COVID-19 pandemic in Nicaragua
| COVID-19 pandemic in Nicaragua | |
|---|---|
| Disease | COVID-19 |
| Virus strain | SARS-CoV-2 |
| Location | Nicaragua |
| Arrival date | 18 March 2020 (4 years, 8 months and 4 days) |
| Confirmed cases | 16,194[1] |
| Recovered | 15,399[2] |
Deaths | 245[1] |
| Government website | |
| https://www.el19digital.com/Coronavirus | |
The COVID-19 pandemic in Nicaragua was a part of the worldwide pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus was shown to have spread to Nicaragua when the first case, a Nicaraguan citizen who had returned to the country from Panama, was confirmed on 18 March 2020.[3]
According to official figures from the Nicaraguan Ministry of Health,[4] after the first case was reported on 18 March 2020, very few cases were detected for the following 8 weeks until a significant increase in the number of cases began in May 2020.
Subsequently, from around mid-July 2020 the rate of new cases rapidly decreased, and as of January 2021, the country as a whole is showing one of the lowest number of cases in Latin America.[5]
However, opposition leaders have criticized the government's approach to controlling the pandemic,[6][7] and an organisation called Citizens Observatory[8][non-primary source needed] has stated that the figures are significantly higher, particularly the number of deaths.
Background
[edit]On 12 January 2020, the World Health Organization (WHO) confirmed that a novel coronavirus was the cause of a respiratory illness in a cluster of people in Wuhan City, Hubei Province, China, which was reported to the WHO on 31 December 2019.[9][10]
The case fatality ratio for COVID-19 has been much lower than SARS of 2003,[11][12] but the transmission has been significantly greater, with a significant total death toll.[13][11]
Response
[edit]Methods of controlling the virus
[edit]The government initially focused on an education program, with health professionals and volunteers visiting 1.2 million households in the last week of March, and additional information being distributed via TV and other media.
The government's response to the crisis was stated to be an attempt to keep the pandemic under control whilst allowing the country to continue normal activity without lockdown. The government's approach was explicitly published on 25 May, in its "White Book", a publication explaining its approach to controlling the outbreak.[14][15] In the document Nicaragua's approach is likened to that of Sweden: "With the increasing abandon of the "lockdowns", all the countries of the world will have to combine defense against the Coronavirus with the functioning of society, just as Nicaragua and Sweden have done from the beginning."[16] The Nicaraguan government regarded the use of lockdowns as impractical as most Nicaraguans need to leave home each day to earn enough to survive. The government's response started in January 2020, when it established Covid wards in 18 hospitals, put health checks in place at the country's points of entry with mandatory quarantines and tackled misinformation about the virus. Almost five million house to house visits by "health brigades" were conducted to provide information to residents.[17]
Children returned to school after the Easter 2020 break as normal, government employees returned to work and most activity continued with minimal limitations. President Daniel Ortega said Nicaraguans "haven't stopped working, because if this country stops working, it dies."[18]
Ana Emilia Solís, from the World Health Organization stated in March 2020 that since January, when the Nicaraguan Government declared a sanitary alert due to the threat of COVID-19: "Nicaragua has been working according to [WHO] guidelines. It has been working hard on the enlistment of health services, strengthening epidemiological surveillance and has been working with the Community Health Network to identify possible cases that may occur at the community level".[19]
A delegation from the Pan American Health Organization, the regional branch of the WHO, visited the country in the second week of March to coordinate measures to protect against the virus. Alexander Florencio, a representative of the delegation, stated that "the best conditions are being prepared". Florencio added that "provisions being made [by the government] have incorporated all PAHO recommendations."[20]
Criticism
