This page collects all BMJ coverage of the coronavirus outbreak from across the BMJ's journals and learning resources. All articles and resources are freely available.
What you need to know | Latest coverage | Most read | BMJ Journals | BMJ Best Practice and BMJ Learning Research | Education | News | Opinion | Features | Editorials Resources for clinicians A visual guide correct PPE for patient contact primary and secondary care last updated 4 Apr 2020 A visual guide to remote consultations with people displaying covid-19 symptoms last updated 25 Mar 2020 A visual overview of assessment of people with covid-19 in primary care last updated 17 Mar 2020 What you need to know Latest coverage from The BMJ Updated 3 April 2020 Careers—How can I keep calm during self-isolation? On top of the stress of work, there are now additional pressures to deal with at home, especially if you are self-isolating. Abi Rimmer asks experts how best to manage these Editor's Choice—Protect our healthcare workers For healthcare staff at the front line of the covid-19 pandemic, work has suddenly become a frightening place Editorial—Money injection for public services Where should we direct these precious extra resources? Editorial—Drugs and the renin-angiotensin system in covid-19 Clinical effects are unpredictable, so treatment decisions must be tailored and pragmatic Feature—Are UK doctors getting sufficient protective equipment against covid-19? The BMA has warned that doctors are at risk of serious illness or even death because of a lack of PPE Feature—Covid-19: Can France’s ethical support units help doctors make challenging decisions? France has set up “ethical support units” to help doctors make difficult choices about which patients with covid-19 to treat in intensive care News—Covid-19: Patients who are improving could have treatment withdrawn if others could benefit more Doctors could be forced to withdraw lifesaving treatment from stable or improving patients News—Covid-19: doctors’ visas are automatically extended for one year The visas of doctors, nurses, and paramedics that will expire before 1 October will automatically be extended News—Covid-19: Rules on sharing confidential patient information are relaxed in England The Department of Health and Social Care for England has relaxed the rules on sharing patients’ confidential data News—Covid-19: four fifths of cases are asymptomatic, China figures indicate New evidence has emerged from China indicating that the large majority of coronavirus infections do not result in symptoms Opinion—Covid-19 will make us stop some activities for good Our planning, preparedness, and understanding of transmission, protection, and treatment will have to change Opinion—During covid-19, Americans need immediate access to health insurance How can Congress and the White House step up to protect the public and promote our collective health Opinion—Access to remote abortion services should not be temporary Remote abortion care should always be offered to ensure the health of women Opinion—A US doctor on bracing for the worst of covid-19: “We show up despite knowing the risks” Jennifer Hong describes how at her US hospital, uncertainty weighs heavily as providers prepare themselves for the upcoming surge of covid-19 cases Opinion—Should we give priority care to healthcare workers in the covid-19 pandemic? If several patients need access to ICU, should greater priority be given to healthcare workers? Most read BMJ Journals Articles from the BMJ's specialty journals Podcasts from the BMJ's specialty journals BMJ Best Practice BMJ's clinical decision support tool BMJ Learning Interactive, peer reviewed learning modules from BMJ What we currently understand about the virus
Recorded on 10 Feb 2020
Research Education Coronavirus News April 2020 March 2020 Covid-19: healthcare staff in hotspot areas are prioritised as testing expands Medical leaders have welcomed the government’s “belated” decision to expand covid-19 testing From conference centre to hospital Teams begin work setting up the Nightingale Hospital London at the Excel conference centre Covid-19: Doctors still at “considerable risk” from lack of PPE, BMA warns The BMA has warned that doctors are still being placed at “considerable risk” by shortages of PPE Covid-19: Trump extends physical distancing to 30 April, as cases climb in New York Donald Trump has extended physical distancing guidelines for the US Mercedes F1 to provide breathing aid as alternative to ventilator Mercedes F1 will produce continuous positive airway pressure (CPAP) machines Getting the right PPE: five minutes with . . . Sarah Hallett The chair of the BMA Junior Doctors Committee discusses what to do if you think you might not have the proper protective equipment How can I cope with redeployment? During the covid-19 pandemic trainees may be asked to work in unfamiliar environments. Abi Rimmer asks experts how doctors can deal with the change Lack of PPE in care homes is risking spread of virus, leaders warn A lack of access to personal protective equipment (PPE) and staff testing in care homes poses a major risk of covid-19 being spread “Illogical” lack of testing is causing healthy staff to self-isolate, BMA chief warns The absence of covid-19 testing for NHS staff is causing huge workforce shortages Hospitals brace for disaster as US surpasses China in number of cases The US has become the country with the most confirmed cases of covid-19 Doctors are told not to