Kathryn

@kathrynas.bsky.social

Past-Chair of the Women’s Caucus at CASWE-ACFTS, P.hD. student, MSW, Long COVID research, therapist, equity advocate, intersectional feminist, mom. Not totally here. Still more there. Thoughts my own.

🚨🚨🚨 jamanetwork.com/journals/jam... “These findings suggest that approximately 1 in 6 patients with COVID-19 develops postacute sequelae, predominantly chronic conditions currently invisible to surveillance systems, representing an accumulating rather than resolving health care burden.”

Long COVID Persistence and Surveillance Gaps Across 58 US Hospitals

This cohort study quantifies the gap between true postacute sequelae of SARS-CoV-2 burden and diagnostic code–based estimates, determines the proportion representing chronic disease, and characterizes...

jamanetwork.com

So for anyone in Ontario wondering why infection control practice is so backwards here even away from the usual suspects, it turns out there's misinformation embedded directly in the CPSO infection control guidance, which incorrectly directs physicians to wear a medical mask for airborne pathogens.🙄

Physicians must undertake Routine Practices and Additional Precautions4, including:
hand hygiene for patient and physician safety, in accordance with Appendix B: Ontario’s Just Clean Your Hands Program: Your 4 Moments for Hand Hygiene and Appendix C: Hand Hygiene Methods;
wearing gloves if there is expected exposure to blood, body fluids, secretions, skin rash or non-intact skin;
wearing a medical mask when required to prevent transmission of infectious agents in droplets and airborne particles, and during aseptic and invasive procedures; and
wearing eye protection and a gown when required to protect eyes, skin, and clothing from blood, body fluids, secretions, or excretions.

Source:  https://www.cpso.on.ca/Physicians/Policies-Guidance/Policies/Infection-Prevention-and-Control-for-Clinical-Offi

Congrats to Julie K. Brown! She was awarded a #Pulitzer Prize special citation today for her groundbreaking reporting in 2017 & 2018 for the Miami Herald exposing Jeffrey Epstein's systematic abuse of young women and the justice system & powerful network of associates that protected him for years.

A powerful narrative portrait of Julie K. Brown, the Miami Herald investigative journalist celebrated for her "Perversion of Justice" series, which exposed the crimes of Jeffrey Epstein and led to her 2026 Pulitzer Prize special citation. Brown sits in the heart of a newsroom, leaning forward with her hands clasped over the back of a vibrant lime-green chair. Her expression is steady and resolute, a faint, knowing smile playing on her lips. She has shoulder-length, strawberry-blonde hair and wears a crisp, white short-sleeved linen top. Her look is punctuated by bold, artistic accessories: a long necklace featuring large, multi-colored geometric beads and matching statement earrings. The background is filled with the tools of her trade: Dell computer monitors and large wall-mounted screens displaying blurred news segments, including one featuring her own likeness. The composition is balanced and centered, capturing a mood of quiet authority and tireless determination. This image stands as a tribute to Brown’s historical significance in journalism, marking her as a champion for victims whose reporting forced a global reckoning on power and systemic failure.

"Individuals with SARDs [systemic autoimmune disease] were more likely to have SARS-CoV-2 antigen positivity at months 3 and 6 following COVID-19 infection compared with individuals without SARDs, not explained by demographics, variant, vaccination, or treatment."

Among 210 individuals with SARDs in RheumCARD and 348 individuals without SARDs in RECOVER-Adult, any SARS-CoV-2 antigen positivity was more common in those with SARDs (36.7% in RheumCARD vs. 18.9% in RECOVER-Adult; p<0.001). Those with SARDs had higher odds of nucleocapsid antigen positivity (adjusted OR 3.73, 95% CI: 1.28-10.85) or any antigen positivity (adjusted OR 2.89, 95% CI: 1.43-5.85) 3 months after COVID-19 infection and higher odds of nucleocapsid antigen positivity (adjusted OR 6.62, 95% CI: 1.09-40.30) 6 months after COVID-19 infection.
ACR Journals@acr-journals.bsky.social · 3mo ago

Your weekly recap of this week in Arthritis & Rheumatology SARS‐CoV‐2 antigen persistence in people with systemic autoimmune rheumatic diseases doi.org/10.1002/art.... Higher complement C4 gene copy number as risk factor for GCA and IgA vasculitis doi.org/10.1002/art....

