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Coronavirus Übersichtsartikel - ein Arzt klärt auf

Coronavirus overview article - a doctor sheds light

Definition of the coronavirus

The coronavirus, also known as SARS-CoV-2, is a virus that first appeared in the Chinese city of Wuhan at the end of 2019. It belongs to the coronavirus family, which can cause various illnesses in humans, from mild cold symptoms to severe respiratory infections. The coronavirus mainly spreads via droplet infection, for example when coughing or sneezing. However, it can also be transmitted via surfaces if you touch your face with contaminated hands. The disease caused by the coronavirus is known as COVID-19. Symptoms can vary and range from fever and cough to breathing difficulties. Older people and people with pre-existing conditions are particularly at risk. In order to contain the spread of the coronavirus, measures have been taken worldwide, such as the wearing of Mouth and nose protection maskssocial distancing and the closure of non-essential facilities. The development of vaccines and medicines against the coronavirus is also underway to combat the pandemic and ensure the well-being of the population.

Overview of the novel coronavirus (COVID-19)

The novel coronavirus, also known as COVID-19, is a global pandemic that originated in the Chinese city of Wuhan in December 2019. It is a disease caused by the SARS-CoV-2 virus. The virus has since spread to almost all countries, leading to numerous infections and deaths. The World Health Organization has officially classified the outbreak as a pandemic and governments around the globe have taken drastic measures to contain the spread of the virus.

1 Symptoms and transmission:

The symptoms of COVID-19 vary from mild illnesses such as cough and fever to severe courses with breathing difficulties and pneumonia. Transmission is mainly by droplet infection when in close contact with infected people.

2. preventive measures:

In order to contain the spread of the coronavirus, people are encouraged to wash their hands regularly, wear a mask wear a mask and maintain social distancing. Vaccinations are also recommended as an important protective measure.

3. impact on society:

COVID-19 has had a significant impact on the global economy, the education system and people's daily lives. Many countries have imposed lockdowns to contain the spread, leading to economic challenges and social isolation.

4. challenges in combating the pandemic:

The challenges in combating the coronavirus are manifold and include obtaining sufficient medical resources, developing vaccines and overcoming misinformation and conspiracy theories.

Overall, the situation surrounding the coronavirus remains challenging and requires close cooperation and comprehensive measures at both an individual and global level.

Identification and naming

The identification and naming of the various manifestations, complications and long-term consequences of COVID-19 is being carried out through extensive research and scientific exchange between various medical institutions and experts around the world.

First of all, the manifestations of COVID-19 are the various symptoms and signs that can occur with an infection. These typically include fever, cough and breathing difficulties, but also other less common symptoms such as loss of sense of taste or smell, diarrhea or fatigue.

Complications of COVID-19 are more serious courses of the disease or secondary diseases that can occur. These include pneumonia, blood clots, organ failure or multisystemic inflammatory syndrome in children (MIS-C). These complications can be life-threatening and require intensive medical treatment.

Long-term consequences of COVID-19 are physical or mental impairments that can persist even after an infection has been overcome. These can include fatigue, breathing difficulties, joint pain, difficulty concentrating or anxiety disorders. The exact cause and development of these long-term effects are currently the subject of intensive research.

International medical expert bodies such as the World Health Organization (WHO) are often consulted for the identification and naming of these various manifestations, complications and long-term effects of COVID-19. These expert groups work together to describe, classify and assign appropriate names to the individual phenomena to ensure consistent communication and research. Names are assigned according to specific scientific criteria and are based on the current state of knowledge in medical research.

Dissemination and transmission

The SARS-CoV-2 virus spreads mainly from person to person. It is transmitted by droplets excreted by an infected person and released into the air they breathe. When sneezing, coughing, speaking or even singing, these droplets are released and can infect other people in the immediate vicinity. However, droplets are not the only transmission route. Aerosols, i.e. tiny particles in the air, can also transport the virus and thus facilitate its spread.

Air movement plays an important role in the spread of the virus. In closed rooms, aerosols can remain in the air for a long time and thus increase the risk of infection. Good ventilation can reduce the risk, as fresh air can dilute the concentration of viral particles.

The spread of SARS-CoV-2 is influenced by various factors. The duration of contact with an infected person is an important factor, as prolonged exposure increases the risk of infection. Close physical contact, such as hugging or shaking hands, can facilitate transmission.