perform CPR on patients in cardiac arrest Healthcare staff in the West Midlands have been told not to start chest compressions or ventilation in patients who are in cardiac arrest if they have suspected or diagnosed covid-19 Covid-19: what do trainees need to know? Sarah Hallett, chair of the BMA junior doctors committee, answers questions on how the covid-19 pandemic might affect trainees Over 300 Italian doctors and scientists call for more testing Doctors have called for facilities to ramp up RNA testing to identify mild and asymptomatic cases of covid-19 Medical students and FY1 doctors to be given early registration to help combat covid-19 Final year medical students are to be offered early provisional registration and foundation year 1 Researchers launch app to track spread of symptoms in the UK 700 000 people signed up in the first 24 hours of the launch of an app to help track the spread of coronavirus across the UK Guidance needed for singlehanded GPs to deal with covid-19 pandemic Singlehanded GPs are worried about what will happen to their practice patients if they themselves become ill with the covid-19 virus and have to self-isolate Diabetes clinicians set up social media account to help alleviate patients’ fears A group of diabetes doctors and other clinicians has set up a social media account to help alleviate patients’ fears around covid-19 What is the UK’s testing strategy? What tests are currently available? Medical schools given powers to graduate final year students early to help NHS Medical schools have been granted the power to graduate their students early to allow them to work for the NHS during the covid-19 pandemic Covid-19: what treatments are being investigated? The race is on to develop or repurpose drugs to help end the epidemic India imposes lockdown for 21 days and cases rise The Indian government has announced a countrywide lockdown for three weeks Doctors’ leaders warn that staff could quit and may die over lack of protective equipment The BMA has called the shortage of personal protection equipment across the NHS “totally unacceptable” FDA approves use of convalescent plasma to treat critically ill patients The FDA has approved the use of plasma from recovered patients to treat people who are critically ill with covid-19 Gilead withdraws orphan drug designation from potential treatment after criticism The FDA has withdrawn orphan drug designation from a potential covid-19 treatment Trump declares intention to “re-open economy” within weeks against experts’ advice Trump is growing increasingly impatient with social distancing measures urged by US public health officials Covid-19: experts question analysis suggesting half UK population has been infected Experts have criticised an unpublished modelling study released to the media Trials of four potential treatments to generate “robust data” of what works The World Health Organization is to coordinate an international study of treatments for covid-19 UK lockdown is “crucial” to saving lives, say doctors and scientists Medical leaders and scientists have backed the UK government’s decision to impose stringent new restrictions Sixty seconds on . . . anosmia The World Health Organization is now examining how common it might be for infected people to experience a loss of smell (anosmia) or taste (ageusia) Most patients require mechanical ventilation in first 24 hours of critical care Two thirds of covid-19 patients who required critical care in the UK had mechanical ventilation within 24 hours of admission, an audit has found Doctors are given new guidelines on when to admit patients to critical care Decisions about whether to admit patients with covid-19 to critical care should consider the medical benefit, NICE has recommended Medical students should not work outside their competency, says BMA Any employment should be voluntary and within the competency of the student, says the BMA in new guidance Don’t forget chronic lung and immune conditions during covid-19, says WHO The World Health Organization has called on the global community to continue efforts to tackle longstanding health problems during outbreaks like covid-19 New York is centre of US epidemic as Trump pitches in to help Trump said he was activating the National Guard to help the states hit hardest by covid-19 Doctors in final trimester of pregnancy should avoid direct patient contact Women who are more than 28 weeks pregnant should avoid direct contact with patients Clinical trials suspended in UK to prioritise covid-19 studies and free up staff New clinical trials are being suspended to prioritise covid-19 studies Highest risk patients are asked to stay at home for 12 weeks People in England who are at very high risk of severe illness because of covid-12 will be asked to stay at home for at least 12 weeks Give NHS staff rest spaces and free parking not thank yous, says doctor An NHS consultant has called for NHS staff working during the covid-19 pandemic to be rewarded with rest areas and free parking US testing ramps up as early response draws harsh criticism Daily testing for coronavirus infection in the United States is finally approaching levels seen in other developed countries Sixty seconds on . . . covid kindness The nice things that people are offering to do for NHS staff during this time European drugs agency to review safety of ibuprofen Debate over the safety of non-steroidal anti-inflammatory drugs (NSAIDs) in treating covid-19 has continued Identifying