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COVID-19 pandemic in Australia

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93-676: The COVID-19 pandemic in Australia was a part of the worldwide pandemic of the coronavirus disease 2019 ( COVID-19 ) caused by severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ). The first confirmed case in Australia was identified on 25 January 2020, in Victoria , when a man who had returned from Wuhan , Hubei Province, China , tested positive for the virus. As of 6 August 2022, Australia has reported over 11,350,000 cases and 19,265 deaths, with Victoria's 2020 second wave having

186-406: A Bluetooth-based contact tracing app that does not use the privacy-preserving Exposure Notification framework supported natively by Android and Apple smartphones, and while these efforts were not particularly effective, QR code -based contact tracing apps became ubiquitous in Australia's businesses. These apps, which are effectively required by State Governments, give government health departments

279-625: A healthy diet are also recommended. Supportive care in severe cases includes treatment to relieve symptoms , fluid therapy , oxygen support and prone positioning , and medications or devices to support other affected vital organs. More severe cases may need treatment in hospital. In those with low oxygen levels, use of the glucocorticoid dexamethasone is recommended to reduce mortality. Noninvasive ventilation and, ultimately, admission to an intensive care unit for mechanical ventilation may be required to support breathing. Extracorporeal membrane oxygenation (ECMO) has been used to address

372-615: A variant of concern (VoC) or a variant of interest (VoI). Many of these variants have shared the more infectious D614G . As of May 2023, the WHO had downgraded all variants of concern to previously circulating as these were no longer detected in new infections. Sub-lineages of the Omicron variant (BA.1 – BA.5) were considered separate VoCs by the WHO until they were downgraded in March 2023 as no longer widely circulating. As of 24 September 2024 ,

465-493: A comprehensive international study. Such deaths include deaths due to healthcare capacity constraints and priorities, as well as reluctance to seek care (to avoid possible infection). Further research may help distinguish the proportions directly caused by COVID-19 from those caused by indirect consequences of the pandemic. In May 2022, the WHO estimated the number of excess deaths by the end of 2021 to be 14.9 million compared to 5.4 million reported COVID-19 deaths, with

558-604: A fine of A$ 11,000 to A$ 50,000 and a possible prison sentence, depending on the state. Cruise ships were also barred from docking in the country for 30 days. On 20 March, Australia closed its borders to all non-residents and non-Australian citizens. With limited exceptions, a ban was imposed on Australians travelling overseas. By late March 2020, 62% of Australia's more than 3,000 coronavirus cases were among people who had returned from overseas. From then, Australians returning from overseas were subject to two weeks compulsory quarantine in hotels. The New South Wales quarantine program

651-467: A host of restrictions were removed. This included the requirement to wear masks on aircraft, in Western Australia the requirement to wear masks on passenger transport was removed as well. The COVID-19 mandatory isolation period was also reduced to 5 days On 21 September 2022 South Australia, New South Wales, Queensland ended the mask mandate on passenger transport On 22 September 2022 Victoria ended

744-478: A large contact tracing workforce; comparatively high public trust in government responses to the pandemic, at least compared to the US and later on, the use of short, intense lockdowns to facilitate exhaustive contact tracing of new outbreaks. Australia's international borders have also remained largely closed, with limited numbers of arrivals strictly controlled, for the duration of the pandemic. Australia sought to develop

837-590: A large number of people". During the COVID-19 pandemic, as with other pandemics, the meaning of this term has been challenged. The end of a pandemic or other epidemic only rarely involves the total disappearance of a disease, and historically, much less attention has been given to defining the ends of epidemics than their beginnings. The ends of particular epidemics have been defined in a variety of ways, differing according to academic field, and differently based on location and social group. An epidemic's end can be considered

930-460: A maximum of 10 people were allowed to attend weddings, a maximum of 20 mourners were allowed to attend funerals, and faith and religious gatherings were allowed to resume, subject to patron limitations. With a length of 112 days, this Victorian COVID-19 lockdown was the longest continuous lockdown world-wide, as of October 2020. Victoria recorded no deaths between late October 2020 and August 2021. New South Wales recorded their first death of

1023-448: A median range of 0.24% to 1.49%. IFRs rise as a function of age (from 0.002% at age 10 and 0.01% at age 25, to 0.4% at age 55, 1.4% at age 65, 4.6% at age 75, and 15% at age 85). These rates vary by a factor of ≈10,000 across the age groups. For comparison, the IFR for middle-aged adults is two orders of magnitude higher than the annualised risk of a fatal automobile accident and much higher than

