Next year could see the end of COVID-19 as an emergency worldwide, but global healthcare systems are still at risk of being overwhelmed, the World Health Organisation has told Sky News.
Now as we close out the third year of the pandemic, and look towards the fourth, Sky News looks at how different regions have dealt with everything from vaccines to disinformation – and what to expect in 2023.
One of the biggest storylines this year was the growth of the Omicron strain, which has come to dominate the global COVID-19 caseload.
“We reached a peak of more than 23 million cases reported in a week,” the WHO’s Dr Maria Van Kerkhove told Sky News.
“We had to re-draw our scale. On the one hand while we saw that huge increase in transmission, on average Omicron was not as severe as Delta but still in some countries caused more deaths because of just the sheer number of cases.”
Omicron may have become the dominant variant, Dr Van Kerkhove says, but it is still evolving and changing, with around 500 sub-lineages in circulation.
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She added: “And this is why surveillance needs to continue.
“We need to track the known variants. We need to be able to detect new ones.”
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Image: Deserted streets in China were a common sight as the country pursued aggressive lockdown policies
But despite the changes with Omicron, the original vaccines are continuing to hold up against severe disease, Dr Van Kerkhove says.
There is more to do in terms of vaccine coverage worldwide however, she added.
While more than 13 billion doses of vaccines have been administered globally, the WHO target of 70% of populations in each country has not been reached.
This is one of the areas where inequalities in access can be seen.
Worldwide some 79% of people aged 60 or over have received their primary vaccine, but that number is only 60% in Africa.
“We’re not reaching those targets. And we have to in every single country, but predominantly in lower income countries, we’re missing those individuals.”
Image: A mental health worker with Doctors Without Borders (MSF) attends to a patient in Caracas, Venezuela
Dr Van Kerkhove urged those who have yet to get the vaccine to do so, saying that it is not too late.
“And what we see right now is the people that are requiring hospitalisation, the people who are dying, are the people who have either not received any vaccine at all or they haven’t received the full number of doses that they need.”
Looking back at 2022, she says the year was marked by countries adjusting their strategies as they opened up and sought to live with COVID-19.
Some countries in the Asia and Pacific regions, for instance, had been much more closed off during the pandemic as they sought to seal themselves off while rolling out vaccination programmes.
Thailand, which is highly dependent on tourism, was one of the first Asian countries to open up, while Japan and Hong Kong were some of the last.
There remains a prevalence of mask wearing in those regions, which has been largely abandoned in other parts of the world.
Image: People hold white sheets of paper in protest over COVID-19 restrictions in Beijing, China
“It’s clear that we are in a very different phase [of the pandemic], but in my mind, that pending wave in China is a wild card,” Dutch virologist Marion Koopmans, who sits on a WHO committee tasked with advising on the status of the COVID emergency, said this December.
Image: President Joe Biden receives an updated vaccine
India, however, has seen very little impact from coronavirus this year compared to the devastation it caused in 2021.
Markets, schools, colleges, factories, manufacturing units, government and private offices are all open, while work from home has been largely withdrawn after becoming the norm.
This has been helped by the country’s large-scale vaccination programme that has seen 2.2 billion vaccines administered, covering almost 70% of the population with two jabs.
In the US, President Joe Biden declared that the “pandemic is over” in September.
This was despite hundreds of Americans dying with the virus every day at the time – down from more than 3,000 deaths a day earlier in his presidential term.
Image: A man is escorted by police amid protests over vaccine mandates in Ottawa, Canada
However despite more countries opening up in 2022, Dr Van Kerkhove said there remains a risk that healthcare systems could be overwhelmed.
“In countries around the world the virus is spreading unchecked and healthcare systems right now are extremely fragile everywhere.
“Health workers are absolutely exhausted. Many have retired. Many have left. And we don’t see that strength in the system that we need to see.”
But she added that despite COVID-19 being here to stay, next year could see an important change in the way the virus is viewed.
Image: A visitor walks past an illuminated COVID-19 model in Paris, France
“We’re hopeful next year we can end this as an emergency everywhere because countries are better at dealing with it.
“The big wildcard is the virus. The wildcard is the mutations and the evolution of this virus.”
Long COVID is a “significant concern” and will be a big emphasis going forward as more research is done into what it is and how to treat it, she said.
