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Sarah Wilkins's avatar

I was not immune suppressed then. Just used to have flu jabs and worked. Life was normal

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Sarah Wilkins's avatar

I'm clinically vunrable. Going to see my G P now is frightening windows shut tight even in Summer . Nomasks worn and patients coughing all over me while a wait . So I could become ill because I needed a blood test. How stupid I'd that.I can no longer work because I'm immune suppressed and I cannot think where I could work and be safe. Living of my N H S pension .

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Baron Vendredi's avatar

Thank you. Really helpful to hear from a trusted source.

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PSBaker's avatar

Why, with so few people vaxed in the past year and efficacy of same known to wane after ~6 months, is there so little Covid about?

Have we achieved herd immunity of some sort?

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Philip Harris's avatar

Thanks. (And Bob Hawkins provides a good account.) Air quality as you say is important for 'infections'; covid very obviously. I have a further thought on other potential impacts of air quality and opportunities for improvement. Eric Topol has just flagged a study on increasingly ubiquitous micro/nano particles of plastic found in arterial plaque with adverse clinical results. Routes into the body need research, but I am wondering whether 'we' have previously missed particles of other types lodging in or aggravating atheroma and plaque. We could look? I think of the effects that polluted air in general as well as smoking has on cardiovascular clinical results. (The big 20thC epidemic of middle-age MI/death in the West tailed off after 1960s / 70s but there is still lots of subclincal plaque around. Such ill health is making a come-back?)

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Minna's avatar

Air quality but also diet quality has a significant impact on Covid-19 outcomes. Maybe especially because of the compound effects on already damaged cardiovascular systems? The infection then weakens the immune system and harms the body in many additional ways with downward spiraling health trajectories.

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Philip Harris's avatar

Yes. I'm no medic just a longterm survivor of CVD, but imagine diet is part of the context. When I tweeted on Eric Topol I included background: "... but still lots subclincal plaque around. Context vital; diet, exercise, smoking / bad air (particles?), diabetes.

There's Plastic in My Plaque!, by

@EricTopol

https://open.substack.com/pub/erictopol/p/theres-plastic-in-my-plaque?r=k9l10&utm_campaign=post&utm_medium=web&comments=true

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Sue Billington's avatar

Thank you again for your work. Most people I know who have been ill with colds, flu etc have faired much worse than normal, in some cases their symptoms have been more difficult than their Covid infection. Covid seems to have a real negative impact in every way from long covid to other respiratory illnesses. It’s little wonder, as you point out, that absences are much higher now in work and schools.

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Blair Breton's avatar

I have a long cold. Probably not have a cold for several years in the Covid period. So my resistant has dropped. Lasting 4 weeks now but symptoms largely gone except filling handkerchiefs.

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Nigel Goddard's avatar

Thanks for the update, encouraging but we need systems modelling to really appreciate the impact of ill-health on everything else. Anyway, a typo: "econmoic"!

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