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1116-614: A more general infectious disease framework. A novel coronavirus that caused a respiratory illness was identified in Wuhan , Hubei, China, in December 2019, and was reported to the World Health Organization (WHO) on 31 December 2019, which confirmed its concern on 12 January 2020. WHO declared the outbreak a Public health emergency of international concern on 30 January, and a pandemic on 11 March. The case fatality rate of COVID-19

1209-815: A random sample have consistently found that total infections considerably exceed the reported case counts. Many countries, early on, had official policies to not test those with only mild symptoms. The strongest risk factors for severe illness are obesity, complications of diabetes , anxiety disorders, and the total number of conditions. During the start of the COVID-19 pandemic it was not clear whether young people were less likely to be infected, or less likely to develop symptoms and be tested. A retrospective cohort study in China found that children and adults were just as likely to be infected. Among more thorough studies, preliminary results from 9 April 2020 found that in Gangelt ,

1302-605: A record 262 cumulative days throughout the pandemic. The lockdown in Sydney ended on 11 October 2021 after 106 days, following the initial Delta variant outbreak. Australia began to re-open to the world from 1 November 2021, with vaccinated Australian citizens and permanent residents allowed to enter NSW and Victoria without being restricted by strict flight cap numbers or long hotel quarantine stays from that date. On 8 November, Queensland premier Annastacia Palaszczuk announced that as of 17 December, all eligible unvaccinated citizens over

1395-529: A reduced arrival cap. The total national weekly cap of 4,100 increased to approximately 6,300. On 11 February 2021, the airline Cathay Pacific decided that, excepting Sydney, from 20 February it would cease all flights to Australia until the end of the month. This was in response to the Hong Kong government's new COVID rules requiring Hong Kong based aircrew to quarantine for 14 days on return to HK. COVID-19 pandemic The COVID-19 pandemic (also known as

1488-450: A significant role in sparing Australia from the spread of COVID-19 in the early stages of the pandemic. This is in contrast to other major cities in Europe and North America, where the early spread of the virus continued undetected until late February 2020 or early March 2020. On 23 January 2020, biosecurity officials began screening arrivals on flights from Wuhan to Sydney . Two days later

1581-410: A social phenomenon, not just a biological one. Time reported in March 2024 that expert opinions differ on whether or not COVID-19 is considered endemic or pandemic, and that the WHO continued to call the disease a pandemic on its website. During the initial outbreak in Wuhan , the virus and disease were commonly referred to as "coronavirus", "Wuhan coronavirus", "the coronavirus outbreak" and

1674-451: A test. Conversely, deaths of people who died from underlying conditions following a positive test may be included. Countries such as Belgium include deaths from suspected cases, including those without a test, thereby increasing counts. Official death counts have been claimed to underreport the actual death toll, because excess mortality (the number of deaths in a period compared to a long-term average) data show an increase in deaths that

1767-518: Is associated with COVID-19 and is reported in as many as 88% of cases. The disease is mainly transmitted via the respiratory route when people inhale droplets and small airborne particles (that form an aerosol ) that infected people exhale as they breathe, talk, cough, sneeze, or sing. Infected people are more likely to transmit COVID-19 when they are physically close to other non-infected individuals. However, infection can occur over longer distances, particularly indoors. SARS‑CoV‑2 belongs to

1860-533: Is discouraged altogether by the World Health Organization (WHO), due to limited evidence of its efficacy. The severity of COVID-19 varies. It may take a mild course with few or no symptoms, resembling other common upper respiratory diseases such as the common cold . In 3–4% of cases (7.4% for those over age 65) symptoms are severe enough to cause hospitalisation. Mild cases typically recover within two weeks, while those with severe or critical diseases may take three to six weeks to recover. Among those who have died,

1953-439: Is intended to provide acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2), the virus that causes coronavirus disease 2019 ( COVID-19 ). Prior to the COVID-19 pandemic, an established body of knowledge existed about the structure and function of coronaviruses causing diseases like severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). This knowledge accelerated

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2046-443: Is much lower than that of SARS , a related disease which emerged in 2002, but its transmission has been significantly greater, leading to a much greater total death toll. The widespread reporting of the bushfire season in major media and social media around the world caused a significant drop in the number of tourists coming to Australia, including those from China. The absence of tourist arrivals during this time could have played

2139-485: Is not explained by COVID-19 deaths alone. Using such data, estimates of the true number of deaths from COVID-19 worldwide have included a range from 18.2 to 33.5 million (≈27.4 million) by 18 November 2023 by The Economist , as well as over 18.5 million by 1 April 2023 by the Institute for Health Metrics and Evaluation and ≈18.2 million (earlier) deaths between 1 January 2020, and 31 December 2021, by

