Pandemic & Epidemic

Pandemic (pronounced pan-dem-ik)

(1) Of a disease, prevalent throughout an entire country, continent, or the whole world; epidemic over a large area (in modern use, now usually restricted to diseases spread over several continents, reaching epidemic level in at least two.

(2) In figurative use, general; universal.

1660-1670: From the Late Latin pandēmus (affecting all the people, public, general) from the Ancient Greek pandēmos (general) and the Ancient Greek πᾶν (pân) (all; equivalent to English pan-) + δῆμος (dêmos) (the people); the suffix –os was the adjectival form.  The suffix –ic is from the Middle English -ik, from the Old French -ique, from the Latin -icus, from the primitive Indo-European –kos.  The form existed in the Ancient Greek as -ικός (ikós), in the Sanskritas as श (śa) & क (ka) and in the Old Church Slavonic as -ъкъ (-ŭkŭ); a doublet of -y.  The suffix –ic is often added to words of Greek or Latin origin, but may be used regardless of source.  In modern English, there is sometimes the creation of redundant forms such as veganic (from vegan).  Related words include the nouns pandemia & pandemicity and the adjective interpandemic.

Epidemic (pronounced ep-i-dem-ik)

(1) Of a disease and affecting many persons at the same time, and spreading from person to person in a locality where the disease is not permanently prevalent.

(2) Extremely prevalent; widespread; a rapid spread or increase in the occurrence of something.

1595-1605: From the French épidémique, from épidémie, from the Latin epidemia, from the Ancient Greek ἐπιδήμιος (epidḗmios), from ἐπί (epí) (upon) + δῆμος (dêmos) (people) the Ancient Greek epidēmía translates literally as “among the people” but is often cited as “staying in one place”.  The early alternative forms epidemy and epidemick are long obsolete and related forms include the noun epidemicity, the adjectives interepidemic & preepidemic and the adverb epidemically.

Noted Pandemics

HIV/AIDS Pandemic (2005-2012)

Death Toll: 36 million; Cause: HIV/AIDS

First identified in Democratic Republic of the Congo in 1976, HIV/AIDS is a global pandemic with some 35 million people living with HIV, the vast majority in Sub-Saharan Africa, where 5% of the population (circa 21 million) is infected.  The AIDS death toll is thought to be understated because (1) dubious validity of statistical record-keeping in some countries (there are places where many deaths are not accompanied by a death certificate) and (2) a cultural reluctance among families to have AIDS recorded as the cause because of the association with homosexuality and IV drug use, hence the 1980s spike in recorded deaths from pneumonia.     

Flu Pandemic (1968)

Death Toll: 1 million; Cause: Influenza

A category 2 Flu also known as “Hong Kong Flu,” it was caused by the H3N2 strain of the Influenza A virus, an offshoot of H2N2.  It took only days to reach Singapore and Vietnam, and, within three months, had spread to The Philippines, India, Australia, Europe, and the US.  Although wide-spread, it had a low mortality rate under 1%.  Worst affected was Hong Kong where 500,000 died, some 15% of the population.

Lindsay Lohan thanking the Dubai Police for their helpfulness during COVID-19 pandemic, Dubai, April 2020.  Note the proxemics.

Asian Flu (1956-1958)

Death Toll: 2 million; Cause: Influenza

A pandemic of Influenza A of the H2N2 subtype, it originated in China, spreading from the province of Guizhou to Singapore, Hong Kong, and the United States.  Estimates for the death toll vary but the World Health Organization (WHO) lists 2 million deaths, 69,800 of them in the US.

Flu pandemic (1918-1919)

Death Toll: 20-50 million; Cause: Influenza

The best known pandemic, it infected over a third of the world’s population, killing between 20–50 million.  The mortality rate was a high 10-20% and unusually, where influenza had previously killed mostly juveniles, the elderly or already weakened patients, the 1918 pandemic disproportionally killed robust and healthy young adults, leaving children and those with weaker immune systems still alive.  The movement of vast numbers of people around the world at the end of WWI assisted the spread.

Sixth Cholera pandemic (1910-1911)

Death Toll: 800,000+; Cause: Cholera

Like its previous five incarnations, the Sixth Cholera Pandemic originated in India where it killed over 800,000, before spreading to the Middle East, North Africa, Eastern Europe and Russia.  It was the source of the last American outbreak of Cholera although effective public health measures there restricted the death toll to eleven.  Cholera, a classic Medieval disease, remains endemic in India.

