The long term impact of COVID-19, particularly its association with neurodegenerative changes, has become a significant concern in the post-pandemic era. This letter to the editor highlights the increasing incidence of cognitive impairments, dementia and other neurodegenerative conditions observed in patients with long COVID, or post-acute sequelae of SARS-CoV-2 infection. Recent studies highlight the role of chronic inflammation, cerebrovascular alterations and immune dysregulation in contributing to these conditions. In countries like Pakistan, where neurodegenerative diseases are prevalent and awareness of long COVID is limited, there is an urgent need for public health education to address these issues. Educational initiatives should focus on debunking myths about vaccination, promoting early detection of neurodegenerative changes and enhancing the management of long COVID through advanced diagnostic technologies. By prioritizing these efforts, Pakistan can reduce the long term impact of COVID-19 on neurodegenerative health and thus, improve overall public health outcomes.
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