Another huge issue that remains is around disinformation and partisan politics about the virus.
“So trust is really at an all time low because of what everyone has gone through with the politicisation, attacks on science, misinformation.
“And we have to work really hard to build that. It’s so hard won, but easily lost.”
The Trump-Putin summit is pitched as “transparent” but it’s difficult to find any path to peace right now.
White House press secretary Karoline Leavitt has reduced it to a “listening exercise” where Donald Trump will seek a “better understanding” of the situation.
There isn’t much to understand – Russia wants territory, Ukraine isn’t ceding it – but Ms Levitt rejects talk of them “tempering expectations”.
It’s possible to be both hopeful and measured, she says, because Mr Trump wants peace but is only meeting one side on Friday.
It’s the fact that he’s only meeting Vladimir Putin that concerns European leaders, who fear Ukraine could be side-lined by any Trump-Putin pact.
Volodymyr Zelenskyy claims Mr Putin wants the rest of Donetsk and, in effect, the entire Donbas region in eastern Ukraine.
He’s ruled out surrendering that because it would rob him of key defence lines and leave Kyiv vulnerable to future offensives.
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‘Steps have been taken to remedy the situation’ in Pokrovsk
European leaders – including Sir Keir Starmer – will hold online talks with Mr Zelenskyy twice on Wednesday, on either side of a virtual call with Mr Trump and US Vice President JD Vance.
Their concerns may be getting through, hence the White House now framing the summit as a cautious fact-finding exercise and nothing more.
The only thing we really learned from the latest news conference is that the first Trump-Putin meeting in six years will be in Anchorage.
A White House official later confirmed it would be at Joint Base Elmendorf-Richardson, a US military facility.
Any agreement between Donald Trump and Vladimir Putin when they meet on Friday could leave Ukraine in an impossible position after three years of brutal, grinding war for survival.
There has been speculation the two leaders could agree a so-called ‘land for peace’ deal which could see Ukraine instructed to give up territory in exchange for an end to the fighting.
That would effectively be an annexation of sovereign Ukrainian territory by Russia by force.
Ukrainian President Volodymyr Zelenskyysaid on Tuesday evening that MrPutin wants the rest of Donetsk – and in effect the entire eastern Donbas region – as part of a ceasefire plan.
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Sky’s Michael Clarke explains in more detail what territories are under possible threat.
But the Ukrainian leader said Kyiv would reject the proposal and explained that such a move would deprive them of defensive lines and open the way for Moscow to conduct further offensives.
Russia currently occupies around 19% of Ukraine, including Crimea and the parts of the Donbas region it seized prior to the full-scale invasion in February 2022.
In this story, Sky News speaks to experts about what the highly-anticipated meeting between the Russian and American presidents could mean for the battlefield.
Image: Donald Trump and Vladimir Putin are set to meet in Alaska. Pic: Reuters
A ceasefire along the frontline?
The range of outcomes for the Trump-Putin meeting is broad, with anything from no progress to a ceasefire possible.
Polish Prime Minister Donald Tusk, for instance, said this week that he has “many fears and a lot of hope” for what could come out of it.
Military analyst Michael Clarke told Sky News that the summit “certainly won’t create peace, but it might create a ceasefire in place if Putin decides to be flexible”.
“So far he hasn’t shown any flexibility at all,” he added.
A ceasefire along the frontline, with minimal withdrawals on both sides, would be “structurally changing” and an “astonishing outcome”, he said.
However he doubts this will happen. Mr Clarke said a favourable outcome could be the two sides agreeing to a ceasefire that would start in two weeks time (for instance) with threats of sanctions from the US if Russia or Ukraine breaks it.
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President Zelenskyy: ‘Path to peace must be determined together’
Will Ukraine be forced to give up territory to Russia?
While President Trump’s attitude to Ukrainian resistance appears possibly more favourable from his recent comments, it’s still possible that Kyiv could be asked to give up territory as part of any agreement with Russia.
Moscow has been focussed on four oblasts (regions) of Ukraine: Luhansk and Donetsk (the Donbas), Zaporizhzhia and Kherson.
President Putin’s forces control almost all of Luhansk, but about 30% of the others remain in Ukrainian hands and are fiercely contested.