and isolating asymptomatic people helped eliminate virus in Italian village An Italian academic has claimed striking evidence that most people infected with covid-19 show no symptoms Six million doses of hydroxychloroquine donated to US despite lack of evidence Drug company Teva has said that it will donate more than six million doses of hydroxychloroquine sulfate tablets to hospitals across the US Covid-19: GPs can stop health checks for over 75s and routine medicine reviews GPs can stop or postpone some routine work to free them up to deal with covid-19 Experts question the evidence behind closing London Underground and city metros during the pandemic City metros have closed or reduced services Medical students to be employed by NHS as part of epidemic response Medical students could soon be employed in various roles in the NHS Covid-19: cases grow in US as Trump pushes promise of a malaria drug Trump called himself a “wartime president” and invoked an old defence production act to direct factories to produce protective equipment Covid-19: 15 000 deregistered doctors are told, “Your NHS needs you” The UK government plans to bring a Coronavirus Bill before parliament with sweeping powers Schools set to close across UK except for children of health and social care workers Schools across the UK will close on Friday 20 March for the foreseeable future UK government calls on industry to help boost testing capacity to 25 000 people a day As many as 25 000 people a day will be tested for covid-19 in NHS hospitals Covid-19: all non-urgent elective surgery is suspended for at least three months in England Trusts are also advised to urgently discharge inpatients who are medically fit to leave Covid-19: pregnant doctors should speak to occupational health, say experts All pregnant healthcare professionals have been advised to discuss their circumstances with their local occupational health department Trump sought to buy vaccine developer exclusively for US, say German officials The US president, Donald Trump, made secret overtures to the German company CureVac BMA calls for rapid testing and appropriate protective equipment for doctors The BMA has said that it is working to ensure that all doctors have appropriate protective equipment Doctors warn of humanitarian catastrophe at Europe’s largest refugee camp A UK based charity has warned of a humanitarian catastrophe in the wake of the covid-19 pandemic Don’t panic: five minutes with . . . Kai Zacharowski The president of the European Society of Anaesthesiology advises doctors on getting through the covid-19 pandemic UK starts social distancing after new model points to 260 000 potential deaths The UK government has been forced to change its plan Covid-19: trainees will not move jobs in April Postgraduate trainees will not rotate to new roles on 1 April Ibuprofen should not be used for managing symptoms, say doctors and scientists Scientists and senior doctors have backed claims by France’s health minister Junior doctor calls on colleagues to gather supplies for staff working long hours A junior doctor has called on her colleagues to gather supplies that will help healthcare professionals working long hours during the covid-19 outbreak Covid-19: medical schools are urged to fast-track final year students UK medical schools have been urged to fast-track final year medical students Covid-19: outbreak could last until spring 2021 and see 7.9 million hospitalised in the UK According to a briefing document from Public Health England Covid-19: UK holds off closing schools and restricts testing to people in hospital People should self-isolate at home for at least seven days Trainees and covid-19: your questions answered Abi Rimmer answers your questions Covid-19: GPs call for same personal protective equipment as hospital doctors GPs have called for practices to be given the appropriate personal protective equipment to protect themselves and staff from covid-19 Medical conferences around the world are cancelled after US cases are linked to Massachusetts meeting Fears about covid-19 have led to numerous medical conferences around the world being postponed or cancelled Covid-19: GPs call for appraisals and CQC inspections to be suspended GP leaders have called for assurances that they will not face contractional sanctions if a covid-19 pandemic forces them to suspend normal practice WHO declares pandemic because of “alarming levels” of spread, severity, and inaction Covid-19 has officially been declared a pandemic Trump cancels all flights from Europe, apart from the UK The US has closed all flights from Europe for 30 days UK ramps up testing by 500% as health minister tests positive for virus The UK government will extend statutory sick pay of £94.25 UK budget gives £94 a week statutory sick pay to self-isolators and their carers UK health minister Nadine Dorries has tested positive for covid-19 China’s president Xi visits Wuhan amid confidence that virus is under control China’s leader, Xi Jinping, toured the city of Wuhan on 10 March as reported new cases in China continued to plummet Trump proposes tax cuts and improved health insurance, but millions are not covered Donald Trump has proposed eliminating the payroll tax to ease the financial pain faced by US people and businesses owing to the covid-19 outbreak Covid-19: What’s the current advice for UK doctors? Abi Rimmer rounds-up what you need to know Portugal closes all medical schools after 31 cases confirmed in