When the novel coronavirus began to spread across the world in February 2020, Freya Sawbridge was caught in a bind. The 27-year-old was living in Scotland, but when businesses and borders began to close she packed up and flew home to Auckland, New Zealand. On arrival, she felt feverish and couldn’t smell or taste food.
In those early months of COVID-19, every new symptom made global headlines. Freya got tested and the result came back positive. Panic began to set in. “I was in the first wave,” she says.
“There weren’t many people that had had it by that stage, so I knew no-one could tell me anything about it, no-one could offer me any real guidance because it was a new disease.
“No-one can tell you anything about it or when it might end. You’re just existing in the unknown.”
Freya found herself on a vicious merry-go-round of symptoms — fever, sore throat, dizziness, muscle spasms, numbness, chest pains and fatigue. The symptoms kept coming around and around and around.
After 12 days, she stabilised, but four days later the pains returned with a vengeance. It would be a sign of things to come. Freya would relapse five more times over the next six months.
“Each relapse, the depth of it would last about 10 days and then I would take about four or five days emerging from it, have about two or three symptom-free days before another relapse would kick off,” Freya says. “The symptoms would come and then dissipate…
“I’d have a fever for an hour, a sore throat for four hours, then dizziness for two hours, then I was OK for an hour.
“…it was just a cycle like that.”
By April 2020, “long COVID” was being mentioned in Facebook support groups. It’s not an official medical term; it was coined out of necessity by the public. It’s sometimes also referred to as long-haul COVID, chronic COVID and post-acute sequelae of COVID-19 (PASC).
Exactly what constitutes long COVID remains extremely broad. Earlier this month, the World Health Organization released its clinical case definition of what it calls ‘post COVID-19 condition’, which affects people at least two months after a COVID-19 infection with symptoms that “cannot be explained by an alternative diagnosis”.
For Freya, symptoms like chest pain and a sore throat were manageable, but the dizziness and “brain pain” she experienced were debilitating. “It’s as if there was like a mini person in my brain and he was scraping my whole brain with a rake, it was just pain,” Freya says.
“And then it would feel like it would flip on itself continuously and so it makes it really hard to sleep because you’re lying there and it feels like your brain is doing somersaults and then it’s also spinning.”
The memory loss was especially unnerving. “Heaps of people say, ‘Oh, I get that and I’m young,’ but it just feels different… you’d be mid-sentence and then completely forget what you’re talking about.”
Doctors couldn’t give Freya any clarity about what was happening to her because the reality was no-one knew enough about COVID-19.
The hardest was month four, when Freya ended up in hospital from her long COVID symptoms. In a journal entry dated August 24, 2020, she wrote: “Must stay hopeful. Must believe I will get better.” After so many relapses, she had fallen into a depression filled with grief, for her healthy body and her old life.
To this day, we still know very little about long COVID, including just how many people it affects.
Various studies over the past 18 months estimate long COVID can affect anywhere from 2.3 per cent to 76 per cent of COVID-19 cases. It’s important to remember these studies vary in method, with some tracking only hospitalised cases and some relying on self-reported surveys.
A comprehensive study by the University of NSW places the figure at around 5 per cent. Researchers tracked 94 per cent of all COVID-19 cases in NSW from January to May 2020. Of the 3,000 people surveyed, 4.8 per cent still had symptoms after three months.
The uncertainty doesn’t end there. We also have no idea why long COVID hits certain people, but not others. It’s been likened to a kind of “Russian roulette”.
Studies have consistently found long COVID to be more prevalent in women, older people and those with underlying conditions, but there’s evidence to indicate children are capable of developing long COVID too.
Being young and fit is no guarantee you’re safe either, and nor is having a minor initial COVID case. The longer-term symptoms can strike even those who had few initial symptoms.
Those with long COVID report a constellation of symptoms including fatigue, dizziness, shortness of breath, brain fog, memory loss, loss of taste and smell, numbness, muscle spasms and irritable bowels.
One of Australia’s leading researchers in the area, Professor Gail Matthews, says long COVID is likely a spectrum of different pathologies.
