The COVID-19 pandemic, an environmental neurology perspective - 11/06/22

Doi : 10.1016/j.neurol.2022.02.455

J. Reis ^a,^b,⁎ , A. Buguet ^c , G.C. Román ^d , P.S. Spencer ^e
^a Université de Strasbourg, 67000 Strasbourg, France
^b Association RISE, 67205 Oberhausbergen, France
^c General (r) French Army Health Services, Malaria Research Unit, UMR 5246 CNRS, Claude-Bernard Lyon-1 University, 69622 Villeurbanne, France
^d Department of Neurology, Neurological Institute, Houston Methodist Hospital, Houston, TX, USA
^e Department of Neurology, School of Medicine, Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, OR, USA

^*Corresponding author.

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Abstract

Neurologists have a particular interest in SARS-CoV-2 because the nervous system is a major participant in COVID-19, both in its acute phase and in its persistent post-COVID phase. The global spread of SARS-CoV-2 infection has revealed most of the challenges and risk factors that humanity will face in the future. We review from an environmental neurology perspective some characteristics that have underpinned the pandemic. We consider the agent, SARS-CoV-2, the spread of SARS-CoV-2 as influenced by environmental factors, its impact on the brain and some containment measures on brain health. Several questions remain, including the differential clinical impact of variants, the impact of SARS-CoV-2 on sleep and wakefulness, and the neurological components of Long-COVID syndrome. We touch on the role of national leaders and public health policies that have underpinned management of the COVID-19 pandemic. Increased awareness, anticipation and preparedness are needed to address comparable future challenges.

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Keywords : Susceptibility, Social vulnerability, Preparedness, Physical-chemical risk, Decision-making