2232-452: Is the ratio of deaths to diagnoses. This metric can be misleading because of the delay between symptom onset and death and because testing focuses on symptomatic individuals. Based on Johns Hopkins University statistics, the global CFR was 1.02 percent (6,881,955 deaths for 676,609,955 cases) as of 10 March 2023. The number varies by region and has generally declined over time. Several variants have been named by WHO and labelled as

2325-406: Is the seventh known coronavirus to infect people, after 229E , NL63 , OC43 , HKU1 , MERS-CoV , and the original SARS-CoV . The standard method of testing for presence of SARS-CoV-2 is a nucleic acid test , which detects the presence of viral RNA fragments. As these tests detect RNA but not infectious virus, its "ability to determine duration of infectivity of patients is limited." The test

2418-614: Is typically done on respiratory samples obtained by a nasopharyngeal swab ; however, a nasal swab or sputum sample may also be used. The WHO has published several testing protocols for the disease. Preventive measures to reduce the chances of infection include getting vaccinated, staying at home or spending more time outdoors, avoiding crowded places, keeping distance from others, wearing a mask in public, ventilating indoor spaces, managing potential exposure durations, washing hands with soap and water often and for at least twenty seconds, practising good respiratory hygiene, and avoiding touching

2511-617: The COVID-19 Delta variant on 29 August 2021, with six deaths, and a record 1,218 new local confirmed cases. Whilst the daily number of cases continues to increase, at the time this was the highest daily confirmed case total Australia had received on a single day, surpassing Victoria's record in the previous wave. However, the recorded COVID-19 deaths is significantly lower than the 41 daily deaths recorded in Victoria during its peak. On 30 August in NSW,

2604-501: The Huanan Seafood Wholesale Market there, but it is possible that human-to-human transmission began earlier. Molecular clock analysis suggests that the first cases were likely to have been between October and November 2019. The scientific consensus is that the virus is most likely of a zoonotic origin, from bats or another closely related mammal. While other explanations such as speculations that SARS-CoV-2

2697-407: The Institute for Health Metrics and Evaluation estimating the true number of cases as of early 2022 to be in the billions. One measure that public health officials and policymakers have used to monitor the pandemic and guide decision-making is the test positivity rate ("percent positive"). According to Johns Hopkins in 2020, one benchmark for a "too high" per cent positive is 5%, which was used by

2790-606: The Ministry of Health reported four deaths in the previous 24 hours of people confirmed to have had COVID-19. One of them, a man in his 50s who died at Dubbo Hospital, is believed to be the first Aboriginal or Torres Strait Islander COVID-19 related death. He was not vaccinated. The total number of COVID related deaths in NSW reached 149 since the beginning of the pandemic, and 93 during the NSW Delta outbreak. The official national death toll broke 1,000 at 1,002. On 31 August in Victoria,

2883-597: The basic reproduction number (R 0 ) for COVID-19 in January 2020 were between 1.4 and 2.5, but a subsequent analysis claimed that it may be about 5.7 (with a 95 per cent confidence interval of 3.8 to 8.9). In December 2021, the number of cases continued to climb due to several factors, including new COVID-19 variants. As of that 28   December, 282,790,822 individuals worldwide had been confirmed as infected. As of 14 April 2022 , over 500 million cases were confirmed globally. Most cases are unconfirmed, with

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2976-423: The coronavirus pandemic and COVID pandemic ), caused by severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ), began with an outbreak of COVID-19 in Wuhan , China, in December 2019. It spread to other areas of Asia, and then worldwide in early 2020. The World Health Organization (WHO) declared the outbreak a public health emergency of international concern (PHEIC) on 30 January 2020, and assessed

3069-474: The variants of interest as specified by the World Health Organization are BA.2.86 and JN.1, and the variants under monitoring are JN.1.7, KP.2, KP.3, KP.3.1.1, JN.1.18, LB.1, and XEC. Symptoms of COVID-19 are variable, ranging from mild symptoms to severe illness. Common symptoms include headache, loss of smell and taste , nasal congestion and runny nose , cough, muscle pain , sore throat , fever, diarrhoea , and breathing difficulties . People with

3162-429: The "Wuhan coronavirus outbreak", with the disease sometimes called "Wuhan pneumonia ". In January 2020, the WHO recommended 2019-nCoV and 2019-nCoV acute respiratory disease as interim names for the virus and disease per 2015 international guidelines against using geographical locations (e.g. Wuhan, China), animal species, or groups of people in disease and virus names in part to prevent social stigma . WHO finalised

3255-572: The "second wave" ended when Victoria recorded zero new cases and zero deaths statewide for the first time since 9 June. On the same day, Daniel Andrews announced a significant easing of restrictions to take effect over the coming weeks. From 11.59 pm on 27 October, people no longer required a reason to leave home, all retail, restaurants, hotels, cafes and bars were allowed to open with capacity limits, beauty, personal services and tattooing were allowed to reopen, outdoor community sport for under 18 and outdoor non-contact sport for adults recommenced,

