Still Not Feeling the Same After COVID-19? You're Not Alone
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Most people have put the COVID-19 pandemic behind them. Infections, vaccinations, or a combination of both have bolstered people's immunity, and while new variants continue to pop up, getting sick does not induce the same panic it once did.
But a new study shows that recovery from COVID-19 might not be as quick or straightforward as most of us now expect. The study, published in Open Forum Infectious Diseases, found that on average, it takes many people up to three months to return to good physical health after a COVID-19 infection, and nine months to recover good mental well-being. For up to 20% of infected people who were analyzed in the study, this mental-health recovery took even longer: up to a year or more.
Lauren Wisk, assistant professor in the division of general internal medicine and health services research at the David Geffen School of Medicine at University of California, Los Angeles, and her team looked at data from people who had COVID-19 at eight health facilities across the U.S. from Dec. 2020 to Aug. 2022. People were asked to fill out surveys every three months for one year about their recovery, recording physical and mental symptoms like anxiety, depression, fatigue, social participation, sleep disturbances, and pain.
It took people far longer to regain their mental well-being than it did their physical health. 'To be totally honest, we didn't necessarily expect to see different recovery trajectories as big as the ones we are seeing,' says Wisk. 'While it makes sense that some people recover faster physically, and other people recover faster mentally, on average the difference that we saw was surprising.'
Read More: You Could Have Long COVID and Not Even Know It
Wisk and her team also asked people to self-report if they experienced Long COVID, meaning symptoms stemming from their infection that lingered for at least three months. Nearly half of people who reported both poor physical and mental qualify of life following their infections also believed they had Long COVID. While the assessment was subjective, it tracked with the data Wisk's team collected; among people who reported just poor physical health, poor mental health, or neither, there were fewer reports of Long COVID.
The findings point to the need for a deeper understanding of how COVID-19 infections affect the body, physically and mentally, in the short and long term, says Wisk. 'We need to be thinking about a longer road to recovery for people, because even if someone recovers physically from their symptoms, it might not end there for them.'
Appreciating these longer lasting effects could help people seek treatment for their symptoms, which may condense their recovery period. Wisk says that short courses of anxiety medications and sleep therapies, for example, could address some of the lingering effects of COVID-19.
'We know how to treat the initial infection and how to keep people alive, but we don't have a great treatment protocol for the after effects and the lingering symptoms,' says Wisk. 'These data should help to guide development of protocols in which we think of recovery over a potentially long time horizon before people get back to normal.'
Contact us at letters@time.com.
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A Swiss village was buried under a mountain. This town could be next.
In the past century, scientists have observed more rockfalls and avalanches in the Alps, a looming threat to nearby villages. In this aerial view, rubble and ice fill a portion of the Loetschental Valley following a landslide on June 3, 2025 in Blatten, Switzerland. Over 317 million cubic feet of rubble, mud, and ice fell on to Blatten on May 28. Photograph by Robert Hradil, Getty Images Last month, Lukas Kalbermatten-Ritler stood in a hamlet overlooking the small Swiss village of Blatten opposite the Birch Glacier, holding up his camera phone up in disbelief. 'It was like a bomb went off,' says Kalbermatten-Ritler, who's home and historic third-generation family-owned Hotel Edelweiss was destroyed on May 28. 'There were black rocks coming like a wall over the glacier, like it was a big hand taking the village. This was the moment I stopped filming. I didn't want to film when my village was falling.' It took 28 seconds for the landslide from the collapse of the glacier to cover 600-year-old wooden homes in one of Switzerland's oldest and most picturesque valley villages in hard brown, cold sandpaper sludge that will be sinking for years. The collapse was so powerful it registered as a 3.1 magnitude earthquake. It was a village that scientists never expected to see almost completely buried by 328 million cubic feet of falling rock and ice. Destroyed houses float in the water from the river Lonza that formed a lake beside the massive avalanche, triggered by the collapse of the Birch Glacier. Photograph by Michael Buholzer, Keystone/AP A house is submerged in water following a glacier collapse. Photograph by Michael Buholzer, Keystone/AP Yet there are others, like Kandersteg, a Swiss tourist town nine miles away that scientists watch anxiously. It sits in the shadow of an unstable cliffside called Spitze Stei could trigger a landslide with twice the ice and rock debris that flattened Blatten. Scientists say it should have fallen by now. 'We can't predict exactly when disasters like this will happen,' says Matthias Huss, senior glaciologist at the Swiss Federal Institute of Technology and director of the Swiss glacier monitoring network. Even with the best rockfall, landslide, and avalanche monitoring systems in the world, Alpine towns remain in uncertain danger. Magazine for all ages starting at $25/year In the worst-case scenario, over 700 million cubic feet of limestone and marl will come crashing down into Lake Oeschinen, itself a result of landslides 3,200 years ago. The splash would send a wave 2.5 miles into the center of Kandersteg, covering around 25 percent of the town, including hotels, homes, and the school. Other less-severe, likelier, models show smaller, still destructive debris flows surpassing safety dams built by the village, according to Nils Hahlen, head of the natural hazard division for the Office of Forest and Natural Hazards in the Swiss canton, or state, of Bern. The