Dr Matthews is the Head of Infectious Diseases at St Vincent’s Hospital and Head of the Therapeutic Vaccine and Research Program at the Kirby Institute at UNSW. She says the issue of long COVID will be huge on a global scale and it’s crucial to understand it better.
One theory is that COVID-19 can trigger the immune system to behave in an abnormal way, releasing cytokines that can make you feel unwell with fatigue and other symptoms.
Another is that there could be some elements of the virus — called antigen persistence — somewhere in the body that continues to trigger an ongoing activation in the immune system.
There’s also early evidence that vaccination might help reduce or even prevent long-term symptoms. Freya stopped relapsing around month seven, although her senses of taste and smell still haven’t fully recovered. She says rest was a big part of her recovery.
“Other people, if they don’t have parental support, or they have to work because they’ve got no savings, or they can’t rely on their parents, or they have young kids — I have no idea how they got through it, because it would have been impossible in my eyes,” Freya says.
Judy Li is in an impossible situation. An all-encompassing fatigue has taken hold of her mind and body, stripping away her ability to work, parent or plan for the future.
The 37-year-old got COVID-19 in March 2020 while an inpatient at a Melbourne hospital. She had been struggling after giving birth to her second child and was getting the help she needed.
Despite her anxieties, Judy’s case was very mild and it wasn’t until three months later when her three-year-old brought a bug home from day care that she realised something was wrong.
As day-care bugs so often do, it ripped through the young family. “It felt like I hit a brick wall, I was a lot worse than everyone else,” Judy says.
“It wasn’t the usual symptoms… I was just really lethargic, really fatigued and I remember at about the three-week mark of having those symptoms, that kind of fatigue, I thought, ‘this isn’t right, this is a bit odd.’”
Her fatigue is not like being tired, it’s a different kind of exhaustion, a severe lack of energy that doesn’t replenish after sleep.
“This is like something you feel in your limbs; you feel like they’re really heavy, they’ve got this kind of, I wouldn’t say ouch-kind of pain, but it’s sort of an achiness to your limbs,” she says.
The fatigue comes and goes, but Judy has noticed it can flare up when she gets sick or when she expends herself physically or mentally.
One of the worst episodes came after an eight-hour trip to Canberra for Christmas to visit her in-laws. “I woke up and I was completely paralysed,” Judy says. Distressed, in tears, she could only call out to her partner for help.
“I just did not have the strength to move my limbs and I kept trying and trying and trying and eventually he helped me up. “I sort of dragged my arm up, I could barely hold a glass of water and he’d help me to drink out of it. If I had to go to the toilet, he had to basically carry me.”
This fatigue has derailed Judy’s life because when it sets in, she never knows how long it’s going to last or whether it will go away. It makes work and parenting impossible. Judy’s two young children don’t understand what’s wrong with mum or why she can’t get out of bed.
“When the kids are crying at home, I can’t go and soothe them,” she says.
“This is not a lack of motivation, it’s like I want to get up and I want to go to my children.
“I want to get up, I’ve got work I need to do. I want to get up and even go get something to eat, I’m hungry, but I can’t actually tell my body to move in that way.”
Fatigue or post-exertional malaise is one of the most common symptoms of long COVID, but it’s also a very common symptom in myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS), a biological disease affecting an estimated 250,000 Australians.
There are striking similarities between long COVID and ME/CFS. Both can cause symptoms such as fatigue, dizziness, memory loss or ‘brain fog’, and irritable bowel, and both are likely to encompass a range of different pathologies.
ME/CFS is usually triggered by a viral infection — ebola, dengue fever, glandular fever, epstein barr, ross river virus, SARS and even the more common influenza have all left trails of chronically ill people in their wake.
Experts have even questioned whether long COVID could be ME/CFS by another name, although the jury is still out on that theory. ME/CFS has been around for decades but we still don’t know much about it.
Australian advocacy groups desperately want to see more research and support to help people with this chronic illness navigate medical, financial and accommodation services. They also say doctors need better education to diagnose and treat the condition early on.
