Still COVIDing Canada

Smartwatch Data: Study Finds Early Health Differences in Long COVID Patients

A man with glasses, black shorts, and a grey long-sleeved top looks at his smartwatch as he runs alone on a road at sunset. In the background: green fields and trees. Photo: Benoît Deschasaux / Unsplash.

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Smartwatch Data: Study Finds Early Health Differences in Long COVID Patients

Published March 20, 2025

Published by: Complexity Science Hub
Published on: March 20, 2025

People who later experienced persistent shortness of breath or fatigue after a COVID infection were already taking significantly fewer steps per day and had a higher resting heart rate before contracting the virus, according to a CSH study published in npj Digital Medicine. This may indicate lower fitness levels or pre-existing conditions as potential risk factors

Between April 2020 and December 2022, over 535,000 people in Germany downloaded and activated the Corona Data Donation App (CDA). Of these, more than 120,000 voluntarily shared daily data from their smartwatches and fitness trackers with researchers, providing insights into vital functions such as resting heart rate and step count.

“These high-resolution data served as the starting point for our study,” explains CSH researcher Katharina Ledebur. “We were able to compare vital signs in 15-minute intervals before, during, and after a SARS-CoV-2 infection.”

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BC’s Measles Vaccination Rate Is Lower Than in Gaines County, Texas

Colourized transmission electron micrograph of a measles virus particle (red), with a yellow background. Photo: CDC and NIAID. Licensed under Creative Commons CC BY 2.0 DEED Attribution 2.0 Generic license. https://creativecommons.org/licenses/by/2.0/

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British Columbia

BC’s Measles Vaccination Rate Is Lower Than in Gaines County, Texas

Published March 14, 2025

Published by: The Tyee
Published on: March 14, 2025
By Michelle Gamage

In Gaines County, Texas, where a measles outbreak has killed one six-year-old and one adult, the measles vaccination rate among kindergarteners is just 82 per cent, according to reporting by The Atlantic.

That’s a higher measles vaccination rate than children have here in B.C.

Just under 82 per cent of two-year-olds have gotten one dose of the measles, mumps and rubella, or MMR, vaccine, and around 72 per cent of seven-year-olds have gotten both doses, according to the B.C. Childhood Immunization Coverage Dashboard’s 2023 data, which is the most recent data year available.

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International Long COVID Awareness Day 2025

Image of Ottawa sign with teal-coloured letters, with text in white reading: International Long COVID Awareness Day. Teal, grey and black symbol of International Long COVID Awareness Day.

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Ottawa-Gatineau

International Long COVID Awareness Day 2025

Published March 12, 2025

International Long COVID Awareness Day – COVID-cautious walk

Date: Saturday, March 15, 2025

Time: 7 pm – 8 pm

Where: Ottawa City Hall (meet at the entrance, Laurier Avenue side)

Join us for a walk on International Long COVID Awareness Day, Saturday, March 15, 2025 at 7 pm. The route is wheelchair-accessible.

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Advocates Urge BC to Reinstate Healthcare Mask Protections Amid Rising Risks

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British Columbia

Advocates Urge BC to Reinstate Healthcare Mask Protections Amid Rising Risks

Published December 10, 2024

Published by: DoNoHarm BC
Published on: December 10, 2024

DoNoHarm BC, Protect Our Province BC and the Canadian Covid Society warn of infection risks in healthcare

December 10, 2024 (British Columbia, Canada) – Advocacy groups in BC are calling on policy-makers to immediately reinstate healthcare mask requirements. The call comes as BC faces severe risks from COVID-19, a rise in “walking pneumonia,” local measles warnings, and Canada’s first human case of H5N1 avian influenza – which health officials warn could potentially turn into another pandemic.

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Everything Wrong with Canada’s Proposed Long COVID Recommendations

Photo of a doctor. She is wearing an obsolete blue medical mask, a blue cap and a white gown. Photo: Bermix Studio / Unsplash.

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long COVID

Everything Wrong with Canada’s Proposed Long COVID Recommendations

Published November 25, 2024

Published by: Canadian Health Sentinel
Published on: November 25, 2024
By Simon Spichak

Researchers involved in the organizations Cochrane Canada and the McMaster GRADE Centre at McMaster University are developing guidelines to prevent and treat Long COVID in Canada. Their effort is supported by the Public Health Agency of Canada and their recommendations would likely have major sway in the way Long COVID is treated if adopted.