To contain the spread of the virus, it is important to follow hygiene measures such as regular hand washing, wearing masks and maintaining a minimum distance of 1.5 to 2 meters. This helps to reduce the transmission of droplets or aerosols and contain the spread of the virus. In addition, good ventilation indoors is of great importance to reduce the risk of infection.

Symptoms and severity

COVID-19 disease can be both mild and severe, with several demographic factors playing a role. Older people and those with pre-existing conditions have an increased risk of a severe course of the disease.

The symptoms of mild COVID-19 often resemble a common cold. Those affected may have a cough, runny nose, sore throat, headache, aching limbs and a slight fever. In more severe cases, however, they may experience breathing difficulties caused by inflammation of the lungs. This can lead to pneumonia, which can be potentially life-threatening.

The most common symptoms of COVID-19 are fever, cough and fatigue. Other symptoms may include loss of sense of taste or smell, muscle pain, diarrhea, nausea or vomiting. It is important to note that symptoms can vary from person to person.

Response of international health organizations

The coronavirus pandemic has led to an unprecedented challenge for healthcare systems worldwide in recent months. Faced with the rapid spread of the virus, international health organizations such as the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC) have responded quickly to contain the situation and recommend measures to contain the infection. These organizations have mobilized their expertise and resources to support governments and public health worldwide in dealing with the coronavirus crisis. Their responses and recommendations have focused on strengthening public health systems, promoting hygiene measures such as regular hand washing and social distancing, and implementing comprehensive testing and contact tracing. In addition, these organizations have called for the promotion of global cooperation between countries to jointly contain the spread of the virus. The role of international health organizations in managing the coronavirus pandemic is critical as they provide evidence-based guidance and recommendations to minimize the impact of the virus on the population and protect public health.

Involvement of the World Health Organization (WHO)

The World Health Organization (WHO) plays a crucial role in the fight against the coronavirus. The WHO has taken extensive measures and made resources available to contain the spread of the virus.

One important measure is the provision of information and guidelines for healthcare facilities and the public. The WHO publishes regular updates on the virus situation, symptoms, prevention measures and treatment options. This enables countries and organizations to make informed decisions and take appropriate action.

In addition, the WHO coordinates international efforts to research the virus. It works closely with scientists and research organizations around the world to study the effectiveness of vaccines and medicines and to develop treatment protocols. The organization has also established a global network of laboratories to conduct diagnostic tests and monitor the spread of the virus.

The WHO also provides resources to support health systems in poorer countries. It helps with the procurement of medical equipment and provides funding to strengthen the capacity of health facilities. This is particularly important as the virus poses an even greater challenge in developing countries.

All in all, the involvement of the World Health Organization plays an essential role in the fight against the coronavirus. Through its actions and resources, it is helping to contain the spread of the virus and save lives.

Collaboration with other global health organizations

Collaboration with other global health organizations in relation to the COVID-19 pandemic is of great importance. In order to effectively combat the spread of the coronavirus, it is crucial that countries and organizations around the world work together and share information. The World Health Organization (WHO) plays a central role in this by acting as a coordinator and guideline.

In this global crisis, regular meetings and conferences between various health organizations were essential. Relevant information on the current status of the pandemic and possible measures were exchanged. In addition, joint guidelines and recommendations were developed to coordinate the responses and measures of the individual countries. One example of this collaboration is the joint creation and updating of guidelines for testing, contact tracing and treatment of COVID-19 cases.

Global cooperation is not limited to organizations such as the WHO, but also includes close collaboration between governments, research institutes and other stakeholders in the healthcare sector. This cooperation makes it possible to use knowledge and resources more efficiently and contain the effects of the pandemic worldwide.

In summary, collaboration with other global health organizations regarding the COVID-19 pandemic is crucial to contain the spread of the virus and take effective action. This requires the sharing of relevant information and the development of common guidelines to coordinate the global response.

Impact on daily life in the affected regions

The impact of the coronavirus on daily life in the affected regions is severe. Due to the extensive restrictions on economic activities and individual mobility, many businesses are closed and people are losing their jobs. As a result, most people have to stay at home and rarely go out in public.