the country Portugal has temporarily closed all its medical schools in an attempt to slow the transmission of covid-19 Covid-19: roundup of latest news Catch-up on all the latest news UK trade talks with EU must not hinder cooperation in tackling threat, BMA warns A post-Brexit trade agreement must ensure that pandemic threats such as covid-19 can be tackled effectively, the BMA has said Covid-19: emergency departments lack proper isolation facilities, senior medic warns NHS emergency departments in England do not have adequate isolation facilities Covid-19: out-of-hours providers are drafted in to manage non-urgent patients in community NHS leaders have been ordered to organise a primary care management service to care for covid-19 patients UK records first death, as world’s cases exceed 100 000 The death toll across the world from covid-19 has exceeded 3300, with China, South Korea, Italy, and Iran having the highest numbers Trump claims public health warnings on covid-19 are a conspiracy against him US public health officials are struggling to overcome conflicting messaging on covid-19 from the White House Covid-19: GP surgeries close for two weeks after staff test positive Two general practices were closed for almost two weeks after practice staff tested positive for SARS-Cov-2 Ninety per cent of cases will hit NHS over nine week period, chief medical officer warns Nearly all covid-19 cases will hit the NHS in a “heavily concentrated” burst, says the chief medical officer for England Hoarding and misuse of protective gear is jeopardising the response, WHO warns The World Health Organization has estimated that current supplies of face masks are “rapidly depleting” UK could delay non-urgent care and call doctors back from leave and retirement Healthcare staff on leave and those who have retired could be called “back to duty” Retired doctors could be asked to return to work, says Hancock Hancock said this option is being considered, but that it was “not something we need right now.” US health department staff sent to meet citizens returning from China weren’t protected, claims whistleblower Complaint alleging that untrained staff were sent without proper protective equipment to meet the first Americans evacuated from Wuhan School closures and bans on mass gatherings will need to be considered, says England’s CMO England’s chief medical officer Chris Whitty says that it is “only a matter of time” before there is onward transmission of coronavirus in the UK Trump says risk to Americans is “very low” President Donald Trump describes the US response to the covid-19 outbreak as “a tremendous success" on 27 February February 2020 Italy confirms 11 deaths as cases spread from north Confirmed cases of covid-19 in Italy leapt by 45% to reach 322 on 25 February Covid-19: surge in cases in Italy and South Korea makes pandemic look more likely A surge in cases in northern Italy on 24 February heightened fears that the emerging infection has passed the tipping point Rules on isolation rooms for suspected covid-19 cases in GP surgeries to be relaxed GPs seeing patients who might have covid-19 can give them a face mask and ask them to sit two metres away from other people in the surgery if no spare room is available, new guidance is expected to say Wales tests 90% of suspected patients in their own home More than 100 people had been tested in Wales as of 13 February, with no positive cases Covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate Coronavirus does not seem to be as “deadly as other coronaviruses including SARS and MERS,” says WHO Coronavirus: home testing pilot launched in London to cut hospital visits and ambulance use Community testing scheme part of a pilot Coronavirus: online GP bookings should be stopped because of safety risks, warns BMA General practices should be able to turn off their online booking systems in response to the covid-19 outbreak without fear of repercussions, says the BMA Coronavirus: NHS staff get power to keep patients in isolation as UK declares “serious threat” The UK government declares coronavirus a serious and imminent threat to public health Coronavirus: global stocks of protective gear are depleted, with demand at “100 times” normal level, WHO warns Demand for personal protective equipment has skyrocketed Coronavirus: doctor who faced backlash from police after warning of outbreak dies Li Wenliang warned other doctors about novel coronavirus at the start of the outbreak Australian GPs raise concerns about shortage of face masks GPs in Australia have raised concerns over the safety of their teams because of the lack of protective equipment Coronavirus should be on “everybody’s agenda,” says vaccine expert Seth Berkley, chief executive officer of Gavi, the Vaccine Alliance, says that while some responses may be “over-reaching,” what is currently known about the virus suggests it should be treated seriously Hong Kong health staff strike to demand border closure as city records first death Healthcare workers start unprecedented industrial action to put pressure on the government to close the border January 2020 Coronavirus Opinion April 2020 March 2020 First shift on the covid-19 ward A trainee ophthalmologist shares his experience of being redeployed to the frontline of covid-19 preparation and hopes that it will allay fears One size doesn’t fit all—coronavirus response must consider smaller hospitals Where London leads, the rest of the country tends to follow, especially