Flu pandemic (1889-1890)

Death Toll: 1 million; Cause: Influenza

Know at the time as Asiatic or Russian Flu and though once to be a strain of the Influenza A H2N2, it was an outbreak of H3N8.   The first cases were observed in May 1889 in three distant locations, Bukhara in Central Asia (Turkestan), Athabasca in north-western Canada, and Greenland. The rapid growth in urban populations provided vectors for the spread and although the first true pandemic in the era of bacteriology, while much was learned from it, it claimed over a million lives.

Lindsay Lohan thanking the Dubai Police for their helpfulness during COVID-19 pandemic, Dubai, April 2020.

Third Cholera pandemic (1852–1860)

Death Toll: 1 million; Cause: Cholera

Probably the most deadly of the seven cholera pandemics, it was the third major outbreak in the 19th century.  Like the first and second, the third originated in India, before spreading with extraordinary rapidity through Asia, Europe, North America and Africa.  A physician in England, where over 20,000 died, discovered contaminated water was the means of transmission.

Lindsay Lohan mugshot facemasks available through Redbibble.

The Black Death (1346-1353)

Death Toll: 75 – 200 million; Cause: Bubonic Plague

The Plague ravaged Europe, Africa, and Asia, with a death toll of 75-200 million, killing up to half the population of some European countries.  Thought to have originated in Asia, Plague was most likely spread by fleas living on the rats of merchant ships and in some countries, populations didn’t recover until the nineteenth century.  Now unknown in most parts of the world, outbreaks still happen in various places.

Plague of Justianian (541-542)

Death Toll: 25 million; Cause: Bubonic Plague

Thought to have killed perhaps half the population of Europe, the Plague of Justinian afflicted the Byzantine Empire and Mediterranean port cities.  The first verified and well-documented incident of the Bubonic Plague, it reduced the population of the Eastern Mediterranean by a quarter and devastated Constantinople, where, at the height of the pandemic, 5,000 a day were dying.

Lindsay Lohan thanking the Dubai Police for their helpfulness during COVID-19 pandemic, Dubai, April 2020.

Antonine Plague (165 AD)

Death Toll: 5 million; Cause: Unknown

Also known as the Plague of Galen, the Antonine Plague affected Asia Minor (modern Turkey), Egypt, Greece, and Italy and is thought to have been either Smallpox or Measles, though the true cause is unknown. The disease was brought to Rome by soldiers returning from Mesopotamia.  The pandemic significantly weakened the Roman army.

Plague

Plague (pronounced pleyg)

(1) An infectious, epidemic disease caused by a bacterium, Yersinia pestis (trans transmitted to man by the bite of the rat flea (Xenopsylla cheopis)) characterized by fever, chills, and prostration.

(2) In casual use, any epidemic disease that causes high mortality; pestilence.

(3) Any widespread affliction, calamity, or evil, especially one regarded as divine retribution.

(4) Any cause of trouble, annoyance, or vexation; torment; to pester.

(5) As in “… a plague upon…”, to curse another, wishing any evil upon them.  The variation “a plague upon both your houses” suggests an unwillingness to take sides, an implication one thinks both parties are in the wrong. 

1350-1400: From the Middle English plage, a borrowing from the Old French plage, from the Latin plāga (blow, wound, (and pestilence in Late Latin), from plangō or plangere (to strike), the ultimate root being the Ancient Greek plēgē (a stroke).  It was cognate with the Middle Dutch plāghe (from the Dutch plaag) & plāghen (from the Dutch plagen), the Middle Low German plāge, the Middle High German plāge & pflāge (from the German plage) & plāgen (from the German plagen), the Swedish plåga, the French plaie and the Occitan plaga.  Plague exists as verb and noun, plaguer being the other noun, plaguing & plagued the verbs.  Other derived forms exist but are rarely seen except in historic or technical writing: plagioclase, plagioclimax, plagiohedral, plagiotropic and plagiotropism, plaguesome & plaguy.  For the actual disease there’s no actual synonym but many words tend to be used interchangeably in any context: invasion, scourge, contagion, pandemic, epidemic, curse, infection, outbreak, influenza, infestation, blight, calamity, pest, cancer, bedevil, afflict, beleaguer, bother, haunt, torment.

The famous phrase "A plague of both your houses" is from William Shakespeare's  (1564–1616) Romeo and Juliet (1597) .  When Mercutio says a "plague o' both your houses", he is damning both the Montagues and Capulets, asking fate to visit upon the families some awful fate because he blames both for his imminent death.  In modern use, it's used to suggest an unwillingness to take sides, the implication being one thinks both parties are in the wrong:

Mercutio. Help me into some house, Benvolio,

Or I shall faint. A plague o' both your houses!

