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IN THIS ARTICLE
What Is COVID-19?
Symptoms of COVID-19
Causes of the New Coronavirus
Coronavirus Risk Factors
How Are Mood Disorders Linked to Severe COVID-19?
Coronavirus Transmission
Coronavirus Diagnosis
Coronavirus Prevention
Coronavirus Vaccine
Coronavirus Treatment
COVID-19 Outlook
Past Coronaviruses
Editor's note: For the latest updates on the 2021 coronavirus outbreak, see our news
coverage.
What Is COVID-19?
A coronavirus is a kind of common virus that causes an infection in your nose, sinuses,
or upper throat. Most coronaviruses aren't dangerous.
In early 2020, after a December 2019 outbreak in China, the World Health
Organization identified SARS-CoV-2 as a new type of coronavirus. The outbreak quickly
spread around the world.
COVID-19 is a disease caused by SARS-CoV-2 that can trigger what doctors call a
respiratory tract infection. It can affect your upper respiratory tract (sinuses, nose, and
throat) or lower respiratory tract (windpipe and lungs).
It spreads the same way other coronaviruses do, mainly through person-to-person
contact. Infections range from mild to deadly.
SARS-CoV-2 is one of seven types of coronavirus, including the ones that cause severe
diseases like Middle East respiratory syndrome (MERS) and sudden acute respiratory
syndrome (SARS). The other coronaviruses cause most of the colds that affect us
during the year but aren't a serious threat for otherwise healthy people.
An early Chinese study of 103 COVID-19 cases found two strains, which they named L
and S. The S type is older, but the L type was more common in early stages of the
outbreak. They think one may cause more cases of the disease than the other, but
they're still working on what it all means.
It is also normal for a virus to change, or mutate, as it infects people and this virus has
done so. There are several variants that are now spreading, some proving to be more
contagious as well as more deadly than the original virus.
Throughout the pandemic, scientists have kept a close eye on variants like:
Alpha
Beta
Gamma
Delta
Omicron
Lambda
Mu
There's no way to tell how long the pandemic will continue. There are many factors,
including the public's efforts to slow the spread, researchers' work to learn more about
the virus, their search for a treatment, and the success of the vaccines.
Symptoms of COVID-19
The main symptoms include:
Fever
Coughing
Shortness of breath
Trouble breathing
Fatigue
Chills, sometimes with shaking
Body aches
Headache
Sore throat
Congestion/runny nose
Loss of smell or taste
Nausea
Diarrhea
The virus can lead to pneumonia, respiratory failure, heart problems, liver
problems, septic shock, and death. Many COVID-19 complications may be caused by a
condition known as cytokine release syndrome or a cytokine storm. This is when an
infection triggers your immune system to flood your bloodstream with inflammatory
proteins called cytokines. They can kill tissue and damage your organs. In some cases,
lung transplants have been needed.
If you notice the following severe symptoms in yourself or a loved one, get medical
help right away:
Strokes have also been reported in some people who have COVID-19. Remember
FAST:
Face. Is one side of the person's face numb or drooping? Is their smile
lopsided?
Arms. Is one arm weak or numb? If they try to raise both arms, does one arm
sag?
Speech. Can they speak clearly? Ask them to repeat a sentence.
Time. Every minute counts when someone shows signs of a stroke. Call 911
right away.
According to researchers in China, these were the most common symptoms among
people who had COVID-19:
Fever 99%
Fatigue 70%
Cough 59%
Lack of appetite 40%
Body aches 35%
Shortness of breath 31%
Mucus/phlegm 27%
Some people who are hospitalized for COVID-19 also have dangerous blood clots,
including in their legs, lungs, and arteries.
If you don't feel well, stay home. Even if you have mild symptoms like a
headache and runny nose, stay in until you're better. This lets doctors focus on
people who are more seriously ill and protects health care workers and people
you might meet along the way. You might hear this called self-quarantine. Try
to stay in a separate room away from other people in your home. Use a
separate bathroom if you can.
