Department of Pharmaceutical Sciences, Maharshi Dayanand University, Rohtak, Haryana, 124001, India.
Department of Pharmacy, National University of Singapore, Singapore, 117543, Republic of Singapore.
Environ Sci Pollut Res Int. 2022 Oct;29(47):70772-70807. doi: 10.1007/s11356-022-22661-1. Epub 2022 Sep 5.
COVID-19, caused by SARS-CoV-2, is a positive-strand RNA belonging to Coronaviridae family, along with MERS and SARS. Since its first report in 2019 in Wuhan, China, it has affected over 530 million people and led to 6.3 million deaths worldwide until June 2022. Despite eleven vaccines being used worldwide already, new variants are of concern. Therefore, the governing bodies are re-evaluating the strategies for achieving universal vaccination. Initially, the WHO expected that vaccines showing around 50-80% efficacy would develop in 1-2 years. However, US-FDA announced emergency approval of the two m-RNA vaccines within 11 months of vaccine development, which enabled early vaccination for healthcare workers in many countries. Later, in January 2021, 63 vaccine candidates were under human clinical trials and 172 under preclinical development. Currently, the number of such clinical studies is still increasing. In this review, we have summarized the updates on the clinical status of the COVID-19 and the available treatments. Additionally, COVID-19 had created negative impacts on world's economy; affected agriculture, industries, and tourism service sectors; and majorly affected low-income countries. The review discusses the clinical outcomes, latest statistics, socio-economic impacts of pandemic and treatment approaches against SARS-CoV-2, and strategies against the new variant of concern. The review will help understand the current status of vaccines and other therapies while also providing insights about upcoming vaccines and therapies for COVID-19 management.
新型冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起,是一种正链 RNA 病毒,属于冠状病毒科,与中东呼吸综合征(MERS)和严重急性呼吸综合征(SARS)同属一科。自 2019 年在中国武汉首次报告以来,它已影响全球超过 5.3 亿人,并导致全球 630 万人死亡,截至 2022 年 6 月。尽管全球已经使用了 11 种疫苗,但新的变异株仍令人担忧。因此,管理机构正在重新评估实现普遍接种疫苗的策略。最初,世界卫生组织(WHO)预计,在 1-2 年内将开发出具有 50-80%疗效的疫苗。然而,美国食品和药物管理局(FDA)在疫苗开发后 11 个月内宣布紧急批准两种 mRNA 疫苗,这使得许多国家的医护人员能够提前接种疫苗。后来,在 2021 年 1 月,有 63 种疫苗候选物正在进行人体临床试验,172 种处于临床前开发阶段。目前,此类临床研究的数量仍在增加。在本综述中,我们总结了 COVID-19 的临床现状和现有治疗方法的更新。此外,COVID-19 对世界经济产生了负面影响;影响了农业、工业和旅游服务业;对低收入国家的影响最大。本综述讨论了 COVID-19 的临床结果、最新统计数据、大流行对社会经济的影响以及针对 SARS-CoV-2 的治疗方法和针对新关注变异株的策略。该综述将有助于了解疫苗和其他疗法的现状,同时提供有关即将推出的 COVID-19 管理疫苗和疗法的见解。