in terms of health policy. But is it sensible? I’m torn between going home, and helping the NHS What is it like when medical school comes to an abrubt end? Prevent, detect, respond: How community health workers can help in the fight against covid-19 How community health workers can be part of the effective response to covid-19 Doctors have a moral duty to ensure that covid-19 testing is rolled out progressively NHS workers need prioritisation for testing Protecting wildlife—a lesson from the covid-2019 outbreak that should not be overlooked We should not ignore the protection of wild animals and their part in this pandemic Covid-19 will make us stop some activities for good Our planning, preparedness, and understanding of transmission, protection, and treatment will have to change Coronavirus is the vital wake up call for the bigger challenge, climate change Now is the time to envision how we rebuild society and put climate at the centre of our economic and political decision making The role of palliative care had to be adapted to manage this “ultra-emergency” Raffaella Bertè and colleagues recount the experience of managing the covid-19 outbreak in a small town in Italy No assumptions should be made about people’s quality of life irrespective of any disability Daniel Baker, who has Duchenne Muscular Dystrophy, discusses his fears about covid-19 and whether he would receive critical care Covid-19—Healthcare workers are scared but, in some ways, also lucky When this is over I sincerely hope we also win the peace and remain more like we always wanted to be Covid-19—the corona cohort of soon-to-be doctors Please be kind and patient with us, it will help us flourish in this turbulent start to our careers Extraordinary times: coping psychologically through the impact of covid-19 Covid is affecting the psychological health of staff Covid-19 is bringing unpredictability and fear to the rheumatology community There is widespread concern and fear about what covid-19 will bring, says Dawn P Richards What will covid-19 mean for the illegal drug market and people dependent upon it? This pandemic has the potential to amplify the risks and harms of using illicit drugs, argues Ian Hamilton Richard Lehman’s covid-19 reviews—30 March 2020 In this weekly round-up, Richard Lehman looks at a personal selection of articles of relevance to clinicians dealing with covid-19 Population-level covid-19 symptom tracking is the health radar we lack Gathering accurate information about the symptoms and spread of covid-19 across the UK is essential The views of patients and the public should be included in policy responses to covid-19 Patients and our communities are a critical partner in or out of crisis and in the quest towards more equitable, sustainable and resilient health systems In a pandemic, does patient feedback still matter? Yes, covid-19 is extraordinarily contagious: but so is gratitude, so is kindness, so is hope Moving paediatricians to climate change action A visit to the Union of Paediatricians of Russia leaves Tony Waterston reflecting on the attitudes towards the climate crisis in Russia and the role of paediatricians in tackling it Words have consequences, especially during a pandemic Politicians must avoid saying things that stir up hatred of others, says Martin McKee On the front lines of the response to covid-19 in Spain: a nation under a state of emergency From Madrid, let me tell you—prepare for it, prepare right away Fear in the time of covid Fear is all around—for ourselves, for our families, and for our patients, says Helen Salisbury Running a free clinic in the US during the coronavirus pandemic For the free clinics in the US that look after a population nearly invisible to the healthcare system, covid-19 has presented some tough decisions. Stephen L Roberts: Covid-19 and the crisis of international politics Covid-19 is a diagnostic for understanding and evaluating the ongoing crisis of international politics Covid-19—on trust, experts, and the brilliance of everyday people Abraar Karan considers the nature of expertise during a pandemic and argues that the notion of “the expert” is largely misplaced Covid-19—it is vital we put this crisis to good use In every crisis lies an opportunity. Covid-19 is no exception Looking after doctors’ mental wellbeing during the covid-19 pandemic Kevin Teoh and Gail Kinman share ways that doctors can look after themselves during the covid-19 pandemic Europe is ducking its responsibilities to the refugees on Lesbos An urgent response is needed Covid-19: Don’t forget the impact on US family physicians Very big changes—very little credit or guidance, says Doug Kamerow Covid-19—recriminations and political point scoring must wait Now is surely not the time for premature post mortems on our response to covid-19, says David Oliver Healthcare workforce safety and Ebola in the context of covid-19 Healthcare workers deaths could be prevented with simple interventions Covid-19—One minute to midnight Making the new measures on physical distancing stick is but one of the priorities for the immediate days and weeks ahead Covid-19—we are yet to witness a cohesive government communications strategy The public’s response to “social distancing” is a government communications failure, says Lesley Henderson Can we improve the NHS’s ability to tackle covid-19 through emergency public health interventions? Are we missing a trick by not also working to lower the baseline demands placed on the