Call the doctor if you have trouble breathing. You need to get medical
help as soon as possible. Calling ahead (rather than showing up) will let the
doctor direct you to the proper place, which may not be your doctor's office. If
you don't have a regular doctor, call your local board of health. They can tell
you where to go for testing and treatment.
Follow your doctor's advice and keep up with the news on COVID-
19. Between your doctor and health care authorities, you'll get the care you
need and information on how to prevent the virus from spreading.
Symptoms of COVID-19 can be similar to a bad cold or the flu. Your doctor will suspect
COVID-19 if:
(can ran
from
moderat
severe)
Fever Rare High (100-102 Never Common
F), Can last 3-
4 days
Headache Rare Intense Uncommon Can be pr
General aches, pains Slight Usual, often Never Can be pr
severe
Tiredness Mild Intense, starts Sometimes Common
early, c
Longhaul exhaustion Never Usual gone in Never Can be pr
2-3 weeks
Stuffy/runny nose Common Sometimes Common Has been
reported
Sneezing Usual Sometimes Usual Has been
reported
Sore throat Common Common Sometimes Has been
reported
Cough Mild to moderate Common, can Sometimes Common
become severe
Loss of smell and taste Sometimes Sometimes Never Has been
reported
Rash Rare Rare Can Happen Can Happ
Pink Eye Can Happen Can Happen Can Happen Can Happ
Diarrhea Never Sometimes in Never Has been
children reported
Shortness of Breath Rare Rare Rare, except In more
for those with serious
allergic asthma infections
Chest Pain Rare In more Rare In more
serious serious
infections infections
Unlike the flu, a lot of people aren't immune to the coronavirus because it's so new. If
you do catch it, the virus triggers your body to make things called antibodies.
Researchers are looking at whether the antibodies give you protection against catching
it again.
The coronavirus also appears to cause higher rates of severe illness and death than the
flu. But the symptoms themselves can vary widely from person to person.
While scientists hoped initially that higher temperatures and humidity levels might help
slow the spread of the coronavirus, that was not the case. Experts advise caution and
say thorough public health efforts have more influence than weather on the spread.
Also, past flu pandemics have happened year-round.
You also a have higher chance of serious illness if you have one of these health
conditions:
Some children and teens who are in the hospital with COVID-19 have an inflammatory
condition that doctors are calling multisystem inflammatory syndrome in children.
Doctors think it may be linked to the virus. It causes symptoms similar to those of toxic
shock and of Kawasaki disease, a condition that causes inflammation in kids' blood
vessels.
According to the study, there are several socio-economic reasons why preexisting
mood disorders can increase your chances for hospitalization and death if you get
COVID-19.
This includes:
Poverty
Lack of access to preventative health care
Ability to understand health recommendations
Lack of access to affordable health care
Living in tight spaces or facilities like nursing homes, homeless shelters, prisons,
or psychiatric inpatient units
In addition, people living with mental health conditions may have certain mood
disorder symptoms that can interfere with our ability to care for ourselves and be
engaged in our health. This can make it hard to effectively follow health behaviors like
maintaining social distance or staying in quarantine to reduce the spread of the
infection.
Moreover, people with mental health and mood disorders are also more likely to have
conditions like diabetes and heart problems that are major risk factors for severe
COVID-19.
Another study looked at 7,348 people with preexisting mood and psychiatric conditions
with confirmed COVID-19 infections. It found those living with schizophrenia were
more than twice as likely to die from COVID-19. Study experts noted that possible
delay in access to health care and other unknown or monitored health risk factors may
have led to the higher death rate.
Coronavirus Transmission
How does the coronavirus spread?
Risk of transmission is greatest within three to six feet of an infectious source where
the concentration of these very fine droplets and particles is greatest. If you breathe
them in or swallow them, the virus can get into your body. Some people who have the
virus don't have symptoms, but they can still spread the virus.
While less likely, you can also get the virus from touching a surface or object the virus
is on, then touching your mouth, nose, or possibly your eyes. Most viruses can live for
several hours on a surface that they land on. A study shows that SARS-CoV-2 can last
for several hours on various types of surfaces:
That's why it's important to wash or sanitize your hands regularly and disinfect
surfaces to get rid of the virus.
