This article was first published on Jan. 27, 2020, and last updated on Jan. 22, 2021.
Human coronaviruses (CoV) are a large family of viruses that can cause a variety of illnesses ranging from the common cold to severe diseases like Middle East respiratory syndrome (MERS-CoV) and Severe acute respiratory syndrome (SARS-CoV). The World Health Organization says novel coronavirus (SARS-CoV-2) is a new strain that had not been previously identified in humans until late 2019.
Human coronavirus was first discovered in 1965 and accounts for many cases of the common cold. The virus gets its name from its crown-like shape. Coronaviruses are zoonotic, which means they're transmitted between animals and people. SARS-CoV was transmitted from civet cats to humans and researchers suspect MERS-CoV is transmitted from dromedary camels to humans.
What Is Coronavirus?
Coronaviruses affect all age groups, and most are not dangerous. They often only cause mild symptoms like a stuffy nose, cough and sore throat that can be treated with rest and over-the-counter medications. Most coronaviruses spread like any other cold viruses spread, including:
- through the air by coughing and sneezing
- close personal contact, such as touching or shaking hands with someone who's sick
- touching an object with the virus on it, then touching your mouth, nose or eyes
The U.S. Centers for Disease Control and Prevention (CDC) says people in the United States who get a coronavirus will usually get infected in the fall and winter, though it can happen any time of the year. And most people will get infected with one or more of the common human coronaviruses (229E, NL63, OC43 and HKU1) during their lifetime.
Signs of Infection
- runny nose
- shortness of breath
- sore throat
Severe cases can lead to pneumonia, acute respiratory syndrome, kidney failure and even death.
Novel Coronavirus (SARS-CoV-2)
While four strains of coronaviruses (229E, NL63, OC43 and HKU1) are typically not severe, three others have proven deadly. An outbreak of respiratory illness caused by the new coronavirus (named SARS-CoV-2) was first reported in Wuhan City, Hubei Province, China, in early January 2020. Chinese health officials noted thousands of cases of COVID-19, the disease caused by novel coronavirus, in China, and infections were reported in several international locations, including the U.S.
The novel coronavirus virus spreads via person-to-person contact, which is why the CDC and WHO recommend citizens wear masks in public. The symptoms of novel coronavirus are similar to other coronaviruses and include:
- fever or chills
- shortness of breath or difficulty breathing
- body aches
- loss of taste or smell
- sore throat
- congestion or runny nose
- nausea or vomiting
The Chinese government took unprecedented steps early on to curb the virus by placing almost 60 million people on lockdown, and banning travel to and from 15 cities in the Chinese province of Hubei. Other countries followed suit, but the lockdowns and travel restrictions didn't last.
Now more than a year after the virus was first discovered and at the time of this update, at least 2 million people have died and more than 95 million people have been infected with COVID-19 worldwide, according to the World Health Organization. India has more than 10.5 million confirmed cases and 152,000 deaths; the United Kingdom has more than 3.4 million cases and 91,000 deaths; Brazil now has more than 8.5 million cases 210,000 deaths; and the United States, the worst-hit country in the world, has more than 23 million confirmed cases and 400,000 deaths.
What If You're Exposed to Novel Coronavirus?
If you're exposed to someone with COVID-19 — or start having symptoms of the disease, you need to self-quarantine or self-isolate. Even if you aren't experiencing symptoms, quarantine is the tool used to keep someone who might have been exposed to COVID-19 away from others and potentially exposing them. This helps prevent more spread of the disease. If you're told to quarantine or self-isolate, you should stay home and away from others, and monitor your symptoms for at least 10 days.
You can also opt for a coronavirus test to reduce the time of your quarantine. The CDC says you can end your quarantine after day seven if you receive a negative test result and you took the test after at least five days after your exposure. However, the CDC also says if you choose to end your quarantine, you should continue to monitor your symptoms until 14 days after exposure, wear a mask, social distance, wash your hands and avoid crowds.
How to Protect Yourself From COVID-19
People can take steps to protect themselves from COVID-19. Here are the three most important steps to slow the spread:
- Wear a face mask over your nose and mouth when in public.
- Avoid large crowds. The more people you are in contact with, the more likely you are to be exposed to COVID-19.
- Social distance — stay at least 6 feet (2 meters) apart from people you don't live with.
Other steps you can take to avoid being exposed:
- Avoid poorly ventilated spaces.
- Cough and sneeze into a tissue and immediately throw used tissues into a lined trash can.
