COVID-19 pandemic

[53] Among more thorough studies, preliminary results from 9 April 2020 found that in Gangelt, the centre of a major infection cluster in Germany, 15 per cent of a population sample tested positive for antibodies.

[89][90] In November 2020, a review article in Nature reported estimates of population-weighted IFRs for various countries, excluding deaths in elderly care facilities, and found a median range of 0.24% to 1.49%.

[101][102] Common symptoms include headache, loss of smell and taste, nasal congestion and runny nose, cough, muscle pain, sore throat, fever, diarrhoea, and breathing difficulties.

[113] Human coronaviruses are capable of causing illnesses ranging from the common cold to more severe diseases such as Middle East respiratory syndrome (MERS, fatality rate ≈34%).

[120] Preventive measures to reduce the chances of infection include getting vaccinated, staying at home or spending more time outdoors, avoiding crowded places, keeping distance from others, wearing a mask in public, ventilating indoor spaces, managing potential exposure durations, washing hands with soap and water often and for at least twenty seconds, practising good respiratory hygiene, and avoiding touching the eyes, nose, or mouth with unwashed hands.

In these, supportive care includes medication such as paracetamol or NSAIDs to relieve symptoms (fever,[142] body aches, cough), adequate intake of oral fluids and rest.

[138][150][151] The antiviral remdesivir is available in the US, Canada, Australia, and several other countries, with varying restrictions; however, it is not recommended for use with mechanical ventilation, and is discouraged altogether by the WHO,[152] due to limited evidence of its efficacy.

Prolonged prothrombin time and elevated C-reactive protein levels on admission to the hospital are associated with severe course of COVID-19 and with a transfer to intensive care units (ICU).

[157][158] The most commonly reported clinical presentations are fatigue and memory problems, as well as malaise, headaches, shortness of breath, loss of smell, muscle weakness, low fever and cognitive dysfunction.

[193] After analysing pneumonia patient samples, a genetic sequencing company named Vision Medicals reported the discovery of a novel coronavirus to the China CDC (CCDC) on 28 December.

[3] On 31 January, the first published modelling study warned of inevitable "independent self-sustaining outbreaks in major cities globally" and called for "large-scale public health interventions".

[241] WHO Director-General Tedros Ghebreyesus stated on 14 September 2022, that "[The world has] never been in a better position to end the pandemic", citing the lowest number of weekly reported deaths since March 2020.

[345][346] On 16 March, Prime Minister Boris Johnson advised against non-essential travel and social contact, praising work from home and avoiding venues such as pubs, restaurants, and theatres.

[421] The United Nations Conference on Trade and Development (UNSC) was criticised for its slow response, especially regarding the UN's global ceasefire, which aimed to open up humanitarian access to conflict zones.

[422][423] The United Nations Security Council was criticised due to the inadequate manner in which it dealt with the COVID-19 pandemic, namely the poor ability to create international collaboration during this crisis.

The COVAX programme, co-led by the WHO, GAVI, and the Coalition for Epidemic Preparedness Innovations (CEPI), aimed to accelerate the development, manufacture, and distribution of COVID-19 vaccines, and to guarantee fair and equitable access across the world.

[434][435] A consensus report by American intelligence agencies in April 2021 concluded, "Efforts to contain and manage the virus have reinforced nationalist trends globally, as some states turned inward to protect their citizens and sometimes cast blame on marginalised groups".

"[496] Bolsonaro disregarded WHO-recommended mitigation techniques and instead downplayed the risks of the virus, promoted increased economic activity, spread misinformation about the efficacy of masks, vaccines and public health measures, and distributed unproven treatments including hydroxychloroquine and ivermectin.

[497] Disagreements between federal and state governments led to a chaotic and delayed response to the rapid spread of the virus,[498] exacerbated by preexisting social and economic disparities in the country.

[303][538] Iranian president Hassan Rouhani wrote a public letter to world leaders asking for help on 14 March 2020, due to a lack of access to international markets.

[556] They shed light on social and economic issues, including student debt, digital learning, food insecurity, and homelessness, as well as access to childcare, health care, housing, internet, and disability services.

[564] The pandemic impacted mental health,[565][566] increasing anxiety, depression, and post-traumatic stress disorder, affecting healthcare workers, patients and quarantined individuals.

[567][568] In late 2022, during the first northern hemisphere autumn and winter seasons following the widespread relaxation of global public health measures, North America and Europe experienced a surge in respiratory viruses and coinfections in both adults and children.

[569] This formed the beginning of the 2022–2023 paediatric care crisis and what some experts termed a "tripledemic" of seasonal influenza, respiratory syncytial virus (RSV), and SARS-CoV-2 throughout North America.

[603] In a correspondence published in The Lancet in 2021, German epidemiologist Günter Kampf described the harmful effects of "inappropriate stigmatisation of unvaccinated people, who include our patients, colleagues, and other fellow citizens", noting the evidence that vaccinated individuals play a large role in transmission.