3348-535: The 2021 wave on 10 July 2021. On 18 June in NSW, a SARS-CoV-2 Delta variant COVID-19 cluster in Sydney's Eastern Suburbs had grown to 4 cases. On 25 June in NSW, after 22 new cases of the Delta variant brought infections linked to the Bondi cluster to 65 total, an initial lockdown was announced for four Sydney local government areas (LGAs). New South Wales recorded its "worst day" of its continuing June 2021 outbreak of

3441-477: The Australian Capital Territory on 28 February 2023. On 23 June 2023, Queensland ended the COVID-19 traffic light advice as the disease became managed in-line with other viral diseases. The largest cluster in Australia from the start of the pandemic until 5 November 2021, when Australia reached its 80 percent vaccination target and entered the consolidation phase of its COVID-19 transition plan,

3534-429: The Australian Capital Territory. On 22 January 2022, Australia exceeded 3,000 deaths related to COVID-19 since the beginning of the pandemic. By 4 February 2022, 4,000 COVID-19 related deaths were exceeded. This increased to 5,000 by 23 February. On 21 February 2022 border restrictions were removed for all vaccinated people, including non-citizens such as tourists and new immigrants, effectively opening Australia up to

3627-572: The Australian government after continually stating COVID-zero was not sustainable, published the 'National Plan' to live with COVID. As outbreaks of SARS-CoV-2 Delta variant which started in June 2021 in New South Wales spread, almost half of Australia's population and most major cities were in lockdown for at least 3 days during July 2021. The outbreak worsened in New South Wales and spread to Victoria in

3720-571: The Australian population were vaccinated. The SARS-CoV-2 Omicron variant drove a record rise in infections, leading to New South Wales to have one of the highest infection rates worldwide. On 18 January 2022, 77 COVID-19 deaths were reported in Australia, the highest number to that point far, though not all had occurred on the same day (17 January). There were 36 in New South Wales, 22 in Victoria, 16 in Queensland, 2 in South Australia, and 1 in

3813-567: The Northern Territory closed their borders, with all interstate arrivals being required to self-isolate for 14 days. On 11 April, Queensland banned interstate arrivals, with only Queensland residents and those granted 'exemption' being allowed entry. On 8 July, the Victorian and NSW governments, jointly closed their common border, following a large spike in cases in parts of Melbourne. With the spike in coronavirus infections in Victoria linked to

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3906-529: The Omicron variant. On 30 November, a positive case of the Omicron variant was recorded in Sydney. The person had visited southern Africa before arriving in Sydney prior to travel restrictions, and was subsequently active in the community in Sydney and the Central Coast . On 3 December, a positive Omicron variant case was confirmed in the ACT. Most public health restrictions were lifted in December 2021, after 90% of

3999-636: The WHO in the past. As of 10 March 2023, more than 6.88   million deaths had been attributed to COVID-19. The first confirmed death was in Wuhan on 9 January 2020. These numbers vary by region and over time, influenced by testing volume, healthcare system quality, treatment options, government response, time since the initial outbreak, and population characteristics, such as age, sex, and overall health. Multiple measures are used to quantify mortality. Official death counts typically include people who died after testing positive. Such counts exclude deaths without

4092-419: The WHO, US, European Union, and Australia. On 12 November 2022, the WHO released its Global Vaccine Market Report. The report indicated that "inequitable distribution is not unique to COVID-19 vaccines"; countries that are not economically strong struggle to obtain vaccines. On 14 November 2022, the first inhalable vaccine was introduced, developed by Chinese biopharmaceutical company CanSino Biologics , in

4185-412: The ability to reconstruct the presence and possible contacts of anyone carrying a mobile telephone handset that was capable of checking-in using a QR code at the time of visiting shops, bars, restaurants or similar venues, generally for 28 days after the visit. Furthermore, venues are required to provide alternative contact registration for anyone unable to use the app. On 1 February 2020, Australia banned

4278-570: The age of 16 would be banned from pubs, clubs, cafes, restaurants, cinemas, theatres, music festivals and stadiums, government-owned galleries, museums and libraries, and they would not be allowed to visit hospitals, aged care facilities, prisons or disability services, among other restrictions. The premier described this as "a reward for the fully vaccinated and a precaution for when the borders open", and stated that restrictions were expected to continue into 2022. On 28 November 2021, NSW Health confirmed that two returned travellers had tested positive for

