link to page 1 
 
 
Updated March 1, 2021
Europe, COVID-19, and U.S. Relations
COVID-19 in Europe 
in many European countries over the summer and the onset 
Like most of the rest of the world, European governments 
of colder weather. Some experts warn that a third wave is 
and the European Union (EU) have struggled to manage the 
possible with the spread of more infectious virus variants. 
Coronavirus Disease 2019 (COVID-19)  pandemic. 
European leaders have characterized the pandemic as 
European Responses 
Europe’s biggest challenge since the Second World War, 
In March 2020, in response to the first wave of the 
with potentially far-reaching political, social, and economic 
pandemic, nearly all European governments imposed 
consequences beyond the public health impact. Members of 
national “lockdown” restrictions and social-distancing 
Congress may be interested in COVID-19’s implications 
measures—including banning large gatherings, closing 
for U.S. relations with Europe, including in NATO and with 
schools and nonessential businesses, and restricting 
the EU, and in how the pandemic might alter certain U.S.-
movement—although these measures varied by country in 
European dynamics , especially vis-à-vis China. 
strictness and other aspects. Most European governments 
also enacted national border controls. Sweden took a 
Statistics 
notably different approach that trusted citizens to practice 
The first wave of the pandemic in Europe occurred in 
social distancing and imposed few mandatory restrictions, 
spring 2020 but subsided in the summer. A second wave 
but many public health experts questioned this strategy. 
began in early fall 2020. As of early March 2021, about 
European governments began implementing phased 
27.2 million confirmed COVID-19  infections and roughly 
reopening plans in mid-April and early May 2020. Most 
679,000  deaths had been reported across the 27-member 
European leaders stressed the need for continued social 
EU, the United Kingdom (UK), Norway, and Switzerland 
distancing, and many governments required the use of face 
(out of a combined population of roughly 527 million). 
masks, especially indoors. 
Table 1. COVID-19 Cases and Deaths in Europe: 
The pandemic has spurred serious economic difficulties 
Top 10 Affected Countries 
throughout Europe. The EU estimates its total economy 
 (by number of cases, as of March 1, 2021) 
contracted by 6.3% in 2020 but will grow by 3.7% in 2021. 
The speed of economic recovery, however, is  expected to 
Deaths 
Case 
vary among member states. Measures enacted by European 
Country 
Cases 
Deaths 
per 
Fatality 
governments to mitigate the economic downturn include 
100,000 
Rates 
loan programs and credit guarantees for companies, income 
subsidies for affected workers, tax deferrals, and debt 
UK 
4,188,827 
123,083 
185.12 
2.9% 
repayment deferments. 
France 
3,747,263 
85,741 
128.00 
2.3% 
As COVID-19 cases began to increase again in early fall 
Spain 
3,188,553 
69,142 
147.98 
2.2% 
2020, European governments attempted to avoid a second 
round of national lockdowns, opting instead for targeted 
Italy 
2,925,265 
97,699 
161.67 
3.3% 
restrictions on regional or local virus “hot spots” to 
Germany 
2,450,295 
70,152 
84.59 
2.9% 
preserve economic recovery and in light of growing 
“pandemic fatigue” and public protests. By late October, 
Poland 
1,706,986 
43,769 
115.25 
2.6% 
Belgium, the Czech Republic, France, Germany, Ireland, 
Czech Rep. 
1,235,480 
20,339 
191.41 
1.6% 
Italy, Spain, and others had reimposed national restrictions, 
although most countries kept schools open and measures in 
Netherlands 
1,103,564 
15,688 
91.05 
1.4% 
some were less stringent than during the first wave. By 
Romania 
801,994 
20,350 
104.50 
2.5% 
December, amid mounting infections and growing concerns 
about a faster-spreading variant of the virus first detected in 
Belgium 
771,511 
22,077 
193.28 
2.9% 
the UK, some European governments had closed schools 
Source: Johns Hopkins University School of Medicine, Coronavirus 
and nonessential shops. 
Resource Center, March 1, 2021, updated daily at 
EU and other European countries have begun vaccination 
https://coronavirus.jhu.edu/. 
programs. Officials hope that, as vaccinations proceed, they 
As seen in Table 1, the UK, France, Spain, Italy, and 
will  enable restrictions to be eased gradually in the coming 
Germany have experienced the largest number of 
months. According to Oxford University data, 4.8% of the 
infections. The second wave hit several Central and Eastern 
total EU population and 29.6% of the UK population have 
European countries—including Poland and the Czech 
received at least one dose of a COVID-19 vaccine (as of 
Republic—harder than the first wave. The second surge 
February 28, 2021). 
followed the relaxation of social and economic restrictions 
https://crsreports.congress.gov 
Europe,  COVID-19,  and U.S.  Relations 
EU Actions 
enhance cooperation with Europe to defeat COVID-19, 
Although national governments retain control over most 
halted the U.S. withdrawal from the WHO, and announced 
aspects of health policy, the EU has sought to play a leading 
the United States will contribute up to $4 billion for 
role in managing the European response to the pandemic 
COVAX, a WHO-led initiative supported by the EU to 
and harmonizing policies in an effort to prevent internal 
deliver vaccines and treatments to developing countries. 
discord and promote EU solidarity. The EU coordinated the 
imposition of bloc-wide travel restrictions on most foreign 
Relations with China 
visitors; worked to ensure the provision of sufficient 
Some experts contend that COVID-19 could prompt a 
personal protective equipment (PPE) and other medical 
closer alignment of U.S. and European policy interests with 
supplies across Europe; and is supporting research and 
respect to China. Many U.S. officials and some in Congress 
development (R&D) of treatments, diagnostics, and 
have voiced apprehension about China’s efforts to enhance 
vaccines, in part through leading international donor efforts. 