Some dogs and cats have tested positive for the virus. A few have shown signs of
illness. There's no evidence that humans can catch this coronavirus from an animal,
but it appears it can be passed from humans to animals.
The number of people infected by SARS-CoV-2 changes every day. See our news
story for the latest updates on this developing story.
The transmission rate is relatively high. Early research has estimated that one person
who has it can spread it to between 2 and 3.5 others. One study found that the rate
was higher, with one case spreading to between 4.7 and 6.6 other people. By
comparison, one person who has the seasonal flu will pass it to between 1.1 and 2.3
others.
The Omicron variant, which is now the dominant strain of COVID-19 in the United
States, is highly contagious and will likely spread faster than the original virus.
Scientists are still looking into how easily Omicron spreads compared to the previous
dominant variant, Delta. The CDC expects that someone who's infected with Omicron
can spread it to other people, even if the infected person is vaccinated or doesn't have
symptoms.
The CDC reports there is evidence COVID-19 can be transmitted if you get within 6
feet of someone who is infectious for a total of 15 minutes throughout a day. It had
previously been believed the exposure had to be 15 minutes at a time.
We can work to lower the transmission rate by wearing cloth face masks when we
can't stay 6 feet away from others, washing hands often, keeping common surfaces
clean, limiting contact with other people, and getting vaccinated.
You're much more likely to get COVID-19 from another person than from packages,
groceries, or food. If you're in a high-risk group, stay home and use a delivery service
or have a friend shop for you. Have them leave the items outside your front door, if
you can. If you do your own shopping, wear a cloth face mask and try to stay at least
6 feet away from other shoppers.
Wash your hands for at least 20 seconds before and after bringing things into your
home. The coronavirus can linger on hard surfaces, so clean and disinfect countertops
and anything else your bags have touched. You can wipe down plastic, metal, or glass
packaging with soap and water if you want.
There's no evidence that anyone has gotten COVID-19 from food or food containers.
Coronavirus Diagnosis
Call your doctor or local health department if you think you've been exposed and have
symptoms like:
A swab test is the most common testing method. It looks for signs of the virus in your
upper respiratory tract. You or the person giving the test puts a swab up your nose to
get a sample from the back of your nose and throat. That sample usually goes to a lab
that looks for viral material, but some areas may have rapid tests that give results in as
little as 15 minutes.
If there are signs of the virus, the test is positive. A negative test could mean there is
no virus or there wasn't enough to measure. That can happen early in an infection. It
usually takes 24 hours to get results, but the tests must be collected, stored, shipped
to a lab, and processed.
The FDA granted emergency-use authorizations for tests that include home nasal swab
tests, which you collect yourself and express ship back to the lab for analysis. The
agency also approved several at-home rapid tests. You can buy these over the counter
in pharmacies, at retail stores, or online -- but kits that give you rapid results (within
minutes) can sometimes be hard to find due to high demand. At-home tests are also
available for free at some local health departments or federally qualified health centers.
A swab test can only tell whether you have the virus in your body at that moment. But
you may also consider taking an antibody test which can show whether you've ever
been exposed to the virus, even if you didn't have symptoms. This is important in
officials' efforts to learn how widespread COVID-19 is. In time, it might also help them
figure out who's immune to the virus.
The FDA is working with laboratories across the country to develop more tests.
Coronavirus Prevention
Getting vaccinated against COVID-19 is a key part of prevention. But you should also
take these steps:
Cover your nose and mouth in public. If you have COVID-19, you can
spread it even if you don't feel sick. Wear a mask to protect others. This isn't a
replacement for social distancing. You still need to keep a 6-foot distance
between yourself and those around you. Don't use a face mask meant for
health care workers. And don't put a face covering on anyone who is:
o Under 2 years old
o Having trouble breathing
o Unconscious or can't remove the mask on their own for other reasons
Wash your hands often with soap and water or clean them with an
alcohol-based sanitizer. This kills viruses on your hands.
Don't touch your face. Coronaviruses can live on surfaces you touch for
several hours. If they get on your hands and you touch your eyes, nose, or
mouth, they can get into your body.
