Global Health Asia-Pacific June 2021 | Page 8

LETTER FROM THE EDITOR

The initial outbreak of COVID-19 , the disease caused by the novel coronavirus , wreaked havoc on our societies by overwhelming healthcare systems while killing millions of people . For those who were infected and recovered , we assumed most would get on with their normal lives , like getting over a bad flu or cold .
But now more than a year into the pandemic , we know that survivors of COVID-19 can face debilitating and long-lasting illnesses , and not just in the elderly , but for people of any age , some of whom seemed to face minor or no symptoms at first . What this suggests is that , even when the pandemic is over , its ripple effects will be with us for a very long time .
In our cover story , we take a deep dive into these long-term consequences , a disparate mix of symptoms , such as breathlessness , fatigue , and exercise intolerance , that hasn ’ t been clearly defined yet but is now being referred to as “ long COVID ”.
One challenge for both doctors and patients is that many healthy and young people in their 20s , 30s , and 40s have suffered the same symptoms for months , but many doctors either haven ’ t taken them seriously or are simply not equipped to diagnose their underlying problems . It points to the larger issue of structural weaknesses in how the medical community treats chronic conditions that are hard to define with existing diagnostic labels .
In another feature , we report how COVID-19 can also cause a multi-system inflammatory syndrome in children weeks after exposure to the virus , with fever and organ inflammation as key problems . Though it ’ s treatable in its early stages , the condition is not always easy to diagnose because it can be mistaken for other fever-causing diseases .
Finally , we also cover a new generation of anticoagulants to prevent blood clots in a safer , cheaper , and less cumbersome way than standard medications like warfarin . Though they can ’ t be used in certain patients , the novel oral anticoagulants can offer protection against conditions like deep vein thrombosis and pulmonary embolism without the need for regular blood tests .
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6 JUNE 2021 GlobalHealthAsiaPacific . com