Bronwyn Caldwell knows what it’s like to live with a condition that no-one understands or knows how to treat. She’s lived with ME/CFS for 20 years, ever since a suspected case of glandular fever in her 20s.
The 46-year-old from South Australia is adamant the early advice from her doctor to rest was the reason her condition didn’t immediately worsen. She was able to work part-time as a brewer up until 2013 but a relapse has left her mostly bed-bound.
Bronwyn considers herself lucky — her illness was validated by doctors and family, she doesn’t have cognitive difficulties and isn’t in pain. But her voice begins to break when mentioning that most people with ME/CFS face stigma that they’re being lazy or faking their illness.
“I can’t imagine what it’s really like to have everyone in your life say you’re just being lazy, because the reality is all of us beat ourselves up to that all the time,” she says.
A 2018 study published in the Journal of Health Psychology looking at links between people with chronic illness and suicidal ideation found stigma, misunderstanding and unwarranted advice exacerbates patients’ feelings of overall hopelessness.
Long COVID is creating a cohort of people vulnerable to the same thing, and Judy herself has sometimes wondered whether her family would be better off without her (which, of course, it wouldn’t).
“I honestly go through periods where I wish COVID had killed me instead of just left me with this, this big burden,” she says. With no sick leave left, Judy has had to take unpaid time off work.
It’s a big blow for the high-earning, career-driven project manager who took pride in handling stressful situations and juggling multiple tasks. These days, her mind doesn’t work like it used to.
“It’s just little things like struggling to find the word that I just knew… I would know… sorry… like being able to construct sentences,” she says with an ironic laugh.
“I can try to read something but it just seems like I have to read it over and over and over again. “I frequently walk into a room and can’t remember why, when I would put something down, seriously, two minutes later I have no idea where it is. “I just feel like I’m losing my mind.”
In the COVID-ravaged UK, daily cases peaked at more than 68,000 and daily deaths at more than 1,300. It’s a situation few in Australia — where we have enjoyed long periods of little-to-no community transmission — can fully appreciate.
Adam Attia was living in London through most of 2020 and says it was almost rare if you hadn’t had COVID-19. “I’ve known of people that had given it to their parents and it killed their parents,” the 30-year-old Australian says. “People that we knew on our street had passed away.”
So one day around August, when Adam couldn’t taste the wasabi on his sushi, he immediately knew what was wrong. “I just started to go through the kitchen for things like garlic — I had a whole garlic, I couldn’t taste anything. I ate a lemon like an apple and couldn’t taste a thing.
“I ate ginger like a cannibal, like I ate it with all of the bumps and things on it and couldn’t taste a thing.”
But Adam’s infection was mild and he spent his 10-day isolation staying active. Life went on as normal until three months later, after a trip to Croatia. On the flight back to London, somewhere above Germany, Adam felt an excruciating pain in his stomach. He felt like he was going to vomit, he couldn’t breathe and his head began to spin.
The flight crew didn’t know what to do, contemplating an emergency landing in Berlin while Adam desperately sucked air from a vent they’d given to help him breathe.
The flight managed to land in London and Adam was escorted off the plane. At the hospital, doctors ran tests for internal bleeding and signs of reflux or gastritis but they all turned up empty.
In the weeks and months after that flight, as little as two hours of work would leave Adam shattered and disorientated.
His symptoms are like dominoes. Exhaustion leads to stomach pain, which leads to nausea, faintness and breathlessness.
Adam has learned to manage his symptoms and as soon as he feels the exhaustion creeping in he takes an anti-nausea pill, uses the asthma puffer he now has to carry with him and finds somewhere to lie down.
He ended up moving back to Australia to sort out his health issues, but it wasn’t until a doctor at St George Hospital in Sydney mentioned Adam’s symptoms could be an effect of COVID-19 that he twigged.
“Is it from COVID? Look, I could be shooting in the dark, I don’t actually know,” Adam says. “But what I do know is I didn’t have these [symptoms] before COVID, so I guess it’s more of an educated guess.”
Much about long COVID remains exactly that. More research is needed to really know what’s going on.
