{"id":50303,"date":"2021-05-21T11:18:10","date_gmt":"2021-05-21T10:18:10","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=50303"},"modified":"2021-05-28T16:11:02","modified_gmt":"2021-05-28T15:11:02","slug":"jeffrey-aronson-when-i-use-a-word-words-going-viral","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/05\/21\/jeffrey-aronson-when-i-use-a-word-words-going-viral\/","title":{"rendered":"Jeffrey Aronson: When I Use a Word . . . Words going viral"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Biomedical words recorded in the <\/span><i><span style=\"font-weight: 400\">Oxford English Dictionary<\/span><\/i><span style=\"font-weight: 400\"> (<\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\">) as having newly appeared during 1970\u20132020 have become scarcer and scarcer with the passing years (Figure 1). For <\/span><a href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/09\/jeffrey-aronson-when-i-use-a-word-fifty-years\"><span style=\"font-weight: 400\">1970<\/span><\/a><span style=\"font-weight: 400\"> I found 61 newly recorded biomedical words in a grand total of 389, but in the 21 years from 2000 to 2020 inclusive I have identified only 29 out of 248 (Table 1).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-50304\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021.jpg\" alt=\"\" width=\"585\" height=\"592\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021.jpg 585w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021-296x300.jpg 296w\" sizes=\"auto, (max-width: 585px) 100vw, 585px\" \/><br \/>\n<b>Figure 1.<\/b><span style=\"font-weight: 400\"> The numbers of new words (top panel) and of new biomedical words (bottom panel) by year of first citation in the <\/span><i><span style=\"font-weight: 400\">Oxford English Dictionary<\/span><\/i><span style=\"font-weight: 400\"> (<\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\">)<\/span><\/p>\n<p><b>Table 1. <\/b><span style=\"font-weight: 400\">Biomedical words (n=29) in the <\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\"> for which the earliest citations are from 2000\u20132020 inclusive (out of a total of 248); I have found one antedating (2 years)<\/span><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-50305\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_2.jpg\" alt=\"\" width=\"679\" height=\"411\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_2.jpg 679w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_2-300x182.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_2-640x387.jpg 640w\" sizes=\"auto, (max-width: 679px) 100vw, 679px\" \/><br \/>\n<span style=\"font-weight: 400\">*Antedating: optogenetics (<\/span><a href=\"https:\/\/www.jstor.org\/stable\/20035002\"><span style=\"font-weight: 400\">2006<\/span><\/a><span style=\"font-weight: 400\">)<\/span><\/p>\n<p><span style=\"font-weight: 400\">The 2000\u20132020 tranche of words is dominated by the field of microbiology: eight words in all, six of which are related to coronaviruses.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Avian infectious bronchitis was first described in newborn chicks in 1931. The filterable virus responsible was cultivated in 1937, and in 1951 a virus that caused hepatitis was isolated from mice. These were later identified as coronaviruses. For references see <\/span><a href=\"https:\/\/www.cebm.net\/covid-19\/coronaviruses-a-general-introduction\/\"><span style=\"font-weight: 400\">here<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Then in 1965, virologists David Tyrrell and Mark Bynoe published a <\/span><a href=\"https:\/\/www.bmj.com\/content\/1\/5448\/1467\"><span style=\"font-weight: 400\">paper<\/span><\/a><span style=\"font-weight: 400\"> in the <\/span><i><span style=\"font-weight: 400\">British Medical Journal<\/span><\/i><span style=\"font-weight: 400\">, in which they described a virus, which they called B814 and identified as a cause of the common cold. They thought that B814 and other similar viruses were rhinoviruses. However, in 1967 Tyrell and his colleague June Almeida published electron micrographs of viruses, 229E and B814, that were indistinguishable from the particles of avian infectious bronchitis. They first used the term \u201ccoronaviruses\u201d in 1968.<\/span><\/p>\n<p><span style=\"font-weight: 400\">There was little research on coronaviruses until the SARS coronavirus <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30844511\"><span style=\"font-weight: 400\">epidemic<\/span><\/a><span style=\"font-weight: 400\"> in 2003\u20134 and the Middle East respiratory syndrome (MERS or camel flu) in Saudi Arabia in 2012, also due to a coronavirus. On these occasions <\/span><a href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/01\/31\/jeffrey-aronson-when-i-use-a-word-coronas\"><span style=\"font-weight: 400\">publications<\/span><\/a><span style=\"font-weight: 400\"> on coronaviruses increased. But neither of those epidemics compares with the deluge, the infodemic, of the last 18 months.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Soon after identification of SARS-CoV2, and the disease it caused, abbreviations were invented to describe both the virus and the disease. The following have found their way into the <\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\">, listed here with the dates on which they were first recorded (three of them on Twitter):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">CV-19: 22 January 2020<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">C-19: 8 February 2020<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">COVID: 11 February 2020<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">COVID-19: 11 February 2020<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">The last of these, but now typically written in lower case, has predominated, outnumbering the others by about ten to one in a PubMed search.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Many other terms have become common currency during the pandemic (Box 1). Some of them are terminologically inexact or misleading.<\/span><\/p>\n<p><b>Box 1.<\/b><span style=\"font-weight: 400\"> Terms that have become common currency in the UK during the coronavirus pandemic, with the dates of the earliest recorded uses of the terms in their relevant meanings; for more information see <\/span><a href=\"https:\/\/www.reasonwhy.es\/sites\/default\/files\/words_of_an_unprecedented_year_-_ol_2020_rw.pdf#:~:text=Words%20of%20an%20unprecedentedyear.