- Wash hands often with soap and water for at least 20 seconds.
- Use an alcohol-based hand sanitizer if soap and water are not available.
- Clean and disinfect frequently touched surfaces often.
- Don't share household items like cups, forks, towels and bedding with someone who has the virus.
There is good news on the horizon. An unprecedented amount of resources — and money — have been put behind finding vaccines that work that work on COVID-19, the disease caused by the novel coronavirus. And several companies have succeeded. Two in particular — Moderna and Pfizer — have led the charge with their game-changing synthetic messenger ribonucleic acid — mRNA — vaccines. They're different from traditional vaccines, which typically use a weakened (or attenuated) form of the virus to jolt a person's immune system to combat sickness.
MRNA vaccines, on the other hand, use DNA technology to push our bodies into producing antibodies to attack and neutralize the spiky coronavirus before it hooks onto healthy cells and gets us sick. Both vaccines require two doses, but studies show both theModerna and Pfizer vaccines are about 95 percent effective in preventing COVID-19.
Both vaccines have been approved for use across the globe, and are people are being vaccinated in countries worldwide. Several other vaccines, including ones from AstraZeneca, Janssen and Novavax, are still in large-scale clinical trials in the United States.
New COVID-19 Variants
Multiple variants of the novel coronavirus that causes COVID-19 have been found in the United States and across the globe. That's not uncommon, though, as viruses constantly mutate. What scientists do know about these new variants is they seem to spread more easily than other variants. Here's more information on three new variants as of this update:
- B.1.1.7: This variant first emerged in the United Kingdom in September 2020 and is now found mostly in London and southeast England. It has many different mutations. It has been proven to spread more easily and quickly than others. However, there is no evidence that B.1.1.7 causes more severe illness or an increased risk of death. B.1.1.7 has been detected around the world, including in the United States and Canada.
- 1.351: This variant was originally detected in early October 2020 in South Africa and has some of the same mutations as variant B.1.1.7. It has been detected outside of South Africa, but not in the United States.
- P.1: Four travelers from Brazil, who were tested during routine screening outside Tokyo, Japan, were found to be infected with the variant P.1. This variant is concerning because it has mutations that could affect its ability to be recognized by antibodies.
The other two deadly coronaviruses are SARS and MERS. Severe acute respiratory syndrome (SARS) is a type of coronavirus that was first reported in Asia in February 2003. Detailed investigations found that SARS-CoV was transmitted from civet cats to humans. Due to its contagious nature, SARS became a world epidemic, spreading to 32 countries and infecting 8,459 people. Many of the people who contracted SARS also developed pneumonia, and almost 800 people died as a result of SARS.
SARS generally starts with a high fever (higher than 100.4 degrees Fahrenheit [38 degrees Celsius]), and leads to headache and body aches. Other symptoms include diarrhea and mild respiratory issues. After about a week, most people develop a cough and eventually pneumonia.
Like other coronaviruses, SARS spreads through person-to-person contact. But the CDC says the SARS virus might spread through the air or in other ways that are still not known. The good news is since 2004 there has not been a recorded case of SARS.
Middle East respiratory syndrome (MERS) is a type of coronavirus that was first reported in Saudi Arabia in 2012. It has since spread to several other countries, including the United States. Most people infected with MERS-CoV developed severe respiratory illness, including fever, cough and shortness of breath. The World Health Organization has documented 2,494 cases of MERS since 2012 and 858 deaths.
The symptoms of MERS are similar to other coronaviruses and include:
- shortness of breath
Research has suggested that MERS is spread via person-to-person contact; however, some evidence has shown that dromedary camels also are a major host for MERS-CoV and source of MERS infection in humans. The WHO is still not clear on how the virus jumped from animals to humans, but strains of MERS that are identical to human strains have been isolated from camels in several countries, including Egypt, Oman, Qatar and Saudi Arabia.
There currently is no vaccine for MERS, but scientists are working on creating one. In the meantime, the best ways to protect yourself from MERS are to:
- Wash your hands often with soap and water.
- Use alcohol-based hand sanitizer if soap and water are not available.
- Cover your nose and mouth with a tissue when you cough or sneeze.
- Avoid touching your eyes, nose and mouth with unwashed hands.
- Avoid personal contact, such as kissing, or sharing cups or eating utensils, with sick people.
- Disinfect frequently touched surfaces and objects, such as doorknobs.
Originally Published: Jan 27, 2020