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Getty Images / WIRED The man’s condition was already dire when he arrived at the hospital in Belgrade, Serbia. He was coughing, short of breath, and had a high fever of 39.2°C. Doctors and nurses quickly tested the oxygen levels in his blood – they were way down. Although they intubated the man, hooking his lungs up to a mechanical ventilator, he died just a few hours later. It is a sequence of events that, sadly, has unfolded time and time again throughout the pandemic. Except that this man died on February 5, 2020, before any Covid-19 deaths were officially confirmed in Europe. Before the name “Covid-19” even existed. Back then, the man’s doctors had no idea what had killed him. They put the fatality down to pneumonia of an unknown cause.

France generalUnited kingdomSerbia generalCity ofPeter attwoodMark grahamJane bucklandJeremy rossmanMark jitUniversity of kentKing college londonUniversity of belgradePublic health englandLondon school of hygieneClinical centre of serbiaWorld health organisation