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Long Covid more common than ‘long flu’, study suggests

Researchers estimated that 37 per cent of people who had a Covid-19 infection had at least one long Covid symptom three to six months after infection.

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The study analysed health records of more than 273,000 people who had Covid-19 and 114,000 who had flu in the US. (Photo: REUTERS/Shannon Stapleton)
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People who get flu could have prolonged symptoms which are similar to those seen in some patients with long Covid, a new study suggests.

However, lasting symptoms occur to a lesser extent among those who have had a bout of flu, academics said.

The study examined how many patients experienced long-lasting symptoms after having Covid-19 and other contributing factors – such as whether different age groups or genders are affected more. It also set out to see whether they could draw any comparisons with flu.

Researchers, led by academics from the University of Oxford and the National Institute for Health Research (NIHR), estimated that symptoms linked to long Covid were around 50 per cent more common among those who had a Covid-19 infection compared to those who had flu.

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The study, which analysed health records of more than 273,000 people who had Covid-19 and 114,000 who had flu in the US, outlined nine long Covid symptoms and the proportion of people who were suffering between 90 and 180 days after initial infection.

They included abnormal breathing, abdominal symptoms, anxiety or depression, and cognitive problems such as “brain fog”.

All nine symptoms were more frequently reported after Covid-19 than after influenza. The analysis found that around 30 per cent of people who had flu experienced some sort of symptoms three to six months later compared to around 42 per cent of those who had Covid-19. Around eight per cent of the influenza cohort in the study were hospitalised.

When looking solely at Covid-19, the researchers also found that different groups were affected by long-lasting symptoms in different ways. For instance older people and men had more breathing difficulties and cognitive problems, whereas young people and women had more headaches, abdominal symptoms and anxiety or depression.

When taking all factors into account, the research team estimated that 37 per cent of people who had a Covid-19 infection had at least one long Covid symptom three to six months after infection.

But the authors stressed there were “important caveats” which meant the results might not be generalised – namely that people included in the study with both flu and Covid could have been “iller” than those in the general population because they had sought medical help for their symptoms.

Dr Max Taquet, who led the analysis, said: “We found in a cohort of patients with influenza that the same symptoms also tend to occur, but they tend to occur at lower rates.

“Over one third of patients were diagnosed with at least one of the long Covid symptoms between three and six months after their Covid-19 illness. The severity of the illness, age and sex affected the incidence and profile of long Covid symptoms. Similar symptoms were seen in people after influenza but they occur and co-occur less commonly.”

Patients admitted to hospital were more likely to suffer cognitive problems like brain fog and fatigue compared to people who did not need to be admitted, and people who did not need hospital care were more likely to have headaches than those who needed to be admitted.

The Office for National Statistics estimates that 970,000 British people are suffering ongoing symptoms after a Covid-19 infection.

The figures, based on self-reported symptoms, also suggest 384,000 people are still living with symptoms a year after infection.

Meanwhile, health officials have warned that this year’s flu season could be particularly troublesome as immunity to influenza viruses waned during the pandemic.

The Government is hoping that more people than ever will get their flu jab, with over-50s and clinically vulnerable people being called forward to get a vaccine.

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