4371-515: The beginning of April to under 20 cases per day by the end of the month. Australia was one of few countries to pursue a zero-COVID "suppression" strategy until late 2021, meaning it aimed to minimise domestic community transmission. Implementation involved strict controls on international arrivals and aggressively responding to local outbreaks with lockdowns and exhaustive contact tracing of domestic COVID-19 clusters . A second wave of infections emerged in Victoria during May and June 2020, which

4464-448: The broad family of viruses known as coronaviruses . It is a positive-sense single-stranded RNA (+ssRNA) virus, with a single linear RNA segment. Coronaviruses infect humans, other mammals, including livestock and companion animals, and avian species. Human coronaviruses are capable of causing illnesses ranging from the common cold to more severe diseases such as Middle East respiratory syndrome (MERS, fatality rate ≈34%). SARS-CoV-2

4557-630: The centre of a major infection cluster in Germany, 15 per cent of a population sample tested positive for antibodies . Screening for COVID-19 in pregnant women in New York City , and blood donors in the Netherlands, found rates of positive antibody tests that indicated more infections than reported. Seroprevalence -based estimates are conservative as some studies show that persons with mild symptoms do not have detectable antibodies. Initial estimates of

4650-746: The city of Shanghai, China. For the first two years of the pandemic, no specific and effective treatment or cure was available. In 2021, the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) approved the oral antiviral protease inhibitor , Paxlovid (nirmatrelvir plus the HIV antiviral ritonavir ), to treat adult patients. FDA later gave it an EUA. Most cases of COVID-19 are mild. In these, supportive care includes medication such as paracetamol or NSAIDs to relieve symptoms (fever, body aches, cough), adequate intake of oral fluids and rest. Good personal hygiene and

4743-480: The cumulative number of infected individuals (including asymptomatic and undiagnosed infections and excluding vaccinated infected individuals). It is expressed in percentage points. Other studies refer to this metric as the infection fatality risk . In November 2020, a review article in Nature reported estimates of population-weighted IFRs for various countries, excluding deaths in elderly care facilities, and found

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4836-482: The deaths of two women were reported, the first COVID deaths in that state since 30 November 2020, which ended a nine-month streak with no fatalities. On 3 October 2021, Melbourne surpassed Buenos Aires as the city with the most cumulative days spent in lockdown in the entire world, having spent 245 days in lockdown since the start of the pandemic. The sixth lockdown ended in Melbourne at midnight on 21 October 2021 after

4929-441: The development of various vaccine platforms during early 2020. The initial focus of SARS-CoV-2 vaccines was on preventing symptomatic and severe illness. The COVID-19 vaccines are widely credited for their role in reducing the severity and death caused by COVID-19. As of March 2023, more than 5.5 billion people had received one or more doses (11.8 billion in total) in over 197 countries. The Oxford-AstraZeneca vaccine

5022-537: The emergency response "finished" in September 2022 and removed all restrictions including the requirement to isolate if one was infected from 14 October 2022. On 20 October 2023, the Australian Chief Medical Officer declared that COVID-19 was no longer a Communicable Disease Incident of National Significance (CDINS) and ended all national emergency response and coordination, shifting COVID-19 management to

5115-590: The entry of foreign nationals who had been in mainland China, and ordered its own returning citizens who had been in China to self-quarantine for 14 days. The country also began to assess the relative risk of reflected transmission through third countries, and to ask travelers arriving from higher-risk countries to monitor for symptoms. Australia subsequently imposed bans on Iran (1 March), South Korea (5 March), and Italy (11 March). From 16 March, all travellers arriving in or returning to Australia were required to self-isolate for 14 days. Failure to self-isolate could result in

5208-513: The eyes, nose, or mouth with unwashed hands. Those diagnosed with COVID-19 or who believe they may be infected are advised by healthcare authorities to stay home except to get medical care, call ahead before visiting a healthcare provider, wear a face mask before entering the healthcare provider's office and when in any room or vehicle with another person, cover coughs and sneezes with a tissue, regularly wash hands with soap and water and avoid sharing personal household items. A COVID-19 vaccine

5301-531: The first case of a SARS-CoV-2 infection was reported, that of a Chinese citizen who arrived from Guangzhou on 19 January. The patient was tested and received treatment in Melbourne . On the same day, three other patients tested positive in Sydney after returning from Wuhan. Australia reported its 100th case on 10 March 2020 roughly corresponding to the start of Australia's first wave. Case numbers and deaths continued to climb during March and April, but by late April

5394-575: The first doses of the Pfizer–BioNTech COVID-19 vaccine being administered in Sydney on 21 February 2021. The country's vaccine rollout, which fell short of its initial targets and was described as slow, was criticised. Further cluster outbreaks occurred in late 2020 and mid-2021, with several brief "snap lockdowns" announced in certain states to contain their spread, particularly as novel variants of SARS-CoV-2 arrived in Australia. In July 2021,

