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Joshua, if you want to ask a question in the present tense you have to say:

- Does the sentence below mean ...?

In answer to your question, when "yet" is used at the beginning it means "however":

Managing the consequences of a pandemic was always going to be a challenge. Yet what needs to be done is haunted by the magnitude of what was not done. 

What the text says is that, although everyone knew that the future handling of the consequences of the pandemic would be difficult, it is rendered even more difficult by the large volume of past inefficiencies.

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