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Singapore provided financial support for those infected who quarantined themselves and imposed large fines for those who failed to do so.

Taiwan increased face mask production and penalised hoarding of medical supplies. Simulations for Great Britain and the United States show that mitigation slowing but not stopping epidemic spread and suppression reversing epidemic growth have major challenges.

Optimal mitigation policies might reduce peak healthcare demand by two-thirds and deaths by half, but still result in hundreds of thousands of deaths and overwhelmed health systems.

Suppression can be preferred but needs to be maintained for as long as the virus is circulating in the human population or until a vaccine becomes available , as transmission otherwise quickly rebounds when measures are relaxed.

Long-term intervention to suppress the pandemic has considerable social and economic costs. Contact tracing is an important method for health authorities to determine the source of infection and to prevent further transmission.

On 10 April , Google and Apple jointly announced an initiative for privacy-preserving contact tracing based on Bluetooth technology and cryptography.

Due to capacity limitations in the standard supply chains , some manufacturers are 3D printing healthcare material such as nasal swabs and ventilator parts.

NASA is seeking fast-track approval. Antiviral medications are under investigation for COVID, though none have yet been shown to be clearly effective on mortality in published randomised controlled trials.

Taking over-the-counter cold medications, [] drinking fluids, and resting may help alleviate symptoms. Other trials are investigating whether existing medications can be used effectively against COVID or the immune reaction to it.

A study of major hospitals in the U. There are several theories about when and where the very first case the so-called patient zero originated.

According to official Chinese sources, these early cases were mostly linked to the Huanan Seafood Wholesale Market , which also sold live animals.

On 30 December , a test report addressed to Wuhan Central Hospital, from company CapitalBio Medlab, stated that there was an erroneous positive result for SARS , causing a group of doctors at Wuhan Central Hospital to alert their colleagues and relevant hospital authorities of the result.

During the early stages of the outbreak, the number of cases doubled approximately every seven and a half days.

On 31 January , Italy had its first confirmed cases, two tourists from China. On 11 June , after 55 days without a locally transmitted case being officially reported, [] the city of Beijing reported a single COVID case, followed by two more cases on 12 June.

On 29 June , WHO warned that the spread of the virus is still accelerating as countries reopen their economies, although many countries have made progress in slowing down the spread.

As of 31 August , more than Due to the pandemic in Europe , many countries in the Schengen Area have restricted free movement and set up border controls.

By 26 March, 1. On 20 January, the Chinese National Health Commission confirmed human-to-human transmission of the virus. A further series of measures were instituted by the authorities in late February to contain the COVID outbreak, including issuing health declarations for travellers and extending the Spring Festival holiday, [] travel restrictions, [] and closure of museums, universities and schools around the country.

After the outbreak entered its global phase in March, Chinese authorities took strict measures to prevent the virus from re-entering China from other countries.

For example, Beijing imposed a day mandatory quarantine for all international travelers entering the city. India ordered a nationwide lockdown for the entire population starting 24 March, [] with a phased unlock beginning 1 June.

Six cities account for around half of all reported cases in the country— Mumbai , Delhi , Ahmedabad , Chennai , Pune and Kolkata.

As of May , India had the largest number of confirmed cases in Asia ; [] as of August , behind the United States and Brazil , India had the third highest number of confirmed cases in the world, [] with the number of total confirmed cases breaching the , mark on 19 May [] and 2,, confirmed cases on 6 August On 10 June, India's recoveries exceeded active cases for the first time.

Iran became a centre of the spread of the virus after China during February. It is also suggested that U. The nation's health agency reported a significant increase in confirmed cases on 20 February, [] largely attributed to a gathering in Daegu of the Shincheonji Church of Jesus.

South Korea introduced what was considered the largest and best-organised programme in the world to screen the population for the virus, isolate any infected people, and trace and quarantine those who contacted them.

On 23 March, it was reported that South Korea had the lowest one-day case total in four weeks. Although it was originally thought the pandemic reached France on 24 January , when the first COVID case in Europe was confirmed in Bordeaux , it was later discovered that a person near Paris had tested positive for the virus on 27 December after retesting old samples.

On 22 February, the Council of Ministers announced a new decree-law to contain the outbreak, including quarantining more than 50, people from eleven different municipalities in northern Italy.

Suspension of work activities and sports events has already been ordered in those areas. On 4 March, the Italian government ordered the full closure of all schools and universities nationwide as Italy reached a hundred deaths.

A lockdown was imposed on 14 March Medical professionals and those who live in retirement homes have experienced especially high infection rates.

