|LETTER TO EDITOR
|Year : 2023 | Volume
| Issue : 1 | Page : 93-94
Author reply: Post-COVID syndrome is a call for more research on all ‘post-viral illness syndromes’
Anita Upadhyay1, Vineet Kumar Pathak2, Chandrakant Lahariya3
1 Human Capital Lighthouse Consulting Private Ltd., New Delhi, India
2 Foundation for People Centric Health Systems, New Delhi, India
3 Department of Health Policy, Epidemiology, Preventive Medicine and Pediatrics, Foundation for People Centric Health Systems, New Delhi, India
|Date of Submission||26-Jan-2023|
|Date of Acceptance||25-Feb-2023|
|Date of Web Publication||26-Apr-2023|
Dr. Chandrakant Lahariya
Foundation for People Centric Health Systems, B-2/105, Safdarjung Enclave, New Delhi - 110 029
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Upadhyay A, Pathak VK, Lahariya C. Author reply: Post-COVID syndrome is a call for more research on all ‘post-viral illness syndromes’. J Med Evid 2023;4:93-4
|How to cite this URL:|
Upadhyay A, Pathak VK, Lahariya C. Author reply: Post-COVID syndrome is a call for more research on all ‘post-viral illness syndromes’. J Med Evid [serial online] 2023 [cited 2023 Jun 7];4:93-4. Available from: http://www.journaljme.org/text.asp?2023/4/1/93/374709
We thank the authors of correspondence for reading our article with interest. It has now become increasingly clear that post-COVID syndrome consists of nearly 200 symptoms, and at times, the diagnosis is by exclusion. Regarding the headache as a Post-COVID Condition (PCC) symptom, it has been documented as the first presenting symptom in many studies, for which the patient seek healthcare.,, However, there is a need for more context and setting-specific data, including from low- and middle-income countries on PCCs. The article has called for developing skills at all levels of healthcare starting from primary health care level to ask and evaluate the patient for PCC who are presenting with symptoms such as headache. Furthermore, for intractable headaches, a referral consultation to a specialist, i.e., a neurology consultation should be considered by physician. The primary healthcare reforms such as health and wellness centres of India should be optimally used for such exploration and strengthening of services.,
Regarding the training of healthcare staff on timely identification and management of PCC, there is no doubt that a two-way communication system for the success of timely and quality management of PCCs will go a long way. In the current healthcare system in most low- and middle-income countries, we have achieved a lot through the execution of a bottom-to-top approach, in fact, many national programmes have successfully adopted the principles for a stronger referral system with wider community engagement.,
There are clearly a few more issues emerging. One that while we hear a lot about long- and post-COVID, it is logical to hypothesise that post-acute-illness syndrome may not be something which is exclusive to severe acute respiratory syndrome coronavirus 2 but a wider reflection of characteristics linked to all viral illnesses. We have known for a long that other viral illnesses such as chikungunya, etc., also result in joint pain and chronic fatigue. It is likely that post-viral illness syndrome is very common with other viral illnesses, and it is just that it has been recognised after COVID as a large number of clinical cases had been reported in a short period. The other likely factor and hypothesis are that post- and long-COVID have more likely been reported by those individuals who had pre-existing autoimmune disease, which was unrecognised till then. These individuals also developed more serious diseases than the rest of the people. Clearly, it calls for extensive research on post-viral syndrome and related health conditions.
These hypotheses need to be explored and examined. We really hope that our article will initiate the academic and policy debate on post-COVID as well as post acute illness syndrome as India and many countries across the world enter the endemic stage for COVID-19.,
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
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