The Making of an Endemic Disease

Commentary When does a pandemic end? How does a pandemic end? These were the questions I was asking myself after Megyn Kelly hosted Dr. Monica Gandhi on her podcast last week. As it turns out, sooner or later we’ll have to admit that our COVID-19 pandemic is morphing into the endemic stage of the disease. A disease can be classified as endemic when it is “persisting in a population or region, generally having settled to a relatively constant rate of occurrence,” or, as Dr. Gandhi put it, you’ve reached endemic levels of a disease when “it’s gone down to a level where you live with it.” The end goal of manageable endemic levels of disease was originally openly embraced. Our two weeks to stop the spread game plan was focused on preventing the hospital system from being overwhelmed while also acknowledging that the disease would indeed circulate. We initially set …

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