How many people have long Covid, and why do estimates differ so much?

Depending on who counts, long Covid affects 2.4% of people, or 6%, or 15%. The gap is the story.

How many people have long Covid? There is no single agreed number, and the honest answer is that estimates range widely. In its fact sheet of 26 February 2025, the World Health Organization says global estimates indicate that 6 in 100 people with Covid-19 develop post Covid-19 condition. An August 2024 review estimated that long Covid affects about 6-7% of adults and about 1% of children, and that roughly 400 million people had or have had it by the end of 2023. But other studies give very different figures.

Here are some of them. In February 2023 the UK's Office for National Statistics, using , reported that 2.4% of adults and 0.6% of children and young people reported long Covid following a second infection. A prospective study by Statistics Canada identified a cumulative of 15% after a first infection. In a large Scottish study, 42% of respondents said they had not fully recovered 6 to 18 months after catching Covid, and 6% said they had not recovered at all. These numbers do not measure the same thing, which is why they cannot be lined up as if they did.

Try it

Each infection, another chance (a simple model)

00.250.50.75101.252.53.755Number of infectionsShare never affected (1 = everyone)

y = 1 · 0.85ˣ

Challenge · At 0.85 (a 15% risk each time), read the share never affected after 2 and 3 infections. Subtract it from 1: how close is it to Statistics Canada's 27% and 38%?

A simple model, not the study's method: if every infection carried the same 15% risk, about 28% would be affected after two infections and 39% after three, close to the cumulative 15%, 27% and 38% Statistics Canada found.

Why do they differ? Estimates of how common long Covid is vary widely depending on the definition used, the population studied and other methodological differences. Estimates based on statistically of the population are much lower than those based on certified infection, which tends to skew towards more serious cases, including hospitalised patients. And because appears to correlate with severity of infection, it is lower in vaccinated groups, on reinfection and during the omicron era, so the time of data collection matters.

Four estimates, four different questions

Bar chart: Four estimates, four different questions. (%)
Share
UK ONS: after a second infection (adults)2.4%
WHO: people with Covid-196%
Statistics Canada: after a first infection15%
Scotland: not fully recovered at 6-18 months42%
These figures measure different things (different groups, definitions and dates), so they are not a ranking of studies.

The WHO says more recent research shows the chances of developing post Covid-19 condition have reduced, but these data are limited and mostly from high-income countries. The figures describe populations, not what will happen to any one person.

Quiz me

0/3

  1. 1.Why do long Covid estimates differ so much?
  2. 2.How do estimates from random sampling compare with those from certified infection?
  3. 3.What does the WHO say about recent research on the chance of developing long Covid?

Recap

Estimates range from 2.4% to 15% and more because the question, the sample and the date differ.

💡 A trick to remember it · Same ruler, different rooms: a headline number only means something if you know what was counted and when.

Surprising fact · About 400 million people were estimated to have had long Covid by the end of 2023, per an August 2024 review.

Sources (2)

No source, no claim. Every fact in this lesson (14 claims) cites at least one of these.

  1. [1]Post COVID-19 condition (long COVID) · World Health Organization
  2. [2]Long COVID · Wikipedia
More lessons in 🫀 Human body (3) See all human body lessons →

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