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COVID-19

Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the coronavirus SARS-CoV-2. The first known case was identified in Wuhan, China, in December 2019.[7] The disease quickly spread worldwide, resulting in the COVID-19 pandemic.

For the global pandemic caused by the disease, see COVID-19 pandemic. For other diseases caused by coronaviruses, see Coronavirus diseases.

Coronavirus disease 2019
(COVID-19)

COVID, (the) coronavirus

2–14 days (typically 5)
after infection

5 days to chronic

Vaccination, face coverings, quarantine, social distancing, ventilation, hand washing

775,293,616[4] confirmed cases (true case count is expected to be much higher[5])

  • 7,044,637[4] (reported)
  • 18.2–33.5 million[6] (estimated)

The symptoms of COVID‑19 are variable but often include fever,[8] fatigue, cough, breathing difficulties, loss of smell, and loss of taste.[9][10][11] Symptoms may begin one to fourteen days after exposure to the virus. At least a third of people who are infected do not develop noticeable symptoms.[12][13] Of those who develop symptoms noticeable enough to be classified as patients, most (81%) develop mild to moderate symptoms (up to mild pneumonia), while 14% develop severe symptoms (dyspnea, hypoxia, or more than 50% lung involvement on imaging), and 5% develop critical symptoms (respiratory failure, shock, or multiorgan dysfunction).[14] Older people are at a higher risk of developing severe symptoms. Some complications result in death. Some people continue to experience a range of effects (long COVID) for months or years after infection, and damage to organs has been observed.[15] Multi-year studies are underway to further investigate the long-term effects of the disease.[16]


COVID‑19 transmission occurs when infectious particles are breathed in or come into contact with the eyes, nose, or mouth. The risk is highest when people are in close proximity, but small airborne particles containing the virus can remain suspended in the air and travel over longer distances, particularly indoors. Transmission can also occur when people touch their eyes, nose or mouth after touching surfaces or objects that have been contaminated by the virus. People remain contagious for up to 20 days and can spread the virus even if they do not develop symptoms.[17]


Testing methods for COVID-19 to detect the virus's nucleic acid include real-time reverse transcription polymerase chain reaction (RT‑PCR),[18][19] transcription-mediated amplification,[18][19][20] and reverse transcription loop-mediated isothermal amplification (RT‑LAMP)[18][19] from a nasopharyngeal swab.[21]


Several COVID-19 vaccines have been approved and distributed in various countries, many of which have initiated mass vaccination campaigns. Other preventive measures include physical or social distancing, quarantining, ventilation of indoor spaces, use of face masks or coverings in public, covering coughs and sneezes, hand washing, and keeping unwashed hands away from the face. While drugs have been developed to inhibit the virus, the primary treatment is still symptomatic, managing the disease through supportive care, isolation, and experimental measures.

Immunological: The immunological response to COVID-19, like other viruses, depends on a working immune system. It adapts during pregnancy to allow the development of the foetus whose genetic load is only partially shared with their mother, leading to a different immunological reaction to infections during the course of pregnancy.

[164]

Respiratory: Many factors can make pregnant women more vulnerable to hard respiratory infections. One of them is the total reduction of the lungs' capacity and inability to clear secretions.

[164]

Coagulation: During pregnancy, there are higher levels of circulating coagulation factors, and the pathogenesis of SARS-CoV-2 infection can be implicated. The thromboembolic events with associated mortality are a risk for pregnant women.

[164]

exudation

Blood and vessels: (DIC);[187] leukoerythroblastic reaction,[188] endotheliitis,[189] hemophagocytosis[189]

disseminated intravascular coagulation

Heart: necrosis[189]

cardiac muscle cell

Liver: microvesicular [124]

steatosis

Nose: [125]

shedding of olfactory epithelium

Brain: [189]

infarction

Kidneys: acute tubular damage.

[189]

Spleen: depletion.[189]

white pulp

Total confirmed cases over time

Total confirmed cases over time

Total confirmed cases of COVID‑19 per million people[348]

Total confirmed cases of COVID‑19 per million people[348]

Total confirmed deaths over time

Total confirmed deaths over time

Total confirmed deaths due to COVID‑19 per million people[349]

Total confirmed deaths due to COVID‑19 per million people[349]

a group of closely related syndromes

Coronavirus diseases

a WHO term

Disease X

 – Disproved hypothesis of epidemiologist Theobald Smith

Law of declining virulence

 – Theory by biologist Paul W. Ewald

Theory of virulence

by the UK National Health Service (NHS)

Coronavirus (COVID‑19)

by the US Centers for Disease Control and Prevention (CDC)

Coronavirus 2019 (COVID-19)

Facts by the World Health Organization (WHO)

Coronavirus disease (COVID‑19)