Thailand health authorities approved new guidelines on Friday outlining the parameters for declaring the coronavirus pandemic an endemic disease. In epidemiology, an infection is said to be endemic in a population when that infection is constantly maintained at a baseline level in a geographic area without any external input.
For an infection that relies on person-to-person transmission, to be endemic, each person who becomes infected with the disease must pass it on to one other person on an average.
The WHO has cautioned against the move.
Official figures show that Thailand already meets the three criteria, but Ministry of Public Health spokesman Rungrueng Kitphati said it would still be between six months and a year before the government would be able to make the decision to start treating Covid-19 as an illness that is here to stay, like the flu or measles.
Among other things, he said data from all of Thailand’s provinces need to be checked, and authorities need to be sure that the figures remain at the current levels or improve before it can be declared endemic.
The guidelines drawn up by the ministry’s National Communicable Disease Committee are made up of three criteria: that there are fewer than 10,000 new cases per day; that the fatality rate is no higher than 0.1% of those who are admitted to the hospital with an infection; and that more than 80% of at-risk people have had at least two vaccinations.
Thailand’s current daily new cases range between 7,000-9,000, and the fatality rate, which was more than 3% in the beginning of the pandemic, has declined to 0.1%, and more than 80% of at-risk people have been fully vaccinated, Rungrueng argued.
Speaking last week at a World Economic Forum panel, Dr Anthony Fauci, the top infectious diseases doctor in the US, said Covid-19 could not be considered endemic until it drops to “a level that it doesn’t disrupt society.”
Interestingly, Thailand reported 8,078 new cases and 22 deaths on Friday, for a total of 2.4 million confirmed cases and 22,098 deaths since the pandemic started in 2020. To date, 70 percent of its population have been fully vaccinated.
