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Pandemicity, COVID-19 and the limits of public health ‘science’

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### Summary box > “No man is an island, > > entire of itself; > > each is a piece of the continent, > > a part of the main.… Click to show full abstract

### Summary box > “No man is an island, > > entire of itself; > > each is a piece of the continent, > > a part of the main. > > If a clod be washed away by the sea, > > Europe is the less, > > as well as if a promontory were, > > as well as if a manor of thy friend’s > > or of thine own were. > > Each man’s death diminishes me, > > for I am involved in mankind. > > And therefore never send to know > > for whom the bell tolls; > > it tolls for thee.” John Donne wrote these lines in 1624 as part of a series of meditations conducted during a period of what we would now term social distancing, while he suffered from a relapsing febrile illness. Whatever the pathogen, Donne’s musings on being part of a greater whole were not conceived during an epidemic or pandemic, since these words did not exist as nouns in the English language until 1674 and 1832, respectively.1 In 2020, the quasi-inexorable spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought the interconnectedness of humankind back to the forefront of many a consciousness. Yet it has not brought clarity to the blurred boundary between epidemics and pandemics. This was made manifest …

Keywords: public health; pandemicity covid; health science; health; covid limits; limits public

Journal Title: BMJ Global Health
Year Published: 2020

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