landslide that devastated the town of Blatten was unexpected. In other, nearby villages, scientists have identified unstable cliff faces that might trigger similar tides of rock, water, and debris in the future. Photograph by Michael Buholzer, Keystone/AP 'But mountain people are robust. They don't move out of their villages because of changing threats unless authorities decide it's too risky to stay,' says Markus Stoffel, a geomorphologist at the University of Geneva who grew up near Blatten and Kandersteg. Most of the town's 1,300 residents remain. On mountain watch Four hours into what was billed as a 'short' (eight-mile) hike, I rest on a mossy stump while my 75-year-old mountain guide smokes a pipe. Mountain guides don't eat much, Fritz Loretan tells me. He's also a man of few words (clocking it down the trail in loafer sneakers with no tread), and when he talks about the looming threat in Kandersteg, he explains: 'When you grow up in the mountains, then you are used to them, and you won't feel safe in other places.' In 2018, while paragliding over Spitze Stei, Loretan's friend saw 'a cut in the mountain,' and alerted authorities. Experts realized the outer rock section could fall at any moment. That was the year Spitze Stei became the most watched rock in Switzerland via high-tech drones, radar surveys, GPS, and cameras. 'At Spitze Stei the main water sources are snowmelt and rain. The exact amount of water in the mountain is one of the unknown factors,' says Hahlen. Since Earth's last ice age, rockfaces have been routinely dislodged from Alpine peaks as a result of natural movement. But in the past century, scientists have seen more rockfalls and avalanches. Glaciers and permafrost—the high-altitude frozen soil, rock, and sediment that acts like glue to hold the mountains together—are melting as a result of the warming temperatures caused by greenhouse gas emissions. A view of a landslide in Brienz, three days apart, from November of last year. As the region warms, ice and frozen soil are melting and unsticking the glue that once held parts of the mountain together. Photograph by Gian Ehrenzeller, Keystone/AP (Top) (Left) and Photograph by Gian Ehrenzeller, Keystone/AP (Bottom) (Right) As this icy glue melts, it allows water to penetrate cracks in the mountain, build pressure, and eventually rupture, triggering more frequent and severe landslides, rockslides, rockfalls, and avalanches, especially after intense rain and snow, another hazard of warming temperatures. 'In the next few years and decades, we expect an increase in risk from permafrost rock,' says Felix Pfluger, chair of landslide research at the Technical University of Munich. While catastrophic rock and snow fall can go virtually unnoticed in the remote regions of Alaska, Siberia, or northern Canada, they're an existential threat to many Alpine communities. The landslide that covered Blatten isn't the first tragedy in the Alps from a rockfall. This past June, residents of the Swiss village of Brienz/Brinzauls evacuated for the fourth time in two years from a rockslide threat (after debris stopped just shy of the village in 2023). Eight hikers and ten homes in the valley of Bondo didn't survive a devastating landslide in 2017. Stoffel says he expects more chain-reaction disasters with bigger consequences in the Alps—rock avalanches overloading glacier ice and causing it to liquify and slide down the slope, like in Blatten. His research shows 'a clear tendency for such [catastrophic chain-reaction] events to become more frequent in a warming world,' he says. '...especially after heavy rain.' A view of Kandersteg, Switzerland in October, 2023. While the region is being closely monitored, it remains safe. Photograph by Noemie Vieillard, Hans Lucas/Redux 'If you ask the older people in the village, they'll tell you there was always falling debris,' says Kandersteg's Mayor Maeder René-François. Growing up in Kandersteg, he remembers poking a pole into the cracks between ice and snow to search for bodies after an avalanche took out half a hotel in high season. There's a long history of rockfall and landslides, he says, as recent as 2023 and even this past May five died here in an avalanche. 'With climate change, it's happening faster. It rains harder, the days are hotter, and the fog sets in thicker over the mountain,' he says. 'But people here are not scared, it's life in the mountains. They respect that they must act in the correct way and follow the evacuation plan.' Since 2021, Kandersteg has enforced a ban on all new construction to minimize potential damage in the village district, closed a section of town, and built dams to reroute lake water. 'Big disasters normally start smaller. Instabilities with rock fall over a certain time start with cracks opening. A mountain doesn't just disappear out of the blue. There are always precursor signs,' says Stoffel. 'And if you take them seriously and observe the changes continuously, then, then you may not be able to protect the buildings or the village, but you can save lives.' While no one knows exactly when or what section of Spitze Stei will start sliding down the mountain, when it starts to crumble, residents and tourists should have at least 24 to 48 hours to evacuate. On a warm mid-June day, I followed tourists with hiking packs and poles to a mountain chalet built in 1880 and pulled up a lunch chair under an apple-red umbrella that matched a nearby Swiss flag and took in the brilliant turquoise of Lake Oeschinen–glistening and undisturbed by falling rocks, for now. Swimmers and paddlers snap selfies; a bride and groom pose by cows grazing near a roped-off section of the beach—their bells clanging measure with the chirping birds. 'None of them know they're right under it,' my server, David Brunoldi, told me when I asked him which rock is Spitze Stei. He points to the 9,800-foot frosty peak above us. 'More rocks are coming down every day.' Brunoldi says mountain people stay in Kandersteg for generations because it's home. On this picture-perfect, rugged Alpine terrain, where rockfall has always been a risk, his grandfather worked and died on a mountain train. Last year alone, an increasing 2.8 million cubic feet of rock crumbled down into the lake. 'No need to worry though, Brunoldi adds. 'It's not falling today.'
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