COVID-19 is a contagious respiratory disease caused by a coronavirus, from the same family that includes SARS, MERS, and some varieties of the common cold. The virus was identified in December 2019, has spread around the world, and was declared a pandemic in March 2020. While much about the disease is still unknown, it is more virulent and more contagious in certain demographics than the seasonal flu, and less virulent but more contagious than SARS and MERS.
Older people and those with underlying conditions are the most at risk of serious complications including death. However, young healthy individuals have also got hit seriously and even died. An infection can cause long term effects even in people who have otherwise mild symptoms.
A variety of restrictions have been imposed to combat the spread of the virus. Many countries require COVID testing, quarantine, or some other epidemic prevention measures as a precondition for entry. While most of the world has reopened to international and domestic travel, a few international and regional borders remain closed.
Since the pandemic started, there have been over 500 million confirmed cases and over 6 million deaths (as of April 2022). The situation varies widely by country and region.
In a few countries, the virus has been controlled very successfully, with little or no transmission remaining. In others, cases are growing rapidly with no clear path to getting them under control. Others are somewhere in between, with low or moderate community transmission and substantial efforts to limit the spread of the disease. Even in places where COVID-19 has been brought under control, there is always a risk of another outbreak. That risk can be reduced with vaccinations, travel restrictions, precautions like mask wearing, extensive testing combined with contact tracing, and other interventions, but unexpected outbreaks can and do happen.
The situation in many countries, including a large chunk of the African continent, is unclear, due in part to limited testing. Authorities have not been able to test everybody who is at risk, so the real number of cases is probably much higher than the official one. Countries also differ in their testing and reporting practices, so comparisons of the number of reported cases do not tell the full story of how the epidemic has progressed in different areas. There is a certain seasonal factor to Covid spread although it cannot fully explain the reduction in cases European countries experienced in the summers of 2020 and 2021 (while cases in the U.S. remained high throughout the summer of 2020). Many countries expect cases to rise as temperatures fall and vice versa so take that into account for your travel plans.
Countries like Israel, the United States and the European Union countries have managed to vaccinate a relatively high share of their population and have thus managed to at least curb the worst effects. However, many other countries are still struggling to get access to enough vaccines for their entire population, and lack the infrastructure for mass vaccination rollouts.
Common symptoms include a fever, cough, loss of appetite, and fatigue. Other less common symptoms include shortness of breath, nausea, vomiting, diarrhea, sputum production, muscle pain and loss of sense of smell. Some patients have very mild symptoms, similar to a cold. Serious complications include pneumonia, acute respiratory distress syndrome, and multi-organ failure leading to disability or death. A significant fraction of infections are asymptomatic, but nevertheless still contagious. Most cases recover without special treatment, while some become seriously ill. The infection fatality rate is believed to be in the 0.5–1% range. Globally, the case fatality rate is 3.65% of confirmed cases, as of August 2020, but this varies widely depending on testing strategy. Fatality rates are highest among the elderly and lowest among young children. The fatality rate has come down somewhat where adequate treatment is available, as knowledge of the disease has improved.
Those most at risk of COVID-19 infection and serious complications are the elderly and those with weakened immune systems or underlying health conditions like cardiovascular disease, diabetes, hypertension, chronic respiratory disease, and cancer. Not many cases are reported in children and most of these are mild or moderate, though a significant fraction do get pneumonia.
The time between being exposed to the virus and the emergence of symptoms (incubation period) is typically between 2 and 14 days. The disease is most contagious during the first three days of symptoms, but it can also be transmitted without symptoms. There have been recorded cases of people getting infected more than once, though reinfections are usually milder than the first infection.
Long-term effects for people who have recovered remain unclear, but there is evidence of reduced lung capacity in some recovered patients. There is also some evidence that people may develop Kawasaki disease-like symptoms after recovering from COVID-19, while the disease has also been linked with an increased risk of thrombosis.