Every month, they release new recommendations and provide an opportunity for public comment. On November 20th, the group released a new set of Canadian Post-COVID Condition (CAN-PCC) recommendations which propose harmful and ineffective treatments: Exercise to prevent Long COVID and cognitive behavioral therapy (CBT) to treat post-exertional malaise (PEM).

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Novavax now! We need access to the Novavax COVID-19 vaccine!

Photo of two vials of a vaccine and a syringe, accompanied by white and gold text on a blue background reading: Novavax now! We need access to the Novavax COVID-19 vaccine. StillCoviding.ca #NovavaxNow Photo: oasisamuel / Adobe.

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take action

Novavax now! We need access to the Novavax COVID-19 vaccine!

Published August 25, 2024

📣 Let PHAC and health ministers know you want timely access to the Novavax COVID-19 vaccine this fall

✉️ Send letters to PHAC and health ministers to voice your support for access to the Novavax COVID-19 vaccine this fall. Use our online tool to send emails.

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Local groups join forces for Vancouver’s second annual Clean Air Festival

Light blue illustrated image with clouds. Text reads, the second annual Clean Air Festival! (The “R” in Air has cartoon eyes and is wearing a mask). A Covid-safer hybrid event.

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British Columbia

Local groups join forces for Vancouver’s second annual Clean Air Festival

Published August 22, 2024

Published by: Clean Air Festival
Published on: August 22, 2024

Event spotlights clean air, community care, and award-winning talent

August 22, 2024 (Vancouver, BC) – On September 15, 2024, a coalition of community groups will present Vancouver’s second annual Clean Air Festival. From 1-6:30 pm, Clean Air 604, Clean Air in BC Schools, DoNoHarm BC, Masks 4 East Van, Millions Missing BC, Protect Our Province BC, SolidAIRity GVRD, Safe Schools Coalition BC, Spring Vancouver, and Vancouver Still Cares will join forces to present a COVID-safer, immuno-inclusive hybrid event, taking place in-person at Slocan Park and digitally via livestream and recording.

The event features a DIY air purifier-building workshop, tabling, children’s games and activities from 1:00 pm, with a stage magic performance at 3:45 pm and an outdoor concert from 4:30 pm. Masks, rapid tests, zines and DIY fit test kits will be available while supplies last. Air purifiers from the workshop will be donated to schools via Clean Air in BC Schools, and to vulnerable community members via Masks 4 East Van.

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The Risks of Killing a COVID Early Warning System

Photo of a person wearing an elastomeric respirator, with an outstretched, gloved hand reaching forward towards the viewer. On the light blue glove, the text reads: Stop COVID-19. With a bokeh effect, there is a sharp image of the glove, and the person’s face and respirator are blurred in the background. Photo: fernando zhiminaicela via Pixabay.

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Ontario

The Risks of Killing a COVID Early Warning System

Published August 1, 2024

Published by: The Tyee
Published on: August 1, 2024
By Andrew Nikiforuk

COVID-19 is surging in parts of North America and Europe, and even played a role in ending the presidential campaign of 81-year-old Joe Biden, who was infected for the third time last month.

Nevertheless, on Wednesday the Ontario government shut down its early warning system to detect COVID and other emerging diseases.

Doctors, citizens and researchers are calling the decision to kill the province’s wastewater disease surveillance program both wrong-headed and dangerous. Ending the program will make it harder to track and thwart viral outbreaks, they say, and thereby increase the burden on Ontario’s understaffed hospitals, which experienced more than 1,000 emergency room closures last year.

“Pandemics do not end because science has been muzzled,” Dr. Iris Gorfinkel, a well-known Toronto physician and clinical researcher, told the CBC.

In emails to politicians, more than 5,000 citizens have demanded restoration of the program, with little effect.

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Ontario: Protect our health — save Ontario’s wastewater monitoring!

Photo of some test tubes and equipment in a lab, with text: Protect our health. Save Ontario’s wastewater monitoring. StillCoviding.ca.

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take action

Ontario: Protect our health — save Ontario’s wastewater monitoring!

Published June 4, 2024

📣 Let MPPs know you want funding for Ontario’s wastewater monitoring program to continue

✉️ Send letters to MPPs to voice your support for wastewater monitoring. Use our online tool to send emails.

