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| Meta Title | Is COVID-19 Still a Pandemic? | |||||||||||||||
| Meta Description | The WHO declared COVID-19 a pandemic on March 11, 2020. Four years later, in 2024, is COVID-19 and SARS-CoV-2 still a pandemic? | |||||||||||||||
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| Boilerpipe Text | As a health journalist, I've written the phrase âthe COVID-19 pandemicâ more times than I care to count in the four years since the World Health Organization (WHO)
first used that term on March 11, 2020
. But lately, the word âpandemicâ has given me pause.
Maybe youâve noticed it too: these days, a lot of people refer to the pandemic in the past tense. âDuring COVID,â they say, or, âwhen we were in the pandemic.â The implication is that the virus is gone and the pandemic is over.
The former is clearly untrue. The SARS-CoV-2 virus still
kills thousands of people around the world
each month, saddles still more with chronic symptoms
known as Long COVID
, and continues to evolve, with the highly transmissible
JN.1 variant
recently causing waves of infection across the globe.
But are we still a pandemic? No one seems to know for sure.
When I asked Dr. Mandy Cohen, director of the U.S. Centers for Disease Control and Prevention (CDC), she didnât give a direct answer. âRather than getting caught up in the semantics of it,â she says, people should feel confident that âwe are outside of the emergency [phase]. But I donât want folks to forget that COVID is still here and still poses a risk.â
Even Maria Van Kerkhove, director of epidemic and pandemic prevention and preparedness at the WHO, admitted that the issue is a âconfusingâ one. The WHO continues to
describe COVID-19 as a pandemic on its website
. Van Kerkhove says thatâs reasonable given the virusâ continued global presence, even though we are no longer in the crisis state we were in 2020âbut, she says, thereâs no definitive, yes-or-no conclusion about whether thatâs the right term to use.
âThere is no universal, agreed definition of what a pandemic is,â Van Kerkhove says. âIf you asked 100 epidemiologists to define what a pandemic is, or, âAre we currently in a pandemic?â, youâd get a lot of different answers.â
Whatâs a pandemic, anyway?
Epidemiologists consider a disease âendemicâ when it spreads in a consistent way, as the flu does each winter in the Northern Hemisphere. An endemic level of disease is the baseline amount for a particular area, which might not be zero but is at least predictable. If a disease suddenly causes a higher-than-average number of cases in a set area, the situation becomes an âepidemic.â
The definition for a âpandemicââwhen an epidemic crosses borders, infecting lots of people across multiple countries or continentsâis perhaps the squishiest of all.
Calling something a pandemic is essentially a âjudgment call,â because âthere isnât a precise numberâ of cases, hospitalizations, deaths, or affected countries that definitively denotes one, says Dr. Jonathan Quick, an adjunct professor at the Duke Global Health Institute and author of
The End of Epidemics
. âAnybody who gives you a precise number is just pulling it out of their head.â
Using that label is, in some ways, as much a political and public-relations decision as it is an epidemiological one. âIf youâre trying to really reduce the number of deaths, youâve got to be very strategic in what you do,â says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. Language is part of the calculus, in that it can spur action from officials and the public alike.
But, technically speaking, labeling something a pandemic has no immediate policy implications. Even the
WHO does not formally declare pandemics
. The agencyâs highest official level of alert is a public health emergency of international concern (PHEIC), a designation meant to mobilize a global, coordinated response. (The PHEIC related to COVID-19 started in January 2020 and ended in May 2023, the same month the
U.S. government stopped calling the virus a public-health emergency
.)
But, Van Kerkhove says, PHEIC is "not a good acronym. It doesnât evoke the kind of action like the word 'pandemic' does.â
Representatives from WHO member countries around the world are working on a formal definition of a pandemicâfour years after COVID-19 came onto the sceneâas part of a wider effort to strengthen global pandemic preparedness. An alleged recent draft, which was
published in February
by Health Policy Watch, is a mouthful: âthe global spread of a pathogen or variant that infects human populations with limited or no immunity through sustained and high transmissibility from person to person, overwhelming health systems with severe morbidity and high mortality and causing social and economic disruptions, all of which requires effective national and global collaboration and coordination for its control.â (A WHO spokesperson declined to confirm the legitimacy of that draft definition, but said a new draft of the group's work is set to be published this week.)