NHS? Richard Lehman’s covid-19 reviews—23 March 2020 Richard Lehman looks at a personal selection of articles of relevance to clinicians dealing with covid-19 How might the social stigma around covid-19 perpetuate the spread of disease? We must pay attention to the social ills that are being disseminated in the wake of covid-19, argues Davina Nylander Living in a high-risk group for covid-19 Emma Cartwright describes what it is like being in a high risk group for covid-19 What was difficult if not impossible two weeks ago is happening fast now with Covid-19 Already the NHS is beginning to move rapidly towards “information age healthcare” Covid-19—government communications need to build and sustain trust The UK government’s communications on the covid-19 pandemic have been a masterclass in how not to do things, writes Andy Cowper Mitigating the impact of covid-19 on vulnerable migrants Stephen Bradley, Helen Barclay, and Rebecca Farrington share advice on caring for vulnerable migrants during the upheaval the covid-19 pandemic will bring The life and death decisions of covid-19 If the NHS’s intensive care capacity is breached, how do we decide which patients should get priority? Daniel Sokol considers the various ethical arguments Coping through covid-19: advice for clinicians and leaders There are things you can do to take care of yourself during the covid-19 pandemic, says Fiona Day Covid-19—supermarket wisdom Tom Jefferson reports from lockdown in Italy The role of smoking cessation during respiratory virus epidemics High quality smoking cessation advice should form part of public health efforts during epidemics of respiratory viruses Lessons from the frontline of the covid-19 outbreak This has been a steep learning curve for frontline clinicians Risky smoking practices and the coronavirus: A deadly mix for our most vulnerable smokers Providing regular support to smokers now to reduce and eradicate risky smoking practices will reduce the burden of the virus in real time Covid-19—we must keep faith in our experts Misinformation is spreading along with the virus, says Partha Kar Covid-19 and reproductive health: What can we learn from previous epidemics? Benjamin Black and Gillian McKay argue that there is enough global precedence to prepare for many of the indirect consequences this pandemic will bring Statistics are people too In our ongoing preoccupation with the number of “cases” of covid-19, we must not forget that behind every number is an individual, says William Cayley Covid-19: We each have a professional responsibility to be civil and show respect and kindness for others at all times We should be looking out for each other, providing emotional support where needed Prehabilitation could save lives in a pandemic Small changes in cardiopulmonary fitness may have a large impact on patients who are medically frail Covid-19: The painful price of ignoring health inequities Coronavirus disease provides a painful reminder of why inequities harm all of us Opinion—Even hospitals are not immune to xenophobia amid a pandemic We have to remember that it is not you against me, but us against the virus, says Rucira Ooi Opinion—Covid-19—what is a new and continuous cough? Helen Macdonald explores how guidance on the symptoms of covid-19 can be tricky to interpret and apply Opinion—Covid-19—This too shall pass Mary Black recounts what she has learnt from her experience of living in warzones Opinion—Covid 19—lockdown blues Italy is not Italy anymore, says Tom Jefferson What might we learn from the covid-19 pandemic? Perhaps the first lesson I’ve learnt is that it’s OK to be brave about making disruptive decisions, says Helen Salisbury When the problem is urgent and important There have been cracks of light through this crumble into crisis, says Matt Morgan How can we involve communities in managing the covid-19 pandemic? Strategies to enhance community engagement and cooperation during the covid-19 pandemic UK’s coronavirus policy places too much responsibility in the hands of the public There's too little responsibility in the hands of government, says Simon Williams Ethics in these pandemic times may require us to endure sacrifices on our personal freedom or comfort Covid-19 has brought to the fore a range of ethical issues affecting individuals, organisations, and governments, says Daniel Sokol Covid-19 is a chance to remember that the team matters, not just our personal success It is not just coronavirus that is spreading, we also seem to have a growing pandemic of dysfunction, says Peter Brindley Home based exercise activities could help during self isolation Pre-exposure conditioning may represent an important and effective individual intervention with a potential public health benefit Doctors’ wellbeing: self care during the covid-19 pandemic During a period of increased stress and uncertainty it is more important than ever for NHS staff look after themselves, say Michael Farquhar and Shreena Unadkat Covid-19—are we rationing who we care about? Certain vulnerable groups risk being left behind in our response to the covid-19 outbreak, says Ian Hamilton Covid-19—Medical students face disruption and uncertainty Medical students are facing disruption, uncertainty, and a lack of information as a result of the covid-19 outbreak A letter from ICU Matt Morgan writes to his patients Better use of data and digital offer rapid opportunities to address covid-19 Covid-19 shows that we must overcome organisational