COVID-19 vaccines have been made available in many countries, frontline healthcare workers and vulnerable groups such as the elderly have been prioritized. Get vaccinated as soon as you're eligible or invited to be, in order to protect yourself and those around you. For most vaccines, the protection is best after having had two doses with several weeks in between and then having waited two weeks for antibodies to develop. If you are going to travel or visit risky areas, you should try to have your doses in time for that. The two-week waiting period is sometimes necessary to be counted as "fully vaccinated".
Vaccination is not a guarantee against getting infected (and more crucially, spreading COVID to others if you are infected), so other measures should still be maintained, but it does greatly reduce the risk of infection, and the risk of developing life-threatening complications even if you get infected.
Depending on the country, proof of vaccination may be necessary for travel or activities. Moreover, certain countries' restrictions include a maximum time since the most recent dose, effectively making boosters a requirement for some travellers, and a minimum time since completing the required vaccinations, so last-minute vaccinations don't help. Evidence of vaccination may still not exempt you from the measures being imposed, including quarantine, as you may still spread the disease.
There are over half a dozen vaccines in widespread use and even more still undergoing clinical trials. Vaccines that have been approved by the WHO include mRNA vaccines (Pfizer/BioNTech and Moderna), viral vector vaccines (AstraZeneca and Johnson & Johnson) and more traditional inactivated virus vaccines (Sinopharm, Sinovac and Bharat Biotech). Several others are going through the approval process. While all WHO-approved vaccines are very effective in preventing serious complications and death, their efficacy when it comes to preventing mild and asymptomatic cases varies between vaccines and virus variants. Some countries allow the vaccinated to enter more freely (or at all) and require proof of vaccination or a recent negative test for admission to some places. However, not all countries approve all vaccines as sufficient to group people into the "vaccinated" category.
In general, the "Western" vaccines (BioNTech/Pfizer, Johnson & Johnson, Moderna, AstraZeneca) will open you the most doors, but countries like Malta even impose limitations on the "mixed vaccination" of a vector virus vaccine (e.g. AstraZeneca) followed by an mRNA vaccine (BioNTech/Pfizer or Moderna), even though this is now the preferred vaccination scheme in many EU countries. Less popular vaccines like Medigen developed by Taiwan and QazCovid-in developed by Kazakhstan may not be widely recognized worldwide, so travellers may want to stick with mainstream vaccines. Some countries may also have more stringent requirements with regard to certain vaccines in order to be considered fully vaccinated; for instance, Singapore requires you to have three doses if you received the Sinovac or Sinopharm vaccines, with the third dose coming 3 months after the second, in order to be considered fully vaccinated.
Whenever possible stay outside and avoid public indoor spaces, especially crowded spaces.
around the world have advised their citizens not to travel unnecessarily amid the pandemic. Particularly avoid cruise ship travel. Travelers who have not yet been fully vaccinated against COVID-19, especially older travelers and those with certain medical conditions, are most at risk and should avoid travel, especially long plane flights, visits to crowded places, and cruises, even outside of severely affected areas.
In affected areas, you should practice physical distancing (social distancing). This means minimising contact with others by keeping a distance of six feet or two meters from them and avoiding gathering together in groups. Measures you are encouraged to take include working from home whenever possible, avoiding crowds and avoiding leaving your home unless necessary. If you must go out, try to stay at least 2 m (6 ft) away from other people. In many places these measures are required. Some areas prohibit gathering in large groups; others prohibit all group gatherings.
COVID-19 is transmitted through the air and through objects, and it is contagious even without symptoms. Follow hygiene practices like for flu prevention. These include:
Other actions include:
Virtual tours
Lots of museums, attractions, and even national parks are offering virtual tours, so that would-be visitors cooped up at home can experience them over the internet. Some institutions were already offering virtual tours to begin with; others have worked hard during the crisis to get online visits up and running. Closed performance venues are streaming recordings of past performances. At other attractions, live webcams let you see for yourself what's going on at zoos, parks, and famous tourist sites.
