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American Rachel Van Lear developed signs, also called symptoms, of COVID-19 on March 11, 2020. That same day, medical experts declared the disease a pandemic, meaning the new coronavirus was spreading internationally.
Now, a year later, Van Lear is still waiting for her COVID-19 symptoms to disappear -- and for experts to come up with some answers.
The Texas woman is among tens of thousands of COVID patients known as long-haulers. Long-haulers have symptoms that continue or reappear months after they first became infected with coronavirus.
It is unclear how many people are experiencing the condition and why it is happening. "We're faced with a mystery," said Dr. Francis Collins, chief of the United States National Institutes of Health.
How many people are affected1, and how long does it last? Is it limited to COVID-19 disease or can other infections lead to the condition? Could some symptoms be unrelated to COVID-19?
The U.S. Congress is providing $1 billion to Collins' agency, the NIH, to seek answers for those questions and more. So, the NIH is designing studies to follow at least 20,000 people who have had COVID-19.
Collins said the agency has never dealt with a long-hauler condition as widespread before. "We don't have time to waste," he said about the research.
There have been an estimated 30 million U.S. cases of COVID-19, and 119 million worldwide. Even a small percentage of patients that develop long-term health issues could become a major problem.
The many reported symptoms of long-haul COVID include extreme tiredness, pain and shortness of breath. Sleeping problems, and difficulty thinking, often called "brain fog," are also common.
And, medical experts have reported organ damage among long-haulers, including lung scarring3 and enlarging of the heart.
Scientists aim to understand whether these symptoms are directly linked to the virus or to some other health issue.
"Is it just a very delayed recovery or is it something even more alarming and something that becomes the new normal?" Collins said.
There are few stories about what might be causing the long-lasting symptoms. One is that the virus remains4 in the body at very low levels but still causes organ or tissue damage.
Another possibility is that the virus activates5 the body's natural defense6 system and somehow prevents that system from returning to normal.
A third idea is that the virus causes small blockages7 to form in blood vessels8, the tubes through which blood travels.
The 35-year old Van Lear says she was in great health when she got COVID-19. She was a busy mother of three who exercised often.
First came a chest cold, then a rise in body temperature. Testing showed she did not have a flu infection.
Soon after, she developed severe headaches, fatigue9 and stomach sickness. Her symptoms were so severe she sought emergency room treatment.
"I was very scared because no one could tell me what was going to happen to me," Van Lear said.
Over the next several months, symptoms would come and go: burning lungs, a very fast heartbeat, shaking hands and hair loss. While most have disappeared, she still sometimes experiences a racing10 heartbeat.
Van Lear is a member of Survivor11 Corps12, one of several online support groups formed during the COVID health crisis13. The group has thousands of members. Some are taking part in studies to help speed research.
Words in This Story
scar2 – v. to make marks on (something) that show damage or wear
alarm – v. to cause (someone) to feel a sense of danger : to worry or frighten (someone)
1 affected | |
adj.不自然的,假装的 | |
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2 scar | |
n.伤疤,伤痕,创伤 | |
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3 scarring | |
[医] 瘢痕形成;伤疤 | |
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4 remains | |
n.剩余物,残留物;遗体,遗迹 | |
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5 activates | |
使活动,起动,触发( activate的第三人称单数 ) | |
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6 defense | |
n.防御,保卫;[pl.]防务工事;辩护,答辩 | |
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7 blockages | |
n.堵塞物( blockage的名词复数 );堵塞,阻塞 | |
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8 vessels | |
n.血管( vessel的名词复数 );船;容器;(具有特殊品质或接受特殊品质的)人 | |
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9 fatigue | |
n.疲劳,劳累 | |
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10 racing | |
n.竞赛,赛马;adj.竞赛用的,赛马用的 | |
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11 survivor | |
n.生存者,残存者,幸存者 | |
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12 corps | |
n.(通信等兵种的)部队;(同类作的)一组 | |
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13 crisis | |
n.危机,危急关头,决定性时刻,关键阶段 | |
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