That reported definition doesnât include numbers, but it does lay out more precise ground rules for what constitutes a pandemic. The pathogen in question must be contagious, novelâsince humans donât have significant preexisting immunity to itâand virulent enough to cause lots of death and disease, overwhelming health systems and disrupting society in the process.
Is COVID-19 still a pandemic, or is it endemic?
Under those terms, SARS-CoV-2 still has some pandemic-y features. Itâs still highly transmissible and circulating widely in countries around the world, and it remains a major cause of
death
and disability globally.
But it isnât novel anymore, says Katherine Xue, a postdoctoral fellow at Stanford University who has studied viral evolution. The majority of the worldâs
population now has some immunity
to the virus through vaccination, prior infection, or both, which means that âeven a new viral variant is probably not going to be able to infect everybodyâ in the way the original strain could in 2020, she says.
COVID-19âs spread isnât perfectly predictableânew variants are emerging all the time, causing spikes in infections all year round
rather than seasonally
âbut it is consistently circulating around the world. To Xue, that means itâs fair to call it endemic. âThe picture of COVID that we have now is probably going to be very similar to what we have four years from now, [whereas] the way we dealt with COVID was very different four years ago,â she says. âThe rate of change is different.â
COVID-19 also does not overwhelm health systems in the way it once did. Today, with masks, tests, vaccines, and treatments available to some extent around the world, fewer people develop severe disease, and itâs easier to care for those who do. The virus continues to kill people and cause Long COVID, but global death rates are
way down from their peaks
.
Dr. Robert Wachter, chair of medicine at the University of California, San Francisco, has stopped using the word âpandemic,â which he says was a âshorthand way to convey to the publicâ that COVID-19 constituted a worldwide emergency that required a global shift in behavior. But calling it a pandemic now âjust doesnât feel right,â he says. In his opinion, weâve been out of the pandemic phase for about a year, given the widespread availability of tests, treatments, and vaccines.
So whatâs the word to use now? Experts interviewed for this story were hesitant to pick one. âWe really donât have the language for things that are somewhere between flus and cold viruses and pandemics," Quick says.
Does the label matter?
It may seem purely semantic, but ambiguity over the p-word has political and public-health implications. While many countries use other labels, like emergency declarations, to unlock funding and trigger coordinated governmental responses to a crisis, calling something a pandemicâeven informallyâhas gravitas. And saying one has ended implies, rightfully or not, that the threat is gone, which may have trickle-down effects on research funding, disease-prevention efforts, and policies around sick leave and public services.
That may be why public-health experts are so loath to take a firm stance. âI would be worried if the headline of your story is, âWHO Says Weâre No Longer In a Pandemic,ââ Van Kerkhove told me. âThat would have a different level of meaning from a political point of view.â
Saying a pandemic is over also sends a message to the public that they can move onâassuming, of course, that they havenât already. Only about 20% of U.S. adults got the latest vaccine, and a similarly small percentage said they were worried about COVID-19 going into this past holiday season,
according to KFF data from late 2023
. Lots of people stopped paying attention long before COVID-19âs four-year anniversary, and âthe pandemic is over for themâ regardless of how much experts debate the right vocabulary to use, Osterholm says.
Contrast that with the
daily lives of people who remain especially vulnerable
to the diseaseâ including those who are elderly, immunocompromised, or coping with Long COVIDâand it can feel like weâre living in separate timelines, Osterholm says. âIs the pandemic over for some people earlier than it is for others?â Osterholm says. âThat doesnât seem to make sense. Thatâs kind of like saying that thereâs two different temperatures in Minneapolis in one night.â
Still, even Osterholm wouldnât say which view is the right one, or when a pandemic is definitively over. âI couldnât answer it for you,â he says.
Reconciling those different realities is unlikely at this point. And to Quick, thatâs okay. âThe key messaging is not about terminology, but about what behaviors are appropriate,â he says.