Avoid crowded areas, especially enclosed areas without much air circulation, such as conferences, performances, shopping malls, public transportation, and religious services. Events which involve a large scale gathering of people, from religious pilgrimages to music concerts, have been canceled around the world, in an effort to contain the spread of the virus. Tourist attractions, businesses, and transportation may be closed. Some canceled events, especially performances, sporting events, and classes, are being moved online, which means you can experience them without traveling.
At petrol/gas stations, use gloves or wipe down the handle with a disinfectant wipe if you can. After filling up, clean your hands with hand sanitizer.
The U.S. and Canadian governments recommend avoiding travel by cruise ship. Infections can spread easily onboard, and on-ship medical care is limited. Amid a cruise ship outbreak, quarantines and docking are challenging partly due to the large numbers of people aboard. Even cruise ships without confirmed cases have been denied permission to dock due to virus fears, and in the high-profile case of the Diamond Princess in Japan, hundreds of people were infected on the ship.
See also: Flight and health
Before arriving at the airport, make sure you have purchased your necessities in the city. Many airport amenities – like duty-free shops, restaurants, convenience stores, even currency exchange – are closed due to low traveller volume.
On a plane, follow the same hygiene practices as anywhere else: wash hands frequently, or use alcohol-based hand sanitizer if it's not convenient to leave your seat, wear a mask, and avoid touching your face.
Researchers have found that passengers in window seats have less risk of contact with sick people. Avoid moving around the cabin during the flight.
After washing your hands and before sitting down, use disinfectant wipes to wipe down the area around your seat. Wipe hard surfaces, and if your seat is leather you can wipe that too. Don't wipe a cloth seat, as the moisture can make transmission easier. When using disinfectant wipes, follow the instructions on the packaging. And remember, viruses enter through your mouth, nose, and eyes – wiping down the area doesn't hurt, but it's not a substitute for proper hygiene. Wash your hands and avoid touching your face. And use a tissue to touch the touch screen or other controls.
When using the lavatory, use paper towels to turn off the faucet and open the door, then throw them away.
Airlines are taking steps to reduce transmission and keep passengers safe. For instance, these may include cleaning facilities more frequently, allowing or requiring flight attendants to wear masks, and serving prepackaged instead of freshly heated meals. Some airlines require passengers to wear masks and may remove you from the flight if you refuse. If a group of passengers is connecting from an area with a severe outbreak, the flight attendants may be able to seat them away from the rest of the passengers (and if you were recently in a high-risk area, consider telling the flight attendants for this reason). If possible, flights may keep middle seats or alternating rows empty to increase distance between passengers. Some airlines are allowing passengers to cancel if the flight gets above 70% capacity.
You may be prohibited from changing seats on the flight. This is so that, if someone on the flight turns out to be infected, the authorities can track down the people who were sitting near them for testing or quarantine.
If you believe you may be infected, call a hospital or local emergency medical services instead of going in person to avoid infecting others. Mention your symptoms and travel history. Wear a medical mask and follow the instructions of authorities and doctors. Don't try to self-medicate with unproven treatments.
Tests are available to see if you are infected with COVID-19. Many of them use a technique called "polymerase chain reaction", so you'll see references to "PCR tests". Countries' testing policies vary: in some places you can only get tested with a good reason (such as symptoms or recent travel), but in other places you can get tested on demand. Testing may be free, covered by insurance, or you may have to pay for it yourself. Some countries impose compulsory testing to locations that COVID-19 infection clusters emerge, and you may face criminal liability if you don't take a test. Rapid antigen tests may not detect all COVID-19 positive individuals, however, you should assume yourself to be infectious if the rapid test indicates a positive result for COVID-19.
Some countries require a recent negative PCR test for travel. The tests are not completely reliable, especially if you take them too soon or too late after infection. That's why quarantine may still be required. Public testing facilities (intended for those with symptoms) may be unable to provide tests for travel. Make arrangements in advance to get a suitable test on the correct day, with appropriate documentation. In many cases, you will have to pay for the tests yourself.