[edit]Some critics of Ortega's government initially claimed that the government was downplaying the severity of the virus.[6][7] An estimate by an organisation called the Citizens' Observatory,[21] asserted in May that the number of cases was 4 times and the number of deaths 20 times the official figure;[22] however, the provenance of these figures is undocumented and the identity of the organisation unknown.[23] Later in August 2020, the hacker group Anonymous would post to a Twitter account called "Lorian Synaro" a set of COVID-19 data stolen from the Nicaraguan Ministry of Health, which prompted a former director of epidemiology who had left the country to conclude, "from day one they were misrepresenting and misreporting COVID-19 in Nicaragua in a completely intentional way."[24]
Prior to the arrival of the virus in Nicaragua, a large public rally was organized by government supporters in solidarity with coronavirus victims in other countries. However, the event was criticized for lack of social distancing.[25] The opposition party grouping, the National Coalition, wrote a letter of complaint to the World Health Organization, arguing that WHO representative Ana Emilia Solis should be promoting more extreme measures to fight the virus, despite Solis's advice being in line with WHO guidelines.[26]
On 18 May 2020, about 700 health workers wrote a letter to the government, urging it to take preventive measures suggested by the WHO to control the spread of COVID-19 in the country. They raised concerns over the weak public health system and how people's lives were at risk as a result. According to Human Rights Watch (HRW), in response to the letter, several health workers were fired from their jobs in June by Nicaraguan Health Ministry without any legal procedures. HRW urged the Nicaraguan authorities to give the workers back their job with salary compensation and to take required preventive measure to control the pandemic.[27]
Timeline
[edit]
_-_Infizierte_(800px).svg)
_-_Tote_(800px).svg)
March
[edit]On 14 March 2020, Ortega's government organised a massive demonstration called "Love in the Time of COVID-19" as a show of support to him and his government, despite WHO warnings against mass gatherings.[28][29]
On 16 March, Vice President Rosario Murillo announced preparations for Holy Week (an important holiday celebrated through all the country), an approach described by opposition newspaper La Prensa as "betting on tourism" and "keeping tourism alive during a pandemic". The Ministry of Government also stated that the border would operate "normally" but with medical teams operating "pertinent measures" such as checking body temperature.[30]
On 17 March, Murillo announced that Cuba was going to send doctors and pharmaceuticals to Nicaragua to help deal with coronavirus, despite there being no confirmed cases in the country at the time. Murillo also claimed that medical supplies were sent by Venezuela as well.[31]
On 18 March, Murillo announced Nicaragua's first confirmed case: a 40-year-old man who recently returned to Nicaragua from its neighboring country of Panama.[32] Regarding him Murillo commented stating he was in isolation and in stable condition, and that she hoped he wouldn't need a ventilator.[6]
On 20 March, the second case was confirmed, a Nicaraguan who came from Colombia.[33]
On 26 March, the first death linked to Coronavirus in Nicaragua was reported, the individual who died also had other medical complications and also reportedly had HIV.[34]
April to May
[edit]On 1 April, Taiwan donated medical protective items, for use by medical professionals.[35]
For the whole of April and the first half of May a trickle of cases were reported (with MINSA, the Ministry of Health reporting only weekly from 5 May). By 12 May only 25 cases had been reported with 8 deaths.[36][37][38][39][40][41][42][43][44][45][46][47][48]
Increased numbers of cases: May to June
[edit]On 12 May, the Ministry of Health announced a notable increase in infection with a further 9 cases identified, bringing the total to 25, including 3 deaths. It was also reported that other deaths had occurred amongst people who were being monitored but who died from other severe illnesses.[49]
On 19 May, the Ministry of Health reported 254 cases, with 17 deaths, albeit with 199 of the total being reported as recovered.[50] SICA correctly reported that the 254 were in addition to the existing 25 for a total of 279.[51]
On 26 May, the weekly bulletin showed 480 new cases, bringing the total number of cases to 759, including a total of 35 deaths and 370 recovered.[52]
359 new cases were reported on 2 June, bringing the total to 1118, with the number of deaths rising to 46 and 691 recoveries.,[53] with 346 new cases the following (total 1464, 55 deaths, 953 recoveries).[54]
