Contextualising Long Covid: Viral Sequelae, 'Post-Encephalitis' Lethargica and the Modern British Healthcare System,

Kate McAllister1

  • 1School of History, Philosophy and Digital Humanities, Jessop West, 1 Upper Hanover Street, Sheffield, S3 7RA, UK.

Insights

Long Covid, a protracted illness after coronavirus disease 2019, emerged from patient efforts. Historical analysis of Post-Encephalitis Lethargica suggests current NHS structures may shape Long Covid care.

Area of Science:

  • Medical History
  • Public Health
  • Infectious Diseases

Background:

  • Long Covid (coronavirus disease 2019 sequelae) emerged post-March 2020.
  • Patient advocacy categorized these protracted illnesses.
  • This led to recognition and potential healthcare access in Britain.

Purpose of the Study:

  • To add patient-driven knowledge of Long Covid.
  • To conduct a comparative historical analysis with Post-Encephalitis Lethargica (EL).
  • To examine how historical healthcare divisions influence current Long Covid perceptions and responses within the NHS.

Main Methods:

  • Comparative historical analysis.
  • Examination of administrative divisions in British healthcare.
  • Literature review of Long Covid and Post-Encephalitis Lethargica.

Main Results:

  • Post-Encephalitis Lethargica (EL) in the early 20th century was shaped by emerging healthcare divisions.
  • These divisions influenced the parsing of viral sequelae.
  • Historical parallels suggest potential impacts on current Long Covid management.

Conclusions:

  • Understanding historical responses to viral sequelae like EL offers a framework for Long Covid.
  • National Health Service (NHS) administrative structures may influence current Long Covid perception and care.
  • Patient-led knowledge is crucial for understanding and addressing Long Covid.

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