Antibody tests are also available to determine if you have COVID-19 antibodies (an indication that you have been infected at some point in the past). They are not completely reliable either, and it's not yet clear to what extent antibodies provide immunity. Nonetheless, an antibody test may also be a requirement for travel to some countries.
In some countries, the healthcare system has been stretched to the point of not being able to handle the sheer number of patients, and there is a chance you may be refused treatment due to the lack of available medical staff, supplies or equipment. This also means that if you have need medical care for a reason unrelated to COVID, you may have trouble getting it.
If you're planning to travel, especially internationally, stay up to date about any pandemic-related restrictions and requirements in your destination, your home country, and any transit stops. Restrictions vary widely and can change frequently. As of October 2022, few countries, such as mainland China, Macau, North Korea and Turkmenistan, still have quarantine requirements and severe restrictions on international and domestic tourism. Most others have largely scrapped or relaxed COVID-related restrictions, though vaccination and testing requirements are still in place in a number of countries.
Passenger registration forms
Some countries and regions require incoming passengers to fill out a form with their personal information, recent travel history, and intended lodging upon arrival. This is to ensure you're aware of any restrictions, to determine whether you need to quarantine, and to make sure the authorities can contact you if another passenger tests positive. In some cases the form must be filled out online before you arrive, so check the official government website a few days before you depart.
Many countries have severely limited flights, ships, and border crossings, especially to and from severely affected areas. Even more countries have imposed restrictions on arriving travelers, often requiring proof of vaccination or proof of a negative test result shortly before travel. (In some cases these requirements may be waived if you can prove that you have recently recovered from COVID-19. On the other hand, if you've recently recovered but the place you're travelling to requires a negative test result, it's unfortunately possible that you might continue to test positive for weeks or even months after you're no longer contagious.) You may also be required to quarantine, often for 14 days or more and possibly at your own expense. Even if a mandatory quarantine is not imposed, you may be asked to "self-quarantine" by staying at home and not interacting with other people. Many restrictions vary depending on where travelers are coming from or their citizenship or residency, but many countries apply them to all incoming travellers. Some countries have even prohibited all or almost all foreigners from entry. At the very least, expect to be screened and questioned about your travel history and any symptoms.
The most reliable source of restrictions information should be published on each country's foreign ministry or customs and immigration website. For EU countries, the most detailed database/map of up-to-date restrictions is listed on the official website of the European Union. Keep up to date — outbreaks and travel restrictions are constantly changing.
Your own country's restrictions may prevent you from travelling abroad as well. Some countries' governments are prohibiting their citizens and residents from leaving the country, with a few exceptions. Violating these regulations may constitute a criminal offence in some jurisdictions. Even countries that allow citizens to leave may still strongly recommend avoiding travel. Some countries have suspended passport renewals and visa applications; even where passport and visa processing continues, it is likely to be delayed. And on top of all that flights have been severely reduced all over the world.
Consider making refundable reservations in case the changing situation forces you to change your plans. Avoid buying tickets with a connection in an affected area – even merely changing planes might make you subject to restrictions. Since COVID-19 is now a pre-existing event, travel insurance won't cover you if you have to cancel or change your plans.
Flights, trains, and buses may get canceled with little notice, either due to the disease's spread and ever-changing entry restrictions, staffing shortage or simply because there aren't enough travelers to fill the seats. You might be denied boarding due to a restriction you weren't aware of, or even because the person checking your ticket has gotten the restrictions wrong. And you might also be delayed for hours upon arrival waiting for temperature checks and related procedures and paperwork, or even get quarantined for up to two weeks. Be prepared for disruption to your travel plans, especially if traveling internationally.
If you are infected with COVID-19, you may be isolated until several consecutive tests for COVID-19 are negative, or until a certain number of days after symptoms have stopped. If you have been in close contact with someone infected with COVID-19, many countries will quarantine you for 14 days since the last exposure and monitor you for signs and symptoms. Some countries will also test you even if you don't have symptoms. The country you are travelling to may make use of "quarantine hotels" whereby incoming travellers coming from "high risk" COVID areas must serve their self-isolation period at a government-sanctioned facility (oftentimes, the traveller will be responsible for the costs of accommodation and they may have no option of which facility they wish to do it in). The criteria for classification into a "high risk" COVID area is obviously going to depend on the receiving country.
