After upgrading to 18.2.8-1~bpo12+1 yesterday, ceph has started complaining about slow ops. Restarting affected OSDs helps for a while but the health warnings continue, sometimes repeating on the same OSD.
Recent coms from the ceph engineers suggest that this isn't a real issue, and can generally be resolved by waiting or tuning:
https://www.mail-archive.com/ceph-users@ceph.io/msg29878.html
To clarify, there's no "issue" with the code itself. It's just that the code now reveals a potential "issue" with the OSD's underlying device, as Igor explained. This warning can pop up starting from Quincy v17.2.8 (PR 59468), Reef v18.2.5 (PR #59466) and Squid v19.2.1 (PR #59464).
It's unlikely that this is revealing underlying issues since it's happening all over the place, but there is advice deeper in that thread about tuning the alerts.