The US and UK have allocated billions of dollars into research and set up long COVID clinics to help patients find the right treatment. The Australian government has provided $15 million for research grants into the long-term health effects of COVID-19 and the nation’s vaccination efforts through the Medical Research Future Fund.
As Australia moves beyond lockdowns towards a future where most Australians are vaccinated, borders are open and COVID-19 is actively spreading through communities, this research will be crucial in our understanding of the long-term health issues and the impact on individuals, families, workplaces and the economy.
For now, Dr Matthews says the biggest take-home is that we don’t know who is or isn’t susceptible to long COVID.
“One of the biggest messages is that it’s very hard to know who this will strike.”
Health officials in Victoria have already highlighted the plight of long COVID patients as part of their drive to encourage more people to get vaccinated, as experts say it probably can prevent long COVID.
Dr Matthews says it’s important Australia recognises long COVID as a real issue and makes sure there is appropriate support to help people.
“Even if it’s just an understanding that this condition exists, and recognition that it exists, as opposed to expecting these people to return to full health,” she says.
But until we know more, those like Freya, Judy and Adam won’t have the closure of knowing exactly what’s happened to them.
“It’s hard to wrap your head around,” Judy says, “to say this is potentially a life sentence”. “There’s no defining this is as bad as it gets, you know? “This is just the big mystery question mark.”
By: Emily Sakzewski, Georgina Piper, and Colin Gourlay
Source: This is what long COVID feels like — fatigue, dizziness, brain fog and muscle spasms – ABC News
- “Real-time data show virus hit to global economic activity”. http://www.ft.com. 22 March 2020. Archived from the original on 22 March 2020. Retrieved 22 March 2020.
- Kaplan, Juliana; Frias, Lauren; McFall-Johnsen, Morgan (14 March 2020). “A third of the global population is on coronavirus lockdown — here’s our constantly updated list of countries and restrictions”. Business Insider Australia. Retrieved 15 April 2020.
- “Price Gouging Complaints Surge Amid Coronavirus Pandemic”. The New York Times. 27 March 2020.
- “FDA anticipates disruptions, shortages as China outbreak plays out”. FiercePharma. Archived from the original on 26 February 2020. Retrieved 26 February 2020.
- Sirletti, Sonia; Remondini, Chiara; Lepido, Daniele (24 February 2020). “Virus Outbreak Drives Italians to Panic-Buying of Masks and Food”. http://www.bloomberg.com. Archived from the original on 25 February 2020. Retrieved 14 March 2020.
- “Viral hysteria: Hong Kong panic buying sparks run on toilet paper”. CNA. Archived from the original on 26 February 2020. Retrieved 26 February 2020.
- Rummler, Orion. “Household basics are scarce in Hong Kong under coronavirus lockdown”. Axios. Archived from the original on 26 February 2020. Retrieved 26 February 2020.
- Strumpf, Dan (31 January 2020). “Tech Sector Fears Supply Delays as Effects of Virus Ripple Through China”. The Wall Street Journal. ISSN 0099-9660. Archived from the original on 31 January 2020. Retrieved 26 February 2020.
- McLean, Rob; He, Laura; Tappe, Anneken. “Dow plunges 1,000 points as coronavirus cases surge in South Korea and Italy”. CNN. Archived from the original on 27 February 2020. Retrieved 27 February 2020.
- “FTSE 100 plunges 3.7 per cent as Italy confirms sixth coronavirus death”. CityAM. 24 February 2020. Archived from the original on 25 February 2020. Retrieved 27 February 2020.
- Smith, Elliot (28 February 2020). “Global stocks head for worst week since the financial crisis amid fears of a possible pandemic”. CNBC. Archived from the original on 28 February 2020.
- Imbert, Fred; Huang, Eustance (27 February 2020). “Dow falls 350 points Friday to cap the worst week for Wall Street since the financial crisis”. CNBC. Archived from the original on 28 February 2020.
- Smith, Elliot (28 February 2020). “European stocks fall 12% on the week as coronavirus grips markets”. CNBC. Archived from the original on 28 February 2020.
