Medical Pandemics: Def & Symptoms, Is Flu a Pandemic?

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A pandemic is defined as a large-scale outbreak of a dangerous pathogen affecting a significant number of people across multiple regions, specifically in several WHO regions. Seasonal flu and common colds do not qualify as pandemics because they typically involve gradual changes and some level of natural immunity among the population. In contrast, pandemic influenza involves a new strain that most people lack immunity against, leading to widespread infection. The WHO designates pandemic phases, with Phase 5 indicating human-to-human transmission in at least two countries and Phase 6 confirming community outbreaks in different regions, signaling an ongoing global pandemic. Additionally, while it is theoretically possible for a pandemic pathogen to produce asymptomatic carriers, such pathogens are less likely to spread effectively since symptoms often facilitate transmission through actions like coughing and sneezing. Thus, the classification of a disease as a pandemic is independent of the severity of its symptoms.
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If a pandemic is a disease affecting a large number of people over a very large area, does that mean that 'colds' and seasonal flu are pandemics? How many people have to be affected before something becomes a pandemic, and could a pandemic virus/bacterium theoretically produce no symptoms?
 
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A pandemic is a large scale outbreak of a dangerous pathogen affecting a large amount of people over a large geographical region, or more precisely in several WHO regions. Typical features of seasonal influenza is small, gradual changes and some natural immunity. For pandemic influenza, we are talking about a global outbreak of a new strain that humans most of the time completely lack natural immunity against. Therefore, seasonal influenza cannot properly be considered the same as pandemic influenza.

http://www.who.int/csr/disease/avian_influenza/phase/en/index.html

Phase 5 is characterized by human-to-human spread of the virus into at least two countries in one WHO region. While most countries will not be affected at this stage, the declaration of Phase 5 is a strong signal that a pandemic is imminent and that the time to finalize the organization, communication, and implementation of the planned mitigation measures is short.

Phase 6, the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way.

As for your question regarding whether it is possible for a pandemic pathogen to only produce asymptomatic carriers, a lot of the time the symptoms created by the pathogen and the body's response helps to spread the pathogen, such as coughing, sneezing and so on. It can be considered a general rule that it is not likely that a pandemic pathogen would produce nothing but asymptomatic carriers. This is because pathogens that spread better than others will produce more copies of itself that can infect others, provided all other factors are negligible, so this type of pathogen would be selected for over time.
 
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So whether a disease is defined as a pandemic has no relation to the severity of the symptoms?
 
Popular article referring to the BA.2 variant: Popular article: (many words, little data) https://www.cnn.com/2022/02/17/health/ba-2-covid-severity/index.html Preprint article referring to the BA.2 variant: Preprint article: (At 52 pages, too many words!) https://www.biorxiv.org/content/10.1101/2022.02.14.480335v1.full.pdf [edited 1hr. after posting: Added preprint Abstract] Cheers, Tom
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