5487-485: The first wave had effectively ended. On 6 June, both New South Wales and Victoria reported no new cases for the previous 24 hours, with only Queensland and Western Australia reporting one new (international) case each, the lowest national total since February. On 20 June, the Victorian Government announced the re-tightening of restrictions on household gatherings following a spike in community transmitted cases over

5580-618: The following weeks causing new record daily cases in both stated later in 2021. Lockdowns were phased out after 70% of the population was vaccinated in October with most public health restrictions removed after vaccinating 90% of its population in December 2021, as the SARS-CoV-2 Omicron variant drove further records of infections. International travel began to resume in November 2021 and returned to normal in early 2022. The government declared

5673-474: The general public beginning in December 2020, made available through government and international programs such as COVAX , aiming to provide vaccine equity . Treatments include novel antiviral drugs and symptom control. Common mitigation measures during the public health emergency included travel restrictions , lockdowns , business restrictions and closures, workplace hazard controls , mask mandates , quarantines, testing systems, and contact tracing of

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5766-1037: The highest fatality rate per case. In March 2020, the Australian government established the intergovernmental National Cabinet and declared a human biosecurity emergency in response to the outbreak. Australian borders were closed to all non-residents on 20 March, and returning residents were required to spend two weeks in supervised quarantine hotels from 27 March. Many individual states and territories also closed their borders to varying degrees, with some remaining closed until late 2020, and continuing to periodically close during localised outbreaks. Social distancing rules were introduced on 21 March, and state governments started to close "non-essential" services. "Non-essential services" included social gathering venues such as pubs and clubs but unlike many other countries did not include most business operations such as construction, manufacturing and many retail categories. The number of new cases initially grew sharply, then levelled out at about 350 per day around 22 March, and started falling at

5859-413: The hotel quarantine program, a judicial inquiry into the program in Victoria was called on 2 July; and all international arrivals into Melbourne were suspended. On 9 July, other state and territory leaders agreed to reduce flights and arrivals into Australia from 8,000 to 4,000 a week to ease the burden on the hotel quarantine system. States started to charge travellers for hotel quarantine. In mid-September,

5952-657: The infected. The pandemic caused severe social and economic disruption around the world, including the largest global recession since the Great Depression . Widespread supply shortages , including food shortages , were caused by supply chain disruptions and panic buying . Reduced human activity led to an unprecedented temporary decrease in pollution . Educational institutions and public areas were partially or fully closed in many jurisdictions, and many events were cancelled or postponed during 2020 and 2021. Telework became much more common for white-collar workers as

6045-439: The issue of respiratory failure. Existing drugs such as hydroxychloroquine , lopinavir/ritonavir , and ivermectin are not recommended by US or European health authorities, as there is no good evidence they have any useful effect. The antiviral remdesivir is available in the US, Canada, Australia, and several other countries, with varying restrictions; however, it is not recommended for use with mechanical ventilation, and

6138-576: The majority of the unreported 9.5 million deaths believed to be direct deaths due the virus, rather than indirect deaths. Some deaths were because people with other conditions could not access medical services . A December 2022 WHO study estimated excess deaths from the pandemic during 2020 and 2021, again concluding ≈14.8 million excess early deaths occurred, reaffirming and detailing their prior calculations from May as well as updating them, addressing criticisms. These numbers do not include measures like years of potential life lost and may make

6231-476: The mask mandate on passenger transport. On 14 October 2022 the mandatory COVID-19 isolation period was scrapped entirely and replaced with recommendations. Public Health Emergencies, Pandemic declerations and States of Emergencies were ended in each states over the following month with Victoria on 13 October, Queensland on 1 November, Western Australia on 4 November, Northern Territory on 11 November, South Australia on 23 November, New South Wales on 30 November and

6324-483: The new Omicron COVID-19 variant in Sydney, making them the first known cases of the strain in Australia. On 29 November, a positive case of the Omicron variant was recorded at the Howard Springs quarantine facility, from a return traveller who arrived at Darwin on 25 November from Johannesburg, South Africa. The same day, two passengers who had flown to Sydney from southern Africa via Singapore also tested positive for

6417-495: The official names COVID-19 and SARS-CoV-2 on 11 February 2020. Tedros Adhanom Ghebreyesus explained: CO   for corona , VI   for virus , D   for disease and 19 for when the outbreak was first identified (31 December 2019). WHO additionally uses "the COVID-19 virus" and "the virus responsible for COVID-19" in public communications. WHO named variants of concern and variants of interest using Greek letters . The initial practice of naming them according to where