- Anticipating the impacts of COVID-19 in humanitarian and food crisis contexts. Rome: FAO. 2020. doi:10.4060/ca8464en. ISBN 978-92-5-132370-0.
- “Major Events Cancelled or Postponed ~Due to Coronavirus”. Archived from the original on 5 March 2020. Retrieved 3 March 2020.
- Bordo, Michael; Levin, Andrew; Levy, Mickey; Sinha, Arunima (27 January 2021). “Scenario analysis, contingency planning, and central bank communications”. VoxEU.org. Retrieved 27 January 2021.
- Sheppard, David; McCormick, Myles; Brower, Derek; Lockett, Hudson (20 April 2020). “US oil price below zero for first time in history”. Financial Times. Retrieved 20 April 2020.
- “New virus mutes Lunar New Year celebrations worldwide”. AP NEWS. 25 January 2020. Archived from the original on 31 January 2020. Retrieved 31 January 2020.
- “Shanghai Disney shuts to prevent spread of virus”. CNBC. 24 January 2020. Archived from the original on 26 January 2020. Retrieved 6 February 2020.
- “China cancels Lunar New Year events over deadly virus fears”. Deutsche Welle. 23 January 2020. Retrieved 24 January 2020.
- Gigi Choy, Echo Xie (4 February 2020). “As China goes back to work, will the coronavirus spread even more rapidly?”. South China Morning Post. Archived from the original on 6 February 2020. Retrieved 6 February 2020.
- Cheng, Evelyn (1 February 2020). “More than half of China extends shutdown over virus”. CNBC. Archived from the original on 5 February 2020. Retrieved 6 February 2020.
- “Hong Kong Chinese New Year”. Hong Kong Tourism Board. Archived from the original on 29 November 2019. Retrieved 26 January 2020.
- Lum, Alvin; Sum, Lok-kei (25 January 2020). “China coronavirus: Hong Kong leader hits back at delay criticism as she suspends school classes, cancels marathon and declares city at highest level of emergency”. South China Morning Post. Archived from the original on 25 January 2020. Retrieved 26 January 2020.
- swissinfo.ch, S. W. I.; Corporation, a branch of the Swiss Broadcasting. “Procura por máscaras aumenta 100 vezes e prejudica luta contra o coronavírus”. SWI swissinfo.ch (in Portuguese). Archived from the original on 12 February 2020. Retrieved 12 February 2020.
- Boseley, Sarah (7 February 2020). “WHO warns of global shortage of face masks and protective suits”. The Guardian. ISSN 0261-3077. Archived from the original on 12 February 2020. Retrieved 12 February 2020.
- Schwartz, Nelson D. (21 March 2020). “Coronavirus Recession Looms, Its Course ‘Unrecognizable‘“. The New York Times. Archived from the original on 24 March 2020. Retrieved 24 March 2020.
- Horowitz, Julia. “A ‘short, sharp’ global recession is starting to look inevitable”. CNN.com. Archived from the original on 20 March 2020. Retrieved 26 March 2020.
- Lowrey, Annie (9 March 2020). “The Coronavirus Recession Will Be Unusually Difficult to Fight”. The Atlantic. Archived from the original on 24 March 2020. Retrieved 24 March 2020.
- Jenkins, Simon (9 March 2020). “There will be no easy cure for a recession triggered by the coronavirus”. Archived from the original on 24 March 2020. Retrieved 24 March 2020 – via http://www.theguardian.com.
- Palumbo, Daniele (28 March 2020). “Coronavirus: A visual guide to the economic impact”. BBC News. Archived from the original on 27 March 2020.
- “G20 GDP Growth – First quarter of 2020, OECD”. OECD. 11 June 2020. Retrieved 6 September 2020.
- McKeever, Vicky (30 June 2020). “The coronavirus is expected to have cost 400 million jobs in the second quarter, UN labor agency estimates”. CNBC. Retrieved 6 September 2020.
- “Pandemic knocks a tenth off incomes of workers around the world”. Financial Times. 23 September 2020. Retrieved 23 September 2020.
- “Recovery plan for Europe”. European Commission – European Commission. Retrieved 25 June 2020.