%20Impeachment.%20A%20hot%20topic,Australian%20bushfire%20season%2C%20the%20worst%20on%20record.%20Coronavirus.\"><span style=\"font-weight: 400\">here<\/span><\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-50306\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_3.jpg\" alt=\"\" width=\"654\" height=\"216\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_3.jpg 654w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_3-300x99.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_3-640x211.jpg 640w\" sizes=\"auto, (max-width: 654px) 100vw, 654px\" \/><\/p>\n<p><span style=\"font-weight: 400\">\u201cSocial distancing\u201d is <\/span><a href=\"https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/transcripts\/who-audio-emergencies-coronavirus-press-conference-full-20mar2020.pdf?sfvrsn=1eafbff_0\"><span style=\"font-weight: 400\">really<\/span><\/a><span style=\"font-weight: 400\"> physical distancing. It might be more properly termed \u201cunsociable distancing.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cFlattening the curve\u201d is also a misnomer. The typical shape of an epidemic curve, described time and again, in epidemic after epidemic, is bell-shaped (Figure 2). A flat curve would imply a more prolonged epidemic. What one wants to do is to lower the peak, not flatten it. I have previously <\/span><a href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/02\/05\/jeffrey-aronson-when-i-use-a-word-how-many-waves-make-an-epidemic\"><span style=\"font-weight: 400\">suggested<\/span><\/a><span style=\"font-weight: 400\"> that the peculiar humped shape of the so-called second wave of covid-19 last year may have been due to two separate overlapping bell-shaped waves.<\/span><\/p>\n<p><b>Figure 2.<\/b><span style=\"font-weight: 400\"> Examples of bell-shaped epidemics<\/span><br \/>\n<span style=\"font-weight: 400\">Left: deaths from influenza during three waves in London, 1890-2<\/span><br \/>\n<span style=\"font-weight: 400\">Middle: cases of influenza and deaths in Stockholm, 1918-19<\/span><br \/>\n<span style=\"font-weight: 400\">Right: deaths from plague in Bombay, 1905-6<\/span><br \/>\n<span style=\"font-weight: 400\">Left and middle from <\/span><i><span style=\"font-weight: 400\">Ministry of Health. Reports on Public Health and Medical Subjects. No. 4. Report on the Pandemic of Influenza, 1918\u201319<\/span><\/i><span style=\"font-weight: 400\">. London: His Majesty\u2019s Stationery Office, 1920<\/span><br \/>\n<span style=\"font-weight: 400\">Right from Kermack WO, McKendrick AG. A contribution to the mathematical theory of epidemics. Proc R Soc A 1927; 115(772): 700\u201321<\/span><br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-50307\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_3.jpg\" alt=\"\" width=\"699\" height=\"396\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_3.jpg 699w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_3-300x170.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_3-640x363.jpg 640w\" sizes=\"auto, (max-width: 699px) 100vw, 699px\" \/><\/p>\n<p><span style=\"font-weight: 400\">\u201cAirborne\u201d, a word that one would not expect to cause any difficulty, has become ambiguous. It started when the WHO declared that \u201cCOVID-19 is not airborne\u201d, since they thought that it was carried on large droplets, which would fall to the ground, not aerosols, which would spread in the air. That is not the case, but the term \u201cairborne\u201d now seems to be being used to imply that the virus only or predominantly comes from exhalation. <\/span><a href=\"https:\/\/www.mja.com.au\/journal\/2021\/australia-must-act-prevent-airborne-transmission-sars-cov-2\"><span style=\"font-weight: 400\">However<\/span><\/a><span style=\"font-weight: 400\">, the virus is also excreted faecally and can thus become airborne. Nevertheless, advice to wash one\u2019s hands thoroughly has not been given as much prominence as advice to wear masks. And we often see crowds of people huddled together wearing masks, as if social distancing was of no importance.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Words are often used misleadingly for <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC1127659\/\"><span style=\"font-weight: 400\">ideological reasons<\/span><\/a><span style=\"font-weight: 400\">; that should not be the case during a pandemic.<\/span><\/p>\n<p style=\"text-align: left\"><span style=\"font-weight: 400\"><em><strong>Jeffrey Aronson<\/strong>\u00a0is a clinical pharmacologist, working in the Centre for Evidence Based Medicine in Oxford&#8217;s Nuffield Department of Primary Care Health Sciences. He is also president emeritus of the British Pharmacological Society.<\/em><\/span><\/p>\n<p style=\"text-align: left\"><strong>Competing interests:<\/strong> none declared.<\/p>\n<p><a href=\"http:\/\/neilsloane.com\/doc\/g4g7.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-50308 size-full\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_integer.jpg\" alt=\"\" width=\"698\" height=\"1550\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_integer.jpg 698w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_integer-135x300.jpg 135w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_integer-461x1024.jpg 461w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_integer-692x1536.jpg 692w, https:\/\/blogs.bmj.com\/bmj\/files\/2021\/05\/aronson_21_may_2021_integer-640x1421.jpg 640w\" sizes=\"auto, (max-width: 698px) 100vw, 698px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Biomedical words recorded in the Oxford English Dictionary (OED) as having newly appeared during 1970\u20132020 have become scarcer and scarcer with the passing years (Figure 1). For 1970 I found [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/05\/21\/jeffrey-aronson-when-i-use-a-word-words-going-viral\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":419,"featured_media":38359,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5762],"tags":[],"class_list":["post-50303","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-jeff-aronsons-words"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jeffrey Aronson: When I Use a Word . . . 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