The following four weeks showed the trend continuing: 346 new cases on 9 June, bringing the total to 1464, including 55 deaths and 953 recoveries;[55] 359 new cases on 16 June (total cases 1823, total deaths 64, 1238 recoveries);[56] 346 new cases on 23 June (total cases 2170, total deaths 74, 1489 recovered);.[57] and 349 new cases on 30 June (total new cases 2,519, total deaths 83, 1,750 recovered).[58]
Slow improvement: July & August 2020
[edit]From July 2020 the number of new cases began to gradually show a decrease as each set of weekly figures were released. On 7 July, figures showed a total of 2,846 cases, with 91 deaths and 1,993 recovered.[59] On 14 July figures showed 3,147 cases, 99 deaths and 2,282 recovered.[60] On 21 July figures showed 3,439 cases, 108 deaths and 2,492 recovered.[61] The 28 July figures show 3,672 cases, 116 deaths and 2,731 recovered.[62]
The 4 August figures showed 3,902 cases, 123 deaths and 2,973 recovered;[63] the 11 August figures showed 4,115 cases, 128 deaths and 3,072 recovered.[64] On 18 August a further 196 cases and 5 deaths were reported, bringing the totals to 4,311 and 133 respectively, although no further information on recoveries was issued. On 25 August totals increased to 4,494 cases, 3,339 recoveries and 137 deaths.[65]
September to December
[edit]On 1 September Forbes International reported that Nicaragua had the highest recovery rate in the Central American Integration System (SICA) area at 91.25%, ahead of Guatemala on 83.13% and Panama on 71.39%.[66] Numbers for that week were 4,668 cases, 141 deaths and 3,458 recoveries.[67] Over the next four weeks to 29 September, numbers rose to 5,170 cases, 151 deaths and 3,898 recoveries.[68]
By 27 October, numbers had increased slowly to 5,514 total cases, 156 deaths and 4,188 recoveries.[69][70][71][72][73] On 3 November figures showed 5,591 total cases, 157 deaths and 4,246 recoveries.[74]
A sharp but relatively brief increase in cases were reported from mid to late November due to the impacts from Hurricanes Eta and Iota
2021
[edit]By 12 January 2021, government figures showed 6,152 total cases, 167 deaths, and 4,694 recoveries.[75] By 23 February official figures showed 6,445 total cases, 174 deaths, and 4,922 recoveries. [76]
The government authorized the use of the Sputnik V vaccine on 3 February,[77] and the first vaccinations were given on 3 March.[78] Nicaragua is also to receive doses of the Oxford-AstraZeneca Covishield vaccine.[79]
Statistics
[edit]New cases per day
[edit] | Graphs are unavailable due to technical issues. There is more info on Phabricator and on MediaWiki.org. |
Deaths per day
[edit] | Graphs are unavailable due to technical issues. There is more info on Phabricator and on MediaWiki.org. |
Vaccination
[edit]Nicaragua is with Guatemala and Honduras the slowest country concerning the vaccination against COVID-19 in Central America.[80] By early June 2021, Nicaragua has administered 2.5 doses per 100 people which equals a total of 167,500 doses administered.[80] Nicaragua has received 135,000 doses of vaccine through the COVAX mechanism,[81] a worldwide initiative that aims at equitable access to COVID-19 vaccines. The initiative allocated a total of 432,000 doses to Nicaragua which will be delivered over the course of the year 2021.[82] Nicaragua has received donations of 6,000 doses of the Sputnik V by the Russian Direct Investment Fund,[82] as well as 200,000 doses of the Covishield (AstraZeneca/Oxford) vaccine by India.[83] Similar to Honduras, Guatemala and Paraguay, Nicaragua has not received vaccine donations from China as the nation maintains diplomatic ties with Taiwan and recognizes Taipei over Beijing.[84] Moreover, Nicaragua plans to purchase 6.86 million doses of vaccines with 100 million US$ in financing approved by the Central American Bank for Economic Integration (CABEI).[85] That way, the Government of Nicaragua aims at vaccinating 3.27 million Nicaraguans starting with workers at border points, teachers, tourism professionals and other institutions as well as risk groups between 40 and 59 years of age.[85]
Alternative estimates
[edit]The newspaper La Prensa was the first to suggest alternative figures when it reported two "unofficial" deaths, one a 58-year-old employee of Managua airport, who they say was diagnosed on 25 April and died on 29 April, and a 70-year-old resident of Esteli, who supposedly died on the same day. These cases were not included in the official tally at the time.[86]