They have made worms' meat of me: I have it,

And soundly too: your houses!

Romeo and Juliet, Act III, Scene 1

Plagues and the Plague

Masked-up: Lindsay Lohan avoiding plague.

Plague is an infectious disease caused by the bacterium Yersinia pestis and exists in three strains: Bubonic plague, Septicemic plague & Pneumonic plague, the former two usually contracted by the handling of an infected animal or the bite of a flea, the last by contact between people via infectious droplets in the air.  Typically, several hundred cases are reported annually, mostly in India, the Congo, Madagascar & Peru and cases have been reported in the US but historically, outbreaks were large-scale events lasting months or years, the best known of which include the fourteenth century Black Death, estimated to have killed some fifty-million and the Great Plague of London which, in 1665-1666, caused the death of one in five of the city's population.  COVID-19 was thus a plague but not the plague.  A common noun, plague is written with an initial capital only at the beginning of a sentence, or (as in the Great Plague of London) when it has become a thing.  Notable epidemics have included:

The Black Death (1346-1353)

Death Toll: 75 – 200 million; Cause: Bubonic Plague

The Plague ravaged Europe, Africa, and Asia, with a death toll of 75-200 million, killing up to half the population of some European countries.  Thought to have originated in Asia, Plague was most likely spread by fleas living on the rats of merchant ships and in some countries, populations didn’t recover until the nineteenth century.  Now unknown in most parts of the world, outbreaks still happen in various places.

Plague of Justianian (541-542)

Death Toll: 25 million; Cause: Bubonic Plague

Thought to have killed perhaps half the population of Europe, the Plague of Justinian afflicted the Byzantine Empire and Mediterranean port cities.  The first verified and well-documented incident of the Bubonic Plague, it reduced the population of the Eastern Mediterranean by a quarter and devastated Constantinople, where, at the height of the pandemic, 5,000 a day were dying.

Antonine Plague (165 AD)

Death Toll: 5 million; Cause: Unknown

Also known as the Plague of Galen, the Antonine Plague affected Asia Minor (the modern Republic of Türkiye), Egypt, Greece, and Italy and is thought to have been either Smallpox or Measles, though the true cause is unknown. The disease was brought to Rome by soldiers returning from Mesopotamia.  The pandemic significantly weakened the Roman army.

London and the plagues of Plague

A London Bill of Mortality, 1665.

During the sixteenth & seventeenth centuries when "bubonic plague was abroad", the authorities compiled "Bills of Mortality" listing the causes of death recorded that week.  It's now believed the statistics are not wholly reliable (Plague numbers, like the global toll from Covid-19, believed greatly to have been understated) but the startling ratio of deaths attributed to Plague compared with other causes is indicative of the deadly nature of the epidemic.  In one week 3880 residents of London were reported as having succumbed to Plague, dwarfing the number recorded as dying by other causes including Old Age (54), Consumption (Tuberculous) (174), Small Pox (10), Fright (1), Grief (1), Spotted Fever and the Purples (190), Griping in the Guts (74), Lethargy (1), Rifing of the Lights (19) and Wind (1).  Like the Covid-19 statistics, there was likely some overlap in the numbers but the disparity remains striking.

After the Black Death, London's major plague epidemics occurred in 1563, 1593, 1625 and 1665 and although the last is best-known (associated as it was with the Great Fire of 1666), it's believed it was during the 1563 event the city suffered the greatest proportional mortality with between a quarter and a third of the populating dying; losses have been estimated to be as high as 18,000 and in some weeks the toll exceeded 1000.  From there, the disease spread around the nation the following year, the fleas which were the primary vector of transmission having hibernated through what was a comparatively mild winter.  Echoing the political and military effects of epidemics noted since Antiquity, it was at this time England was compelled to give up their last French possession, Le Havre, which was being held as a hostage for Calais.  Plague broke out in the occupying garrison and few troops escaped infection so the town had to be surrendered.

