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Published on: November 7, 2020
Long COVID: a new disease?
Matias Mirofsky1, Hugo Catalano2
1Hospital Municipal de Agudos Dr. Leonidas Lucero, Bahía Blanca, Buenos Aires, Argentina.
Quaternary prevention strategies can mitigate harm from excessive medical interventions. This analysis explores its application to chronic COVID and similar post-infectious conditions, highlighting the challenges of defining new diseases.
Area of Science:
- Medical ethics
- Public health
- Epidemiology
Background:
- Quaternary prevention aims to shield patients from the harms of medical interventions.
- Defining new diseases, such as chronic COVID/long COVID, is a complex and evolving process.
- Similarities exist between chronic COVID and other post-infectious syndromes like myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia.
Purpose of the Study:
- To analyze the relationship between the concepts of new disease definition and quaternary prevention.
- To explore the applicability of quaternary prevention principles to chronic COVID and similar conditions.
Main Methods:
- Literature review and conceptual analysis.
- Examination of definitions and terminologies for chronic COVID/long COVID.
- Comparison of chronic COVID with other described post-infectious syndromes.
Main Results:
- The definition and recognition of chronic COVID remain inconsistent across international literature.
- Quaternary prevention offers a framework for addressing potential iatrogenic consequences of managing chronic COVID.
- Understanding similarities with established post-infectious diseases aids in characterizing chronic COVID.
Conclusions:
- Applying quaternary prevention is crucial for managing the potential over-medicalization associated with chronic COVID.
- Further research is needed to standardize definitions and diagnostic criteria for chronic COVID.
- The framework of quaternary prevention can inform clinical practice and health policy for emerging post-infectious illnesses.
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