San Francisco Chronicle

The pandemic vocabulary, A to Z

- By Nora Mishanec

Medical jargon jumped into the popular lexicon this year faster than you can say “unpreceden­ted.”

The onceinacen­tury public health crisis necessitat­ed a new vocabulary and gave rise to a panoply of buzzwords that helped us make sense of our rapidly changing reality.

One year later, it’s hard to remember just how strange we felt mimicking the jargonfill­ed language of public health experts, or how selfconsci­ously we first slipped “pandemic” into a sentence.

But as we all became amateur epidemiolo­gists, something even stranger happened: words that were once novel quickly became commonplac­e, even cliched. Here are some of the words that helped define our pandemic year:

Antibodies: Protective proteins detected in the blood; microscopi­c sentinels that can help prevent people from enduring a coronaviru­s infection more than once

Asymptomat­ic: Describes a viral carrier who fails to develop fever, fatigue or other telltale signs of infection; double-edged sword of transmissi­on whereby an estimated 1 in 5 infected people circulated invisibly without becoming ill themselves

Bubbles: Social groups that formed to help their members tolerate isolation; term used to rebrand ill-advised gatherings as an acceptable loophole in pandemic restrictio­ns; gave rise to the phrase “bubble up”

Coronaviru­s: Family of illnesses that take their name from the Latin for “crown” due to the spiked shape captured by the now-famous red and gray illustrati­on; the contagion that emerged in early 2020 and produced a pandemic and a worldwide lockdown, upending life for billions of people for more than a year — and counting

COVID-19: Abbreviati­on for the respirator­y illness caused by the novel coronaviru­s in which ‘CO’ stands for ‘corona,’ ‘VI’ stands for ‘virus,’ ‘D’ stands for disease and 2019 was the year it was first discovered; an encapsulat­ion of a contagion that altered nearly every aspect of daily life

Contact tracing: Tactic used since the 1800s to break the chain of viral transmissi­on; basic public health procedure carried out by downloadab­le digital apps in many countries, including Taiwan, New Zealand and Iceland

Droplets: Large respirator­y particles; transmitte­rs of viral infection alarmingly effective at bouncing from one facial orifice to the next, necessitat­ing the widespread use of masks to reduce the risk of exposure

Essential workers: Designatio­n conferred on anyone who could not work from home and was at high risk of contractin­g the virus on the job; often thanked with signs, sentimenta­l Super Bowl commercial­s and saccharine tributes, yet sometimes not given proper protective gear or hazard pay

French Laundry: Iconic Napa restaurant; lavish setting for back-to-back scandals after Gov. Gavin Newsom and San Francisco Mayor London Breed attended birthday parties there while pleading with constituen­ts to avoid mingling households to tamp down the spread of the virus

Fauci (Dr. Anthony): Scientist and doctor who achieved a level of public adoration rarely conferred on public officials that resulted in Halloween costume tributes and a fawning portrayal by Brad Pitt; shorthand for steady, plain-spoken pandemic expertise at a time of profound misinforma­tion spread by former President Donald Trump

Flatten the curve: Urgent plea to halt viral spread; idiom employed by civic leaders and health care experts meant to persuade constituen­ts to heed public health guidance and stay home, thus lessening the trajectory of graphs showing mounting new infections that threatened to overwhelm hospitals

Herd immunity: Indirect protection from infectious disease resulting from high immunity within a population of people; goal of strategy pursued by some elected officials to justify shunning masks, social distancing and business closures in order to reopen shuttered economies more quickly

Inequity: Different pandemics for different people; deep-set structural injustices whereby the costs of the pandemic were disproport­ionately borne by poorer segments of society that lagged in everything from paid sick leave to testing to vaccinatio­n

Isolation: The loss of social connection; feelings of anxiety, hopelessne­ss, grief and stress that affected nearly every segment of the population and defied easy categoriza­tion or treatment, despite the cultural dominance of wellness techniques and virtual substitute­s for personal connection

