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Commentary

How can a pandemic be put to an end?

9/1/2020

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By: S. Costa Franco
Picture
A global pandemic: something all of us are currently facing. We are constantly trying to discover ways to put an end to the spreading of this virus, but when can we be able to finally say that it has all really ended? When can we view the pandemic as a closed chapter, and begin to open the next one? How will we know when it is time to move on? When does it all end?  
For this pandemic to be officially declared over by the WHO (World Health Organization), the rates of the transmission of the illness have to drop a very significant amount, and the overall infection is contained to a certain extent around the entire world. The exact time at which that happens will depend on the government across the globe, and how they choose to act. 
In the event of a pandemic, governments usually have three main strategies to put in place. These are: 
  • Race through it: This is essentially when governments simply step back and allow as many people to be exposed to the virus and get infected as possible. This occurs very quickly and gives doctors and healthcare systems no time to prepare any treatment for the patients. Hundreds of millions of civilians are likely to die in the event of this. Most people have now either sadly perished or survived the virus and built up their immune systems. This results in a phenomenon called herd immunity, in which an entire population builds up resistance to the disease. Because of this, the virus can no longer infect any hosts, and the pandemic will come to an end. 
  • Delay infection and vaccinate: In this case, governments impose measures to delay the spreading of the illness, such as social isolation and distancing, mask-wearing, more extreme forms of hygiene, and testing those who may carry the virus. This allows research facilities to have more time to investigate and come up with cures and treatments for the disease. A vaccine will likely become widely available in the next couple of years due to this, and the pandemic will come to an end. However, the disease will still spread slowly, despite the measures in place and will result in hundreds of thousands of deaths. 
  • Coordinate responses, thus ending the pandemic: Here, governments will all implement the measures mentioned above, and work together to restrict any contact which could result in the virus spreading. These strict limits will allow the pandemic to fizzle out in a relatively short amount of time, and the death rate will not be so high.  
 
Unless the virus is completely eradicated (which is not very probable to occur), the rate of infection could rise to pandemic levels once more. Therefore, the option of racing through it, although it is speedy, could not function at all if this takes place, besides the fact that it would cause a global catastrophe. So, which option is the best? Crushing the virus by synchronizing the responses and actions of governments will also allow the situation to be dealt with quickly, but it requires total global coordination, which is nearly impossible and can prove to be not so effective if the infection remains and the pandemic reappears, much like in the first option. 
Hence, the option to delay the spreading of the illness and work steadily to create a vaccine, assisted of course by global coordination, is in many ways the most logical and secure choice. Even if the infection is successfully contained before a vaccine is created, the chances of it return once more and still present, and a vaccine can continue to protect those affected. You might be thinking however, that time is of the essence, so although delaying and vaccinating is the safest option, it may still have its dangers. How rapidly can a vaccine even be made? This too is a valid question.  
The process of developing a vaccine when an illness emerges is usually composed of three main phases. First, there is the research, in which scientists explore different alternatives and use several methods to find a vaccine design that is the safest and is replicable. Then, these options are taken into clinical testing. Here, the vaccines are put through an evaluation, so that the safety, efficiency, and side effects can be discovered, using a myriad of different people. Lastly, there is the manufacturing process, where the vaccines can be produced, and are later distributed to be used by the public.  
All of these steps can usually take about 15 to 20 years, but of course, in light of a pandemic, scientists must employ several different techniques, to work through each phase as quickly as possible. Research is the most flexible of all steps. There are many vaccine designs that are existent today, and each provides us with advantages and disadvantages. Finding the most effective one is very time consuming, so many different labs explore a range of different models simultaneously. This method allowed for the first testable coronavirus vaccine to be produced in only 42 days. This does not necessarily mean that it will be successful, only that it can now move on to testing, as it has been deemed safe and replicable.  
Clinical testing is certainly the step that is the most challenging to speed up and is divided into three stages, which each test the safety, efficiency and side effects of the vaccine, as well as how the immune system responds to it and the correct dosages that must be given. In certain cases, scientists perform multiple tests at once to speed up the process. Since this is a new pathogen, it is also very difficult to use previous research and vaccine designs to fabricate this one. After this step has been completed, different regulatory authorities much review the vaccine and approve it, so that it can be manufactured.  
Manufacturing a vaccine is quite a complex process, as each vaccine is composed of unique chemical and biological components. A specified pipeline is needed to produce that vaccine, and so preparations for the manufacturing must be made along with the research stage. For this to function and for these vaccines to be able to be developed as quickly and safely as possible, labs and manufactures must be coordinating and working together to ensure they have the resources to carry this out.  
Although the situation may seem dire and confusing at the moment, it is important to always keep in mind that this pandemic will end. Russia already claims to have developed and gained approval for a COVID-19 vaccine, and there is a global collaboration with WHO at the center to continue researching, testing, and working towards creating other alternatives at an unprecedented speed. Acting logically and collaboration will get us through, and although the pandemic will be done away with, all that we have learned from living through it will remain with us. As a response to this, we have seen scientific breakthroughs and the creation of systems that will allow us to be more prepared for what is to come. In addition, this pandemic has in a way brought us closer together, and hopefully, we will be able to use this knowledge and the importance of community and collaboration to build a better tomorrow for us individually, and for the pandemic as a whole.  ​
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