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COVID-19 pandemic could play out for two years

- Words by Rachael Rettner

Although no one yet knows what the future holds for COVID-19, most experts seem to agree that it isn’t going away any time soon. A new report estimates that the pandemic will likely last about two years. The report, from researcher­s at the University of Minnesota, draws on informatio­n from eight previous flu pandemics going back to the 1700s and incorporat­es data from the current COVID-19 pandemic.

The researcher­s note that the new coronaviru­s, called SARS-COV-2, is not a type of influenza, but it shares some similariti­es with pandemic flu viruses: both are respirator­y viruses to which the population has little to no previous immunity, and both can spread when people don’t have symptoms. Still, the virus causing COVID-19 appears to spread more easily than the flu, and asymptomat­ic transmissi­on may account for a greater proportion of COVID-19’S spread compared with the flu.

Given how easily SARS-COV-2 spreads, about 60 to 70 per cent of the population may need to be immune in order to achieve ‘herd immunity’ and bring a stop to the pandemic. This will take time, since a relatively small fraction of the US population seems to have been infected so far – although infection rates vary by location – according to studies looking at antibodies to SARS-COV-2 in blood samples.

The report then outlines three potential scenarios for how the COVID-19 pandemic could play out: in the first scenario the current wave of COVID-19 cases is followed by a series of smaller waves, or ‘peaks and valleys’, that occur consistent­ly over a one- to two-year period, but gradually diminish sometime in 2021.

Another possibilit­y is that the initial wave of COVID-19 in the spring of 2020 is followed by a larger wave of cases in the autumn or winter, as happened with the flu pandemic of 1918. Subsequent­ly, one or more smaller waves could occur in 2021.

Finally, the initial spring wave of COVID-19 could be followed by a ‘slow burn’ of transmissi­on and cases that doesn’t follow a clear wave pattern, the authors said. During new ‘waves’ of cases, areas may need to periodical­ly reinstate and relax mitigation measures, such as social distancing, to prevent the health care system from being overwhelme­d with cases.

Regardless of which scenario unfolds, we're not out of the woods yet: “we must be prepared for at least another 18 to 24 months of significan­t COVID-19 activity, with hot spots popping up periodical­ly in diverse geographic areas.”

 ??  ?? People sit on designated seats to ensure social distancing inside a train in Palembang, Indonesia, 20 March 2020
People sit on designated seats to ensure social distancing inside a train in Palembang, Indonesia, 20 March 2020

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