Public transport has been particularly affected, as it has been greatly reduced or has come to a complete standstill in many regions. As a result, there are fewer vehicles on the roads, which significantly reduces carbon dioxide emissions. At the same time, global tourism has come to a virtual standstill as travel restrictions and border closures are in place worldwide. As a result, there are fewer flights and cruises, which also contributes to a reduction in pollution.

The impact on the environment is already visible. In some cities, air quality is suffering less from pollution and there are reports of increased star visibility. There is also a positive impact on wildlife, with less human activity disturbing their habitats.

This crisis has highlighted how closely the economy, mobility and environment are linked. The reduced air pollution and lower carbon dioxide emissions during the coronavirus pandemic show that it is possible to reduce our environmental impact if we consciously manage our economic activities and individual mobility. This should serve as an incentive for us to strive for more sustainable lifestyles and economic models even after the current crisis is over.

Challenges for healthcare professionals

The COVID-19 pandemic has created enormous challenges for healthcare workers worldwide. The workload has increased dramatically as the number of patients requiring medical care has risen significantly. Staff are often working beyond their capacity to cope with the increasing demands. This increased workload can lead to exhaustion and leave staff with little time for rest.

The safety of healthcare staff is also severely compromised. They are working on the frontline to care for patients infected with the virus and are at high risk of infection. The lack of personal protective equipment has exacerbated the situation and increased concern for their own safety and that of family members. This creates additional psychological pressure on staff.

Various solutions and support measures have been implemented to meet these challenges. Healthcare staff have received increased training to respond appropriately to COVID-19 patients. Special isolation areas have also been set up to minimize the risk of infection. Support teams and psychological counseling have been implemented to cope with the psychological pressure and promote the well-being of staff.

In addition, the procurement of personal protective equipment has been increased to ensure the safety of employees. The use of technology, such as virtual consultations, has helped to reduce the workload and relieve the burden on healthcare staff.

Overall, the situation remains challenging for healthcare staff, but the solutions and support measures put in place are helping to reduce workload, improve safety and alleviate psychological pressure. It is important to continue investing in these measures to ensure the well-being and efficiency of healthcare staff during this pandemic.

Therapy

In light of the global COVID-19 pandemic, evidence-based guidelines and recommendations on therapy are of great importance to ensure effective treatment of COVID-19 patients. These guidelines are being developed to support healthcare professionals in decision-making and to ensure the best possible care for affected patients.

To determine these treatment recommendations, extensive evidence-based studies are used that reflect the current state of knowledge on the treatment of COVID-19. In these studies, various drug and non-drug approaches are investigated to evaluate the efficacy and safety of the different treatment options.

Due to the relatively recent research on this new virus, the evidence base may still be limited. This means that, in certain cases, treatment recommendations may be based on individualized treatment trials involving the temporary use of medication. This approach is known as off-label use and allows doctors to consider a specific treatment option, even if it is outside the approved indications.

COVID-19 treatment is a rapidly advancing field of knowledge, and guidelines and recommendations are regularly updated to reflect the latest findings. Close collaboration between researchers, clinicians and other relevant professionals is necessary to ensure appropriate and effective treatment of COVID-19 patients.

Infection control and hygiene

The spread of the coronavirus has led to drastic changes worldwide and increased awareness of infection control and hygiene sharpened. Certain measures are particularly important to prevent infection. These include washing your hands regularly, wearing masks and observing social distancing rules. Hands should be washed thoroughly with soap for at least 20 seconds, especially after touching surfaces in public or after sneezing or coughing. Wearing a protective mask is another important step in containing the spread of the virus. Masks should be worn on public transport, in stores and wherever the minimum distance cannot be maintained. In addition, observing social distancing rules is of great importance to prevent transmission of the virus. People should keep a minimum distance of one meter from each other, especially in closed rooms. Only if we observe these precautionary measures and consciously take care of Protection against infection and hygiene we can work together to contain the spread of the coronavirus.

Protective masks

Protective masksin particular particle-filtering half masks such as FFP3 and FFP2 masksare playing a crucial role in the fight against the current coronavirus pandemic. The purpose of these masks is to protect the wearer from particles, viruses and bacteria and at the same time prevent the wearer from infecting other people.

Particle-filtering half masks offer a high level of protection against harmful particles. They have a filter efficiency of at least 94% at FFP2 masks and at least 99% for FFP3 masks. As a result, they are able to catch both droplet infections and aerosols that may contain the SARS-CoV-2 virus.

