Posts Tagged ‘medicine’

Long COVID as a Description and as a Name

Friday, 15 March 2024

In the case of what has been called long COVID, two opposing camps are lost in a confusion of name with description.

The idea that SarsCoV-2 would have peculiar long-term effects upon health was immediately popular in some circles for appalling reasons, and thus viewed in other circles with strong inclination to disbelief.

Eventually, a cluster of persistent symptoms came to be widely associated with SarsCoV-2. Some of these symptoms are clearly present in some people, and not psychosomatic. But a very reasonable question is that of whether these symptoms are actually caused by SarsCoV-2, or have some other cause or causes. For some months now, the evidence has strongly indicated that, no, these are, variously, not effects of SarsCoV-2, or are common to respiratory or viral illness more generally. As a description, long COVID has been falsified, but it has lingered as a name.

I continue to encounter recent articles in prestigious, allegedly scientific journals that simply treat as given that these symptoms are caused by SarsCoV-2. An established name is treated as if it were a description. Now some institutions are beginning to insist reasonably that the name long COVID be abandoned, as inapt. But I'm encountering journalists and pundits who thence infer and claim that long COVID does not exists.

That inference doesn't follow if by long COVID is meant a cluster of symptoms, which symptoms are exactly what have been investigated under the name. Only if long COVID is taken to be defined as these symptoms resulting from SarsCoV-2 could we say that nothing fits the concept corresponding to the name.

I doubt that any Briton defined the French disease as especially French. In any case, telling a typical Briton that what he called the French disease did not exist would be tantamount to telling him that syphilis did not exist. What he should instead have been told was that syphilis were not particularly French, and ought to be called something else.

Likewise, the declarations should not be that long COVID does not exist.