An organisation called "Citizens' Observatory" has asserted that the true figures are much higher. It said that, on 8 June, the number of deaths was 20 times the official figures, with at least 980 deaths compared to 46 in the official figures at that point. The number of COVID-19 cases was also estimated at 4,000 compared to the official figure of 1,118. It said that the under-reporting of deaths was due to attributing "atypical pneumonia" as the cause of death rather than COVID-19.[22] As of August 2020, the Citizens Observatory was claiming some 9,000 cases, which was around double the official count, but still massively lower than all other Central American countries except (at that time) sparsely populated Belize. However, the Citizens Observatory gave no indication of the provenance of these claims which, according to John Perry, writing for the Council on Hemispheric Affairs, consist of "anonymous experts", who create their own figures from "civil society, networks, digital activists and affected families"[23][8][87] and from something described as "spontaneous public opinions".[88] In January 2021 the Citizens Observatory reported a total of 12,404 cases,[8] almost exactly double the official government count, but still only 9% and 7% respectively of the number of cases in neighbouring countries Honduras to the north and Costa Rica to the south.[5]
Sporting events
[edit]At the start of the pandemic, Nicaragua was unusual in that many sporting events continued at a time when they had been cancelled in many countries.[89]
On 25 April 2020 a boxing event was staged in Managua, under strict conditions. All spectators had their temperatures checked on entry and were forced to sit three seats apart while wearing masks.[90] The boxers were sprayed with disinfectant before the fight.[91]
In late May 2020, multiple members of the Fieras del San Fernando of the Nicaraguan Professional Baseball League contracted COVID. Coach Carlos Aranda fell ill, was brought to a hospital in Nicaragua already unconscious and died. Following his death, so many players refused to play that the league had to suspend the playoffs. It was reported that, earlier in the year, players who said that they wanted to wear masks or not to play at all were threatened with suspensions and fines. The incident attracted international attention to the country's response to the pandemic.[92]
See also
[edit]- COVID-19 pandemic in North America
- COVID-19 pandemic by country and territory
- 2020 in Central America
- History of smallpox in Mexico
- HIV/AIDS in Latin America
- 2013–2014 chikungunya outbreak
- 2009 swine flu pandemic
- 2019–2020 dengue fever epidemic
References
[edit]- ^ a b Mathieu, Edouard; Ritchie, Hannah; Rodés-Guirao, Lucas; Appel, Cameron; Giattino, Charlie; Hasell, Joe; Macdonald, Bobbie; Dattani, Saloni; Beltekian, Diana; Ortiz-Ospina, Esteban; Roser, Max (2020–2024). "Coronavirus Pandemic (COVID-19)". Our World in Data. Retrieved 17 November 2024.
- ^ "Nicaragua COVID - Coronavirus Statistics - Worldometer". Retrieved 8 March 2023.
- ^ "Reuters, 19 March 2020". Reuters. 19 March 2020. Archived from the original on 19 March 2020.
- ^ "MINSA website". Archived from the original on 17 May 2017. Retrieved 16 April 2020.
- ^ a b "Worldometer figures on Nicaragua".
- ^ a b c Robinson, Circles (19 March 2020). "Nicaragua Has Its First Confirmed Case of Coronavirus".
- ^ a b Nicaragua, Today (22 March 2020). "TODAY NICARAGUANicaragua News and AnalysisWhat could happen in Nicaragua if the Ortega regime declares a state of emergency due to the coronavirus?". TODAY NICARAGUA.
- ^ a b c "Citizens Observatory website".
- ^ Elsevier. "Novel Coronavirus Information Center". Elsevier Connect. Archived from the original on 30 January 2020. Retrieved 15 March 2020.
- ^ Reynolds, Matt (4 March 2020). "What is coronavirus and how close is it to becoming a pandemic?". Wired UK. ISSN 1357-0978. Archived from the original on 5 March 2020. Retrieved 5 March 2020.
- ^ a b "Crunching the numbers for coronavirus". Imperial News. 13 March 2020. Archived from the original on 19 March 2020. Retrieved 15 March 2020.
- ^ "High consequence infectious diseases (HCID); Guidance and information about high consequence infectious diseases and their management in England". GOV.UK. Archived from the original on 3 March 2020. Retrieved 17 March 2020.
- ^ "World Federation Of Societies of Anaesthesiologists – Coronavirus". www.wfsahq.org. Archived from the original on 12 March 2020. Retrieved 15 March 2020.
- ^ "explica.co 25 May 2020". Archived from the original on 28 July 2020. Retrieved 27 May 2020.
- ^ Sullivan (Now, Helen; Rawlinson, Earlier); Kevin; Halliday, Josh; Murray, Jessica; Burnton, Simon; Snapes, Laura; Cecco, Leyland (27 May 2020). "The Guardian 26 May 2020". The Guardian.
