matters: Long after the majority of Americans are vaccinated, patients and the U.S. health system will likely bear the brunt of millions of people who are struggling to get back to normal.


Driving the news: Two studies released last week emphasized how common it is for COVID survivors to require care months after their infection.

  • One study, published Thursday in Nature, found that, between one and six months post-infection, people whose coronavirus cases didn't require hospitalization had a 60% higher risk of death than people who hadn't been infected with the virus, per the New York Times.
  • These non-hospitalized COVID patients also had a 20% greater chance of needing outpatient medical care over those six months post-infection. Their symptoms spanned across organ systems and also included mental health issues.
  • Some could become chronic health conditions requiring lifelong treatment.
  • “We found it all,” Ziyad Al-Aly, chief of the research and development service at the VA St. Louis Health Care System and an author of the study, told the NYT. “What was shocking about this when you put it all together was like ‘Oh my God,’ you see the scale."

A separate study, published Friday by the CDC, found that 69% of nonhospitalized adults who'd had COVID had one or more outpatient visits between 28 and 180 days after their diagnosis. Of these, two-thirds received a new primary diagnosis.

  • These patients disproportionately were women, were Black, had underlying health conditions, and were at least 50 years old.
  • "Clinicians and health care systems should be aware of the possibility of medical encounters related to a previous diagnosis of COVID-19 beyond the acute illness," the authors conclude.

What they're saying: “We have hundreds of thousands of people with an unrecognized syndrome and we are trying to learn about the immune response and how the virus changes that response and how the immune response can include all the organ systems in the body,” Eleftherios Mylonakis, chief of infectious diseases at Brown University’s Warren Alpert Medical School and Lifespan hospitals, told the NYT.

  • “The health system is not made to deal with something like this.”

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Fauci says transition delay harmful to public health as COVID-19 cases surge

NIAID Director Anthony Fauci said on CNN's "State of the Union" Sunday that President Trump's refusal to cooperate with President-elect Biden's transition team hurts public health as coronavirus cases surge across the country.

The state of play: As President Trump refuses to concede the election to President-elect Joe Biden, General Services Administration Administrator Emily Murphy has not signed documents declaring Biden the apparent winner, preventing the president-elect's agency review teams from having access to the information they need in order to get to work.

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Joe Biden's campaign has resumed its negative TV and digital ads against President Trump after temporarily taking them down last Friday when he was hospitalized with COVID-19.

Why it matters: There are just under four weeks until the election. Now that Trump is back in the White House, Democrats feel he's fair game for criticism as he was before his diagnosis.

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Netanyahu tapped to form new Israeli government, despite no majority in 4th straight election

Two weeks after Israel's fourth consecutive election, Israeli President Reuven Rivlin on Monday gave the mandate for forming a new government to Prime Minister Benjamin Netanyahu.

Why it matters: Netanyahu's path for forming a coalition is very, very narrow. Although he received the mandate from the president, Netanyahu does not at the moment have a majority in the Israeli Knesset that will allow him to form a new government. 

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Biden to unveil executive actions on gun violence prevention

President Biden is expected to present a series of executive actions on guns Thursday, including directing his Justice Department to tighten regulations on purchases of so-called “ghost guns."

Why it matters: The president has faced increased pressure from Democrats and gun violence prevention groups to act on the issue following a series of recent high-profile gun tragedies across the U.S.

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