key: cord-1013987-fh518s90
authors: Deguma, Jabin J; Capuno, Reylan G; Manguilimotan, Ramil P; Padillo, Gengen G; Deguma, Melona C
title: Redefining public health and sustainable economy: Covid-19 from pandemic to endemic
date: 2021-08-24
journal: J Public Health (Oxf)
DOI: 10.1093/pubmed/fdab331
sha: 2fe0cf5b2a3e5fccfe69c6d1046c6af0607c788c
doc_id: 1013987
cord_uid: fh518s90

With the recent claim that the maintenance of population immunity will not depend on continued vaccinations but on the endemic presence of the virus, the proper understanding of the value of public health allows us to configure human living conditions as it thrives in a world where the novel Corona Virus Disease in 2019 (Covid-19) becomes endemic. World leaders and economic managers need to redefine public health not just as a means that enables economic productivity but as a substantially primordial goal—an end that every functional society must achieve via living an economically sustainable lifestyle. This paper argues that economic and societal sustainability thus must be framed and delimited within the human ecological boundary—a crucial viewpoint that could sustain public health amid a Covid-19 endemic world while preventing another viral pandemic from occurring.

Now that some highly developed free-market economies are currently lifting the Covid-19 restriction, attaining normalcy sooner could be nearing. As of 13 July 2021, Our World in Data (OWID) reported that 25.6% of the world population had received at least one dose of a Covid-19 vaccine. 1 At the very least, the worldwide vaccination program spurned the severe effect of the virus on humans. There is even a plan to consider an annual Covid-19 vaccination booster to keep new Covid-19 variants standstill. It is apt to say this time that the said vaccination program's positive turnout and everyone's collective effort embodied hope for a new normal world. 2 But, achieving a Covid-19-free world seemed like wishful thinking. Immunologists, infectious diseases researchers and virologists, instead, thought that the coronavirus would become endemic. A recent paper, interestingly, claimed that 'the maintenance of population immunity will not depend on continued vaccinations but the endemic presence of (the virus)'. 3 Such a point of view could propel world leaders and economic managers to define public health not just as a means that enables economic productivity. Instead, this paper argues that public health is a substantially primordial goal, why, in the first place, the economy has to be sustainable. Meaning, public health is an end that every functional society must achieve via living an economically sustainable lifestyle.

Proper understanding of the value of public health allows us to configure human living conditions as it thrives in a Covid-19 endemic world. Such an issue has compelled humankind to re-evaluate how we conduct business and carry out daily activities. 4 Unfortunately, we define a sustainable economy as the ability to harness the earth. We convert the natural world for man's consumption, thereby confusing order in the ecological world and jeopardized public health. Since time immemorial, human beings 'wage' a decisive battle against our natural finiteness. Via harnessing our human nature, we venture a journey to create an anthropocentric world, however synthetic it may be. Such a perspective viewed non-humans as either medium to be used (or abused) or as a threat to human existence. In the hope to maximize the utilization-ability of things for the benefit of human society, we ended up acknowledging our limitations. Our experience of the coronavirus made us re-acknowledge our genetic limitation. The unnecessary disruptions of the ecology have more detrimental than beneficial effects on us. The truth is that the Covid-19 exposed and reminded human beings of ones' vulnerability. Upon evaluating the impact of the Covid-19 on the individuals' experience, recent literature published in this journal inevitably reveals the virus's detrimental effect on human life. [5] [6] [7] The current circumstance with the Covid-19 devalued the synthetic meaning of modern-day living. Rich and poor alike (vaccinated or not) are not immune from the deadly effect of the virus. Although money may prolong life by providing the current and advanced medical technology, it cannot determine life's terms.

One has to relearn the lesson of symbiotic relationships. Symbiosis connotes a close and long-term biological interaction between two different (unlike) biological organisms-the instinctual need to survive drives the symbiotic relationship. 8 With the removal of ecological boundaries between human and non-human spaces via disrupting the conserved natural resources in the appearance of scientific exploration, we let the parasitic symbiotic relationship between humans and virus take place. While human beings strive to survive, other beings like viruses also shared the same instinctual struggle. And now human existence is at stake as the novel viral phenomenon continues infecting while instinctually mutating to preserve itself. From an anthropocentric point of view, we are compelled to shift to a cosmo-centric view where humankind has to live with other beings on this planet respectfully. We have been challenged to re-maneuver our direction from an abusive to a proper manner of living characterized by an upright and balanced lifestyle. 9 Humans must mutually share the world alongside the other biological organisms. Despite how we made the world a human-friendly habitat, whether we like it or not, we existed within an ecosystem. Thus, economic and societal sustainability thus must be framed and delimited within the human ecological boundary. In so doing, we could sustain public health amid a Covid-19 endemic world while preventing another viral pandemic from occurring.

Data. Coronavirus (COVID-19) Vaccinations

The possible threat of faking Covid-19 diagnostic tests and vaccination certifications: a call to an immediate action

Endemic SARS-CoV-2 will maintain postpandemic immunity

United Nations Environment Programme. The Intricate Balance of Life and Nature: Lessons from COVID 19

Post-lockdown depression and anxiety in the USA during the COVID-19 pandemicJ Public Health

The impact of Covid-19 and lockdown measures on self-reported life satisfaction and social relationships does not differ by ethnicity

COVID-19, natural vulnerability and zugzwang

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An analogical investigation of the Pythagorean triangle: from a mathematical figure to an ethical praxis

Deguma Faculty, College of Education

All authors contributed to all aspects of the manuscript.

The authors declare that they have no known competing financial interests or personal relationships that could appear to influence the work reported in this paper.