[604] American bioethicist Arthur Caplan responded to Kampf, writing "Criticising [the unvaccinated] who... wind up in hospitals and morgues in huge numbers, put stress on finite resources, and prolong the pandemic... is not stigmatising, it is deserved moral condemnation".

[605] In January 2022, Amnesty International urged Italy to change their anti-COVID-19 restrictions to avoid discrimination against unvaccinated people, saying that "the government must continue to ensure that the entire population can enjoy its fundamental rights".

[616][617] Many Nordic, European, and Asian companies increased their recruitment of international remote workers even as the pandemic waned, partially to save on labour costs.

[621] By May 2023, due to increasing layoffs and concerns over productivity, some white collar workplaces in the US had resorted to performance review penalties and indirect incentives (e.g. donations to charity) to encourage workers to return to the office.

[654][655] As people turned to music to relieve emotions evoked by the pandemic, Spotify listenership showed that classical, ambient and children's genres grew, while pop, country and dance remained relatively stable.

Scientifically accurate atomic model of the external structure of SARS-CoV-2. Each "ball" is an atom.
Scientifically accurate atomic model of the external structure of SARS-CoV-2. Each "ball" is an atom.
Chinese medics in Huanggang , Hubei, in 2020
Semi-log plot of weekly new cases of COVID-19 in the world and the top six countries in 2022
The deceased in a refrigerated "mobile morgue" outside a hospital in Hackensack, New Jersey , US, in April 2020
Gravediggers bury the body of a man suspected of having died of COVID-19 in the cemetery of Vila Alpina in eastern São Paulo , 3 April 2020
Global excess and reported COVID-19 deaths and deaths per 100,000, according to the WHO study [ 65 ]
World Health Organization video which describes how variants proliferate in unvaccinated areas
Symptoms of COVID-19
Illustration of SARS-CoV-2 virion
A nurse at McMurdo Station sets up the polymerase chain reaction (PCR) testing equipment, in September 2020
Common measures implemented to prevent the spread of the virus
An elderly woman receiving a COVID-19 vaccination in Slovakia
A critically ill patient receiving invasive ventilation in the intensive care unit of the Heart Institute, University of São Paulo in July 2020. Due to a shortage of mechanical ventilators, a bridge ventilator is being used to automatically actuate a bag valve mask
Goals of mitigation include delaying and reducing peak burden on healthcare ( flattening the curve ) and lessening overall cases and health impact. [ 163 ] [ 164 ] Moreover, progressively greater increases in healthcare capacity ( raising the line ) such as by increasing bed count, personnel, and equipment, help to meet increased demand [ 165 ]
The CDC and WHO advise that masks (such as worn here by Taiwanese president Tsai Ing-wen ) reduce the spread of SARS-CoV-2
A patient in Ukraine in 2020 wearing a scuba mask in the absence of artificial ventilation
A highway sign discouraging travel in Toronto , March 2020
An exhausted anesthesiologist in Pesaro , Italy, 19 March 2020
A temporary hospital for COVID-19 patients in Santo André , Brazil, in March 2021
Scanning electron micrograph (colorised) of cell infected with the Omicron strain of SARS-CoV-2 virus particles green
A temporary hospital constructed in Wuhan in February 2020
Disinfection of Tehran Metro trains to prevent COVID-19 transmission. Similar measures have also been taken in other countries. [ 295 ]
Deaths per 100,000 residents
Elderly woman rolls up sleeve as two nurses administer a vaccine.
Vaccinations at a retirement home in Gijón , Spain on 12 December 2020
The hospital ship USNS Comfort arrives in Manhattan on 30 March 2020
Disinfection of public area in Itapevi , Brazil, in April 2020
US Air Force personnel unload a C-17 aircraft carrying medical supplies in Niamey , Niger, in April 2020.
Empty shelves at a Coles grocery store in Brisbane , Australia, in April 2020
World Health Organization representatives holding joint meeting with Tehran city administrators in March 2020
Workers unloading boxes of medical supplies at Villamor Air Base.
Donated medical supplies received in the Philippines
Ukraine evacuates Ukrainian citizens from Wuhan , China.
COVID-19 fears led to panic buying of essentials across the world, including toilet paper, instant noodles, bread, rice, vegetables, disinfectant, and rubbing alcohol (picture taken in February 2020).
Palazzo Margherita lit in Italian flag to show solidarity during the COVID-19 pandemic on 26 March 2020
Anti-lockdown protesters rallied at Ohio Statehouse 20 April 2020. [ 522 ]
Students take end-of-year exams in Tabriz , Iran, during the pandemic.
Images from the NASA Earth Observatory show a stark drop in pollution in Wuhan , when comparing NO 2 levels in early 2019 (top) and early 2020 (bottom). [ 580 ]
A socially distanced homeless encampment in San Francisco, California, in May 2020 [ 591 ]
The "Wee Annie" statue in Gourock , Scotland, was given a face mask during the pandemic.
A man wearing purple vestments and standing at an altar uses a mobile phone camera to record himself. Empty pews are visible in the background.
An American Catholic military chaplain prepares for a live-streamed Mass in an empty chapel at Offutt Air Force Base in March 2020