6510-427: The outbreak as having become a pandemic on 11 March. COVID-19 symptoms range from asymptomatic to deadly, but most commonly include fever, sore throat , nocturnal cough , and fatigue. Transmission of the virus is often through airborne particles . Mutations have produced many strains (variants) with varying degrees of infectivity and virulence . COVID-19 vaccines were developed rapidly and deployed to

6603-407: The pandemic 2021's leading cause of death . The time between symptom onset and death ranges from   6 to 41 days, typically about 14 days. Mortality rates increase as a function of age. People at the greatest mortality risk are the elderly and those with underlying conditions. The infection fatality ratio (IFR) is the cumulative number of deaths attributed to the disease divided by

6696-491: The pandemic evolved. Misinformation circulated through social media and mass media , and political tensions intensified . The pandemic raised issues of racial and geographic discrimination , health equity , and the balance between public health imperatives and individual rights . The WHO ended the PHEIC for COVID-19 on 5 May 2023. The disease has continued to circulate, but as of 2024, experts were uncertain as to whether it

6789-471: The population's age structure and the age-specific pattern of infections. There have also been reviews that have compared the fatality rate of this pandemic with prior pandemics, such as MERS-CoV. For comparison the infection mortality rate of seasonal flu in the United States is 0.1%, which is 13 times lower than COVID-19. Another metric in assessing death rate is the case fatality ratio (CFR), which

6882-484: The previous week, reported to be mainly caused by family-to-family transmission in large household gatherings. Most easing of restrictions that were to take place were postponed. The same day restrictions were re-tightened in Victoria, the Western Australian Government announced the state would move into "Phase 4" from 27 June, permitting some of the most relaxed restrictions in the country. On 26 October,

6975-402: The rest, including flight crews, international businesspeople and defence members, fell under different rules. Hotel quarantine had cost $ 118 million as at 19 June. Interstate border closures began on 19 March, with Tasmania imposing a mandatory 14-day quarantine on all "non-essential" travellers to the state, including returning residents. On 24 March, Western Australia, South Australia and

7068-458: The risk of dying from seasonal influenza . In December 2020, a systematic review and meta-analysis estimated that population-weighted IFR was 0.5% to 1% in some countries (France, Netherlands, New Zealand, and Portugal), 1% to 2% in other countries (Australia, England, Lithuania, and Spain), and about 2.5% in Italy. This study reported that most of the differences reflected corresponding differences in

7161-496: The same infection may have different symptoms, and their symptoms may change over time. Three common clusters of symptoms have been identified: one respiratory symptom cluster with cough, sputum , shortness of breath, and fever; a musculoskeletal symptom cluster with muscle and joint pain, headache, and fatigue; a cluster of digestive symptoms with abdominal pain, vomiting, and diarrhoea. In people without prior ear, nose, and throat disorders, loss of taste combined with loss of smell

7254-485: The spread of the virus within the community, and mitigation strategies (commonly known as " flattening the curve ") that attempt to lessen the effects of the virus on society, but which still tolerate some level of transmission within the community. These initial strategies can be pursued sequentially or simultaneously during the acquired immunity phase through natural and vaccine-induced immunity . Novel coronavirus Too Many Requests If you report this error to

7347-752: The states agreed to increase the number of arrivals to 6,000 a week, to help in the repatriation of tens of thousands of Australians stranded overseas. By 15 December 2020, 39,000 Australians were registered with the government as stranded, with more unregistered (as the government advised registration only for those needing assistance to return). After repeated flight cancellations and without access to government-provided health care or welfare benefits, many families reported being forced to overstay visas, and burn down savings and incur debt to pay for accommodations. Having to pay thousands of dollars for return tickets and mandatory hotel quarantine, some chose to send one family member back to resume work and earn enough money to pay

7440-409: The suspension of the travel bubble was extended for 3 more days. On 5 February 2021, National Cabinet decided to increase the number of international passenger arrivals to Australia as from mid-February. New South Wales returned to a weekly cap of 3,010 people and Queensland to 1,000. South Australia increased by 40 people a week to 530, and Victoria by almost 200 to 1,310. Western Australia remained at

7533-411: The time from symptom onset to death has ranged from two to eight weeks. Prolonged prothrombin time and elevated C-reactive protein levels on admission to the hospital are associated with severe course of COVID-19 and with a transfer to intensive care units (ICU). Between 5% and 50% of COVID-19 patients experience long COVID , a condition characterised by long-term consequences persisting after