- Stevis-Gridneff, Matina (27 May 2020). “A €750 Billion Virus Recovery Plan Thrusts Europe Into a New Frontier”. The New York Times. Retrieved 25 June 2020.
- Hansen, Sarah. “European Union Reveals $826 Billion Economic Stimulus Plan To Battle Coronavirus Damage”. Forbes. Retrieved 25 June 2020.
- “Is Germany’s ‘colossal’ recovery plan a role model for other coronavirus-hit economies?”. France 24. 7 June 2020. Retrieved 25 June 2020.
- Partington, Richard (4 June 2020). “Germany unveils €130bn coronavirus recovery package”. The Guardian. Retrieved 25 June 2020.
- Welle, Deutsche. “France unveils stimulus plan worth €8 billion for car industry | DW | 27.05.2020”. DW.COM. Retrieved 25 June 2020.
- “£73.5 million to boost green economic recovery in automotive sector”. GOV.UK. Retrieved 26 June 2020.
- Laville, Matthew Taylorand Sandra (1 May 2020). “City leaders aim to shape green recovery from coronavirus crisis”. The Guardian. Retrieved 26 June 2020.
- “Lockdown emissions fall will have ‘no effect’ on climate”. phys.org. Retrieved 31 August 2020.
- Forster, Piers M.; Forster, Harriet I.; Evans, Mat J.; Gidden, Matthew J.; Jones, Chris D.; Keller, Christoph A.; Lamboll, Robin D.; Quéré, Corinne Le; Rogelj, Joeri; Rosen, Deborah; Schleussner, Carl-Friedrich; Richardson, Thomas B.; Smith, Christopher J.; Turnock, Steven T. (7 August 2020). “Current and future global climate impacts resulting from COVID-19”. Nature Climate Change. 10 (10): 913–919. Bibcode:2020NatCC..10..913F. doi:10.1038/s41558-020-0883-0. ISSN 1758-6798. S2CID 221019148.
- Zhou, Emma; Shepherd, Christian (5 June 2020). “China’s Belt and Road urged to take green route”. FT. Retrieved 28 September 2020.
- Hanna Ziady. “The global economic bailout is running at $19.5 trillion. It will go higher”. CNN. Retrieved 21 November 2020.
- Por Redacción de TVN Noticias (30 March 2020). “PNUD: ‘La pandemia dejará cicatrices muy profundas en el planeta‘“. Tvn-2.com. Retrieved 3 April 2020.
- “US gas prices expected to fall as coronavirus and failed OPEC talks send oil market reeling”. ABC News.
- Pak, Anton; Adegboye, Oyelola A.; Adekunle, Adeshina I.; Rahman, Kazi M.; McBryde, Emma S.; Eisen, Damon P. (2020). “Economic Consequences of the COVID-19 Outbreak: the Need for Epidemic Preparedness”. Frontiers in Public Health. 8: 241. doi:10.3389/fpubh.2020.00241. ISSN 2296-2565. PMC 7273352. PMID 32574307.
- Wayland, Michael (1 April 2020). “Worst yet to come as coronavirus takes its toll on auto sales”. CNBC. Retrieved 10 April 2020.
- Higgins-Dunn, Phil LeBeau,Noah (18 March 2020). “General Motors, Ford and Fiat Chrysler to temporarily close all US factories due to the coronavirus”. CNBC. Retrieved 10 April 2020.
- Welle (www.dw.com), Deutsche. “China coronavirus adds to German automakers’ woes | DW | 14 February 2020”. DW.COM. Retrieved 10 April 2020.
- “Plastics Trade Body Publishes First Study of Coronavirus Impact on UK Manufacturing”. http://www.bpf.co.uk. Retrieved 25 June 2020.
- Prem, Kiesha; Liu, Yang; Russell, Timothy W; Kucharski, Adam J; Eggo, Rosalind M; Davies, Nicholas; Jit, Mark; Klepac, Petra; Flasche, Stefan; Clifford, Samuel; Pearson, Carl A B (May 2020). “The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study”. The Lancet Public Health. 5 (5): e261–e270. doi:10.1016/s2468-2667(20)30073-6. ISSN 2468-2667. PMC 7158905. PMID 32220655.