For people who still observe the pandemic, those behaviors wonât be at all surprising. Experts recommend getting vaccinated,
staying home when youâre actively sick
, getting tested and
treated if necessary
, and considering additional precautions like wearing a mask and improving ventilation. But with emergency declarations expired, mandates gone, and public guidance relaxing, whether you choose to do those things is now largely up to you. âWeâre in a different place with COVID,â CDC director Cohen says.
Is that place a pandemic? It seems thatâs also up to you. | |||||||||||||||
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# Experts Can't Agree If We're Still in a Pandemic
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by
[Jamie Ducharme](https://time.com/author/jamie-ducharme/)
Ducharme is a contributor to TIME.
Updated:
Jan 19, 2026 1:32 PM CUT
Published:
Mar 11, 2024 2:20 PM CUT

Abstract image of end to corona virus emergency
Abstract image of end to corona virus emergencyGetty Images

by
[Jamie Ducharme](https://time.com/author/jamie-ducharme/)
Ducharme is a contributor to TIME.
Updated:
Jan 19, 2026 1:32 PM CUT
Published:
Mar 11, 2024 2:20 PM CUT
As a health journalist, I've written the phrase âthe COVID-19 pandemicâ more times than I care to count in the four years since the World Health Organization (WHO) [first used that term on March 11, 2020](https://time.com/5791661/who-coronavirus-pandemic-declaration/ "undefined"). But lately, the word âpandemicâ has given me pause.
Maybe youâve noticed it too: these days, a lot of people refer to the pandemic in the past tense. âDuring COVID,â they say, or, âwhen we were in the pandemic.â The implication is that the virus is gone and the pandemic is over.
The former is clearly untrue. The SARS-CoV-2 virus still [kills thousands of people around the world](https://data.who.int/dashboards/covid19/deaths?n=c "undefined") each month, saddles still more with chronic symptoms [known as Long COVID](https://time.com/6835566/what-are-long-covid-symptoms/ "undefined"), and continues to evolve, with the highly transmissible [JN.1 variant](https://time.com/6548748/jn1-covid-variant/ "undefined") recently causing waves of infection across the globe.
But are we still a pandemic? No one seems to know for sure.
When I asked Dr. Mandy Cohen, director of the U.S. Centers for Disease Control and Prevention (CDC), she didnât give a direct answer. âRather than getting caught up in the semantics of it,â she says, people should feel confident that âwe are outside of the emergency \[phase\]. But I donât want folks to forget that COVID is still here and still poses a risk.â
Even Maria Van Kerkhove, director of epidemic and pandemic prevention and preparedness at the WHO, admitted that the issue is a âconfusingâ one. The WHO continues to [describe COVID-19 as a pandemic on its website](https://www.who.int/europe/emergencies/situations/covid-19 "undefined"). Van Kerkhove says thatâs reasonable given the virusâ continued global presence, even though we are no longer in the crisis state we were in 2020âbut, she says, thereâs no definitive, yes-or-no conclusion about whether thatâs the right term to use.
Advertisement
âThere is no universal, agreed definition of what a pandemic is,â Van Kerkhove says. âIf you asked 100 epidemiologists to define what a pandemic is, or, âAre we currently in a pandemic?â, youâd get a lot of different answers.â
## Whatâs a pandemic, anyway?
Epidemiologists consider a disease âendemicâ when it spreads in a consistent way, as the flu does each winter in the Northern Hemisphere. An endemic level of disease is the baseline amount for a particular area, which might not be zero but is at least predictable. If a disease suddenly causes a higher-than-average number of cases in a set area, the situation becomes an âepidemic.â
The definition for a âpandemicââwhen an epidemic crosses borders, infecting lots of people across multiple countries or continentsâis perhaps the squishiest of all.
Calling something a pandemic is essentially a âjudgment call,â because âthere isnât a precise numberâ of cases, hospitalizations, deaths, or affected countries that definitively denotes one, says Dr. Jonathan Quick, an adjunct professor at the Duke Global Health Institute and author of *The End of Epidemics*. âAnybody who gives you a precise number is just pulling it out of their head.â
Advertisement
Using that label is, in some ways, as much a political and public-relations decision as it is an epidemiological one. âIf youâre trying to really reduce the number of deaths, youâve got to be very strategic in what you do,â says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. Language is part of the calculus, in that it can spur action from officials and the public alike.