its influence in Europe. Notwithstanding initial concerns 
The EU is procuring vaccines on behalf of all member 
that China’s face mask diplomacy would build goodwill, 
states, but production delays and relatively slow vaccine 
analysts assess that the pandemic and its aftermath—
distribution have frustrated EU officials, stoked public 
including China’s waging of a pandemic-related 
anger, and prompted criticism of the EU initiative. 
disinformation campaign in Europe—hardened European 
attitudes toward China. For some Europeans, the pandemic 
The EU also is focused on promoting economic recovery. 
has highlighted Europe’s overreliance on China in global 
In April 2020, the EU agreed on a €540 billion (about $660 
supply chains and the vulnerability of its critical 
billion) financial aid package for workers, businesses, and 
infrastructure and companies to foreign takeover. China’s 
member states. The EU is finalizing a €750 billion (around 
COVID-19-related actions may be contributing to decisions 
$918 billion) recovery fund—to include issuing EU bonds 
by some European governments—including the UK and 
backed jointly by member states—attached to a recently 
France—to ban or limit the participation of Chinese 
approved €1.1 trillion (roughly $1.3 trillion) budget for 
telecommunications company Huawei in building out their 
2021-2027.  The European Central Bank, which manages 
fifth generation (5G) wireless networks. The Trump 
the EU’s common currency (the euro) used by 19 members, 
Administration and the EU launched a new dialogue on 
established an emergency bond-buying program totaling 
China in October 2020. The Biden Administration and the 
€1.8 trillion (about $2.2 trillion) as of December 2020. 
EU have expressed interest in intensifying cooperation, but 
devising a common approach to the strategic and economic 
NATO’s Role 
concerns posed by China likely will  remain challenging. 
NATO and allied military personnel, including from the 
United States, have taken an active role in assisting civilian 
Congressional Interests 
responses to COVID-19 in Europe and beyond. Although 
Many Members of Congress retain a long-standing interest 
NATO traditionally focuses on military threats, it possesses 
in European affairs and the transatlantic partnership. Some 
command and control and logistics capabilities to 
analysts argue that combatting the pandemic requires more 
coordinate multilateral responses to a range of security 
robust U.S.-European cooperation. Potential areas for 
challenges, including natural disasters and the COVID-19 
congressional consideration may include the following: 
pandemic. Among other measures, NATO officials report 
that allied military forces have delivered critical supplies 
  The extent of U.S.-European collaboration on COVID-
around the world and helped to build field hospitals and 
19 in forums such as NATO or the G-7, and possible 
conduct testing across the alliance. In an effort to bolster its 
new U.S.-EU initiatives to improve preparedness and 
pandemic response capacities, NATO also established a 
early warning of global health threats 
stockpile of medical equipment and a new fund to enable 
  Possibilities for enhancing U.S.-European economic 
rapid distribution of medical supplies and services. 
cooperation to help promote financial recovery on both 
Impact on U.S.-European Relations 
sides of the Atlantic, including through potential new 
U.S.-EU and U.S-UK free trade agreements 
During the Trump Administration, COVID-19 further 
strained an already tense U.S.-European relationship. 
  Potential ways to reduce supply chain vulnerabilities for 
Pandemic-related issues—including U.S. and EU travel 
PPE and other medical equipment, for example by 
bans; competition for PPE, medical equipment, and the 
deepening existing U.S.-EU regulatory cooperation on 
R&D of vaccines and treatments; and President Trump’s 
pharmaceuticals and medical devices 
decision to withdraw from the World Health Organization 
(WHO)—generated considerable friction with many 
  Options for countering COVID-19 disinformation 
European countries and the EU. Many analysts consider 
campaigns that have targeted the United States and its 
U.S. and European leadership as instrumental in managing 
European allies and are believed to be backed by China, 
past global public health crises, such as the 2014-2016 
Russia, and other foreign powers 
Ebola outbreak, but view diplomatic cooperation on the 
Kristin Archick, Specialist in European Affairs   
COVID-19  pandemic as largely lacking in 2020. The 
Trump Administration asserted it sought to work with 
Paul Belkin, Analyst in European Affairs    
European partners to address various aspects of the 
Sarah E.  Garding, Analyst in European Affairs   
pandemic, including in NATO and the Group of 7 (G-7) 
Derek E. Mix, Specialist in European Affairs   
leading industrialized democracies. U.S. and EU scientific 
Rachel L. Martin, Research Assistant   
and regulatory experts also established technical dialogues 
IF11635
on pandemic-related issues. President Biden has pledged to 
https://crsreports.congress.gov 
Europe,  COVID-19,  and U.S.  Relations 
 
 
Disclaimer 
This document was prepared by the Congressional Research Service (CRS). CRS serves as nonpartisan shared staff to 
congressional committees and Members of Congress. It operates solely at the behest of and under the direction of Congress. 
Information in a CRS Report should not be relied upon for purposes other than public understanding of information that has 
been provided by CRS to Members of Congress in connection with CRS’s institutional role. CRS Reports, as a work of the 
United States Government, are not subject to copyright protection in the United States. Any CRS Report may be 
reproduced and distributed in its entirety without permission from CRS. However, as a CRS Report may include 
copyrighted images or material from a third party, you may need to obtain the permissio n of the copyright holder if you 
wish to copy or otherwise use copyrighted material. 
 
https://crsreports.congress.gov | IF11635  · VERSION  9 · UPDATED