Why take action? Wastewater monitoring is an essential public health tool that provides insights into the spread of SARS-CoV-2 and other viruses in Ontario’s communities.

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Ontario: Call Members of Provincial Parliament on #WastewaterWednesday!

Photo of the Ontario Legislative Building, and the surrounding green lawn and trees. It is a sunny day, and the sky is blue with some clouds. Text reads: Save Ontario’s wastewater monitoring! Call Premier Ford Phone: 416-325-1941 TTY/Teletypewriter: 1-800-387-5559 StillCOVIDing.ca #WastewaterWednesday

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take action

Ontario: Call Members of Provincial Parliament on #WastewaterWednesday!

Published June 4, 2024

📣 Take action! Let MPPs know you want funding for Ontario’s wastewater monitoring program to continue

📱 Call MPPs to voice your support for wastewater monitoring.

✉️ Use our online tool to send letters to MPPs.

✉️ Use our online tool to send emails to municipal councillors in Ottawa or Waterloo Region.

📸 Post photos on social media.

Why take action? Wastewater monitoring is an essential public health tool that provides insights into the spread of SARS-CoV-2 and other viruses in Ontario’s communities.

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COVID virus can infect your eyes and damage vision

Illustration of an eye with a SARS-CoV-2 virus particle; with blue, black and coral pink colours. Illustration by Monika Jurczyk / Adobe.

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vision loss

COVID virus can infect your eyes and damage vision

Published May 15, 2024

Published by: Futurity
Published on: May 15, 2024
By Rochita Ghosh / University of Missouri

The virus that causes COVID-19 can breach the protective blood-retinal barrier, leading to potential long-term consequences in the eye, new research shows.

The blood-retinal barrier is designed to protect our vision from infections by preventing microbial pathogens from reaching the retina where they could trigger an inflammatory response with potential vision loss.

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BC health advocates call on government to reinstate healthcare mask requirements

A white N95 mask with yellow head straps against an orange gradient background. White text reads, Vulnerability isn’t seasonal. #KeepMasksInHealthcare. Let’s get loud! www.DoNoHarmBC.ca

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British Columbia

BC health advocates call on government to reinstate healthcare mask requirements

Published April 25, 2024

Published by: DoNoHarm BC
Published on: April 17, 2024

Protect Our Province BC, DoNoHarm BC, and Masks4EastVan highlight harms and human rights violations from loss of healthcare safety

Wednesday, April 17, 2024 (British Columbia) – Independent public health groups Protect Our Province BC, DoNoHarm BC, and Masks4EastVan are calling on the BC government to restore healthcare mask requirements. They are urging British Columbians to call for airborne pathogen protections in clinical settings by joining DoNoHarm BC’s campaign.

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Study: Infection-control measures stemmed COVID spread in hospitals from 2020 to 2022

Lieutenant (junior grade) Kayla Marthy, from Long Island, New York (left), and Lieutenant (junior grade) Brianna Garcia, from St. Petersburg, Florida, treat a patient in the intensive care unit aboard the hospital ship USNS Mercy (T-AH 19), on April 13, 2020. U.S. Navy photo by Mass Communication Specialist 2nd Class Ryan M. Breeden.

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N95 respirators

Study: Infection-control measures stemmed COVID spread in hospitals from 2020 to 2022

Published January 17, 2024

Published by: CIDRAP
Published on: January 17, 2024
By Mary Van Beusekom

Implementation of ventilation standards of at least five clean-air changes per hour, COVID-19 testing, the use of personal protective equipment (PPE), and universal wearing of respirators prevented most SARS-CoV-2 transmissions in a California healthcare system from 2020 to 2022, suggests a study published yesterday in Clinical Infectious Diseases.

For the study, University of California (UC) researchers used electronic health records and movement data of patients and staff to conduct viral genomic and social network analyses to estimate COVID-19 spread in the UC–San Diego Health system. The team analyzed 12,933 viral genomes from 35,666 infected patients and healthcare workers (HCWs) (out of 1,303,622 tests [2.7%]) from November 2020 to January 2022.

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“They’re Taking Away Your Right To Be Healthy.”

Image of a plague doctor wearing a plague mask and black clothes. The setting appears to be a smoky, dimly-lit room, with a bright light near the centre. Art by нυвιѕ тανєяη on Unsplash.

