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Global Health Economics and
            Sustainability
                                                                                        COVID-19 changed our world


            1. Introduction                                    particularly impacted nations in Africa, where people are
                                                               very vulnerable to infectious diseases (Lone & Ahmad,
            The global balance was disrupted when severe acute   2020; Shastri et al., 2020).
            respiratory syndrome coronavirus-2 (SARS-CoV-2)
            emerged in Wuhan, China, in December 2019 and resulted   COVID-19 had caused 473,797 deaths globally as of June
            in the coronavirus disease 2019 (COVID-19) pandemic   24, 2020, from 9,129,146 confirmed cases. By November
            (Lai  et al., 2020). The virus spread quickly, prompting   25, 2022, the WHO reported 636,440,663 confirmed cases
            the World Health Organization (WHO) to declare it   and  6,606,624  deaths  worldwide  (Figure  2).  The  highest
            a public health emergency of international concern   number of cases were registered in Europe (264,065,011),
            on January 30, 2020 (Chan  et al., 2020; Li  et al., 2020).   followed by the Americas (181,462,467), the Western
            Coronaviruses were already known but the SARS-CoV-2   Pacific (97,712,745), Southeast Asia (60,621,308), the
            marked the third major outbreak of respiratory illnesses   eastern Mediterranean (23,187,814), and Africa (9,390,554)
            caused by these viruses (Zhong et al., 2003). SARS-CoV-2   (WHO, 2023). The first confirmed COVID-19 case in India
            is considered zoonotic, which means it can spread from   was reported in Kerala on January 30, 2020, making India
            animals to humans. It has been linked to varied animals   the first in Asia and the fourth globally to record confirmed
            and birds including camels, pigs, turkeys, mice, dogs, and   cases (Chehal et al., 2021). The situation escalated rapidly,
            bats (Geller et al., 2012; Anthony et al., 2017). This virus   with cases of infection rising from 32 on March 2, 2020,
            spreads from animals to humans through airborne particles   to a peak of 2,738,957 on May 3, 2021. Significant surges
            and disperses from person to person primarily through   were also observed on specific dates with 148,249  cases
            droplets, infected hands, or contaminated surfaces such   on March 15, 2021, and 2,115,110  cases on January 17,
            as skin contact with an incubation period of 2 – 14 days   2022, followed by a critical decline. India recorded 456,183
            (Zhai et al., 2020) (Figure 1). The pandemic substantively   confirmed cases during the early months of the pandemic
            affected even the most developed countries and posed a   and confirmed 14,476 deaths, primarily in Maharashtra
            serious threat to low-  and middle-income countries. It   and Delhi (Aneja & Ahuja, 2021).








































            Figure 1.  Infographic of COVID-19 infection. Image created by the authors
            Abbreviation: SARS-CoV-2: Severe acute respiratory syndrome coronavirus 2.


            Volume 3 Issue 1 (2025)                         39                       https://doi.org/10.36922/ghes.3992
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