Practice social distancing. Because you can have and spread the virus
without knowing it, you should stay home as much as possible. If you do have
to go out, stay at least 6 feet away from others.
Clean and disinfect. You can clean first with soap and water, but disinfect
surfaces you touch often, like tables, doorknobs, light switches, toilets, faucets,
and sinks. Use a mix of household bleach and water (1/3 cup bleach per gallon
of water, or 4 teaspoons bleach per quart of water) or a household cleaner
that's approved to treat SARS-CoV-2. You can check the Environmental
Protection Agency (EPA) website to see if yours made the list. Wear gloves
when you clean and throw them away when you're done.
A mask is an added layer of protection for everyone, on top of vaccines and social
distancing efforts. You can spread the virus when you talk or cough, even if you don't
know that you have it or if you aren't showing signs of infection.
If you're fully vaccinated, wear a mask indoors in public places if you're in an area
where there's a high or “substantial” amount of COVID spreading around. If you aren't
fully vaccinated, always wear a mask in indoor public places. That goes for people 2
years old and up.
If you have a chronic health condition or you're taking meds that weaken your immune
system, wear a mask in indoor public places even if you're fully vaccinated. Do this
unless your doctor tells you otherwise. In general, you don't need to wear a mask
outside, where it's harder for the coronavirus to spread. But if COVID-19 cases are
high in your area, consider wearing one in crowded outdoor places and for outdoor
get-togethers that involve close contact with people who aren't fully vaccinated.
Anyone should wear a face mask if they're sick and around other people or animals,
even at home. Caregivers should use them when cleaning and disinfecting a sick
person's bedroom or bathroom. If you need to call 911, put on a mask before medical
help arrives.
Cloth masks are washable and reusable. The best ones have multiple layers of
breathable fabric and fit snugly over your nose and mouth. It's a good idea to buy
ones that come with a nose wire and are made with fabric that can block light.
Disposable masks, also called surgical masks, are also widely available. Choose ones
that have several layers of non-woven material. Pick a size that fits properly over your
nose and mouth and comes with a nose wire. Don't wear one that has gaps around the
sides of your face or nose, or has wet or dirty material.
N95 respirator masks fit tightly around your face and filter out 95% or more of the
smallest particles in the air. They have to fit you just right in order to work.
It's fine to buy a basic, disposable N95 respirator. Choose one that's high quality and
says “NIOSH Approved” on the label.
Health care workers need priority access to a type of N95 respirator that's specially
labeled “surgical.” Supplies of these can be limited and demand for them can be high.
Crowded places can raise your chances of getting COVID-19. The CDC recommends
against international or cruise ship travel during the pandemic. Restrictions are being
eased for those who are vaccinated, and some areas are using “vaccine passports” as
a way to open up to vaccinated travelers.
If you choose to travel, stay away from sick people. Wash your hands often, and try
not to touch your face. Wear a cloth face mask when you are around other people.
All airlines require all customers to use them. They are also required on other forms of
public transportation such as trains and buses.
Because the virus spreads from person to person, it's important to limit your contact
with other people as much as possible. and avoid large gatherings. Many states and
cities have eased restrictions but this doesn't mean the virus is gone. Continue to
follow safety practices such as wearing a cloth face mask in public places and washing
your hands.
While many companies continue to use work-from-home practices, that is not possible
for a lot of workers. Some people work in “essential businesses” that are vital to daily
life, such as health care, law enforcement, and public utilities. Everyone else should
continue to limit your time in public as much as you can and wear a cloth face mask
when you can't.
Coronavirus Vaccine
Vaccines are now available for children as young as 5 years old. These vaccines are a
third the dose of the Pfizer-BioNTech COVID-19 vaccine, which is authorized in those
12 and older. As in the adult version, the children's version requires two does, take 3
weeks apart.
A two-dose Moderna vaccine is also approved for adults, as is a single dose Johnson &
Johnson vaccine.