It is important to emphasize that wearing protective masks not only protects the wearer, but also the environment. By wearing a FFP2 mask you minimize the risk of infecting other people, even if you may be asymptomatic.

To prevent infection with SARS-CoV-2 and contain the spread, it is therefore crucial to use protective masks, especially particle-filtering half masks. By familiarizing ourselves with these masks masks, we are helping to protect the health of our fellow human beings and stop the spread of the virus.

Antigen tests

Antigen tests are an important method for detecting the coronavirus and are used as an alternative to PCR testing. Antigens are proteins found on the surface of the virus. This test aims to detect these viral antigens in order to detect an acute COVID-19 infection.

The antigen test is carried out by taking a swab from the patient's nose or throat. The swab is then mixed with a buffer solution to isolate the virus. This solution is then applied to a test device. This test device contains specific antibodies that react with the viral antigens if they are present. If a reaction occurs, a visible result is produced indicating the presence of the virus.

A major advantage of the antigen tests is that they are quick and easy to perform and do not require complex laboratory equipment. The results are often available within 15-30 minutes. This makes them a valuable method for screening large populations, such as in schools or businesses.

However Antigen tests are less sensitive than PCR tests, which means that they may not be able to detect all infections. Therefore, negative antigen test results can still be confirmed by a PCR test, especially if symptoms are present or a close contact is a confirmed case.

Overall, antigen tests offer a quick and cost-effective way to identify possible COVID-19 infections and contain the incidence of infection.

How can I get tested?

There are various ways to get tested for the coronavirus (SARS-CoV-2). Both Antigen tests as well as PCR tests can be carried out by registered doctors as well as in pharmacies or laboratories.

With a Antigen test is a rapid testthat provides results within a few minutes. You can purchase these tests from many pharmacies for a fee and carry them out yourself at home. Alternatively, you can also go to a doctor's office where the test is carried out by medical professionals.

For a PCR test, which is considered more accurate, you usually need to make an appointment with a doctor. The sample is analyzed in a laboratory and the results are usually available after one to two days. Both general practitioners and laboratories offer these tests, but there is usually a charge for them.

If you have any questions about testing for the coronavirus, you can also contact the Office of the Upper Austrian Provincial Government, Directorate of Social Affairs and Health. They can provide you with further information and support.

All in all, there are various options for getting tested for coronavirus. Antigen tests can be carried out in pharmacies or by general practitioners, while PCR tests are usually available from doctors or laboratories. It is important to get tested if necessary in order to contain the spread of the virus and protect your own health and that of others.

Vaccination and medication

In the wake of the global coronavirus pandemic, several countries have emphasized vaccination and medication as important measures to combat the virus. These tools play a crucial role in containing the spread of COVID-19 and mitigating the associated risks and symptoms. Here is an overview of the vaccination and the various drugs that have been developed to fight the coronavirus.

Epidemiological fact sheet on SARS-CoV-2 and COVID-19

The epidemiological fact sheet on SARS-CoV-2 and COVID-19 has been thoroughly revised and now contains updated information from various chapters. Based on scientific literature, it provides a comprehensive overview of the epidemiology of this disease.

SARS-CoV-2, the causative agent of COVID-19, was first identified in China at the end of 2019 and has since spread worldwide. Transmission is mainly through droplet infection and direct contact with infected people. Studies have shown that the virus can also be transmitted via aerosols in the air. The incubation period is 5-6 days on average, but can also be up to 14 days.

The symptoms of COVID-19 vary from mild cold symptoms to severe pneumonia and multi-organ failure. Older people and people with pre-existing conditions are at higher risk of a severe course. Fatalities are frequently observed in patients with pneumonia and acute respiratory distress syndrome (ARDS).

Updated studies have shown that asymptomatic individuals can also spread the virus. Testing capacities must therefore be expanded to contain the spread. Wearing masks, washing hands regularly and observing social distancing rules are important measures to reduce the risk of infection.

It is recommended to regularly search for the latest scientific findings, as knowledge about SARS-CoV-2 and COVID-19 is constantly evolving. The scientific literature provides a reliable source of updated information.

1. pathogen

The pathogen SARS-CoV-2 belongs to the beta-coronavirus family. It has a characteristic surface structure consisting of spike proteins. These proteins bind specifically to the receptor ACE-2 on the cells of various organisms. ACE-2 serves as a gateway for the virus to enter the cells and thus enables infection.