There were small, manageable outbreaks in 1603 & 1610-1611 but the epidemic of 1625 was severe and associated with a notable internal migration as those with the means to leave London did not, the reduction in the number of magistrates & doctors noted as inducing the predicable social consequences although as time passed, it was clear the disease was becoming less virulent and the mortality rate had fallen, something now attributed at least partially to the so-called "harvesting effect".  After 1666, the Plague didn't vanish and there were periodic outbreaks but the lessons had been well-learned and the efficiency of communications and the still embryonic public-health infrastructure operated well, even if little progress had been made in actual medical techniques.  The Hull (an East Yorkshire port city) Plague of 1699 was contained with little spread and when an outbreak of fever was reported in Marseilles in 1720, stricter quarantine measures  were imposed in English ports which successfully prevented any great spread.  Throughout the eighteenth & nineteenth centuries (as late as 1896-1897) there were occasional isolated cases and small outbreaks of plague in various parts of England but none ever remotely approached the scale of the 1665-1666 epidemic.

Werner Herzog's Nosferatu (1979) 

Werner Herzog's (b 1942) 1979 remake of Friedrich Wilhelm Murnau's (1888–1931) masterpiece of Weimar expressionism (Nosferatu (1922)) takes place mostly in a small German city afflicted suddenly by Plague, Herzog rendering something chilling and darkly austere, despite the stylistic flourishes.  The 1979 film delivered the definitive screen Dracula and was a piece to enjoy when living in the social isolation of the Covid era.

Scene from Werner Herzog's Nosferatu (1979)

Soup

Soup (pronounced soop)

(1) A liquid (or semi-liquid) food made by boiling or simmering meat, fish, or vegetables with various added ingredients.

(2) As pea-soup or pea-souper, slang for a thick fog.

(3) As soup-up, slang for increasing the power of an internal combustion engines (archaic).

(4) Slang for the explosive nitroglycerine.

(5) Slang for photographic developing solution.

(6) As primordial soup, slang for the liquid or gelatinous substrate on or near the surface of the early Earth, especially the mixture of organic compounds from which emerged the earliest form(s) of life.

(7) In horse racing, slang for the illicit drugs used to make horses run faster (mostly US).

1645–1655: From the Middle English soupe & sowpe from the French soupe (soup, broth) and the Old French souppe & sope, both from the Late Latin suppa (bread soaked in broth) of Germanic origin; The Middle High German suppe and the Old Norse soppa were both from the Proto-Germanic sup & supô and related also to the Middle Dutch sope (broth) and the later sop and supper.  Root was the primitive Indo-European sub-, from seue- (to take liquid).  

The sense of “souping up" to describe the various methods to increase the horsepower of an internal combustion engine dates from 1921 and is either (and more likely) (1) a borrowing of the term from horse racing where it had been used since 1911 in slang sense of "narcotic injected into horses to make them run faster" or (2) the influence of the introduction of the (etymologically unrelated) supercharged Mercedes 6/25/40 & 10/40/65 hp cars.  The soup-kitchen, (public establishment supported by voluntary contributions, for preparing and serving soup to the poor at no cost) is attested from 1839 and in Ireland, a souper, noted first in 1854, was a "Protestant clergyman seeking to make converts by dispensing soup in charity".

Lindsay Lohan making soup, London, 2014.

The modern concept of abiogenesis, the idea of a “primordial soup” being the liquid in which life on Earth began was first mentioned by the British scientist JBS Haldane (1892–1964) in an essay called “The origin of life”, published in The Rationalist Annual (1929).  It described the early ocean as a "vast chemical laboratory", a mix of inorganic compounds in which organic compounds could form when, under the influence of sunlight and the elements in the atmosphere, things in some sense alive came into being.  Simple at first, as the first molecules reacted together, more complex compounds and, ultimately, cellular life forms emerged.  Of interest in the age of pandemic is life on Earth appears to have become possible because of the prior existence of viruses.  What began as essentially the self-replication of nucleic acids, later called biopoiesis or biopoesis, is the beginning of viruses as the entities which existed between the prebiotic soup and the first cells.   Haldane suggested prebiotic life would been in the form of viruses for millions of years before, for reasons unknown and probably by chance, the circumstances existed for a number of elementary units to combine, creating the first cell.  At the time, the scientific establishment was sceptical to the point of derision but in the decades after publication, the theories of Haldane and Soviet biochemist Alexander Oparin (1894–1980) (who published a similar theory in Russian in 1924 and in English in 1936) were increasingly supported by evidence from experiments and is now the scientific orthodoxy.

In January 2020, even before COVID-19 had been declared a pandemic, a video was tweeted which, appropriately, went viral.  By then, it appeared SARS-Covid-2 was a mutated bat virus so a video of a young lady eating bat soup, circulating with a caption suggesting (1) it had been filmed in Wuhan in December and that (2) she was patient zero in what was then an epidemic aroused interest in the vector of transmission, if not the culinary possibilities of cooked bats.  The video was soon revealed to be fake news, dating from 2016 and shot not in Wuhan but Palau.