- Bailey, Jackie (26 March 2020). “Governments around the world respond to COVID-19 impact on the arts”. ArtsHub Australia. Retrieved 18 April 2020.
- “COVID-19 update”. Australian Government. Department of Communications and the Arts. 9 April 2020. Retrieved 18 April 2020.
- Sakoui, Anousha (17 July 2020). “Here’s why resuming TV and film production has gotten so complicated”. Los Angeles Times. Retrieved 17 August 2020.
- “Coronavirus wipes out most of world’s major sports events on an unprecedented day”. BBC. 14 March 2020.
- “Joint Statement from the International Olympic Committee and the Tokyo 2020 Organising Committee – Olympic News”. International Olympic Committee. 24 March 2020.
- “Olympics history: Have the Games been postponed before?”. Los Angeles Times. 24 March 2020. Archived from the original on 29 March 2020. Retrieved 5 April 2020.
- “2020: The Year of Streaming”. Apptopia. 15 April 2020. Archived from the original on 28 May 2020. Retrieved 28 May 2020.
- Bean, Travis (15 April 2020). “‘Parasite’ Quickly Smashed Streaming Records On Hulu”. Forbes. Archived from the original on 28 May 2020. Retrieved 28 May 2020.
- Gualt, Matthew (2 March 2020). “‘This Is Quite a Blow.’ The Coronavirus Is Wreaking Havoc on the Video Game Industry”. Time. Archived from the original on 14 March 2020. Retrieved 17 March 2020.
- Allsop, Jon (13 March 2020). “How the coronavirus could hurt the news business”. Columbia Journalism Review. Retrieved 15 March 2020.
- Crawford, Blair (24 March 2020). “COVID-19: Ontario to close all non-essential businesses; Schools won’t reopen April 6”. Ottawa Citizen. Post-Media. Retrieved 29 March 2020.
- Johnson, Rich (23 March 2020). “Diamond Comic Distributors No Longer Taking In New Comics”. Bleeding Cool. Retrieved 29 March 2020.
- Salkowitz, Rob (23 March 2020). “Final Crisis? Diamond Comic Distributors Halts Shipments Of New Comics In Response To COVID-19 Shutdowns”. Forbes. Retrieved 29 March 2020.
- Arrant, Chris (28 March 2020). “DC Exploring ‘Multi-Distributor Model’ to Deal with Coronavirus Crisis”. Newsarama. Retrieved 29 March 2020.
- Alter, Alexandra (19 May 2020). “Coronavirus Shutdowns Weigh on Book Sales”. The New York Times. ISSN 0362-4331. Retrieved 26 May 2021.
- Milliot, Jim (15 May 2020). “Bookstore Sales Plunged 33.4% in March”. PublishersWeekly.com. Retrieved 26 May 2021.
- Harris, Elizabeth A. (22 July 2020). “How to Sell Books in 2020: Put Them Near the Toilet Paper”. The New York Times. ISSN 0362-4331. Retrieved 26 May 2021.
- Harris, Elizabeth A. (29 December 2020). “Surprise Ending for Publishers: In 2020, Business Was Good”. The New York Times. ISSN 0362-4331. Retrieved 26 May 2021.
- Alter, Alexandra (27 August 2020). “Printer Jam: Serious Supply Issues Disrupt the Book Industry’s Fall Season”. The New York Times. ISSN 0362-4331. Retrieved 26 May 2021.
- Inc, Aislelabs (23 March 2020), How Shopping Centres Globally are Responding to Coronavirus by Aislelabs, archived from the original on 23 March 2020, retrieved 23 March 2020
- Petro, Greg (20 March 2020). “The Coronavirus Tsunami: What’s To Come For U.S. Retail”. Forbes. Archived from the original on 21 March 2020. Retrieved 23 March 2020.
- Wood, Zoe (21 March 2020). “Coronavirus shutdown ravages high street as retailers take emergency action”. The Guardian. Archived from the original on 23 March 2020. Retrieved 23 March 2020.
