Murph
:)
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But in wider ME/CFS outbreaks across a city or region, it's unlikely there is an environmental factor present in the whole region, so these type of outbreaks may just occur when a new strain of virus hits a town or region. But of course for each person who develops ME/CFS from this new stain of virus, a dual-factor etiology may be at play: they may have developed ME/CFS from the virus because their immune system was compromised from mold, major chronic stress, or other factors.
It will be interestig to see if some areas or workplaces get higher rates of long covid for a given rate of covid. I expect yes.