Domestic travel is generally less restricted than international travel although if authorities identify that the worst of the outbreak is concentrated in a few cities or regions, they may restrict domestic travel into and out of such areas. Depending on the level of transmission and vaccination, in some countries domestic travel is even safe and relatively unrestricted. If that's true where you are, consider this an opportunity to explore destinations in your own backyard that you might never have visited before. The lack of foreign tourists means that now may be your best opportunity to visit world-famous sights in your own country without the usual crowds - if they are open that is.
One response to the complications and restrictions has been the rise of "small travel", which is traveling to a nearby location and then treating that location as if it were a normal trip, by choosing places to eat, sights to see, or places to stay. It differs from a staycation or a day trip by normally involving an overnight stay. Instead of traveling to a distant area, however, small travelers might go no further than the next town.
Some countries and regions, especially severely affected ones, have implemented emergency lockdowns and restrictions on people's movements and activities, even for those who haven't recently been abroad. These include the temporary reintroduction of some border controls, restrictions on travel within the country (for instance, mandatory registration or quarantine upon arrival in some states or provinces), closing or limiting service at restaurants and other establishments, banning large public events, and in the most severe cases prohibiting people from leaving their home except for essential purposes. Beyond government restrictions, individual establishments have shut their doors and cancelled events to try to reduce the spread of the virus.
In an attempt to contain domestic outbreak and track down infected patients, various countries have developed contact tracing mobile apps, such as China's Health Code, Scotland's Protect Scotland, Singapore's TraceTogether, Australia's COVIDSafe and New Zealand's COVID Tracer. You should download and register (if necessary) for these apps before your travel. In some countries their use is largely mandatory, and using fake ones may attract criminal liability.
Penalties for violating restrictions vary by location: in some places they are not enforced much, but in others authorities take the rules very seriously and issue large fines along with imprisonment and deportation for violations.
Some countries — Thailand is the only one we know of as of July 1, 2021, but others may follow — allow travel to certain areas with lighter restrictions than in the rest of the country.
Phuket is a Thai island with its own international airport, a popular tourist destination known for beaches, diving and nightlife. Most visitors to Thailand require quarantine, but the "Phuket Sandbox" allows entry without quarantine. You must be fully vaccinated, have approved health insurance, enter the country via Phuket airport, and stay in an approved hotel. You can move freely about the island and go on diving trips, but cannot enter the rest of the country for 14 days.
With lots of flights cancelled, warnings issued, and restrictions imposed, flying in the time of coronavirus can be a challenge. Some routes are not possible. Others will require more inconvenient connections than usual—multiple stops and long waits between flights. In some cases that means more expensive tickets.
On the other hand, the good news is that many flights are cheaper than usual due to decreased demand, and there's a decent chance you'll get an empty seat next to you.
Build in extra time for your connections, especially if transferring from an international flight to a domestic flight and especially if your itinerary involves a country that has stringent restrictions. Screenings, temperature checks, extra paperwork, and the associated waiting around can add minutes or hours before you're allowed to continue on your journey.
Connecting flights can be a problem in some cases. Although international-international transit passengers generally face fewer restrictions than arriving passengers, the risk of getting stuck in the connection city is higher than usual right now, due to delays for screening and testing as well as extensive cancellations. Connecting in an affected area may lead to entry restrictions later on, and if you've been in an affected area recently some countries won't even let you change planes. On certain itineraries there is a risk of getting quarantined somewhere along the way. So book a non-stop flight if you can, and if not, think carefully about where to connect. Avoid short layovers.
Once your ticket is booked, monitor the reservation in case your flight gets cancelled. Airlines are drastically cutting back flights, and flight cancellations have become common. If your flight is cancelled, contact your airline or travel agency. Depending on the route, another flight the same day may not be available, or not in the same price range, so you may have to reschedule for a different day. No small number of travellers have been stranded by widespread cancellations.
