by Cristobal Silva
about Cristobal Silva
Cristobal Silva is an associate professor of English at UCLA. He is the author of Miraculous Plagues: An Epidemiology of Early New England Narrative.
Immunity
Before the emergence of the global COVID-19 pandemic, _immunity_ had become a relatively abstract concept in the industrialized world. For those who had easy access to health care and functioning immune systems, formerly life-threatening diseases like measles, polio, diphtheria, and influenza had been reduced to acronyms associated with vaccine schedules: MMR, IPV, DTaP, and Hib, among others. And yet even as the vaccine era dominated public health responses to infectious diseases, pockets of vaccine resistance persisted, and new diseases began to loom large in the cultural imagination: Zika, West Nile, SARS, Ebola, H1N1, and HIV/AIDS seemed to elude treatment and cure, raising the specter of global apocalypse. By mid-2020, COVID-19 embodied the worst fears and greatest promise of modern public health: a contagious disease that spread rapidly through casual social interactions but for which an effective vaccine could be developed, tested, and deployed in record time. By early 2021, the promise that vaccination would mean a quick return to prepandemic life was shattered: even as tens of millions of people were vaccinated in the United States alone, suspicion of governments and private corporations hardened into persistent anti-vaccine conspiracy theories. As vaccination rates plateaued, so did resistance to the SARS-CoV-2 virus....
Immunity
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Keywords
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Pandemic
**For a limited time, read the full keyword essay on ["Immunity"](/health-humanities/essay/immunity/)** In the weeks and months after COVID-19 emerged as a cascading set of personal, professional, and political crises that we have all been negotiating over the past three and a half years, I received numerous invitations to contribute my thoughts on the pandemic. Even as I understood why those invitations were extended to me---[my work in the history of epidemics and epidemiology](https://global.oup.com/academic/product/miraculous-plagues-9780199743476?cc=us&lang=en&) made me a natural go-to---I declined most offers. The most pressing professional reason for this is that my work has taught me that the best way to sound foolish during a public health crisis is to make a definitive claim about the nature or significance of an epidemic. Where subtlety, patience, and humility are critical to the production of knowledge and to the development of diagnostic and treatment plans, the fear of death and of economic catastrophe seem to demand decisive action. Very little of what I would have liked to say about the trajectories of contagion back in 2020 or 2021 would have been useful to the people who were most in need of help in the moment. And help---care for each other---was what we all...