But, technically speaking, labeling something a pandemic has no immediate policy implications. Even the [WHO does not formally declare pandemics](https://time.com/5827383/maria-van-kerkhove-world-health-organization/ "undefined"). The agencyâs highest official level of alert is a public health emergency of international concern (PHEIC), a designation meant to mobilize a global, coordinated response. (The PHEIC related to COVID-19 started in January 2020 and ended in May 2023, the same month the [U.S. government stopped calling the virus a public-health emergency](https://time.com/6251520/covid-19-public-health-emergency-ends-what-changes/ "undefined").)
Advertisement
But, Van Kerkhove says, PHEIC is "not a good acronym. It doesnât evoke the kind of action like the word 'pandemic' does.â
Representatives from WHO member countries around the world are working on a formal definition of a pandemicâfour years after COVID-19 came onto the sceneâas part of a wider effort to strengthen global pandemic preparedness. An alleged recent draft, which was [published in February](https://healthpolicy-watch.news/exclusive-read-latest-pandemic-agreement-draft-ahead-of-mondays-negotiations/ "undefined") by Health Policy Watch, is a mouthful: âthe global spread of a pathogen or variant that infects human populations with limited or no immunity through sustained and high transmissibility from person to person, overwhelming health systems with severe morbidity and high mortality and causing social and economic disruptions, all of which requires effective national and global collaboration and coordination for its control.â (A WHO spokesperson declined to confirm the legitimacy of that draft definition, but said a new draft of the group's work is set to be published this week.)
Advertisement
That reported definition doesnât include numbers, but it does lay out more precise ground rules for what constitutes a pandemic. The pathogen in question must be contagious, novelâsince humans donât have significant preexisting immunity to itâand virulent enough to cause lots of death and disease, overwhelming health systems and disrupting society in the process.
## Is COVID-19 still a pandemic, or is it endemic?
Under those terms, SARS-CoV-2 still has some pandemic-y features. Itâs still highly transmissible and circulating widely in countries around the world, and it remains a major cause of [death](https://www.thinkglobalhealth.org/article/just-how-do-deaths-due-covid-19-stack "undefined") and disability globally.
But it isnât novel anymore, says Katherine Xue, a postdoctoral fellow at Stanford University who has studied viral evolution. The majority of the worldâs [population now has some immunity](https://time.com/6284236/covid-19-immunity-antibodies/ "undefined") to the virus through vaccination, prior infection, or both, which means that âeven a new viral variant is probably not going to be able to infect everybodyâ in the way the original strain could in 2020, she says.
Advertisement
COVID-19âs spread isnât perfectly predictableânew variants are emerging all the time, causing spikes in infections all year round [rather than seasonally](https://time.com/6852850/is-covid-19-seasonal-virus/ "undefined")âbut it is consistently circulating around the world. To Xue, that means itâs fair to call it endemic. âThe picture of COVID that we have now is probably going to be very similar to what we have four years from now, \[whereas\] the way we dealt with COVID was very different four years ago,â she says. âThe rate of change is different.â
COVID-19 also does not overwhelm health systems in the way it once did. Today, with masks, tests, vaccines, and treatments available to some extent around the world, fewer people develop severe disease, and itâs easier to care for those who do. The virus continues to kill people and cause Long COVID, but global death rates are [way down from their peaks](https://data.who.int/dashboards/covid19/deaths "undefined").
Dr. Robert Wachter, chair of medicine at the University of California, San Francisco, has stopped using the word âpandemic,â which he says was a âshorthand way to convey to the publicâ that COVID-19 constituted a worldwide emergency that required a global shift in behavior. But calling it a pandemic now âjust doesnât feel right,â he says. In his opinion, weâve been out of the pandemic phase for about a year, given the widespread availability of tests, treatments, and vaccines.
Advertisement
So whatâs the word to use now? Experts interviewed for this story were hesitant to pick one. âWe really donât have the language for things that are somewhere between flus and cold viruses and pandemics," Quick says.
