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Photo: Getty
Photo: Getty

OPINIONSocietyAugust 9, 2020

I tested positive for Covid-19 in March, and I’m still horribly sick

Photo: Getty
Photo: Getty

A small proportion of Covid-19 patients continue experiencing symptoms long after they test negative. Freya Sawbridge, one such ‘Covid long hauler’, describes what it’s like.

Four months have passed and I’m onto my fifth relapse. The room is eerily still yet my mind spins like the stripes of a barber’s pole. My brain pulsates and every vessel twists. Something is scraping the wrinkles in my brain as if a mini person is going at it with a tiny rake. The diarrhoea begins followed by the chest tightness and back pain. I dart between shivering and overheating. Different parts of my body are sporadically going numb.

I end up in hospital late that night. I’m designated “low priority”. Five hours later, a doctor whips the curtain back. I explain my issues and stress my “brain fog”.

“Brain fog? That’s not even a proper medical term,” she says. If you could walk in here, you are fine, she tells me. I’m sent home.

We’re told sickness has a linear trajectory. You fall ill, feel bad, and then gradually improve before you recover. But this coronavirus can work in a cyclical fashion. In my case, I was consistently ill for two weeks before feeling fine for four days then suddenly falling ill again for another two weeks. I spent the next two months relapsing and recovering. This follows a similar pattern to the hundreds of others still battling debilitating effects months after first contracting the virus, despite most of us now testing negative.

You might see me and I seem fine, because unlike many of the 5,500 members who belong to the “Long Haul Covid Fighters” Facebook group, thankfully I can walk and move about without feeling total exhaustion (extreme fatigue was never one of my prominent symptoms). I appear well but I am not. My functioning facade is vastly different from what I experience on the inside. I joined the Long-Haul Covid Facebook group three weeks after I tested positive for the virus back in March. This group has been my primary source of strength throughout this ordeal. I truly believe I would go mad if I didn’t have the kindness of other people in this group who still take the time to speak to me and validate my symptoms when so many refuse to.

I overhear people say they’re not worried about catching it. “I’m young, I’ll be all good,” they scoff. This could be true as many people are asymptomatic or present only mild symptoms. But there’s no guarantee of this. I am 26 with no underlying conditions and have been sick for the last five months.

There remains so much that isn’t known about Covid-19. We are now seeing studies which validate long-haulers and show it is not just “all in our head” or a result of anxiety, as many of us have been told time and time again. These stories and reports reveal how complicated and varied this novel virus is.

One recent report involving over 600 long-haul patients revealed that neurological issues are just as common a symptom (reported by 70%) as coughing. Hannah Davis of the Guardian explained: “Of those studied, 61% experience dizziness, 32% experience numbness in the extremities, 29% experience hallucinations or lucid dreaming and 27% experience short-term memory loss.” She noted that the Centre for Disease Control estimates 20% of young people with no pre-existing conditions will have prolonged recoveries, far beyond the two to three week estimate.

The nonlinear range of symptoms was also validated by the Covid Symptom Study produced by King’s College London. It showed patients experienced a variety of symptoms such as headaches, increased heart rates, chest pain, gastrointestinal and neurological symptoms for weeks and months following the initial infection.

Debbie Bogaert, an infectious disease specialist, is a Covid-19 long-hauler. She told the Guardian, “We currently have no understanding at all of the biological mechanisms causing these prolonged symptoms … This virus is not comparable to a simple flu. Therefore, we should focus on suppressing the virus as much as possible, even attempting to eliminate it, while we wait for the development of a vaccine.”

I can understand why there’s widespread ignorance in regard to the long-term complications of coronavirus because I’ve been guilty of this reaction towards other people’s illnesses in the past. When you are well and healthy you do not concern yourself with stories of sickness; you want to get on with your life and keep living. This is also why we turn a blind eye to images of animals in factory farms or civilians fleeing war-torn cities. We’re on a big comfortable launch riding the wave of privilege, why would we bother wondering how it feels to navigate the ocean from a dingy?

“Something just isn’t right and nobody believes me,” I cry with broken raspiness and collapse into my mother’s arms. I want my old body back. I want to go hiking. I want to live in Germany. Will I ever be able to do these things?

I am scared, but I feel immense gratitude for what I am still able to do. I can still sometimes read, go for gentle walks, have conversations. And I can write. These wrap my daunting “what ifs” in comforting cotton wool and make them a little less frightening.