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activism

“They’re Taking Away Your Right To Be Healthy.”

Published January 12, 2024

Published by: OK Doomer
Published on: January 12, 2024
By Jessica Wildfire

The tide is turning. Thanks to all the people making noise on social media and bugging their families, while continuing to wear masks and build air purifiers no matter what anyone says, there’s a trace of hope.

—Jessica Wildfire

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Can You Catch Covid Outside? Yes, You Can.

Monochromatic image with a masked plague doctor in the foreground and a smoky background. Image generated using AI by Olivia. Source: Adobe stock image.

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outdoor transmission

Can You Catch Covid Outside? Yes, You Can.

Published November 28, 2023

Published by: OK Doomer
Published on: November 28, 2023
By Jessica Wildfire

You wouldn’t attend an outdoor party where measles or smallpox was present. Covid is no different, especially now.

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First-person stories from British Columbians

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British Columbia

First-person stories from British Columbians

Published August 28, 2023

Published by: DoNoHarm BC
Published on: August 28, 2023

CW: cancer, surgery, medical negligence, denial of care, disability grief

As part of DoNoHarm BC’s #Postcards4PublicHealth campaign, we’ve invited British Columbians to share their stories about the lack of Covid safety in BC – particularly the loss of mask protections in healthcare. Many wrote directly to policy makers. Some generously gave us permission to share their stories with the public and the press.

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pandemic myths

Ten COVID Facts Health Officials Dangerously Downplay

Published December 21, 2022

Published by: The Tyee
Published on: December 21, 2022
By Andrew Nikiforuk

Do not listen to powers that be who pretend that getting infected with COVID multiple times is now no big deal. They’re asking you to lower your guard for a nasty virus that can invade the brain, disregulate the immune system and damage the vascular system.

This strategy has led to predictable results — more direct deaths, more excess deaths, more disease and some 1.4 million Canadians reporting some form of long COVID over the last two years.

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long COVID

One of Long COVID’s Worst Symptoms Is Also Its Most Misunderstood

Published September 12, 2022

Published by: The Atlantic
Published on: September 12, 2022
By Ed Yong

Brain fog isn’t like a hangover or depression. It’s a disorder of executive function that makes basic cognitive tasks absurdly hard.

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long COVID

Long Covid office ‘will be closing,’ Trump administration announces

Published March 24, 2025

Published by: Politico
Published on: March 24, 2025
By Sophie Gardner, Alice Miranda Ollstein

The Trump administration is shuttering HHS’ long Covid office as part of its reorganization, according to an internal email seen by POLITICO.

The email was sent Monday by Ian Simon, the head of the Office of Long Covid Research and Practice. It said the closing is part of the Department of Health and Human Services’ reorganization.

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vaccines

COVID-19 spring vaccine appointments open for high-risk Nova Scotians, New Brunswickers

Published March 24, 2025

Published by: CTV News
Published on: March 24, 2025
By Natalie Lombard, Sean Mott

Nova Scotians and New Brunswickers at the highest risk for severe illness from a COVID-19 infection can now book an appointment for a spring vaccine.

The dose will be available from March 31 to June 30 in Nova Scotia. Children aged six months to 11 years can get the vaccine until June 17.

The New Brunswick spring campaign will run from April 7 to June 30. People will be able to book appointments starting March 28. For children under the age of 12, the vaccine will be available until June 21.

Nova Scotia says it is following recommendations from the National Advisory Committee on Immunization for the spring dose.

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AIDS

UN warns millions more will die from AIDS after US cuts

Published March 24, 2025

Published by: DW
Published on: March 24, 2025
By Alex Berry with AFP, Reuters

The UNAIDS program head has said millions more will die as a result of the sudden cuts to funding by the Trump administration. She also warned that the AIDS pandemic could return to 1990s levels.

The head of the United Nations program on HIV/AIDS, UNAIDS, said on Monday that over 6 million additional deaths from the disease are expected after the US slashed its funding.

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United Kingdom

Young people with long Covid ‘battle’ for NHS care

Published March 22, 2025

Published by: BBC News
Published on: March 22, 2025
By Michela Riva, Jordan Davies

Young people living with debilitating symptoms caused by long Covid have described feeling abandoned and having to “battle” to access NHS support.