## Does the label matter?
It may seem purely semantic, but ambiguity over the p-word has political and public-health implications. While many countries use other labels, like emergency declarations, to unlock funding and trigger coordinated governmental responses to a crisis, calling something a pandemicâeven informallyâhas gravitas. And saying one has ended implies, rightfully or not, that the threat is gone, which may have trickle-down effects on research funding, disease-prevention efforts, and policies around sick leave and public services.
That may be why public-health experts are so loath to take a firm stance. âI would be worried if the headline of your story is, âWHO Says Weâre No Longer In a Pandemic,ââ Van Kerkhove told me. âThat would have a different level of meaning from a political point of view.â
Advertisement
Saying a pandemic is over also sends a message to the public that they can move onâassuming, of course, that they havenât already. Only about 20% of U.S. adults got the latest vaccine, and a similarly small percentage said they were worried about COVID-19 going into this past holiday season, [according to KFF data from late 2023](https://www.kff.org/coronavirus-covid-19/poll-finding/vaccine-monitor-november-2023-with-covid-concerns-lagging-most-people-have-not-gotten-latest-vaccine/ "undefined"). Lots of people stopped paying attention long before COVID-19âs four-year anniversary, and âthe pandemic is over for themâ regardless of how much experts debate the right vocabulary to use, Osterholm says.
Contrast that with the [daily lives of people who remain especially vulnerable](https://time.com/6852852/long-covid-pandemic-anniversary/ "undefined") to the diseaseâ including those who are elderly, immunocompromised, or coping with Long COVIDâand it can feel like weâre living in separate timelines, Osterholm says. âIs the pandemic over for some people earlier than it is for others?â Osterholm says. âThat doesnât seem to make sense. Thatâs kind of like saying that thereâs two different temperatures in Minneapolis in one night.â
Advertisement
Still, even Osterholm wouldnât say which view is the right one, or when a pandemic is definitively over. âI couldnât answer it for you,â he says.
Reconciling those different realities is unlikely at this point. And to Quick, thatâs okay. âThe key messaging is not about terminology, but about what behaviors are appropriate,â he says.
For people who still observe the pandemic, those behaviors wonât be at all surprising. Experts recommend getting vaccinated, [staying home when youâre actively sick](https://time.com/6695102/covid-19-isolation-guidelines-experts/ "undefined"), getting tested and [treated if necessary](https://time.com/6553027/paxlovid-for-young-healthy-adults/ "undefined"), and considering additional precautions like wearing a mask and improving ventilation. But with emergency declarations expired, mandates gone, and public guidance relaxing, whether you choose to do those things is now largely up to you. âWeâre in a different place with COVID,â CDC director Cohen says.
Is that place a pandemic? It seems thatâs also up to you.
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| Readable Markdown | As a health journalist, I've written the phrase âthe COVID-19 pandemicâ more times than I care to count in the four years since the World Health Organization (WHO) [first used that term on March 11, 2020](https://time.com/5791661/who-coronavirus-pandemic-declaration/ "undefined"). But lately, the word âpandemicâ has given me pause.
Maybe youâve noticed it too: these days, a lot of people refer to the pandemic in the past tense. âDuring COVID,â they say, or, âwhen we were in the pandemic.â The implication is that the virus is gone and the pandemic is over.
The former is clearly untrue. The SARS-CoV-2 virus still [kills thousands of people around the world](https://data.who.int/dashboards/covid19/deaths?n=c "undefined") each month, saddles still more with chronic symptoms [known as Long COVID](https://time.com/6835566/what-are-long-covid-symptoms/ "undefined"), and continues to evolve, with the highly transmissible [JN.1 variant](https://time.com/6548748/jn1-covid-variant/ "undefined") recently causing waves of infection across the globe.
But are we still a pandemic? No one seems to know for sure.
When I asked Dr. Mandy Cohen, director of the U.S. Centers for Disease Control and Prevention (CDC), she didnât give a direct answer. âRather than getting caught up in the semantics of it,â she says, people should feel confident that âwe are outside of the emergency \[phase\]. But I donât want folks to forget that COVID is still here and still poses a risk.â
Even Maria Van Kerkhove, director of epidemic and pandemic prevention and preparedness at the WHO, admitted that the issue is a âconfusingâ one. The WHO continues to [describe COVID-19 as a pandemic on its website](https://www.who.int/europe/emergencies/situations/covid-19 "undefined"). Van Kerkhove says thatâs reasonable given the virusâ continued global presence, even though we are no longer in the crisis state we were in 2020âbut, she says, thereâs no definitive, yes-or-no conclusion about whether thatâs the right term to use.