{{cite news}}: CS1 maint: multiple names: authors list (link) - ^ TO THE PEOPLE OF NICARAGUA AND TO THE WORLD, COVID-19 REPORT, A SINGULAR STRATEGY - WHITE BOOK, República de Nicaragua, Presidencia de la República, 25 May 2020
- ^ Perry, John (2 April 2021). "With Nicaragua, Scary Covid Projections Are More Newsworthy Than Hopeful Results". FAIR. Retrieved 3 April 2021.
- ^ "Nicaragua sends students back to school despite virus fears". AP NEWS. 20 April 2020. Retrieved 23 April 2020.
- ^ "Nicaragua COVID-19 Update 24th March – coffeetalkMAGAZINE".
- ^ "Nicaragua's coronavirus preparations". Nicaragua Solidarity Campaign. 17 March 2020. Archived from the original on 28 July 2020. Retrieved 16 February 2021.
- ^ "Citizens' Observatory website".
- ^ a b Wilfredo Aburto Miranda (8 June 2020). "Sandinista leaders fall victim to coronavirus outbreak they downplayed". The Guardian.
- ^ a b "Council on Hemispheric Affairs, 30 May 2020". 30 May 2020.
- ^ Kincaid, Jake (28 August 2020). "Hack by Anonymous group exposes Nicaraguan regime's secret COVID-19 data". Newspapers.com. The Miami Herald. p. A12. Retrieved 2 March 2023.
After extensive verification of the database, Ramirez and a group of researchers he is working with concluded that "from day one they were misrepresenting and misreporting COVID-19 in Nicaragua in a completely intentional way," Ramirez said.
- ^ Frank, Allegra (22 March 2020). "Phone booths, parades, and 10-minute test kits: How countries worldwide are fighting Covid-19". Vox.
- ^ "Denuncian ante la OMS ineficacia del Gobierno de Nicaragua ante el COVID-19". 8 June 2023.
- ^ "Nicaragua: Doctors Fired for Covid-19 Comments". Human Rights Watch. 23 June 2020. Retrieved 23 June 2020.
- ^ Bermúdez, Alfonso Flores; Robles, Frances (1 June 2020). "Resisting Lockdown, Nicaragua Becomes a Place of Midnight Burials". The New York Times. New York Yimes. Archived from the original on 3 August 2021. Retrieved 3 August 2021.
- ^ "Nicaragua: Reckless COVID-19 Response". www.hrw.org. Human Rights Watch. 10 April 2020. Archived from the original on 3 August 2021. Retrieved 3 August 2021.
- ^ "Régimen orteguista apuesta por el turismo en medio de la pandemia y dice estar todo listo para las vacaciones de Semana Santa". 17 March 2020.
- ^ "Cuba to send doctors and pharmaceuticals to Nicaragua to face coronavirus". 17 March 2020.
- ^ "Nicaragua registers first case of coronavirus infection". Reuters. 19 March 2020. Retrieved 19 March 2020.
- ^ Confirman segundo caso de Covid-19 en Nicaragua in laprensa.com (in Spanish)
- ^ "Nicaragua Reports First Death from Coronavirus". The New York Times. 27 March 2020.
- ^ "Embajada de Taiwán realiza donación de artículos de protección para personal médico".
- ^ "INFORME 14: Centroamérica unida contra el Coronavirus (COVID-19)".
- ^ "Nicaragua reporta 3 casos confirmados de coronavirus hasta este momento".
- ^ "MINSA, Nicaraguan Ministry of Health, 15 April 2020". Archived from the original on 12 September 2021. Retrieved 16 April 2020.
- ^ "el19digital.com 17 April 2020".
- ^ "el19digital.com 18 April 2020".
- ^ "el19digital.com 20 April 2020".
- ^ "el19digital.com 23 April 2020".
- ^ "el19digital.com 25 April 2020".
- ^ "el19digital.com 26 April 2020".
- ^ "el19digital.com 29 April 2020".
- ^ "el19digital.com 3 May 2020".
- ^ "el19digital.com 5 May 2020".
- ^ "Minsa anuncia nuevo paciente con Covid-19 y ya son 16 casos oficiales en Nicaragua". La Prensa (in Spanish). 5 May 2020. Retrieved 5 May 2020.
- ^ "el19digital.com 12 May 2020".
- ^ "articulo66 19 May 2020". 19 May 2020.
- ^ "articulo66 20 May 2020". 19 May 2020.
- ^ "el19digital.com 26 May 2020".
- ^ "el19digital.com 2 June 2020".
- ^ "el19digital.com 9 June 2020".
