How do pandemics end? In different ways, but it ’s never quick and never neat | Mark Honigsbaum
Just like the Black Death, influenza and smallpox, Covid-19 will affect almost every aspect of our of lives – even after a vaccine turns upOn 7 September 1854, in the middle of a raging cholera epidemic, the physician John Snow approached the board of guardians of St James ’s parish for permission toremove the handle from a public water pump in Broad Street in London ’s Soho. Snow observed that 61 victims of the cholera had recently drawn water from the pump and reasoned that contaminated water was the source of the epidemic. His request was granted and, even though it would take a further 30 years for the germ theory of cholera to become accepted, his action ended the epidemic.As we adjust to another round ofcoronavirus restrictions, it would be nice to think that Boris Johnson and Matt Hancock have a similar endpoint in sight for Covid-19. Unfortunately, history suggests that epidemics rarely have such neat endings as the 1854 cholera epidemic. Quite the opposite: as the social historian of medicineCharles Rosenberg observed, most epidemics “drift towards closure”. It is 40 years since the identification of thefirst Aids cases, for instance, yet every year1.7 million people are infected with HIV. Indeed, in the absence of a vaccine, theWorld Health Organization does not expect to call time on it before 2030.Continue reading...
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CONCLUSIONS: This single practice study showed total patient contact was similar over both sample periods, but most contact in 2020 was virtual. Further longitudinal multi-practice studies to confirm these findings and describe future consultation patterns are needed to inform general practice service delivery post-COVID-19. PMID: 33032304 [PubMed - in process]
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Curious what people think with pandemic and lack of away rotations.
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