- Tan, Su-Lin (7 February 2020). “Coronavirus could provide silver lining for Australian daigou retailers looking to tap China market”. South China Morning Post. Archived from the original on 25 February 2020. Retrieved 23 March 2020.
- McPherson, Emily (18 March 2020). “Desperate dad snaps airport photos to show why he can’t buy baby formula”. 9news.com. Archived from the original on 18 March 2020. Retrieved 23 March 2020.
- “Retailers promote “touch-less” product delivery to address fears of coronavirus spread”. Forbes. Archived from the original on 19 March 2020. Retrieved 19 March 2020.
- Lambert, Fred (24 March 2020). “Tesla Model Y: Here’s a firsthand account of contactless delivery”. Electrek.
- Collins, Larry (24 April 2020). “Even After Pandemic Retail, Shopping Trends May Change”. 5 NBC DFW. Retrieved 4 May 2020.
- Inc, Aislelabs (2 April 2020), How Retailers Globally are Responding to Coronavirus by Aislelabs, retrieved 2 June 2020
- Gurley, Lauren Kaori (20 April 2020). “Hundreds of Amazon Workers Are Not Going to Work in Nationwide Protest”. Vice. Retrieved 4 May 2020.
- Cox, Jeff (16 June 2020). “U.S. May retail sales surge 17.7% in the biggest monthly jump ever”. CNBC.com. CNBC.
- Maheshwari, Sapna; Corkery, Michael; Schwartz, Nelson D. (16 July 2020). “Consumers Came Back in June, but for How Long?”. The New York Times. ISSN 0362-4331. Retrieved 17 August 2020.
- Thomas, Lauren (19 April 2020). “The coronavirus pandemic will likely leave a lasting legacy on retail: Fewer department stores”. CNBC. Retrieved 23 April 2020.
- “Stocks Fall on Recovery Fears and China Tensions: Live Updates”. The New York Times. 4 May 2020. ISSN 0362-4331. Retrieved 4 May 2020.
- Bhattarai, Abha (7 May 2020). “Neiman Marcus files for Chapter 11 bankruptcy”. The Washington Post. Retrieved 7 May 2020.
- Sozzi, Brian (15 May 2020). “J.C. Penney files for bankruptcy and its survival couldn’t be more uncertain”. finance.yahoo.com. Retrieved 15 May 2020.
- “Pier 1 to Wind Down Operations as Virus Hurts Search for Buyer”. finance.yahoo.com. Retrieved 19 May 2020.
- “Chart: How coronavirus is devastating the restaurant business”. 16 March 2020. Archived from the original on 19 March 2020. Retrieved 19 March 2020.
- Wida, Erica Chayes (16 March 2020). “Which states have closed restaurants and bars due to coronavirus?”. Today. Retrieved 3 May 2010.
- “Coronavirus exposes sick leave gap for retail, restaurant workers”. Press Enterprise. 17 March 2020. Archived from the original on 18 March 2020. Retrieved 20 March 2020.
- Maclean, Johanna Catherine; Pichler, Stefan; Ziebarth, Nicolas R (March 2020). “Mandated Sick Pay: Coverage, Utilization, and Welfare Effects”. NBER Working Papers. National Bureau of Economic Research. doi:10.3386/w26832. hdl:10419/216444. S2CID 210939849.
- WKRC, Brad Underwood (23 March 2020). “Virtual Tip Jar: Website creates way to help bartenders, servers”. WKRC.
- Kim, Allen (24 March 2020). “People are being urged to support local restaurants as part of the ‘Great American Takeout‘“. CNN. Retrieved 30 April 2020.
- “How to overcome business in post Covid -19 times ?”. ThunderSMM.com. Retrieved 11 September 2020.
- Northon, Karen (20 March 2020). “NASA Leadership Assessing Mission Impacts of Coronavirus”. NASA. Archived from the original on 23 March 2020. Retrieved 26 March 2020.
“March 24 Update on NASA Response to Coronavirus – Administrator Jim Bridenstine”. blogs.nasa.gov. Archived