{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:04:54Z","timestamp":1753887894865,"version":"3.41.2"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Abstract It is argued that there is a need to question the appropriateness of the concept of \u201cpandemic\u201d to enhance responses to global public health emergencies. Drawing from the context of COVID-19 and without overlooking previous outbreaks (such as H1N1 in 2009, Ebola in 2014, or Zika in 2016), attention is directed towards the symbolic, political, and sanitary power associated with pathogens attaining \u201cpandemic\u201d status, often at the expense of other pathogens and non-communicable diseases. This discourse invokes Susan Sontag\u2019s notion of metaphors. Advocacy is made for the greater suitability of the term \u2018Public Health Emergencies of International Concern,\u2019 notwithstanding the need for heightened transparency and consistency in its attribution. Moreover, it is asserted that the success of fair, equitable, and integrated responses, both in the global north and south, requires much more than mere designations. What is lacking are concrete actions and commitment to health and well-being.<\/jats:p>","DOI":"10.1590\/1413-81232025306.04722024","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T11:19:35Z","timestamp":1750418375000},"source":"Crossref","is-referenced-by-count":0,"title":["Pandemic: a limited concept for dealing with the public health emergencies that lie ahead"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0469-5447","authenticated-orcid":false,"given":"Rosana","family":"Onocko-Campos","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6015-3314","authenticated-orcid":false,"given":"Tiago","family":"Correia","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"100228","DOI":"10.1016\/j.onehlt.2021.100228","article-title":"The SARS-CoV-2 pandemic a syndemic perspective","volume":"12","author":"Fronteira I","year":"2021","journal-title":"One Health"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/hpm.3600","article-title":"War, inflation, winter, and the pandemic the WIWP syndemic in the northern hemisphere","volume":"38","author":"Correia T","year":"2023","journal-title":"Int J Health Plann Mgmt"},{"issue":"4","key":"ref3","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1002\/hpm.3634","article-title":"Syndemic health crises-The growing role of National Public Health Institutes in shaping a coordinated response","volume":"38","author":"Tweed S","year":"2023","journal-title":"Int J Health Plann Manage"},{"issue":"7","key":"ref4","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2023-013136","article-title":"Essential public health functions the key to resilient health systems","volume":"8","author":"Squires N","year":"2023","journal-title":"BMJ Glob Health"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1136\/bmj.p909","article-title":"What could the next pandemic be","volume":"381","author":"Looi M-K","year":"2023","journal-title":"BMJ"},{"issue":"7","key":"ref6","doi-asserted-by":"crossref","first-page":"532","DOI":"10.2471\/BLT.11.086173","article-title":"The elusive definition of pandemic influenza","volume":"89","author":"Doshi P","year":"2011","journal-title":"Bull World Health Organ"},{"year":"2023","series-title":"What's the difference between Public Health Emergency of International Concern (PHEIC) and pandemic? [Internet]","key":"ref7"},{"issue":"7","key":"ref8","doi-asserted-by":"crossref","first-page":"540","DOI":"10.2471\/BLT.11.088815","article-title":"The classical definition of a pandemic is not elusive","volume":"89","author":"Kelly H","year":"2011","journal-title":"Bull World Health Organ"},{"year":"2010","series-title":"WHO says failure to disclose conflict of interests of pandemic advisors was an \"oversight\" [Internet]","author":"Lowes R","key":"ref9"},{"year":"1978","series-title":"Illness as metaphor","author":"Sontag S","key":"ref10"},{"year":"1989","series-title":"AIDS and Its Metaphors","author":"Sontag S","key":"ref11"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2020-002502","article-title":"An analysis of International Health Regulations Emergency Committees and Public Health Emergency of International Concern Designations","volume":"5","author":"Mullen L","year":"2020","journal-title":"BMJ Glob Health"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"100342","DOI":"10.1016\/j.onehlt.2021.100342","article-title":"Calling for a planetary and one health vision for global health","volume":"13","author":"Correia T","year":"2021","journal-title":"One Health"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S2213-2600(22)00493-3","article-title":"Silent pandemic","volume":"11","author":"Burki T","year":"2023","journal-title":"Lancet Respir Med"},{"key":"ref15","series-title":"Microf\u00edsica do poder","first-page":"193","volume-title":"A pol\u00edtica da sa\u00fade no s\u00e9culo XVIII","author":"Foucault M","year":"1984"}],"container-title":["Ci\u00eancia &amp; Sa\u00fade Coletiva"],"original-title":["Pandemia: um conceito limitado para lidar com futuras emerg\u00eancias de sa\u00fade p\u00fablica"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1413-81232025000600700&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T11:19:37Z","timestamp":1750418377000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1413-81232025000600700&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":15,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025]]}},"alternative-id":["S1413-81232025000600700"],"URL":"https:\/\/doi.org\/10.1590\/1413-81232025306.04722024","relation":{},"ISSN":["1678-4561","1413-8123"],"issn-type":[{"type":"electronic","value":"1678-4561"},{"type":"print","value":"1413-8123"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e04722024"}}