In uncertain times, plans can change. Consider buying refundable tickets.
Many embassies and consulates have evacuated nonessential staff, and some have shut down operations completely. Emergency assistance should still be available, though it's possible you may have to contact a further-away consulate if your local one has shut down. If you have been stranded due to the pandemic, your nearest consulate may be able to help you find a flight home, arrange an emergency loan so you can buy a ticket, or provide an emergency passport. At the very least they can keep you informed about the local situation and notify you about recently introduced travel requirements and restrictions.
Ordinary consular services such as visa and passport processing may be suspended or restricted to urgent need, depending on the location and the consulate.
If you are traveling or living abroad, now is an excellent time to register with your embassy or consulate for updates on restrictions, flight availability, and other developments.
When it comes to mask wearing and other precautions, legal requirements and official advice don't tell the full story. Different countries and regions have developed different expectations around when masks should be worn, which sometimes go beyond what's officially required. When you arrive in your destination, pay attention to see if other people are wearing masks in places where you wouldn't have thought it was necessary. If they are, follow their lead.
Refrain from using terminology that connects the disease with countries, cities, ethnicities etc. Such terminology is widely used in some circles, perhaps even officially, but it strengthens prejudices and can be perceived as racist. Instead, use location-neutral terms, such as "COVID-19", "coronavirus", or just "the virus" or "the pandemic".
This is the same for SARS-CoV-2's variants, where people may be offended by linking COVID-19 variants to their homeland. They have now been given location-neutral names which include: Alpha for the variant first found in the UK, Beta for the one found in South Africa, Gamma for the one found in Brazil, Delta for the one found in India, and Lambda for the one found in Peru. Omicron, found in late November 2021, resulted in tightened restrictions before anything really was known about its behavior.
Many areas that have ordered restaurants to be closed to dine-in customers allow them to serve takeaway and delivery customers. In countries where tipping is common such as the United States and Canada, tip more generously than usual, due to the heightened risk for delivery personnel, and tip electronically when possible to avoid possible contagion. Where dine-in service is allowed, keep your mask on when the server is at your table, and wait for them to walk away before you take the mask off and start eating.
Particularly in developing countries where law enforcement are poorly trained, enforcement of curfew, lockdown or stay-at-home orders are often brutal, often using forces not proportionate against crowds. Comply with these orders, and avoid crowds in public.
COVID-19 policy can be contentious and attract opposing protesters, which may turn violent. Opposing protesters also rarely use personal preventive measures and maintain safe distance, making these protests hot spots of COVID-19 transmission. Stay off from these protests to avoid legal and health risks.
As a result of the coronavirus pandemic, xenophobia has risen in many countries, primarily but not exclusively targeting people perceived to be Chinese. There has been a worldwide spike in racist incidents targeting people of East Asian origin, including physical assaults, and including in major cities such as New York, London and San Francisco.
Levels of xenophobia have also risen in Asia, with some restaurants, hotels, and other businesses in China, Japan, and India refusing service to foreign customers. In China, discrimination is particularly severe against black people, with some having been evicted by their landlords.
Sources for further information on the COVID-19 pandemic include:
If you're abroad, your country's embassy is also a source of information about the local situation and travel restrictions. The embassy website may have a dedicated COVID-19 page, and now is an excellent time to register with the embassy for email updates. In particular, a lot of British and American embassies are maintaining detailed information in English about local restrictions, which might be worth checking even if you're not an American or British citizen.
A variety of misinformation and conspiracy theories about the virus are being promoted online and even by some government officials, so be careful which sources you check for information. Ensure that all information and advice you receive has been backed by reputable doctors and scientists.
In a crisis, it's natural to want to keep following the latest updates, but it may be better for your mental health to moderate the amount of news that you look at. If you normally watch the news twice per day then stick to this schedule and do something else, rather than having the 24-hour news on continuously.