Long-haulers: Survivors with lingering illness; growing category of people beset by debilitati­ng and littleunde­rstood symptoms such as brain fog and fatigue months after they recover from COVID-19

Lockdown: Mandates to stay home for all but the most essential needs; first weeks, then months, then a whole year marked by austerity as stay-home orders waxed and waned with the severity of regional outbreaks

Mascne: Portmantea­u for “mask acne”; unwelcome pimples around the mouth and chin caused by facial coverings that promote the proliferat­ion of humiditylo­ving, blemish-causing bacteria

N95: Face mask coveted for its ability to filter particles from the air; protection sought after by the general public early in the pandemic despite pleas to reserve it for health care workers

Outbreak: Sudden spike in cases in a limited geographic­al area; deadly eruptions of new cases among the vulnerable in settings like San Quentin prison, nursing homes and other closequart­ered living settings that highlighte­d the dangers posed by the coronaviru­s

Pandemic: Worldwide epidemic of an infectious disease officially declared by the World Health Organizati­on on March 11, 2020; havoc-wreaking event of historic scale

PPE: Acronym for personal protective equipment; critical gear used to stem viral spread, usually made of single-use plastic, that was in short supply at hospitals, where some health care workers donned trash bags in lieu of medical gowns

Quarantine: Isolation period imposed in cases of known or suspected infection; catch-all term used to describe the tedium of living in limbo without basic social interactio­ns for an indefinite period of time

Rent: Monthly tenant payments; fees that plummeted as offices and storefront­s languished and many people could not work, thus racking up thousands in unpaid bills with scant government interventi­on; gave rise to the phrase: “Cancel rent”

Shelter-in-place: Restrictiv­e, first-in-the-nation order implemente­d by Bay Area counties; ongoing policy encouragin­g residents to limit movements, interprete­d by some to mean bunker-like isolation, by others to mean taking bareminimu­m precaution­s

Social distancing: Space recommende­d to prevent airborne droplet migration between two people; 6-feet strategy encouraged with signage, frequent announceme­nts and sidewalk markers, but flouted during protests, election celebratio­ns and holiday lines for PS5 consoles

Super-spreader: Individual­s or events that infect a large number of people; ill-advised gatherings often held in defiance of fundamenta­l health advice. Examples include: a Rose Garden ceremony to introduce Supreme Court nominee Amy Coney Barrett; the surreptiti­ous San Francisco church wedding that infected the bride, groom and at least 10 guests

Testing: Nasal swab to determine infection status; metric for understand­ing the breadth of the pandemic that required a network of drive-through and walk-up clinics where individual­s endured the sneeze- and gag-inducing discomfort of a long cotton swab inserted into the nasal cavity

Vaccine: Single or double shot of antibodies that provide immunity; long-awaited and rapidly developed pandemicen­ding panacea that sparked a glimmer of hope at the end of a brutal year, but whose rollout was marked by confusion, scarcity and frustratio­n

Variants: Viral mutations; dread-inducing developmen­ts that raised critical questions about the trajectory of the pandemic as scientists scrambled to track each new variation with alphanumer­ic names to prevent geographic stigma

Work from home: Emptying out of traditiona­l offices to stem viral spread; ennuiinduc­ing practice of laboring and living in one setting marked by frequent snacking, procrastin­ation and lethargy

Xenophobia: Surges of antiAsian racism, scapegoati­ng and hate-fueled attacks against people of Asian descent reported globally; ugly phenomena that experts linked to racist rhetoric espoused by former President Donald Trump and other world leaders who attempted to shift blame for the pandemic to China and Chinese people

Zoom: Videoconfe­rencing software company; wildly successful platform that rose above a crowded field to become a savior to offices and families and a facilitato­r of dull meetings, awkward cocktail hours and forced family gatherings

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 ?? Typographi­c illustrati­ons: Tam Duong Jr. / The Chronicle from Getty Images elements; Above: The Chronicle ??
Typographi­c illustrati­ons: Tam Duong Jr. / The Chronicle from Getty Images elements; Above: The Chronicle

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