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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.

From lockdown protests in China, to the long-awaited reopening of Japan, to President Joe Biden declaring the pandemic over in the US, coronavirus remained in the headlines worldwide in 2022.

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.”

A worker in a protective suit walks at an entrance to a tunnel leading to the Pudong area across the Huangpu river, after restrictions on highway traffic amid the lockdown to contain the spread of the coronavirus disease (COVID-19) in Shanghai, China March 28, 2022. REUTERS/Aly Song TPX IMAGES OF THE DAY
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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.”

A mental health worker with Doctors Without Borders (MSF) attends to a patient who has the coronavirus disease (COVID-19) at a hospital where the organization is helping address mental health challenges faced by patients with the disease, in Caracas, Venezuela February 1, 2022. Picture taken February 1, 2022. REUTERS/Leonardo Fernandez Viloria TPX IMAGES OF THE DAY
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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.

People hold white sheets of paper in protest over coronavirus disease (COVID-19) restrictions, after a vigil for the victims of a fire in Urumqi, as outbreaks of COVID-19 continue, in Beijing, China
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People hold white sheets of paper in protest over COVID-19 restrictions in Beijing, China

Protests in China over the country’s strict lockdowns have spread into some of the most significant unrest the regime has seen since Tiananmen Square.

But after most zero-COVID restrictions were suddenly reversed in the wake of the protests, the virus swept through the country largely unchecked.

The new wave led some leading scientists in recent weeks to warn it could be too soon to declare the end of the pandemic.

“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.

Canada saw its own protests earlier in the year, as trucks rolled into the nation’s capital in a demonstration against mandatory vaccines that turned into a larger protest against government overreach.

This inspired others across the Atlantic in France and Belgium, with a “freedom convoy” demanding an end to COVID-19 restrictions.

A great unknown in Asia is what is happening in the secretive North Korea, which was reluctant to report having any cases at all.

U.S. President Joe Biden receives an updated coronavirus disease (COVID-19) vaccine while launching a new plan for Americans to receive booster shots and vaccinations, onstage in an auditorium on the White House campus in Washington, U.S. October 25, 2022. REUTERS/Jonathan Ernst TPX IMAGES OF THE DAY
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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.

A man is escorted by police as truckers and supporters continue to protest coronavirus disease (COVID-19) vaccine mandates, in Ottawa, Ontario, Canada, February 18, 2022. REUTERS/Blair Gable TPX IMAGES OF THE DAY
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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.

A visitor walks past an illuminated coronavirus (COVID-19) model as he visit the "Mini-Worlds on the Way of Illumination" (Mini-Mondes en voie d'illumination) exhibition during the Light Festival preview at the Jardin des Plantes (Botanical garden) in Paris, France, November 12, 2022. REUTERS/Gonzalo Fuentes TPX IMAGES OF THE DAY
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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.”

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Tomorrowland: ‘Devastating’ blaze destroys main stage at major festival – two days before it was due to begin

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Tomorrowland: 'Devastating' blaze destroys main stage at major festival - two days before it was due to begin

A huge fire has destroyed the main stage of a major festival in Belgium – two days before it was due to begin.

Tomorrowland is a dance music event as big as Glastonbury – and David Guetta was due to perform.

Footage showed flames and thick plumes of black smoke engulfing the stage and spreading to nearby woodland on Wednesday.

fire destroyed the main stage at the Tomorrowland festival site in Belgium
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The fire gutted the main stage


 fire which destroyed the main stage at the Tomorrowland festival site in Belgium
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Fire crews attempt to bring the blaze under control

The annual festival in the town of Boom, north of Brussels, is one of the biggest in Europe and attracts about 400,000 people over two consecutive weekends.

It is famous for its immersive and elaborate designs and attracts big names within dance music – including Guetta, best known for tracks When Love Takes Over and Titanium.

Dutch DJs Martin Garrix and Charlotte de Witte were also due to perform, along with the likes of Swedish House Mafia, Eric Prydz and Alok.

A fire destroyed the main stage at the Tomorrowland festival site in Belgium
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Black smoke could be seen rising into the sky


The festival’s website described the creative elements which went into the elaborate main stage.

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The theme, described as Orbyz, was “set in a magical universe made entirely out of ice” and “full of mythical creatures”.

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Organisers said no one was injured in the blaze but confirmed “our beloved main stage has been severely damaged”, adding they were “devastated”.

Spokesperson Debby Wilmsen added: “We received some truly terrible news today. A fire broke out on the Tomorrowland site … and our main stage was essentially destroyed there, which is truly awful.

“That’s a stage that took years to build, with so much love and passion. So I think a lot of people are devastated.”

Spokesperson Debby Wilmsen who said fire destroyed the main stage at the Tomorrowland festival site in Belgium
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Spokesperson Debby Wilmsen told reporters ‘a lot of people are devastated’

Despite the fire, Tomorrowland organisers said they were still expecting 38,000 festivalgoers at DreamVille, the event’s campsite.

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Why Israel is getting involved in Syria’s internal fighting

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Why Israel is getting involved in Syria's internal fighting

Israel has shown little respect for international borders since becoming the unrivalled military hegemon of the Middle East.  Today that meant an Israeli airstrike on a government building in Damascus.

Israel says its attack on a Syrian defence ministry facility was intended as a warning to the new government: stay out of the part of southern Syria we have occupied or else.

Israel has moved into parts of the south of the country, built military bases and declared a line of control.