barriers to deliver clean, realtime, standardised data in support of direct care, system planning, and urgent response Our experience with covid-19 patients has led to significant concerns over how they are identified and isolated For hospitals in the UK to mount the best possible response to this pandemic, further broadening of the definition of a possible case of covid-19 be necessary What should primary care be doing to prepare for the wider spread of covid-19 and future pandemics? Authors suggest some strategies to improve primary care preparedness Covid-19: Older adults and the risks of misinformation We need to counter misinformation on covid-19 Staff wearing beards and covid-19: trickier than it looks Are doctors who may be exposed to the coronavirus under an obligation to remove their beards? Covid-19: is CT scanning ready to answer a diagnostic call? What is the role of imaging in combatting covid-19 pulmonary infections? Assessing mortality during the covid-19 outbreak Carl Heneghan looks at what we can learn from the latest data WHO’s confusing guidance on masks in the covid-19 pandemic To wear or not to wear? Slowing down the covid-19 outbreak: changing behaviour by understanding it Changing people’s transmission-related behaviours is becoming more urgent Covid-19—why putting a name to it matters We should be quicker to name and slower to sensationalise Should we wave goodbye to the handshake? Banning handshakes has been proposed as a way to limit the spread of covid-19 Covidair flight 19 from Rome to Oxford and back again Tom Jefferson reports on fear and anger in Italy as the lockdown starts How to triage effectively in a pandemic Triage in a pandemic is even thornier than you might think Is general practice prepared for a pandemic? The very short answer is no, says Helen Salisbury My worry about my mother is not her dying of covid-19, but her dying on a trolley in an emergency department "Standard protocol” makes death in acute hospital highly likely To control the covid-19 outbreak, young, healthy patients should avoid the emergency room Young, healthy people can help to prevent outbreaks, says Abraar Karan Behavioural strategies for reducing covid-19 transmission in the general population Human behaviour will determine how quickly covid-19 spreads, say Susan Michie and colleagues Covid-19: Is it reasonable to ask retired doctors to return to “duty” Retired doctors must not feel an “onus” on them to return to clinical practice Covid-19—we live in surreal times We need an international effort to document the outbreak, its history and evolution Opinion—Covid-19—many questions, no clear answers The virus serotype is new, but is that enough to justify the frenetic media attention, asks Tom Jefferson February 2020 January 2020 Editorials Feature Are UK doctors getting sufficient protective equipment against covid-19? The BMA has warned that doctors are at risk of serious illness or even death because of a lack of PPE Covid-19: Can France’s ethical support units help doctors make challenging decisions? France has set up “ethical support units” to help doctors make difficult choices about which patients with covid-19 to treat in intensive care Covid-19: how coronavirus will change the face of general practice forever GPs say the covid-19 pandemic will bring about lasting change in how they work, Jacqui Thornton reports The world’s largest refugee camp prepares for covid-19 Gaia Vince reports on the growing fears of an imminent, catastrophic outbreak of covid-19 Covid-19 and long term conditions: what if you have cancer, diabetes, or chronic kidney disease? What is it like having a LTC in the covid-19 outbreak? Covid-19: how to be careful with trust and expertise on social media At times of crisis we turn to experts—but news outlets and social media must be careful about the information they share, particularly informally, writes Sue Llewellyn Covid-19: how doctors and healthcare systems are tackling coronavirus worldwide As coronavirus continues to spread, doctors and healthcare systems are facing a multitude of challenges at all stages of the pandemic On the front lines of coronavirus: the Italian response to covid-19 Marta Paterlini reports on the front lines of a country in total lockdown Budgeting for covid-19: changing the narrative and narrating the change The UK government's move to the “delay” phase raises the question of what an effective reaction to covid-19 is going to look like, says Andy Cowper Covid-19: are we getting the communications right? Other countries’ experiences are instructive, says Andy Cowper Letter from China: covid-19 on the grapevine, on the internet, and in commerce People are turning to rumour, hope, and faith to protect themselves from the new coronavirus Response to the emerging novel coronavirus outbreak Worldwide political commitment to pandemic preparedness is essential Coronavirus shows how UK must act quickly before being shut out of Europe’s health protection systems The threat posed by 2019-nCoV and the fragmentation of existing health protection systems caused by Brexit call for urgent assessment of cross Europe cooperation In Beijing, coronavirus 2019-nCoV has created a siege mentality Residents are hunkering down while following activities 1200 km away in Wuhan Analysis
Last June, BMJ joined Yale University and Cold Spring Harbor lab to launch medRxiv ("med-archive"), a preprint server for the rapid dissemination of research articles in clinical medicine.
