SARS-CoV-2 is the coronavirus that causes the disease COVID-19. The symptoms often resemble the common cold at first. Some people do not become ill at all, or are only mildly ill from the virus. Others may become seriously ill and sometimes even die from the disease. Sometimes people get post-Covid and have persistent long-term symptoms. Vaccination protects against severe illness, and may prevent any symptoms from developing.
There are various types of coronaviruses. The coronavirus that causes COVID-19 is officially called SARS-CoV-2. This virus has a number of different variants and sub-variants. More information about the different variants and related research is available on the RIVM page about the SARS-CoV-2 variants.
Be careful with people in fragile health who can become seriously ill from a respiratory infection. If necessary, wear a mouth-nose mask if you have symptoms and cannot keep your distance.
How can I recognise COVID-19?
Possible symptoms of COVID-19 include:
- Cold symptoms (such as a nasal cold, runny nose, sneezing, sore throat)
- Coughing
- Shortness of breath
- Elevated temperature or fever
- Sudden loss of smell and/or taste (without nasal congestion)
People with COVID-19 sometimes also have other symptoms, such as:
- Tiredness
- General aches and pains
- Headache
- Muscle aches
- Dizziness
- Irritability/confusion
- Abdominal pain
- Weight loss / loss of appetite
- Diarrhoea
- Vomiting/nausea
- Eye pain
- Eye infection (conjunctivitis)
- Skin abnormalities (such as a rash)
- Feeling unwell
The disease can cause respiratory symptoms and fever, and in severe cases it leads to breathing problems.
Who can become very ill from COVID-19?
People who are aged 60 years or older, people who have underlying health conditions, or people who have impaired immunity have a higher risk of becoming seriously ill from COVID-19. This applies even if they have been vaccinated or had a previous SARS-CoV-2 infection. Their immunity to the virus wanes over time. More information about these groups is available on the RIVM page about COVID-19 risk groups.
How might I catch COVID-19?
The virus is spread by droplets. They are produced by coughing, sneezing, singing, talking and so on. During activities that produce droplets, the virus is released into the air. If other people inhale those droplets, they may become infected with the virus. This could also happen if they get the droplets in their mouth, nose or eyes, for example via their hands.
You are contagious 1 to 2 days before you develop symptoms. You are most contagious in the first few days after you develop symptoms. This subsides quickly and you are usually no longer contagious after 5 days. If you are coughing and sneezing, you are more contagious than if you do not have those symptoms.
How can I prevent COVID-19?
Good hygiene helps prevent COVID-19 from spreading. It can also help keep you from getting sick yourself. Wash your hands often and thoroughly with soap and water, and ventilate indoor spaces.
There is a vaccine against COVID-19. COVID-19 vaccination does not fully protect you against getting an infection. It does offer effective protection against severe illness resulting from a SARS-CoV-2 infection. That is why the COVID-19 vaccination is available to people who can become very ill from the virus. The vaccination also lowers your risk of passing the virus to another person. More information is available on the RIVM page about COVID-19 vaccination.
What should I do if I have COVID-19 symptoms?
COVID-19 is a respiratory infection. For that reason, follow the general recommendations for respiratory infections if you have symptoms. This lowers the risk of passing the virus to others, especially people in vulnerable health:
- Are you ill? Then stay home.
- If you are not ill, but do have symptoms, then work from home if you can. Consult your employer if necessary.
- Cough and sneeze into your elbow.
- Keep your distance from others.
- Avoid contact with people who could become seriously ill from a respiratory infection.
- Impossible to avoid contact (for example because you provide informal care)? Wear a face mask that covers the mouth and nose.
Is there any treatment for COVID-19?
Patients who are very ill can be treated with medicines in hospital. These medicines work against the virus, counteract inflammation caused by the virus or help prevent the formation of blood clots (thrombosis or pulmonary embolism).
There are no medicines yet that can cure someone of COVID-19 very quickly. The body has to do most of the work itself. Medicines can support the body in this process.
How long will it take for me to recover after COVID-19?
The amount of time it takes to recover from COVID-19 can vary from person to person. Some people recover within a few days. Others take a longer time to return to their former health status. There are also some people who have persistent symptoms for a long time. People with COVID-19 who have been admitted to hospital generally need more time to recover. How long recovery takes also depends on whether they are healthy other than the SARS-CoV-2 infection.
Some people have long-term symptoms after a SARS-CoV-2 infection. This is referred to as post-COVID or Long COVID. These symptoms can persist for weeks or months, sometimes even years.
Can I get COVID-19 more than once?
Yes, you can get COVID-19 multiple times. People who are reinfected are generally less likely to become seriously ill. However, they can still infect others. Most people build up immunity to the virus after infection. It is not yet certain how long immunity lasts, or how effective that protection is against different variants of the coronavirus SARS-CoV-2.
How common is COVID-19 in the Netherlands?
COVID-19 is no longer a pandemic, but the coronavirus SARS-CoV-2 is still present. Since the virus keeps changing a bit over time, it gradually evades the immunity that people built up. That is why it sometimes causes higher numbers of infections every once in a while.
The weekly COVID-19 updates present an overview of the current situation in the Netherlands. In these updates, RIVM keeps track of the levels of virus particles in wastewater, how many people participating in the ‘Infection Radar’ survey test positive for SARS-CoV-2, and how many people in hospital have SARS-CoV-2.
News about COVID-19 and vaccination
COVID-19 vaccination: invitations being sent to risk groups
From 27 August 2024 on, the first people will receive an invitation for COVID-19 vaccination. RIVM will send the invitations to people aged 60 years and older.
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New COVID-19 vaccination round for risk groups this autumn
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New research portal for people with post-COVID
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Well-being should be considered from the start when formulating policy during pandemic, health emergency or other crisis
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Study on the effectiveness of COVID-19 measures in the Netherlands
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Air pollution increases risk of infection and severity of illness from COVID-19
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Other coronaviruses
Coronaviruses mostly affect the respiratory system (nose, mouth and airways).
Besides SARS-CoV-2, other examples of coronaviruses are Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV1).