Weekly recap in ACR Journals banner- Arthritis & Rheumatology cover

Outstanding submission by the Canadian Association of Professional Employees, representing 27,000+ members, to the Auditor General - no head-in-the-sand here; this union is clear that COVID-19 remains a threat to employees (w & w-out disability) & they want action! www.acep-cape.ca/en/news/subm...

Submission to the Auditor General on behalf of the Canadian Association of Professional Employees’ Disability Justice Caucus | CAPE

Please see this submission to the Auditor General on behalf of the Can

acep-cape.ca

Great to hear from others who see the variety of issues surrounding this trial & potential for issues with similar ones. Rigour is always important, but esp when results are disseminated during a global public health crisis, potentially impacting the health and well-being of those who heed them.

Trish Greenhalgh@trishgreenhalgh.bsky.social · 3mo ago

More rapid responses to our recent paper in @bmj.com about the problems of non-inferiority trials in mask efficacy research. www.bmj.com/content/393/... Thanks @adamfinkel.bsky.social

I spent my first couple of years as a Senator, pre Covid, with a near-perpetual cold. I flew twice every week, and hosted a viral buffet. Now, I mask every flight, and so far - touch wood - I’ve gone all winter without a sniffle. People laugh and even yell at me sometimes. But my nose isn’t stuffy!

So listen. We have this data. Showing hospital admissions for ‘resp’ infections 2x pre-pandemic. But ALL school absence discussions - see CBC! See the National last night! IGNORE growing illness as biggest absence factor (or ANY factor!). This is horrible reporting/journalism. /1

Chantzy@chantzy.bsky.social · 4mo ago

Hospital admissions for "respiratory" infections have more than doubled in Canada vs. pre-pandemic levels - with Covid driving ~40% of cases. ~57,700 admissions in 2024 alone www.theglobeandmail.com/gift/6f8ae90...

Meanwhile, one more nail in the coffin of MAHA's "overdiagnosis" / anything-but-COVID moral panic. Keep the receipts from all those negligent medical influencers who insisted there was no need to worry about letting kids get infected, that COVID isn't airborne and that respirators don't work.

School Difficulties and Long COVID in Children and Adolescents

Pediatric Long COVID (LC) is an infection-associated chronic condition following SARS-CoV-2 infection. While research has begun to elucidate clinical phenotypes, functional impacts are not well descri...

academicpedsjnl.net

Mark Ungrin@mark-ungrin.bsky.social · 4mo ago

New piece in BMJ by @trishgreenhalgh.bsky.social, Sam Lovell, @jvipondmd.bsky.social, @mjnabuurs.bsky.social and myself on how poor quality trials can bias evidence against respirator use. www.bmj.com/content/393/...

Percentage of Ontario high school students missing 10% or more of their classes: 2017-18: 40% 2021-22: 47% 2022-23: 64% 2023-24: 59.5% 2024-25: 59.8% ON's proposed policy solution? Award grades for attendance. Forget addressing root causes of increased absences. globalnews.ca/news/1180158...

High school attendance drops to 40% in Ontario as government considers changes | Globalnews.ca

The Ford government is currently considering giving students in grades 9 to 12 credit on their final marks if they attend class as part of new legislation.

globalnews.ca

Oh, chronic absenteeism after the pandemic has risen to over 60% for high school students in Ontario? That’s because IT’S NOT AFTER THE PANDEMIC Kids are missing school because they are sick, and this is happening on a global scale. @globalnews.ca apple.news/A59EHd4IQS-O...

High school attendance drops to 40% in Ontario as government considers changes — Global News

The Ford government is currently considering giving students in grades 9 to 12 credit on their final marks if they attend class as part of new legislation.

apple.news

💯 agree with this. I see so many people and orgs acknowledging the absence problem and blaming it solely on youth mental health. There is a problem with mental health in youth too but this policy change won’t address that either.