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==21st century to current days== In 2002 San Marino signed a treaty with the [[OECD]], agreeing to greater transparency in banking and taxation matters to help combat [[tax evasion]]. The [[SARS-CoV-2|SARS-CoV-2 virus]], a cause of the [[COVID-19 pandemic]], was confirmed to have [[COVID-19 pandemic in San Marino|reached San Marino]] in February 2020. As of June 2020, San Marino had the highest death rate per capita of any country, due to the effects of the COVID-19 pandemic.<ref>[http://www.iss.sm/on-line/home/articolo49014350.html "Gruppo coordinamento emergenze sanitarie: aggiornamento dati sull’Infezione COVID-19"], Istituto per la Sicurezza Sociale, Repubblica di San Marino, 29 April 2020 (in Italian)</ref> In April 2021, the nation received headlines for using the Russian [[Sputnik V COVID-19 vaccine]] rather than vaccines approved by the EU following a slow rollout for the latter vaccines.<ref>[https://www.washingtonpost.com/world/interactive/2021/sanmarino-covid-vaccine-sputnik/?itid=hp-top-table-main "San Marino, the micronation within Italy, stokes envy with speedy Russian-supplied vaccine campaign"], Washington Post, 2 April 2021</ref><ref>[https://www.nytimes.com/2021/04/02/world/europe/italy-san-marino-sputnik-vaccine.html/?itid=hp-top-table-main "Shut Out on Vaccines, Tiny San Marino Turns to Old Friend: Russia"], New York Times, 2 April 2021</ref> As of 11 May 2023, with 21,083 confirmed cases out of a population of 33,600 ({{as of|2020|lc=y}}), it was the country with [[COVID-19 pandemic by country and territory|the fourth-highest percentage of confirmed cases per capita]] at 71.13% – 7 confirmed case per 10 inhabitants. Also, with 90 confirmed deaths, the country has [[COVID-19 pandemic death rates by country|one of the highest rate of confirmed deaths per capita]] at 0.268% of the total population – 1 death per 373 inhabitants.<ref>{{Cite web|url=https://ourworldindata.org/grapher/covid-deaths-days-since-per-million|title=Death rate of COVID-19: Total confirmed deaths per million people|website=Our World in Data|access-date=9 April 2020}}</ref> The [[Case fatality rate|crude fatality rate]] is 2.63%.<ref>{{Cite web|url=https://ourworldindata.org/grapher/coronavirus-cfr|title=Case fatality rate of the ongoing COVID-19 pandemic|website=Our World in Data|access-date=10 April 2020}}</ref> It was once declared "[[Eradication of infectious diseases|Covid-free]]" on 26 June 2020,<ref name="Covid free"/> although on 9 July it had another case, and while this had recovered by the end of the month, the epidemics has returned later and most of recorded covid-assigned fatalities had happened after that. At the [[2020 Summer Olympics]], San Marino became the smallest country to earn a medal, as [[Alessandra Perilli]] and [[Gian Marco Berti]] won silver in the [[Shooting at the 2020 Summer Olympics – Mixed trap team|mixed trap shooting event]].<ref>{{cite web|title=Olympics-Shooting-Tears of joy as San Marino becomes smallest Olympic medal-winning nation|url=https://sports.yahoo.com/olympics-shooting-tears-joy-san-152102783.html|access-date=31 July 2021|website=sports.yahoo.com|date=29 July 2021 |language=en-US}}</ref> On 7 March 2022, during the [[Russian invasion of Ukraine]], the Kremlin released a list of countries, via [[Twitter]], who it considered "unfriendly" to Russia. For joining international condemn and sanctions, an act considered a total reversal of past friendly ties with Russia (culminated with the visit of Sergei Lavrov) San Marino was included in the list, alongside other countries such as the United States of America and countries in the European Union.<ref>{{cite web |first=Isabel |last=van Brugen |url=https://www.newsweek.com/russia-list-unfriendly-countries-1685468 |title=Russia Releases Lengthy List Of 'Unfriendly' Countries |publisher=Newsweek.com |date=7 March 2022 |access-date=14 March 2022}}</ref> On 1 April 2022, 58-year-old [[Paolo Rondelli]] was elected as one of the two captains regent, its heads of state. He had previously been the Ambassador to the United States and is the world's first openly gay head of state.<ref name="lyman">{{cite web |url=https://www.theguardian.com/world/2022/apr/04/san-marino-appoints-worlds-first-openly-gay-head-of-state |title=San Marino appoints world's first openly gay head of state |work=The Guardian |last=Lyman |first=Eric J |date=4 April 2022 |access-date=20 April 2022}}</ref>
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