Top health experts have a preference for the type of vaccine that you choose. They
recommend that you choose a vaccine made with mRNA (like the ones from Pfizer and
Moderna) rather than the J&J vaccine, which is made differently. The recommendation
is endorsed by the CDC and comes from the Advisory Committee on Immunization
Practices, which reviewed the latest evidence on the effectiveness, safety, and rare
side effects of the available vaccines.
That said, if you can't get an mRNA vaccine or you don't want to, you should definitely
get the J&J vaccine. Receiving any COVID-19 vaccine is better than being
unvaccinated, experts say.
Booster shots of the Pfizer and Moderna vaccines are recommended for everyone 18
years and older at least 6 months after you've gotten your first two doses. (Sixteen-
and 17-year-olds who got their initial two doses from Pfizer are eligible to get the Pfizer
booster, too.)
A J&J booster is recommended for those 18 years and older at least 2 months after
receiving their original dose of the J&J vaccine.
If you're 18 or older, you can get a booster dose of any of the COVID vaccines
authorized in the U.S. That means you don't have to stick with same the vaccine you
initially got. For example, if your initial doses came from Moderna, you can get a
booster dose from Pfizer.
But remember, teens 16 and 17 who got the Pfizer vaccine are allowed only to get a
Pfizer booster shot.
You might have heard that you shouldn't take ibuprofen to treat COVID-19 symptoms.
But the National Institutes of Health says people who have the virus can use
nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen as usual.
Antibiotics won't help because they treat bacteria, not viruses. If you hear about
people with COVID-19 getting antibiotics, it's for an infection that came along with the
disease.
Many clinical trials are under way to explore treatments used for other conditions that
could fight COVID-19 and to develop new ones.
For instance, trials are under way for tocilizumab, another medication used to treat
autoimmune conditions. And the FDA is also allowing clinical trials and hospital use of
blood plasma from people who've had COVID-19 and recovered to help others build
immunity. You'll hear this called convalescent plasma. Currently, evidence of its
effectiveness is limited.
A variety of steroid medications are being used including dexamethasone which is used
to treat conditions such as arthritis, blood/hormone/immune system disorders, allergic
reactions,. More studies on effectiveness are still being conducted.
There's no cure yet, but researchers are working hard to find one.
COVID-19 Outlook
Every case is different. You may have mild flu-like symptoms for a few days after
exposure, then get better. But some cases can be severe or fatal.
More than a third of people older than 18 who have signs of the virus aren't totally
recovered 2 or 3 weeks later, according to a CDC survey. Fatigue and cough were the
symptoms that were most likely to linger.
Some other people who've had COVID-19 develop a condition similar to myalgic
encephalomyelitis, also known as chronic fatigue syndrome. They may have a brain
fog, severe fatigue, pain, trouble thinking, or dizziness.
Scientists and researchers are constantly tracking COVID-19 infections and recoveries.
But they don't have information about the outcome of every infection. Early estimates
predict that the overall COVID-19 recovery rate will be between 97% and 99.75%.
Yes. There have been cases of reinfection reported, but the CDC says they're rare.
Still, early data suggests that the Omicron variant is more likely to reinfect someone
than the Delta variant. And one study suggests that you can get reinfected with COVID
in 3 months or less if you're unvaccinated. The researchers who did the study think
reinfections will become more and more common as immunity wears off and new
variants emerge.
With other coronaviruses that only cause colds, you have a period that you're immune,
but that goes away over time. That also appears to be the case with this coronavirus.
Immunity is estimated to last at least three to four months.
Past Coronaviruses
Are coronaviruses new?
Coronaviruses were first identified in the 1960s. Almost everyone gets a coronavirus
infection at least once in their life, most likely as a young child. In the United States,
regular coronaviruses are more common in the fall and winter, but anyone can come
down with a coronavirus infection at any time.
The symptoms of most coronaviruses are similar to any other upper respiratory
infection, including a runny nose, coughing, sore throat, and sometimes a fever. In
most cases, you won't know whether you have a coronavirus or a different cold-
causing virus, such as a rhinovirus. You treat this kind of coronavirus infection the
same way you treat a cold.
Have there been other serious coronavirus outbreaks?
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