Bat Soup, an acquired taste

Bat soup is made by throwing a washed bat (fur included) into a pot of boiling water for two hours.  Once done, the bat is taken out of the water and cooked with ginger and coconut milk, other spices and vegetables added according to taste.  To get at the meat, some prefer to remove the fur by skinning the bat but the authentic technique is to suck out the flesh, discarding the fur.

Preparation time: 15 minutes

Cooking Time: 2 hours, 20 minutes

Serves: 4 people

Ingredients

1 large bat
2 medium hot peppers
1 chopped white onion
5 tablespoons light soy sauce
2 teaspoons lemon juice
1 pinch salt
2 cans unsweetened coconut milk

Instructions (hot sauce)

(1) In a sauce bowl, mix 2 teaspoons lemon juice and 5 tablespoons soy sauce with chopped onion. 

(2) Add chopped hot pepper according to taste.

Instructions

(1) In a large pot, boil the whole bat in water until the skin is tender enough to tear through; for a typically-sized large bat, this will take around two hours.

(2) Remove water.  Add coconut milk to cooked bat with a pinch of salt to taste.

Cook for a further ten minutes. Serve with hot sauce and rice.

Flurona

Flurona (pronounced floo-roh-nuh)

An (currently) informal term for a case in which a patient simultaneously is infected both with influenza and the SARS-Cov-2 virus (source of the COVID-19 (a coronavirus) disease).

2022: A portmanteau word, the construct being (in)flu(enza) + (co)rona.  Influenza was from the Italian influenza (influence), from the Latin influentia.  The word has been used in English since 1743 borrowed from the Italian where it had been used since at least the late fifteenth to describe diseases (not all of which would now be regarded as influenza) with symptoms similar to a severe cold accompanied by a high fever.  Italian picked up the word from the  Medieval Latin influentia in the astrological sense (visitation, influence (of the stars)), an inheritance from the Classical Latin where it carried the meaning "to be planet-struck, afflicted as if by an evil star" on the notion of the then inexplicable disease being the result of some astral, occult, or atmospheric influence.  Corona dates from 1555–1565 and was from the Latin corōna (garland, crown) from the Ancient Greek κορώνη (korṓnē or korōnis (crown, any curved object)), akin to korōnís (wreath; curved, beaked) & kórax (crow; raven); related was the Latin curvus (curved).  COVID-19 (an abbreviation of coronavirus disease 2019) is the name of the disease caused by SARS-CoV-2.  The name was adopted in February 2020, chosen by the World Health Organization (WHO) in partnership with the Committee on Taxonomy of Viruses.  Until then, it had been called variously 2019-nCoV, Novel coronavirus or Wuhan coronavirus.  SARS-CoV-2 is related to MERS-CoV (which causes Middle East respiratory syndrome (MERS)) and SARS-CoV (which causes severe acute respiratory syndrome (SARS)).  Flurona is a noun; the noun plural is fluronas.

Avoiding florona:  Donald Trump, crooked Hillary Clinton, Lindsay Lohan and Boris Johnson in face masks.

Flurona is one of those neologisms which are creations of a certain time and place and dictionaries tend to reserve judgement, so many words of this type fading from use as the circumstances which encouraged their creation recede.  Two things may count against flurona becoming embedded in the language: (1) flurona is thus far rare although it’s hard to be definitive because among those with minor or zero symptoms reporting is known to be low (it’s just unknown how low) and (2) even where cases are confirmed, it’s rare for a case of flurona to produce symptoms which are appreciably worse than single instances of either condition.  So the dictionaries will wait and see and there’s every chance a hundred years hence, flurona might appear in whatever form lexicographers will then use appended with an “archaic”, “extinct” or “obsolete”.

COVID-19 and Flu A/B Rapid Antigen Combo Test.

Flurona differs from the more established neologisms used in epidemiology and virology: twindemic & tripledemic (the respective constructs twin or triple + (pan or epi) + -demic.  There words reference respectively a combination of (1) influenza & Covid-19 or (2) influenza, COVID-19 & RSV (respiratory syncytial virus).  Both a twindemic and a tripledemic can thus be geographically limited (as in an epidemic) or, like a pandemic, widespread.  A case of flurona (not a single disease or a new strain of COVID-19) is thus two conditions diagnosed in one patient whereas twindemic or tripledemic are outbreaks of two different conditions happening simultaneously.