On Not Tolerating the Intolerable

The pandemic buzzword these days is “endemic,” which is being used to mean Covid’s going to stick around so we might as well just go back to normal lives.

That is not what endemic means, of course. Endemic means an illness that constantly exists at a baseline level of some amount in an area without being brought in from elsewhere. The common cold is endemic in most places. So are a few more dangerous illnesses — the plague, for example.

The other key thing about endemic disease is that the illness doesn’t spread at an epidemic pace. Covid’s clearly not close to endemic. Here’s a piece in Nature that explains that better than I can.

Also, just because an illness becomes endemic doesn’t mean everything is rosy. In the Nature article, Oxford Professor Aris Katzourakis points out:

A disease can be endemic and both widespread and deadly. Malaria killed more than 600,000 people in 2020. Ten million fell ill with tuberculosis that same year and 1.5 million died.

I recall a doctor who was working for a pharmaceutical company telling me years ago that no companies wanted to work on TB drugs because there wasn’t any money in it. That’s why those people are dying.

Coming back to the virus at hand: what endemic does not mean and should never be used to mean is letting people die so we can get back to “normal.”. But in many corners of the U.S., people are using the term to mean precisely that. Continue reading “On Not Tolerating the Intolerable”