âThere is no universal, agreed definition of what a pandemic is,â Van Kerkhove says. âIf you asked 100 epidemiologists to define what a pandemic is, or, âAre we currently in a pandemic?â, youâd get a lot of different answers.â
Whatâs a pandemic, anyway?
Epidemiologists consider a disease âendemicâ when it spreads in a consistent way, as the flu does each winter in the Northern Hemisphere. An endemic level of disease is the baseline amount for a particular area, which might not be zero but is at least predictable. If a disease suddenly causes a higher-than-average number of cases in a set area, the situation becomes an âepidemic.â
The definition for a âpandemicââwhen an epidemic crosses borders, infecting lots of people across multiple countries or continentsâis perhaps the squishiest of all.
Calling something a pandemic is essentially a âjudgment call,â because âthere isnât a precise numberâ of cases, hospitalizations, deaths, or affected countries that definitively denotes one, says Dr. Jonathan Quick, an adjunct professor at the Duke Global Health Institute and author of *The End of Epidemics*. âAnybody who gives you a precise number is just pulling it out of their head.â
Using that label is, in some ways, as much a political and public-relations decision as it is an epidemiological one. âIf youâre trying to really reduce the number of deaths, youâve got to be very strategic in what you do,â says Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota. Language is part of the calculus, in that it can spur action from officials and the public alike.
But, technically speaking, labeling something a pandemic has no immediate policy implications. Even the [WHO does not formally declare pandemics](https://time.com/5827383/maria-van-kerkhove-world-health-organization/ "undefined"). The agencyâs highest official level of alert is a public health emergency of international concern (PHEIC), a designation meant to mobilize a global, coordinated response. (The PHEIC related to COVID-19 started in January 2020 and ended in May 2023, the same month the [U.S. government stopped calling the virus a public-health emergency](https://time.com/6251520/covid-19-public-health-emergency-ends-what-changes/ "undefined").)
But, Van Kerkhove says, PHEIC is "not a good acronym. It doesnât evoke the kind of action like the word 'pandemic' does.â
Representatives from WHO member countries around the world are working on a formal definition of a pandemicâfour years after COVID-19 came onto the sceneâas part of a wider effort to strengthen global pandemic preparedness. An alleged recent draft, which was [published in February](https://healthpolicy-watch.news/exclusive-read-latest-pandemic-agreement-draft-ahead-of-mondays-negotiations/ "undefined") by Health Policy Watch, is a mouthful: âthe global spread of a pathogen or variant that infects human populations with limited or no immunity through sustained and high transmissibility from person to person, overwhelming health systems with severe morbidity and high mortality and causing social and economic disruptions, all of which requires effective national and global collaboration and coordination for its control.â (A WHO spokesperson declined to confirm the legitimacy of that draft definition, but said a new draft of the group's work is set to be published this week.)
That reported definition doesnât include numbers, but it does lay out more precise ground rules for what constitutes a pandemic. The pathogen in question must be contagious, novelâsince humans donât have significant preexisting immunity to itâand virulent enough to cause lots of death and disease, overwhelming health systems and disrupting society in the process.
Is COVID-19 still a pandemic, or is it endemic?
Under those terms, SARS-CoV-2 still has some pandemic-y features. Itâs still highly transmissible and circulating widely in countries around the world, and it remains a major cause of [death](https://www.thinkglobalhealth.org/article/just-how-do-deaths-due-covid-19-stack "undefined") and disability globally.
But it isnât novel anymore, says Katherine Xue, a postdoctoral fellow at Stanford University who has studied viral evolution. The majority of the worldâs [population now has some immunity](https://time.com/6284236/covid-19-immunity-antibodies/ "undefined") to the virus through vaccination, prior infection, or both, which means that âeven a new viral variant is probably not going to be able to infect everybodyâ in the way the original strain could in 2020, she says.
