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University of Nebraska Medical Center

Pandemics Don’t Really End—They Echo

Time Magazine

The public health emergency related to the COVID-19 pandemic officially ended on May 11, 2023. It was a purely administrative step. Viruses do not answer to government decrees. Reported numbers were declining, but then started coming up again during the summer. By August, hospital admissions climbed to more than 10,000 a week. This was nowhere near the 150,000 weekly admissions recorded at the peak of the pandemic in January 2022.

The new variant is more contagious. It is not yet clear whether it is more lethal. Nor is it clear whether the recent rise is a mere uptick or foreshadows a more serious surge. More than 50,000 COVID-19 deaths have been reported in the U.S. in 2023. Somehow, this has come to be seen as almost normal.

History shows that pandemics have ragged endings. Some return again and again. The Justinian Plague that swept through the Roman Empire in the 6th century returned in waves over the next 200 years. The Black Death that killed half the population of Europe between 1347 and 1351 came back more than 40 times over the next 400 years. The effect of the COVID-19 pandemic will be felt long after the last rapid test comes back positive. Millions today are still suffering from “long COVID”—a range of medical conditions that can appear long after the initial infection. This concept can be applied to the whole of society.

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