Sweden differed from most other European countries in that it mostly remained open. The Swedish strategy focused on measures that could be put in place over a longer period of time, based on the assumption that the virus would start spreading again after a shorter lockdown.

The nature of devolution in the United Kingdom meant that each of the four countries of the UK had its own response to COVID with different rules and restrictions at different times and the UK government, on behalf of England, moving more quickly to lift restrictions.

On 23 March, the prime minister announced tougher social distancing measures, banning gatherings of more than two people and restricting travel and outdoor activity to that deemed strictly necessary.

Unlike previous measures, these restrictions were enforceable by police through fines and dispersal of gatherings.

Most businesses were ordered to close, with exceptions for those deemed "essential", including supermarkets, pharmacies, banks, hardware shops, petrol stations, and garages.

The death toll in the United Kingdom was nearly 29, of those who tested positive for the virus. Later, it was calculated at 32,, after taking the official death count for Scotland and Northern Ireland into account.

By 2 March there were 80 confirmed cases, half of them in California. Florida and New York had declared their first two cases and the state of Washington reported many suspected cases and the first death.

Vice President Mike Pence maintained that the threat of the virus spreading throughout the U. On 13 March, Trump declared a national emergency , which made federal funds available to respond to the crisis.

The Times said that prior to 29 April only deaths confirmed through testing were reported, but new criteria included probable cases and deaths.

As of 17 May, the U. The White House was criticised for downplaying the threat and controlling messaging, directing health officials and scientists to coordinate public statements with the office of Vice-President Pence.

The White House refused to use the report, and Trump said he felt the guidelines were too restrictive, commenting "I see the new normal being what it was three months ago.

I think we want to go back to where it was. By mid-May reports of new cases began to level off and most states began to open restaurants and other businesses, placing limits on the numbers of people allowed in at one time.

The head of the NIAID , Anthony Fauci , warned that if caution was not used the rate of infections could rebound and he was particularly concerned about opening the schools in the fall.

President Trump expressed disapproval of Fauci's statements, saying "To me it's not an acceptable answer, especially when it comes to schools. On April 17, the highest number of cases and deaths was registered in Brazil , [] followed by Peru and Colombia in the number of confirmed cases.

On 13 May, it was reported that Latin America and the Caribbean had reported over , cases of infection with 23, deaths. On 22 May, citing especially the rapid increase of infections in Brazil, the World Health Organisation declared that South America is presently the epicentre of the coronavirus pandemic.

On 20 May it was reported that Brazil had a record 1, deaths in a single day, for a total of almost 18, fatalities.

With a total number of almost , cases, Brazil became the country with the third-highest number of cases, following Russia and the United States.

President Jair Bolsonaro has created a great deal of controversy referring to the virus as a "little flu" and frequently speaking out against preventive measures such as lockdowns and quarantines.

His attitude towards the outbreak has so closely matched that of U. President Donald Trump he has been called the "Trump of the Tropics". In June , the government of Brazil attempted to conceal the actual figures of the COVID active cases and deaths, as it stopped publishing the total number of infections and deaths.

The last official numbers reported about , infections and over 34, deaths. According to Michael Yao, WHO's head of emergency operations in Africa, early detection is vital because the continent's health systems "are already overwhelmed by many ongoing disease outbreaks".

Even in the best scenario, the United Nations says 74 million test kits and 30, ventilators will be needed by the continent's 1.

The mortality rates of COVID cases in African countries are relatively low compared to Europe due to the younger age of their populations.

Cases have been confirmed in all African countries, with Lesotho the last country to report its first coronavirus case on 13 May On 19 May , Australia filed a motion with the UN for an inquiry into the origins of the virus, and the response of the UN and governments.

More than countries supported this motion, and it was passed unanimously. As a result of the pandemic, many countries and regions imposed quarantines, entry bans, or other restrictions, either for citizens, recent travellers to affected areas, [] or for all travellers.

Concerns have been raised over the effectiveness of travel restrictions to contain the spread of COVID The European Union rejected the idea of suspending the Schengen free travel zone and introducing border controls with Italy, [] [] a decision which has been criticised by some European politicians.

Owing to the effective quarantine of public transport in Wuhan and Hubei, several countries evacuated their citizens and diplomatic staff from the area, primarily through chartered flights of the home nation, with Chinese authorities providing clearance.

On 15 February, the U. The United Nations has coordinated the global response to the coronavirus pandemic, led by its Secretary-General. The response can be divided into formal resolutions at the General Assembly and at the Security Council UNSC , and operations via its specialized agencies , chiefly the World Health Organization in the initial stages, but involving more humanitarian-oriented agencies, like UNICEF , [] the International Labour Organization , [] and the Office of the United Nations High Commissioner for Human Rights [] as the humanitarian impact became clearer, and then economic organizations, like the United Nations Conference on Trade and Development , [] the International Monetary Fund , [] and the World Bank , [] as the socioeconomic implications worsened.

