Browse Coronavirus
- Original ArticleVOL. 387 No. 9, Sep 01, 2022
Nirmatrelvir Use and Severe Covid-19 Outcomes during the Omicron Surge
N Engl J Med 2022; 387:790-798During the 2022 clinical rollout of nirmatrelvir in Israel, most patients (78%) had previous SARS-CoV-2 immunity. Benefit was seen in patients at highest risk for Covid-19 progression, such as those 65 years of age or older.
- EditorialVOL. 387 No. 9, Sep 01, 2022
Audio Interview: Covid-19 and the WHO
N Engl J Med 2022; 387:e24In this audio interview conducted on August 30, 2022, the editors are joined by Soumya Swaminathan, Chief Scientist of the World Health Organization, to discuss the work of the WHO in fighting SARS-CoV-2.
- Review ArticleAug 31, 2022
Franklin H. Epstein Lecture: Covid-19 Vaccines — Immunity, Variants, Boosters
10.1056/NEJMra2206573The protective effects of vaccination and prior infection on severe Covid-19 are reviewed, with proposed directions for future research, including mucosal immunity and intermittent vaccine boost strategies.
- CorrespondenceAug 31, 2022
Risk of BA.5 Infection among Persons Exposed to Previous SARS-CoV-2 Variants
10.1056/NEJMc2209479Conventional wisdom is that previous infection with omicron subvariant BA.1 or BA.2 does not protect against BA.5, but data from Portugal show considerable protection against BA.5 infection from previous BA.1 or BA.2 infection.
- EditorialVOL. 387 No. 8, Aug 25, 2022
Audio Interview: Choosing an Antiviral to Treat Covid-19
N Engl J Med 2022; 387:e22In this audio interview conducted on August 23, 2022, the editors discuss the use of antivirals to treat Covid-19 and a new study of the real-world effectiveness of nirmatrelvir.
- PerspectiveVOL. 387 No. 8, Aug 25, 2022
Improving the Use of FDA Advisory Committees
N Engl J Med 2022; 387:675-677Advisory committees cannot support public trust in FDA decisions if the agency uses them inconsistently. Simple reforms could improve accountability, transparency, and trust.
- EditorialVOL. 387 No. 7, Aug 18, 2022
Audio Interview: Responding to Monkeypox
N Engl J Med 2022; 387:e21In this audio interview conducted on August 16, 2022, the editors are joined by White House National Monkeypox Response Deputy Coordinator Demetre Daskalakis to discuss the new public health emergency and what HIV and Covid-19 have taught us.
- Original ArticleVOL. 387 No. 7, Aug 18, 2022
Randomized Trial of Metformin, Ivermectin, and Fluvoxamine for Covid-19
N Engl J Med 2022; 387:599-610In this trial involving overweight or obese outpatients with Covid-19, investigators found that none of three repurposed drugs (metformin, ivermectin, and fluvoxamine) reduced the risk of serious disease.
- EditorialVOL. 387 No. 7, Aug 18, 2022
Time to Stop Using Ineffective Covid-19 Drugs
N Engl J Med 2022; 387:654-655In practicing evidence-based medicine, physicians use the best evidence currently available on safety and efficacy in making decisions on treatment choices for their patients. During the Covid-19 pandemic, some of the early treatment trials were rushed, leading to studies that were badly conducted1 or had too few patients.
- Original ArticleVOL. 387 No. 6, Aug 11, 2022
Effectiveness of BNT162b2 Vaccine against Omicron in Children 5 to 11 Years of Age
N Engl J Med 2022; 387:525-532Data from Singapore on BNT162b2 vaccination in children 5 to 11 years of age showed that during a period of omicron-variant predominance, BNT162b2 reduced the risks of SARS-CoV-2 infection and Covid-19–related hospitalization.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
Considering Race and Ethnicity in Covid Risk Assessments — Legal Concerns and Possible Solutions
N Engl J Med 2022; 387:481-483Explicitly including race or ethnicity as a factor in government allocation of resources raises legal concerns. Litigation related to Covid-19 treatment guidance in New York highlights these issues.
- EditorialVOL. 387 No. 6, Aug 11, 2022
Audio Interview: Combating Covid-19 Today and Tomorrow
N Engl J Med 2022; 387:e17In this audio interview conducted on August 9, 2022, the editors discuss the shifting benefits of preventive and therapeutic interventions against Covid-19 and what the future might bring.
- PerspectiveVOL. 387 No. 6, Aug 11, 2022
Understanding Covid Vaccine Efficacy over Time — Bridging a Gap Between Public Health and Health Care
N Engl J Med 2022; 387:483-485It’s now feasible to track, for each patient seen at a health care facility, which Covid-19 vaccine they received when and what their clinical evaluation revealed.
- CorrespondenceVOL. 387 No. 6, Aug 11, 2022
Protection Associated with Previous SARS-CoV-2 Infection in Nicaragua
N Engl J Med 2022; 387:568-570In this ongoing household cohort study in Nicaragua, previous SARS-CoV-2 infection during a second Covid-19 wave provided some protection against symptomatic Covid-19, with greater protection against severe illness.
- CorrespondenceVOL. 387 No. 5, Aug 04, 2022
Efficacy of Antibodies and Antiviral Drugs against Omicron BA.2.12.1, BA.4, and BA.5 Subvariants
N Engl J Med 2022; 387:468-470In this study, investigators who were evaluating in vitro neutralization of omicron subvariants by monoclonal antibodies and antiviral drugs found considerable variation among the agents.
- EditorialVOL. 387 No. 5, Aug 04, 2022
Audio Interview: Updated Covid-19 Vaccines and a Look at Monkeypox
N Engl J Med 2022; 387:e16In this audio interview conducted on August 2, 2022, the editors discuss soon-to-be-released Covid-19 vaccines against BA.4/BA.5 strains, as well as the current state of therapeutics for monkeypox.
- CorrespondenceVOL. 387 No. 4, Jul 28, 2022
Immunogenicity and Safety of Beta-Adjuvanted Recombinant Booster Vaccine
N Engl J Med 2022; 387:374-376In a small trial of boost immunization with the mRNA vaccine originally received or with heterologous boosting with spike proteins from the original strain or the beta variant, the beta-adjuvanted booster resulted in the highest titers of antibody and activated T cells 2 weeks later.
- EditorialVOL. 387 No. 4, Jul 28, 2022
Audio Interview: Reinventing the Research Infrastructure to Address Covid-19
N Engl J Med 2022; 387:e13In this audio interview conducted on July 26, 2022, the editors are joined by ACTG Chair Judy Currier to discuss the evolving role of research groups in combatting Covid-19 and future epidemics.
- CorrespondenceVOL. 387 No. 3, Jul 21, 2022
Duration of Shedding of Culturable Virus in SARS-CoV-2 Omicron (BA.1) Infection
N Engl J Med 2022; 387:275-277Outpatients with Covid-19 were followed serially with frequent PCR and viral-culture assessments. The SARS-CoV-2 omicron (BA.1) variant could be cultured a median of 8 days after symptom onset or the initial positive test.
- EditorialVOL. 387 No. 3, Jul 21, 2022
Audio Interview: A Look at the U.S. Government’s Covid-19 Strategy
N Engl J Med 2022; 387:e11In this audio interview conducted on July 19, 2022, the editors are joined by Ashish Jha, White House Covid-19 Response Coordinator, to discuss the federal government’s therapeutics and vaccine strategy.