COVID-19âs spread isnât perfectly predictableânew variants are emerging all the time, causing spikes in infections all year round [rather than seasonally](https://time.com/6852850/is-covid-19-seasonal-virus/ "undefined")âbut it is consistently circulating around the world. To Xue, that means itâs fair to call it endemic. âThe picture of COVID that we have now is probably going to be very similar to what we have four years from now, \[whereas\] the way we dealt with COVID was very different four years ago,â she says. âThe rate of change is different.â
COVID-19 also does not overwhelm health systems in the way it once did. Today, with masks, tests, vaccines, and treatments available to some extent around the world, fewer people develop severe disease, and itâs easier to care for those who do. The virus continues to kill people and cause Long COVID, but global death rates are [way down from their peaks](https://data.who.int/dashboards/covid19/deaths "undefined").
Dr. Robert Wachter, chair of medicine at the University of California, San Francisco, has stopped using the word âpandemic,â which he says was a âshorthand way to convey to the publicâ that COVID-19 constituted a worldwide emergency that required a global shift in behavior. But calling it a pandemic now âjust doesnât feel right,â he says. In his opinion, weâve been out of the pandemic phase for about a year, given the widespread availability of tests, treatments, and vaccines.
So whatâs the word to use now? Experts interviewed for this story were hesitant to pick one. âWe really donât have the language for things that are somewhere between flus and cold viruses and pandemics," Quick says.
Does the label matter?
It may seem purely semantic, but ambiguity over the p-word has political and public-health implications. While many countries use other labels, like emergency declarations, to unlock funding and trigger coordinated governmental responses to a crisis, calling something a pandemicâeven informallyâhas gravitas. And saying one has ended implies, rightfully or not, that the threat is gone, which may have trickle-down effects on research funding, disease-prevention efforts, and policies around sick leave and public services.
That may be why public-health experts are so loath to take a firm stance. âI would be worried if the headline of your story is, âWHO Says Weâre No Longer In a Pandemic,ââ Van Kerkhove told me. âThat would have a different level of meaning from a political point of view.â
Saying a pandemic is over also sends a message to the public that they can move onâassuming, of course, that they havenât already. Only about 20% of U.S. adults got the latest vaccine, and a similarly small percentage said they were worried about COVID-19 going into this past holiday season, [according to KFF data from late 2023](https://www.kff.org/coronavirus-covid-19/poll-finding/vaccine-monitor-november-2023-with-covid-concerns-lagging-most-people-have-not-gotten-latest-vaccine/ "undefined"). Lots of people stopped paying attention long before COVID-19âs four-year anniversary, and âthe pandemic is over for themâ regardless of how much experts debate the right vocabulary to use, Osterholm says.
Contrast that with the [daily lives of people who remain especially vulnerable](https://time.com/6852852/long-covid-pandemic-anniversary/ "undefined") to the diseaseâ including those who are elderly, immunocompromised, or coping with Long COVIDâand it can feel like weâre living in separate timelines, Osterholm says. âIs the pandemic over for some people earlier than it is for others?â Osterholm says. âThat doesnât seem to make sense. Thatâs kind of like saying that thereâs two different temperatures in Minneapolis in one night.â
Still, even Osterholm wouldnât say which view is the right one, or when a pandemic is definitively over. âI couldnât answer it for you,â he says.
Reconciling those different realities is unlikely at this point. And to Quick, thatâs okay. âThe key messaging is not about terminology, but about what behaviors are appropriate,â he says.
For people who still observe the pandemic, those behaviors wonât be at all surprising. Experts recommend getting vaccinated, [staying home when youâre actively sick](https://time.com/6695102/covid-19-isolation-guidelines-experts/ "undefined"), getting tested and [treated if necessary](https://time.com/6553027/paxlovid-for-young-healthy-adults/ "undefined"), and considering additional precautions like wearing a mask and improving ventilation. But with emergency declarations expired, mandates gone, and public guidance relaxing, whether you choose to do those things is now largely up to you. âWeâre in a different place with COVID,â CDC director Cohen says.
Is that place a pandemic? It seems thatâs also up to you. | |||||||||||||||
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