Taiwan posted an inquiry to the WHO on 31 December On 30 January, the WHO declared the outbreak a Public Health Emergency of International Concern PHEIC , warning that "all countries should be prepared for containment, including active surveillance, early detection, isolation, and case management, contact tracing and prevention of onward spread" of the virus, [7] [] following an increase in cases outside China.

This was the sixth-ever PHEIC since the measure was first invoked during the swine flu pandemic. The outbreak is a major destabilising threat to the global economy.

Agathe Demarais of the Economist Intelligence Unit has forecast that markets will remain volatile until a clearer image emerges on potential outcomes.

One estimate from an expert at Washington University in St. Tourism is one of the worst affected sectors due to travel bans, closing of public places including travel attractions, and advice of governments against travel.

Numerous airlines have cancelled flights due to lower demand, and British regional airline Flybe collapsed. The retail sector has been impacted globally, with reductions in store hours or temporary closures.

North America and Middle East retailers saw a 50—60 percent drop. Shopping mall operators around the world imposed additional measures, such as increased sanitation, installation of thermal scanners to check the temperature of shoppers, and cancellation of events.

Hundreds of millions of jobs could be lost globally. The outbreak has been blamed for several instances of supply shortages , stemming from globally increased usage of equipment to fight outbreaks, panic buying which in several places led to shelves being cleared of grocery essentials such as food, toilet paper, and bottled water , and disruption to the factory and logistic operations.

The impact of the coronavirus outbreak was worldwide. The virus created a shortage of precursors raw material used in the manufacturing of fentanyl and methamphetamine.

The Yuancheng Group , headquartered in Wuhan, is one of the leading suppliers. The pandemic has disrupted global food supplies and threatens to trigger a new food crisis.

The performing arts and cultural heritage sectors have been profoundly affected by the pandemic, impacting organisations' operations as well as individuals—both employed and independent—globally.

Arts and culture sector organisations attempted to uphold their often publicly funded mission to provide access to cultural heritage to the community, maintain the safety of their employees and the public, and support artists where possible.

By March , across the world and to varying degrees, museums, libraries, performance venues, and other cultural institutions had been indefinitely closed with their exhibitions, events and performances cancelled or postponed.

Holy Week observances in Rome, which occur during the last week of the Christian penitential season of Lent , were cancelled. Peter's Square emptied of Christian pilgrims , [] other religious bodies also cancelled in-person services and limited public gatherings in churches, mosques, synagogues, temples and gurdwaras.

The pandemic has caused the most significant disruption to the worldwide sporting calendar since the Second World War. The entertainment industry has also been affected, with many music groups suspending or cancelling concert tours.

The pandemic has affected the political systems of multiple countries, causing suspensions of legislative activities, [] isolations or deaths of multiple politicians, [] and rescheduling of elections due to fears of spreading the virus.

Although they have broad support among epidemiologists, social distancing measures have been politically controversial in many countries. Intellectual opposition to social distancing has come primarily from writers of other fields, although there are a few heterodox epidemiologists.

The measures taken to combat the pandemic are part of an unusually large expansion of government power. Advocates of small government worry that the state will be reluctant to give up that power once the crisis is over, as has often been the case historically.

The Chinese government has been criticised by the United States government , [] UK Minister for the Cabinet Office Michael Gove , [] and others [] for its handling of the pandemic.

A number of provincial-level administrators of the Communist Party of China were dismissed over their handling of the quarantine measures in China, a sign of discontent with their response to the outbreak.

Some commentators believed this move was intended to protect Chinese Communist Party general secretary Xi Jinping from the controversy.

In early March, the Italian government criticised the European Union 's lack of solidarity with coronavirus-affected Italy [] [] —Maurizio Massari, Italy's ambassador to the EU, said "only China responded bilaterally", not the EU.

The outbreak prompted calls for the United States to adopt social policies common in other wealthy countries, including universal health care , universal child care , paid sick leave , and higher levels of funding for public health.

The Iranian government has been heavily affected by the virus, with about two dozen parliament members and fifteen current or former political figures infected.

Diplomatic relations between Japan and South Korea worsened due to the pandemic. Some countries have passed emergency legislation in response to the pandemic.

Some commentators have expressed concern that it could allow governments to strengthen their grip on power. The pandemic, alongside lockdowns and travel restrictions, has prevented movement of aid and greatly impacted food production.

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