Smoke rises from an Israeli airstrike that hit the Syrian Defence Ministry in Damascus.
Pic: AP
Image:
Smoke rises from an Israeli airstrike that hit the Syrian Defence Ministry in Damascus. Pic: AP

On Monday, Syrian tanks heading south to try and restore order following an outbreak of factional fighting were attacked by Israeli warplanes.

“The presence of such vehicles in southern Syria could pose a threat to Israel,” stated the Israel Defence Forces.

In reality, Syria’s ageing tanks pose minimal threat to Israel’s state-of-the art military.

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Syrian presenter interrupted by Israeli airstrike

The Syrian armour was attacked as it entered the area around Sweida in the Druze heartland of southern Syria following factional fighting there.

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The flare-up reportedly began with clashes between Bedouin and Druze groups that ended in scores killed.

The background to the escalation is complicated.

At least three Druze militia groups are divided in their loyalties to different religious leaders and differ over how they should respond to calls to assimilate into the new post-revolutionary Syria.

Druze from Syria and Israel protest on the Israeli-Syrian border, in Majdal Shams in the Israeli-controlled Golan Heights.
Pic: AP
Image:
Druze from Syria and Israel protest on the Israeli-Syrian border.
Pic: AP

Read more:
30 dead as armed groups clash in Syria
UK restores diplomatic ties with Syria

Israel is becoming more and more involved in Syria’s internecine war and says it will remain there indefinitely “to protect our communities and thwart any threat”.

Its critics say Israel is operating a policy of divide and rule in Syria, weakening the fledgling government and creating a buffer zone to protect the border with the Golan Heights – originally Syrian territory that it has occupied and annexed for almost half a century.

Since the fall of the Assad regime, Israel has used airstrikes to destroy of much of Syria’s military capability weakening its ability to impose control on outlying regions. This makes it more not less likely Israel will have a volatile unstable state on its northern border.

Syrian security forces walk together along a street in the southern Druze city of Sweida.
Pic: Reuters
Image:
Syrian security forces walk along a street in the southern Druze city of Sweida. Pic: Reuters

America and European powers have chosen to normalise relations with the new government in Damascus and lift sanctions.

In contrast Israel has occupied its territory, bombed its military and today hit one of its government buildings in the capital with an airstrike.

Since its crushing military campaigns against Hamas, Hezbollah and Iran, Israel has emerged as the unchallenged military power of the region.

There is however a limit to what blunt force can achieve alone. It requires diplomacy to achieve lasting gains and Israel’s repeated assaults on multiple neighbours combined with its relentless campaign in Gaza are winning it few friends in the region.

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Israel attacks Syrian military HQ – and disrupts live TV broadcast

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Israel attacks Syrian military HQ - and disrupts live TV broadcast

Israeli airstrikes have targeted the Syrian military headquarters in Damascus amid renewed clashes in the country.

The gate of the Ministry of Defence in the Syrian capital was targeted by two warning missiles from an Israeli reconnaissance aircraft.

State-owned Elekhbariya TV said the Israeli strike had wounded two civilians, the Reuters news agency reported.

Smoke rises after strikes on Syria's defence ministry in Damascus, Syria.
Pic: Reuters
Image:
Smoke rises from Syria’s defence ministry building in Damascus. Pic: Reuters

It came as Israeli airstrikes targeted security and army vehicles in the southern city of Sweida, where the Druze faith is one of the major religious groups – marking the third consecutive day Israel has struck Syrian forces.

The Israeli military confirmed it had “struck the entrance gate” in Damascus – and that it would be monitoring “actions being taken against Druze civilians in southern Syria”.

Smoke rises from an Israeli airstrike that hit the Syrian Defence Ministry in Damascus.
Pic: AP
Image:
The Israeli airstrike targeted Syria’s military headquarters. Pic: AP

Why Israel is getting involved in Syria’s internal fighting


Dominic Waghorn

Dominic Waghorn

International affairs editor

@DominicWaghorn

Israel has shown little respect for international borders since becoming the unrivalled military hegemon of the Middle East. Today that meant an Israeli airstrike on a government building in Damascus.

Israel says its attack on a Syrian defence ministry facility was intended as a warning to the new government: stay out of the part of southern Syria we have occupied or else.

Israel has moved into parts of the south of the country, built military bases and declared a line of control.

On Monday, Syrian tanks heading south to try and restore order following an outbreak of factional fighting were attacked by Israeli warplanes.

“The presence of such vehicles in southern Syria could pose a threat to Israel,” stated the Israel Defence Forces.

In reality, Syria’s ageing tanks pose minimal threat to Israel’s state-of-the art military.

Read the full analysis

Local media said Sweida and nearby villages were coming under heavy artillery and mortar fire on Wednesday, according to Reuters.

The clashes marked the collapse of a ceasefire between Syrian government forces and Druze armed groups, with Israel also warning it would increase its involvement.

Syrian security forces walk together along a street in the southern Druze city of Sweida.
Pic: Reuters
Image:
Syria said its forces had responded to being fired upon. Pic: Reuters

Israel said it was acting to protect the Druze groups through its attacks on convoys of Syrian forces.

Syria blamed militias in Sweida for violating a ceasefire agreement which had only been reached on Tuesday.

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A statement from its defence ministry said: “Military forces continue to respond to the source of fire inside the city of Sweida, while adhering to rules of engagement to protect residents, prevent harm, and ensure the safe return of those who left the city back to their homes.”

Israel’s defence minister Israel Katz said the military will continue to strike Syrian forces until they withdraw and should “leave Druze alone”, according to local reports.

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