7626-694: The typical convalescence period of the disease. The most commonly reported clinical presentations are fatigue and memory problems, as well as malaise , headaches, shortness of breath , loss of smell, muscle weakness , low fever and cognitive dysfunction . Many countries attempted to slow or stop the spread of COVID-19 by recommending, mandating or prohibiting behaviour changes, while others relied primarily on providing information. Measures ranged from public advisories to stringent lockdowns. Outbreak control strategies are divided into elimination and mitigation. Experts differentiate between elimination strategies (known as " zero-COVID ") that aim to completely stop

7719-543: The variants were identified (e.g. Delta began as the " Indian variant") is no longer common. A more systematic naming scheme reflects the variant's PANGO lineage (e.g., Omicron 's lineage is B.1.1.529) and is used for other variants. SARS-CoV-2 is a virus closely related to bat coronaviruses , pangolin coronaviruses, and SARS-CoV . The first known outbreak (the 2019–2020 COVID-19 outbreak in mainland China ) started in Wuhan , Hubei, China, in December 2019. Many early cases were linked to people who had visited

7812-675: The way of the rest. Between 13 March and 15 July 2020, more than 357,000 people returned to Australia. As of 15 January 2021 over 37,000 Australians were stranded abroad. On 29 January 2021, the ability of Australians stuck overseas to return was further hampered when the UK banned direct flights from the United Arab Emirates (UAE) over the possible spread of the South African COVID-19 variant . Both Etihad Airways and Emirates airlines are UAE-based. An overnight curfew

7905-489: The world. On 18 April 2022 further restrictions on international travel that had been imposed under the Biosecurity Act were removed, allowing cruise ships to operate in Australia for the first time in over 2 years (although only in states where the state government was willing to allow cruise ships, such as NSW, Queensland and Victoria). In May the requirement to wear a mask in the airport was removed. On 9 September 2022

7998-443: Was accidentally released from a laboratory have been proposed, as of 2021 these were not supported by evidence. Official "case" counts refer to the number of people who have been tested for COVID-19 and whose test has been confirmed positive according to official protocols whether or not they experienced symptomatic disease. Due to the effect of sampling bias , studies which obtain a more accurate number by extrapolating from

8091-636: Was attributed to an outbreak at a Melbourne quarantine hotel. The second wave, though largely localised to Melbourne, was much more widespread and deadlier than the first; at its peak, the state had over 7,000 active cases. Victoria underwent a second strict lockdown which eventually lasted almost four months. The wave ended with zero new cases being recorded on 26 October 2020. No deaths from COVID-19 were recorded in Australia from 28 December 2020 until 13 April 2021, when one death occurred in Queensland . The nationwide vaccination program began with

8184-454: Was helped by 150 Australian Defence Force personnel, including 30 who were stationed at hotels. In Victoria, three private security operators were contracted to provide the security, while the other states and territories used their police resources. The states and territories carried the costs of hotel quarantine. By 19 June, since the policy came into force 81,000 people had entered Australia. Of those, 63,000 had undergone hotel quarantine, while

8277-551: Was in contrast to the mitigation strategies implemented by most other nations. Compared to other Western countries, notably the United States and European countries , Australia's handling has been commended for its effectiveness, but has been criticised by some for its curbing of civil liberties . Distinctive aspects of that response included early interventions to reduce reflected transmission from countries other than China during late January and February 2020; early recruitment of

8370-408: Was introduced in Victoria on 2 August 2020, extended on 13 September and suspended on 27 September. A Supreme Court judge has ruled the curfew was legal. On 25 January 2021, Health Minister Greg Hunt suspended Australia's travel bubble with New Zealand for a period of 72 hours after New Zealand authorities confirmed a community transmission case in the country's Northland Region . On 28 January

8463-457: Was still a pandemic. Pandemics and their ends are not well-defined, and whether or not one has ended differs according to the definition used. As of 24 November 2024, COVID-19 has caused 7,075,455 confirmed deaths. The COVID-19 pandemic ranks as the fifth- deadliest pandemic or epidemic in history . In epidemiology , a pandemic is defined as "an epidemic occurring over a very wide area, crossing international boundaries, and usually affecting

8556-595: Was the Flemington/North Melbourne public housing cluster with 310 cases. The deadliest cluster in Australia was at St Basil's Homes for the Aged in Victoria, where 45 residents died. Australia pursued a zero-COVID strategy until late 2021; the stated goal of the National Cabinet was "suppression", meaning continually trying to drive community transmission to zero but expecting that new outbreaks may occur. This

8649-502: Was the most widely used. According to a June 2022 study, COVID-19 vaccines prevented an additional 14.4 million to 19.8 million deaths in 185 countries and territories from 8 December 2020 to 8 December 2021. On 8 November 2022, the first recombinant protein-based COVID-19 vaccine (Novavax's booster Nuvaxovid ) was authorised for use in adults in the United Kingdom. It has subsequently received endorsement/authorisation from

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