SARS-CoV-2 has a high ability to spread among mammals and birds. Particularly affected mammals are bats, which are thought to serve as natural reservoirs for the virus. Close contact between bats, other animals and humans can lead to transmission. Only a few cases have been reported in birds, but it is assumed that they could be susceptible to the virus.

Different variants of SARS-CoV-2 have emerged during the course of the pandemic. These variants are classified on the basis of characteristic mutations and changes in the genome. Examples of known variants are the alpha, beta, gamma and delta variants. Some variants have changes in the spike proteins, which can have an impact on infectivity or the immune response.

SARS-CoV-2 is a highly contagious virus that has a broad dissemination capacity in mammals and possibly also in birds through the receptor ACE-2. The classification into different variants makes it possible to better understand the spread and characteristics of the virus and to take appropriate measures to combat the pandemic.

2. transmission routes

The new coronavirus, SARS-CoV-2, can be transmitted in different ways. According to the available background information, transmission occurs mainly through the respiratory ingestion of virus-containing particles. These enter the respiratory tract by being inhaled. Particularly in closed rooms, the particles can accumulate in the air and thus become a source of infection. Virus-containing droplets or aerosols are released when breathing, speaking, singing, coughing and sneezing. Droplets are larger particles that quickly lose size and fall to the ground, while aerosols are smaller particles that float in the air and can be dispersed over a longer period of time.

The size of the particles plays a decisive role in transmission. Larger droplets settle near the infected person and can be transmitted through direct contact. Aerosols, on the other hand, can spread around the room and be inhaled by other people. However, transmission routes can also be influenced by other factors. Air movement, for example, can influence the spread of droplets and aerosols. High humidity and adequate ventilation can help the particles to sink more quickly.

In summary, SARS-CoV-2 can be transmitted via breathing, coughing, talking, singing, sneezing and direct contact between people. Particle size, air movement, temperature, humidity and ventilation are factors that can influence transmission. To reduce the spread of the virus, it is important to follow hygiene measures such as wearing maskskeeping the minimum distance and regularly ventilating rooms.

3. transmission by asymptomatic, pre-symptomatic and symptomatic infected persons

The coronavirus can be transmitted by asymptomatic, pre-symptomatic and symptomatic infected persons. An asymptomatic infection occurs when a person carries the virus and spreads it without having visible symptoms such as fever, cough or breathing difficulties. Therefore, an asymptomatic person can unknowingly infect other people.

Pre-symptomatic infected people, on the other hand, show no symptoms at the beginning of the infection, but develop them later. During this time, the virus can already be transmitted. This pre-symptomatic stage makes it difficult to control the spread as these people may not know that they are infected and can infect others.

Transmission from people who are already symptomatic is particularly significant as they show the most obvious signs of infection. Typical symptoms of COVID-19 disease include fever, cough, shortness of breath, loss of taste and smell and general body aches. However, it is important to note that these symptoms may be completely absent.

This highlights the challenge in containing the virus, as even people without obvious symptoms can spread the virus. Therefore, it is crucial that both asymptomatic and pre-symptomatic individuals take measures such as wearing masks and social distancing to reduce transmission to others. By understanding and respecting these different routes of transmission, we can help contain the spread of the coronavirus.

4. reproduction number

The reproduction number (also called R-value) is an important epidemiological indicator that shows how many people an infected person infects on average. To contain the spread of SARS-CoV-2, the R-value should ideally be below 1. This can be achieved through various infection prevention measures, such as wearing masks, observing social distancing rules and regular hand washing.

In order to successfully reduce the R-value, it is important to draw on relevant information from background knowledge. This includes, for example, data on the rate of new cases and the spread of virus variants. If the rate of new cases is high or virus variants with a higher transmissibility are spreading, this can lead to an increase in the R-value. Prevention measures should therefore be strengthened and, if necessary, adapted to effectively contain the spread of the virus.

5 Incubation period and serial interval

The incubation period for COVID-19, i.e. the time from infection to the appearance of the first symptoms, is usually around 5-6 days. However, it can also take up to 14 days. The serial interval, i.e. the time from the infection of one person to the infection of another person, is estimated to be 4-5 days on average. However, it is important to note that these values can vary and depend on various factors such as the immune system and the viral load.

