File this under, “Things we already know or ought to know.”  

The BMJ just published a feature called, “Why Covid-19 is ‘A Vascular Disease Masquerading as a Respiratory One.'” The quotation inside the title comes from Andy Benest, vascular biologist at the University of Nottingham. He further explains, “The virus enters through the airways but exerts its systemic effects through the vasculature. The common denominator in the lungs, heart, kidneys, and brain.” (h/t Chantzy)

This personification of a virus, a non-living entity, removes our responsibility as if there’s no way we could have known because it’s so stealthy. Except we did know. 

Back in August 2020, five and a half years ago, the Journal of Neuroimaging published a study titled, “Covid-19 as a Blood Clotting Disorder Masquerading as a Respiratory Illness: A Cerebrovascular Perspective and Therapeutic Implications for Stroke Thrombectomy.” They said, 

“Several reports have been published of patients with ischemic strokes in the setting of coronavirus disease 2019. The mechanisms of how SARS-CoV-2 results in blood clots and large vessel strokes need to be defined as it has therapeutic implications. … Once SARS-CoV-2 enters the blood stream, a cascade of events unfolds including … formation of cross-linked fibrin blood clots, leading to pulmonary emboli (PE) and large vessel strokes seen on angiographic imaging studies. There is emerging evidence for Covid-19 being a blood clotting disorder and SARS-CoV-2 using the respiratory route to enter the blood stream. As the blood-air barrier is breached, varying degrees of collateral damage occur. Although antivira and immune therapies are studied, the role of blood thinners in the prevention and management of blood clots in Covid-19 needs evaluation. … Understanding the mechanisms of blood clotting can potentially help prevent or mitigate end organ damage beyond the respiratory illness in Covid-19.”

It took ten years, from 1971 to 1981, for enough people to understand how latently deadly HIV is, and then another five years more to get public health on board on massive education campaigns to prevent the spread. Every bit of educating before the mid-80s was from ad hoc communities of people who were on the front lines, watching friends and family die of the disease, and distributing pamphlets of information by hand. Covid affects all the major organs, including brain functioning. Even mild Covid. I’m curious and a bit terrified at what we’ll see in 2030 if we still can’t remember that we’ve known it’s a vascular disease since the first year!