“Russian rates of advance have picked up in the last month, but even though they are making ground, it would still take years (three or more) at current rates to capture all this territory,” Matthew Savill, director of military sciences at the RUSI thinktank, told Sky News.
He says it “wouldn’t be surprising” if Russia tried to acquire the rest of the Donbas as part of negotiations – something that is “highly unattractive” for Ukraine that could leave them vulnerable in future.
This would include surrendering some of the ‘fortress belt’ – a network of four settlements including Kramatorsk and Sloviansk – that has held back Russian forces for 11 years.
Michael Clarke said this might well satisfy President Putin “for now”, but many believe that he would return for the rest of Ukraine – possibly after President Trump leaves office.
It’s unclear if President Volodymyr Zelenskyy could accept such a painful concession – or indeed, survive it politically – or if the wider Ukrainian public would support it in return for a pause in the fighting.
Would Russia have to return any territory to Ukraine?
The White House appears to have been briefing that it might, though the situation is very unclear.
Mr Savill added: “The Ukrainians might want to even up the situation in the north, by removing Russian incursions into Sumy and near Kharkiv, but of greater importance would be getting the Zaporizhzhia Nuclear Power Plant back under Ukrainian control, given how much it would contribute to Ukrainian power needs.”
It’s also possible that Russia could be willing to withdraw from the areas of Kherson region that it controls.
It’s “plausible” they could get the power plant back, Mr Clarke said, but Russia would likely insist on maintaining access to Crimea by land.
This would mean that cities Mariupol and Melitopol – would remain in Russian hands, with all that that entails for the people living there.
Settlements are illegal under international law and have been condemned by the UN. They are, however, authorised by the Israeli government.
As well as official, government-approved settlements, there are also Israeli outposts.
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Israeli settlers attack Palestinian villages
These are established without government approval and are considered illegal by Israeli authorities. But reports suggest the government often turns a blind eye to their creation.
Israel began building settlements shortly after the 1967 Six-Day War.
The Etzion Bloc in Hebron, which was established that year, now houses around 40,000 people.
According to the Israel Policy Forum, the settlement programme is intended to protect Israel’s security, with settlers acting as the first line of defence “against an invasion”.
The Israeli public appears divided on the effectiveness of the settlements, however.
Image: A Palestinian man walks next to a wall covered with sprayed Hebrew slogans. Pic: Reuters
A 2024 Pew Research Centre poll found that 40% of Israelis believe settlements help Israeli security, 35% say they hurt it, and 21% think they make no difference.
Why are they controversial?
Israeli settlements are built on land that is internationally recognised as Palestinian territory.
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The activists trying to stop Israeli settlers
Sky News has spoken to multiple Palestinians who say they were forced out of their homes by Israeli settlers, despite having lived there for generations.
“They gradually invade the community and expand. The goal is to terrorise people, to make them flee,” Rachel Abramovitz, a member of the group Looking The Occupation In The Eye, told Sky News in May.
Settlers who have spoken to Sky News say they have a holy right to occupy the land.
American-born Israeli settler Daniel Winston told Sky’s chief correspondent Stuart Ramsay: “God’s real, and he wrote the Bible, and the Bible says, ‘I made this land, and I want you to be here’.”
Settlers make up around 5% of Israel’s population and 15% of the West Bank’s population, according to data from Peace Now.
How have things escalated since 7 October 2023?
Since the Hamas-led attacks on 7 October 2023 and Israel’s subsequent military bombardment of Gaza, more than 100 Israeli outposts have been established, according to Peace Now.
In May, Prime Minister Benjamin Netanyahu’s government approved 22 new settlements, including the legalisation of outposts that had previously been built without authorisation.
Settler violence against Palestinians has also increased, according to the UN, with an average of 118 incidents each month – up from 108 in 2023, which was already a record year.
The UN’s latest report on Israeli settlements notes that in October 2024, there were 162 settler attacks on Palestinian olive harvesters, many of them in the presence of IDF soldiers.
Of the 174 settler violence incidents studied by the UN, 109 were not reported to Israeli authorities.
Most Palestinian victims said they didn’t report the attacks due to a lack of trust in the Israeli system; some said they feared retaliation by settlers or the authorities if they did.