So that’s what I will do, until the science is built, and more in the medical community start taking us long-haulers seriously and I emerge from the fog. I will write my way through it. My story will be a warning to others: This is so much worse than a cold.

Keep going!
Many people are reluctant to get tested because of how self-isolation might affect their income (Photo: RNZ /Dom Thomas)
Many people are reluctant to get tested because of how self-isolation might affect their income (Photo: RNZ /Dom Thomas)

SocietyAugust 8, 2020

How Ōtara rallied to ensure its people got fed and Covid-tested

Many people are reluctant to get tested because of how self-isolation might affect their income (Photo: RNZ /Dom Thomas)
Many people are reluctant to get tested because of how self-isolation might affect their income (Photo: RNZ /Dom Thomas)

After initial concerns about low testing rates in South Auckland, Counties Manukau DHB has the second-highest testing rate in the country. Ōtara Health chief executive Sosefina Paletaoga explains her organisation’s role in achieving this. 

Covid-19 has affected us all in different ways, and for us in Ōtara, it has highlighted existing issues, but also reinforced our strengths.

One of our strengths is how good we are at working together. And it’s been through this collaborative approach that we’ve been able to ensure our community got the support it needed during this time of crisis.

At Ōtara Health we had two choices at the beginning of the lockdown. Our charitable trust could have responded as we have or hibernated and waited for business-as-usual activities to resume. But in many ways, that was a false choice, as our primary reason for existing is to lead through servanthood. This value is familiar to our Pasifika people, and it sits at the heart of our organisation. 

With this in mind, we joined forces with South Seas Healthcare to get a food distribution service running as well as ensuring this Ōtara-based healthcare clinic could use our site to run a Covid-19 testing station. 

South Seas Healthcare CEO Lemalu Silao Vaisola-Sefo, left, Health Star Pacific Trust GM Vaifagaloa Naseri and Sosefina Paletaoga, right, at a function to mark the four-month partnership to run a testing station in Ōtara. (Photo: Supplied)

While it has meant serious disruption to our normal work and to many of the community and social services we run, it’s been worth it. 

The testing station was one of the first in New Zealand to be open to test anyone, regardless of symptoms – and since it opened on April 4 almost 10,000 people have been tested.

South Seas’ decision to open up testing to anyone was based on the emerging evidence of asymptomatic transmission that was reported from around the world. What also drove this move was the knowledge that once Covid-19 gained a foothold in South Auckland, it could be very hard to contain, due to the many other risk factors that exist in our community. 

By ramping up efforts to test as many people as possible, it ensured a better chance of isolating and stopping the spread of the virus and I have the hugest respect for South Seas’ staff who have worked tirelessly over the last four months to make this possible. 

My staff have also been doing a tremendous job running our food distribution service, providing up to 300 parcels a week to families across Ōtara and those in neighbouring suburbs. Through our existing community relationships and networks we have been able to secure extra storage facilities, resources and food supplies at a time when most businesses and organisations had shut up shop. 

Ōtara Health’s Tuava’a Lefono packing a food parcel at their temporary base. (Photo: Supplied)

Such locally run approaches aren’t totally unique to Ōtara, as we know of similar efforts by organisations in Māngere, Glen Innes and Manurewa. What has marked these highly effective responses has been the power of using local people who had existing local knowledge and networks. 

We have now closed the testing station, and are rethinking the way we provide food support, partly to ensure our organisations can take a breath and also to refocus on our core business. 

But this also allows us to evolve what we are doing,  and so we will be to starting a wellbeing hub in Ōtara. Again, this will be done in collaboration with South Seas Healthcare and has been made possible by funding from the government. This hub will be about helping our community both young and old to access jobs, training, or social services to enable them to navigate the tricky times ahead. 

As someone who was born and raised in Ōtara, who then went on to teach at one of our local high schools for a number of years before taking up this role, it makes me immensely proud to be leading an organisation such as Ōtara Health that is able support our community through these uncharted and choppy waters. 

I know from personal experience that Ōtara has seen its fair share of drama and disruption. But what we do have is each other, the power of our collective abilities, and our strong family-like relationships.

At this moment, we don’t know for sure whether there will be a return wave of infections or whether unemployment will rise up to 20% for our local people (as some are predicting), but we can’t just wait for these issues to hit us. By prioritising local people, local businesses and local NGOS, and focusing on collaborative solutions – we can weather whatever may come.