Kaylee, 17, a once promising gymnast who hoped to represent her country, developed the virus on her 12th birthday and still experiences symptoms including dizziness and shortness of breath, causing her to miss school and give up on the sport she loves.

Two million people in the UK have long Covid, according to the Office for National Statistics.

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long COVID

Beyond long COVID — how reinfections could be causing silent long-term organ damage

Published March 20, 2025

Published by: CBC Radio / Quirks and Quarks
Published on: March 20, 2025
By Sonya Buyting

COVID may no longer be considered an official global emergency, but mounting scientific evidence suggests every COVID infection a person gets increases their risk of developing long-term health issues.

“There is no such thing as a COVID infection without consequence,” says long COVID researcher, David Putrino, from the Icahn School of Medicine at Mount Sinai in New York.

The long-term effects can show up as long COVID, with symptoms such as shortness of breath, digestive problems, fast or irregular heartbeats, extreme fatigue and brain fog, or as silently accumulating cellular or organ damage.

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measles

Ontario sees another sharp rise in measles cases while outbreaks grow in Quebec, Alberta

Published March 20, 2025

Published by: CTV News / The Canadian Press
Published on: March 20, 2025
By Hannah Alberga

There’s been another sharp increase in Ontario measles cases as the province begins to release weekly reports on the infectious disease.

Public Health Ontario is reporting 470 measles cases since an outbreak began in October. That’s an increase of 120 cases since March 14.

The spread resulted in 34 hospitalizations, including two people who needed intensive care. Most of those hospitalized were unvaccinated kids, including one of the intensive care patients.

The outbreak expansion adds to the growing concern of rising measles cases in different parts of the country, including in Quebec where there are 40 cases and Alberta where there are 13, according to the latest data.

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pollution

Trump’s EPA aims to cut pollution rules projected to save nearly 200,000 lives: ‘People will be hurt’

Published March 19, 2025

Published by: The Guardian
Published on: March 19, 2025
By Oliver Milman, Dharna Noor, Aliya Uteuova

A push by Donald Trump’s administration to repeal a barrage of clean air and water regulations may deal a severe blow to US public health, with a Guardian analysis finding that the targeted rules were set to save the lives of nearly 200,000 people in the years ahead.

Last week, Trump’s Environmental Protection Agency (EPA) provoked uproar by unveiling a list of 31 regulations it will scale back or eliminate, including rules limiting harmful air pollution from cars and power plants; restrictions on the emission of mercury, a neurotoxin; and clean water protections for rivers and streams.

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avian flu

Kennedy’s Alarming Prescription for Bird Flu on Poultry Farms

Published March 18, 2025

Published by: The New York Times
Published on: March 18, 2025
By Apoorva Mandavilli

Robert F. Kennedy Jr., the nation’s top health official, has an unorthodox idea for tackling the bird flu bedeviling U.S. poultry farms. Let the virus rip.

Instead of culling birds when the infection is discovered, farmers “should consider maybe the possibility of letting it run through the flock so that we can identify the birds, and preserve the birds, that are immune to it,” Mr. Kennedy said recently on Fox News.

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long COVID

3 vaccine doses cut long-COVID risk by over 60%, analysis suggests

Published March 17, 2025

Published by: CIDRAP
Published on: March 17, 2025
By Mary Van Beusekom

In a Swedish cohort, the risk of long COVID was much lower for vaccinated than unvaccinated participants in the year after infection, even when restricting the analyses to subgroups based on variant, age, sex, and previous infection status, estimates a study published last week in the Journal of Infectious Diseases.

Karolinska Institutet researchers in Stockholm analyzed data from five registries to compare rates of persistent COVID-19 symptoms, or post-COVID condition [PCC], in adults infected from January 2021 to February 2022 by vaccination status in the 14 days before infection. Follow-up was 365 to 660 days.

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Trump regime

Trump’s staggering offensive against science

Published March 16, 2025

Published by: Le Monde
Published on: March 16, 2025

The blitzkrieg launched against science by the Trump administration is unprecedented, and all the more shocking as it comes from a democratic country. The brutality of the layoffs of civil servants, the halting of funding and the blocking of research programs is astounding. The Orwellian dimension of the move came to light with the publication of a list of terms that must no longer be used in research and working papers – climate, pollution, injustice, reference to gender or race… So much so that some scientists are beginning to devise different phrases to pass Trump’s censors.

