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Dr Elisa Perego Profile picture
@elisaperego78
Jan 3 • 5 tweets • 2 min read • Read on X
The Puglia region in south Italy is under pressure for a rise in Covid cases. Covid wards are re-opening. There are people in ICU. The infectious diseases ward of Galatina hospital is, reportedly, now dedicated only to Covid.
rainews.it/tgr/puglia/vid…
Dozens of people would be hospitalized for Covid only in the Salento sub-region. Dozens in the Leccese (area of Lecce). The situation would be complicated by "aggressive flu like syndromes" also needing medical attention
H/t @Miti_Vigliero
@Miti_Vigliero This in Puglia comes after weeks of surging Covid cases across the peninsula, driven by JN.1, which, together with influenza, have pushed many Italy's emergencies on the brink of collapse. Some doctors on the frontline spoke of "emergency medicine"

…twitter.com/elisaperego78/
@Miti_Vigliero

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More from @elisaperego78

Dr Elisa Perego Profile picture
Jan 4
T4 cell death during acute SARS-CoV-2 infection might pave the way for #LongCovid. "T4 lymphopenia might favor phenomena that could cause sequelae, including SARS-CoV-2 persistence, reactivation of other viruses, autoimmunity and immune dysregulation."
frontiersin.org/articles/10.33…
"T4 lymphocytes from participants who later presented long COVID were more apoptotic in culture than those of sequelae-free participants at Month 12" [apoptosis is a form of programmed cell death]
The study analyzed multiple biomarkers in 29 patients, including functioning and death of different types of T cells, and looked at which of such biomarkers were predictive of #LongCovid at the 12 months threshold
Read 4 tweets
Dr Elisa Perego Profile picture
Jan 3
"We found a dramatic situation. Ambulances in a queue, used as beds in front of the emergency, lack of staff and many people positive for Covid"

Politicians Valeriani and Droghei after their visit to two Rome hospitals, overwhelmed by the current crisis

romatoday.it/politica/caos-…
H/t @MartaEsperti
@MartaEsperti This new development in Rome comes after weeks of surging Covid cases across the peninsula, driven by JN.1. JN.1, together with influenza, has pushed many Italy's emergencies on the brink of collapse. Some doctors on the frontline have spoken of "emergency medicine"
Read 5 tweets
Dr Elisa Perego Profile picture
Dec 29, 2023
"It's wartime medicine"

Emergency departments are collapsing across all Italy from Turin to Lombardy to Rome. Days of wait just to get an hospital bed. Ambulances stuck in a queue. Covid, influenza and even lack of staff due to the festive season

ilfattoquotidiano.it/2023/12/29/pro…
In Lazio, the Rome's region, public healthcare had to buy over 500 hospital beds from private institutions at the cost of 33 million € to front the emergency. Yet, even this wasn't enough and people are still fighting for care
Hundreds of people have been stuck in emergency departments in Lombardia, the early Covid epicenter of 2020 [apparently, "hybrid immunity" hasn't been achieved 🙄]. Emergencies in Milan, Lombardy's capital, are under siege
Read 23 tweets
Dr Elisa Perego Profile picture
Dec 29, 2023
This is the situation with Covid in Italy at the moment, from a direct testimony: "a horror movie" in an emergency department. The emergency isn't over. Covid isn't a "cold". Covid remains a severe threat even if you're young and vaccinated
Extensive confirmation of patient led testimonials from the press. Italy is on a big surge which is collapsing emergency departments across the peninsula

And medical professionals for example from SIMET, an association of MDs, have been raising the alarm too

Read 5 tweets
Dr Elisa Perego Profile picture
Dec 17, 2023
So, basically. Pathogens like viruses can damage your body in the short- and long-term. Some are, however, much, much more dangerous than others, across multiple axes. SARS-CoV-2 is an very dangerous SARS virus. We must be extremely careful in minimizing Covid
We must be really careful in comparing a disease, Covid, which has caused one of the most devastating pandemics in history to some other infectious diseases, in a way which can lead people to believe exposure to SARS-CoV-2 is harmless or not that bad
We must remember Covid is the disease that led not only hospitals but also crematoria and morgues to collapse in early hotspots

theguardian.com/world/2020/mar…
Read 5 tweets
Dr Elisa Perego Profile picture
Nov 30, 2023
We knew Covid—LongCOVID are multi-system conditions affecting a significant percentage of people, sometimes very severely so, in 2020 already. As regards #LongCovid, so much work was done by survivors already in the 1st pandemic months. Let's stop making excuses for policymakers
SARS-CoV-2 was left to rip, basically with almost zero containment as the pandemic progressed, and while even more cautious countries were abandoning any measures to limit or drive to zero the spread. As a consequence, millions died and myriads developed long-term health problems
It is, therefore, of paramount importance to certain actors to pretend the severity, frequency, and multifaceted nature of #LongCovid (and Covid itself) had become apparent only relatively recently, or anyway after 2020 (or 2021, etc.). It's not so. We knew.
Read 4 tweets

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