The alpha and delta virus variants differ from the original virus variant due to certain genetic changes. The alpha variant, which was first discovered in the UK, has, among other things, a higher transmissibility than the original variant. The delta variant, which was first identified in India, is even more contagious than alpha. It also has a shorter incubation period, which means that infected people can develop more quickly from infection to the onset of symptoms. In addition, delta appears to cause a greater viral load in infected individuals, which can lead to increased transmissibility.

The average incubation period for COVID-19 is around 5-6 days. The 95% percentile is around 12-14 days, which means that 95% of infected individuals develop symptoms within 12-14 days of infection. The serial interval is on average 4-5 days, which means that a person who is infected can infect other people around 4-5 days later.

Overall, the incubation period and serial interval are important factors in assessing the spread of COVID-19 and taking appropriate measures to contain the pandemic.

6. manifestation index

The COVID-19 pandemic has shown that the SARS-CoV-2 coronavirus can affect not only the lungs but also other organ systems. One of the main manifestations of COVID-19 affects the lungs. In severe cases, it can lead to pneumonia, which is characterized by the accumulation of fluid in the alveoli.

In addition, it has been observed that the nervous system can be affected by COVID-19. Some patients develop neurological symptoms such as headaches, dizziness and loss of taste or smell. In addition, it has been found that in some cases the virus can infect the brain, which can lead to severe neurological complications.

The digestive tract can also be affected by COVID-19. Many patients suffer from gastrointestinal symptoms such as nausea, vomiting and diarrhea. It has also been observed that the virus can infect the intestines in some cases.

The cardiovascular system can also be affected. Some patients develop heart problems such as myocarditis and irregular heartbeat. This can lead to serious complications, especially in patients with pre-existing heart disease.

In addition, COVID-19 has effects on the kidneys. Some patients have been found to develop kidney problems, such as acute renal failure. This can lead to kidney failure, which can be life-threatening.

Finally, COVID-19 can also affect the skin. Some patients have developed rashes and itchy skin, although this is not one of the most common symptoms.

It is important to note that some patients may experience complications such as co-infections, hyperinflammation syndrome and PIMS. Co-infections can occur when other infections develop in addition to COVID-19. Hyperinflammation syndrome is characterized by an excessive inflammatory reaction of the body, which can lead to serious complications. PIMS (pediatric inflammatory multisystem syndrome) mainly affects children and is characterized by inflammation of several organ systems.

In summary, COVID-19 can affect various organ systems and lead to complications. It is important to recognize and treat these manifestations and complications in order to avoid possible secondary damage.

7. Diagnostics

The diagnostics plays a crucial role in the detection and control of SARS-CoV-2 infections. There are various tests and procedures that are used to detect this virus. These include the PCR test, antigen tests and antibody tests. The PCR test is the most reliable and generally also the most frequently used test for detecting viral genetic material.

Virological diagnostics are of great importance, as they are used not only for detection, but also for reporting and controlling measures. The early detection of infections enables the sources of infection to be narrowed down in a targeted manner and thus helps to prevent further spread of the coronavirus.

The Robert Koch Institute (RKI) provides information on the testing strategy and implementation on its website. It explains who should be tested if an infection is suspected and how testing is carried out. It is emphasized that the testing strategy is regularly reviewed and adapted to reflect the latest findings and circumstances.

The diagnostics is an essential component in the fight against the COVID-19 pandemic. It not only enables the detection of infections, but also the implementation of targeted measures to contain the virus.

8 Demographic factors, symptoms and disease progression

To answer question 8, you should address the topic "Demographic factors, symptoms and disease progression" in relation to the coronavirus. Provide the writer with information on how certain demographic factors, such as age or pre-existing conditions, can affect the risk of infection or severe course of COVID-19. Also explain the various symptoms that may accompany the disease, such as fever, cough, difficulty breathing and loss of sense of taste or smell. Describe the typical course of the disease, which can range from mild flu-like symptoms to severe pneumonia and, in some cases, death. Also mention that the virus is mainly transmitted by droplet infection or direct contact with infected people. Be sure to include the keywords "Demographic factors, symptoms, course of disease, COVID-19, transmission" in your text. Please keep it to less than 200 words.

Source: istockphoto Xsandra

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