- ^ "el19digital.com 9 June 2020".
- ^ "el19digital.com 16 June 2020".
- ^ "el19digital 23 June 2020".
- ^ "el19digital 30 June 2020".
- ^ "MINSA 7 July 2020". Archived from the original on 12 September 2021. Retrieved 12 July 2020.
- ^ "MINSA 14 July 2020". Archived from the original on 3 May 2021. Retrieved 16 July 2020.
- ^ "La Prensa 21 July 2020". 21 July 2020.
- ^ "el19digital.com 28 July 2020".
- ^ "Articulo 66 4 August 2020". 4 August 2020.
- ^ "Ministerio de Salud continúa trabajando en la prevención y la atención de las personas con covid-19". el19digital.com. Retrieved 11 August 2020.
- ^ "Informe semanal del Ministerio de Salud sobre la situación del coronavirus en Nicaragua". 25 August 2020.
- ^ "Nicaragua tiene la mayor tasa de personas recuperadas por COVID-19: SICA". September 2020.
- ^ "Minsa brinda informe semanal sobre la situación del coronavirus en Nicaragua". 1 September 2020.
- ^ "Conozca el informe del Minsa sobre el coronavirus en Nicaragua". 22 September 2020.
- ^ "3,898 nicaragüenses han ganado la batalla contra el covid 19". 29 September 2020.
- ^ "3,978 pacientes han ganado la batalla al coronavirus en Nicaragua". 6 October 2020.
- ^ "Más de 4 mil nicaragüenses se han recuperado de la Covid-19". 13 October 2020.
- ^ "Coronavirus Situation as of October 27". 27 October 2020.
- ^ "NOTA DE PRENSA MINISTERIO DEL PODER CIUDADANO PARA LA SALUD". 20 October 2020. Archived from the original on 12 September 2021. Retrieved 24 October 2020.
- ^ "MINISTERIO DE SALUD NO DETIENE SU LUCHA CONTRA LA COVID-19 EN NICARAGUA". 5 November 2020. Archived from the original on 31 March 2022.
- ^ "Situación del Coronavirus: Nicaragua 55 casos activos del 05 al 12 de Enero". 12 January 2021.
- ^ "Covid -19: Ministerio de Salud ha logrado la recuperación de 4,922 nicaragüenses". 12 January 2021.
- ^ "Nicaragua autoriza el uso de la vacuna rusa Sputnik V contra el covid-19". CNN (in Spanish). 3 February 2021. Retrieved 11 February 2021.
- ^ "Alliance for Global Justice, Briefs March 4 2021". 4 March 2021.
- ^ "¿Cuáles son los lugares donde estarán aplicando la vacuna contra la Covid-19 en Nicaragua?". 3 March 2021.
- ^ a b "COVID-19 vaccine doses administered in the Americas". ais.paho.org. Retrieved 2 June 2021.
- ^ "Microsoft Power BI". app.powerbi.com. Retrieved 2 June 2021.
- ^ a b "Nicaragua to receive more than 340,000 vaccines in March". Prensa Latina English. Retrieved 2 June 2021.
- ^ "Nicaragua thanks India for Covid-19 vaccine donation". Prensa Latina English. Retrieved 2 June 2021.
- ^ "Vaccines Reignite China vs. Taiwan Debate in Latin America". AS/COA. 12 May 2021. Retrieved 2 June 2021.
- ^ a b Honduras, BCIE. "With CABEI financial support, 3.27 million Nicaraguans to be vaccinated against COVID-19". www.bcie.org. Retrieved 2 June 2021.
- ^ "La Prensa, Managua, 3 May 2020". 3 May 2020.
- ^ "Observatorio Ciudadano COVID 19 Nicaragua, Facebook". Facebook.
- ^ "NicaNotes 24/09/20". 24 September 2020.
- ^ Wagner, James (14 April 2020). "Looking for a Full Sports Calendar? Try Nicaragua". The New York Times. Retrieved 16 April 2020.
- ^ "BBC Sport: Nicaraguan boxing event goes ahead with masks and temperature checks". BBC Sport.
- ^ "Yahoo News: Boxing resumed in Nicaragua amid the coronavirus pandemic, and produced a stunning photo". 26 April 2020.
- ^ "A death in Nicaraguan baseball puts pandemic in public eye". Associated Press. 20 April 2021. Retrieved 27 September 2021.