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Vancouver

Long COVID sufferers converge outside the Vancouver Art Gallery to protest for better support

Published March 15, 2025

Published by: CTV News
Published on: March 15, 2025
By Mina Kerr-Lazenby

Crowds of people suffering long COVID rallied outside the Vancouver Art Gallery Saturday afternoon to raise awareness of the debilitating effects felt by those still battling the disease.

People had gathered to call on the government to assist with funding for further research into symptoms and treatments, disability support, public awareness, and training for medical staff.

Via placards and speeches, protesters described their own various experiences and asked passers by and others in attendance to send letters to their MLA’s and MP’s, requesting support.

According to Statistics Canada, 3.5 million Canadians continue to suffer symptoms five years after the global outbreak of COVID-19.

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Quebec

Long COVID: “The small epidemic that has emerged from the pandemic”

Published March 15, 2025

Published by: Radio-Canada
Published on: March 15, 2025
By François Pouliot

“There are people who don’t believe that,” says Valérie, who was in front of the Quebec National Assembly on Saturday to mark the International Long COVID Awareness Day. After catching COVID-19 just over three years ago, she has never recovered.

After her brief visit to the public awareness event organized by the Canadian COVID Society on Saturday, “it’s the rest of my day coming to an end,” says Valérie. When she returns home, she knows that she will have to stay in bed and avoid all contact.

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long COVID

Radio | The silent, long-term effects of COVID, and more…

Published March 14, 2025

Published by: CBC Radio / Quirks and Quarks with Bob McDonald
Published on: March 14, 2025

Beyond long COVID — how reinfections could be causing silent long term organ damage

It’s now been five years since the COVID pandemic stopped the world in its tracks. The virus is still with us, and continues to make people sick. As many as 1 in 5 Canadians have experienced symptoms of long COVID, but scientists are finding that beyond that, each infection can also lead to long term silent cellular and organ damage. David Putrino, who’s been studying COVID’s long term effects at the Icahn School of Medicine at Mount Sinai in New York City, says even mild or asymptomatic COVID infections can lead to a wide range of silent long term heath impacts — compromising our immune, vascular, circulatory, renal, metabolic, gastrointestinal systems and even cognitive function.

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long COVID

A 19-year-old athlete now spends his days bedridden because of long COVID

Published March 12, 2025

Published by: Le Journal de Montréal
Published on: March 12, 2025
By Erika Aubin

Struck down by long COVID for the past year, a great athlete and CEGEP student remains hopeful even if he has to spend his days lying down doing nothing, because the slightest effort completely exhausts him.

“Deep down, I think I’ll heal completely, but it’s going to take time. I trust science,” says Ludovic Bégin, with a weak voice on the other end of the line.

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long COVID

Another 100 new long COVID cases each month

Published March 12, 2025

Published by: Le Journal de Montréal
Published on: March 12, 2025
By Erika Aubin

The Québec network of clinics for long COVID still receives, each month, a hundred new patients, who sometimes have to wait up to six months before they can be treated.

“The problem now is that we have an accumulation of complex cases. It’s difficult to get new cases into treatment because we can’t finish with some patients,” says Simon Décary, Chair of the Long COVID Clinics Steering Committee.

Around 5% of people who contract COVID will still experience sequelae between three months and one year after infection. And around 1% of the population will have severe functional limitations to the point of needing services, says the physiotherapist.

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International Long COVID Awareness Day – COVID-cautious walk

Still COVIDing Canada Posts

DoNoHarm BC, Protect Our Province BC and the Canadian Covid Society warn of infection risks in healthcare

Still COVIDing Canada Posts

Still COVIDing Canada Posts

📣 Let PHAC and health ministers know you want timely access to the Novavax COVID-19 vaccine this fall

Still COVIDing Canada Posts

Event spotlights clean air, community care, and award-winning talent

Still COVIDing Canada Posts

Still COVIDing Canada Posts

📣 Let MPPs know you want funding for Ontario’s wastewater monitoring program to continue

Still COVIDing Canada Posts

📣 Take action! Let MPPs know you want funding for Ontario’s wastewater monitoring program to continue

Still COVIDing Canada Posts

Still COVIDing Canada Posts

Protect Our Province BC, DoNoHarm BC, and Masks4EastVan highlight harms and human rights violations from loss of healthcare safety

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Beyond long COVID — how reinfections could be causing silent long term organ damage

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