medRxiv has posted a number of preprints about the new coronavirus that has emerged from China. This means that anyone working on responses can have a complete article to examine. Read all of the preprints posted about Coronavirus.
Cold Spring Harbor lab also runs bioRxiv, which has been sharing articles about basic research on the virus responsible. MedRxiv stands ready to publish further preprints relating to the virus.
Submit your pre-print here. Sharing research data and findings relevant to the novel coronavirus (nCoV) outbreak
The outbreak of the novel coronavirus in China (2019-nCoV) represents a significant and urgent threat to global health.
We call on researchers, journals and funders to ensure that research findings and data relevant to this outbreak are shared rapidly and openly to inform the public health response and help save lives.
We affirm the commitment to the principles set out in the 2016 Statement on data sharing in public health emergencies, and will seek to ensure that the World Health Organization has rapid access to emerging findings that could aid the global response.
Specifically, we commit to work together to help ensure:
• all peer-reviewed research publications relevant to the outbreak are made immediately open access, or freely available at least for the duration of the outbreak
• research findings relevant to the outbreak are shared immediately with the WHO upon journal submission, by the journal and with author knowledge
• research findings are made available via preprint servers before journal publication, or via platforms that make papers openly accessible before peer review, with clear statements regarding the availability of underlying data
• researchers share interim and final research data relating to the outbreak, together with protocols and standards used to collect the data, as rapidly and widely as possible - including with public health and research communities and the WHO
• authors are clear that data or preprints shared ahead of submission will not pre-empt its publication in these journals
We intend to apply the principles of this statement to similar outbreaks in the future where there is a significant public health benefit to ensuring data is shared widely and rapidly.
We urge others to make the same commitments. If your organisation is committed to supporting these principles, please contact us (
email@example.com) and we will add your organisation to the list of signatories SIGNATORIES
Academy of Medical Sciences, UK
African Academy of Sciences
Assistant Secretary for Preparedness and Response / Biodefense Advanced Research and Development Authority, USA
Austrian Science Fund (FWF)
Bernhard Nocht Institute for Tropical Medicine (BNITM)
Bill & Melinda Gates Foundation
Biotechnology and Biological Sciences Research Council (BBSRC), UK
Bulletin of the World Health Organization
The British Medical Journal (BMJ)
Calouste Gulbenkian Foundation – Gulbenkian Science Institute
Canadian Institutes of Health Research
Centers for Disease Prevention and Control (CDC), USA
Chinese Centre for Disease Control and Prevention
The Department for International Development (DFID)
DG Research & Innovation, European Commission
Dutch Research Council (NWO)
Epicentre – MSF
European Respiratory Journal
ERJ Open Research
F1000 Research Limited
Food & Drug Administration, USA
French National Research Agency (ANR)
The Global Health Network
Global Virus Network
Inserm (Institut national de la santé et de la recherche médicale), France
The Institut Pasteur
International Severe Acute Respiratory and emerging Infection Consortium (ISARIC)
International Society for Infectious Diseases (ISID)
Japan Agency for Medical Research and Development (AMED)
Johnson & Johnson
Luxembourg National Research Fund (FNR)
Medical Research Council (UK)
Médecins Sans Frontières/Doctors Without Borders (MSF)
Merck Research Laboratories
National Academy of Medicine, USA
National Institutes of Health (NIH), USA
National Institute for Infectious Diseases Lazzaro Spallanzani, Italy
New England Journal of Medicine
Office of Global Affairs, Department of Health and Human Services, USA
The Research Council of Norway
The Royal Society
Science Foundation Ireland
South African Medical Research Council
Taylor & Francis
ZonMW - The Netherlands Organisation for Health Research and Development
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