What does it mean to recover from long covid? — Dennis and Alwan @nisreenalwan
https://www.bmj.com/content/393/bmj-2026-100054
"A striking feature of the literature on long covid trajectories is how loosely recovery is defined."
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What does it mean to recover from long covid?
Defining recovery is essential for research, clinical care, and patient experience, say Charlie Dennis and Nisreen A Alwan If you have long covid, how can you tell if you have fully recovered? Six years of evidence and collective lived experience show us that this is not an easy question to answer. Yet if we do not define recovery, we cannot properly count the number of people living with long covid, and its present and future impact on the population’s wellbeing, economic productivity, and health systems. Long covid remains a substantial global health problem. A recent report estimated that this condition will cost countries in the Organisation for Economic Cooperation and Development (OECD) $11bn (£8.3bn; €9.6bn) a year in healthcare costs over the next decade. The projected economic costs are $135bn a year.1 Since the start of the pandemic, clinicians, researchers, and health organisations have devoted substantial effort to defining and measuring long covid. In 2020, one of us (NAA) proposed that long covid be defined largely by what it is not: recovery from acute covid-19.2 This approach was reflected later in the World Health Organization’s definition, which describes long covid …





