The elbow bump is an informal greeting where two people touch elbows. Interest in this greeting was renewed during the avian flu scare of 2006, the 2009 swine flu pandemic, the Ebola outbreak of 2014, and the COVID-19 pandemic when health officials supported its use as an alternative to hand-shaking to reduce the spread of germs. [1] [2] [3] During the latter pandemic, authorities advised that even an elbow bump was too risky, and suggested greeting from a distance. [4]
The elbow bump as a greeting is sometimes assumed to be derived from the more well known fist bump, beginning in the 1980s. The earliest written record of the elbow bump by David Grimes [5] [ verification needed ] supports this hypothesis. Shaquille O'Neal demonstrated the derivative nature of the elbow bump in relation to the fist bump in 2004, when he dismissed Kobe Bryant's greeting with a half-hearted elbow bump. [6]
A recent advocate of the elbow bump is the World Health Organization. In 2006, due to fears of a possible avian flu pandemic, the WHO proposed using the elbow bump as a means of "keeping other people's cooties at arms length." [2] Michael Bell has been a principal advocate for using the elbow bump, noting that it can also help constrain the spread of diseases such as Ebola, by modeling social behavior that limits physical contact. [2] [7]
The elbow bump got renewed interest when the 2009 swine flu pandemic in Mexico began growing into a worldwide pandemic. By 2009, the elbow bump had grown so large in popularity that people in Mexico had taken it upon themselves to utilize the elbow bump to reduce the spread of disease. [3] As in 2006, the elbow bump was supported by a number of health officials, [8] such as Sanjay Gupta, CNN's chief medical correspondent. [9]
The Manhattan Soccer Club endorsed the elbow bump as the safe alternative to hand-to-hand contact.
At this point the MSC Board and the coaching staff would recommend that players not shake/touch hands with opponents after the games. The safest thing to do is to touch elbows. The coach or manager can explain this to the other team prior to the game. [10]
In October 2014, an outbreak of the Ebola disease revived interest in the greeting. [11]
During the early stages of the COVID-19 pandemic in the United States, health officials advised people to avoid physical contact with others, including handshaking; the elbow bump was suggested as an alternative. [12] At a 2 March press conference, U.S. Surgeon General Jerome Adams demonstrated the elbow bump to reporters, saying "We should probably rethink the handshake for a while." [13]
As the epidemic spread, the elbow bump was discouraged as advice was broadened to recommend physical distancing, such as staying at least 2 metres away from other people, as a way to lessen the risk of catching or spreading the disease. [14] [4] The World Health Organization Director-General Tedros Adhanom Ghebreyesus advised that an elbow bump was too risky because it puts people too close to each other; he recommended using a non-contact greeting, such as putting one's hand on one's heart, from a separation distance of at least one meter. [4]
By 2009, the elbow bump was endorsed by many university officials, [15] Nobel laureate Peter Agre, [16] then President of the American Association for the Advancement of Science, and the World Health Organization. [17] However, some of these endorsements were meant as much to elicit good humor as for purposes of good hygiene. [15] [18]
The word "elbow bump" was considered for Word of the Year in 2006 by the New Oxford American Dictionary. [19]
At the open-air service of the Greenbelt festival of 2009, worshipers were encouraged to greet each other with the 'elbow bump of peace' instead of the more usual 'holy kiss' during the Christian rite of peace, because of concerns over swine flu. [20]
In 2020, New York-based creative director Stephen Paul Wright launched an emoji for the 'elbow bump' in response to the COVID-19 pandemic. [21]
An epidemic is the rapid spread of disease to a large number of hosts in a given population within a short period of time. For example, in meningococcal infections, an attack rate in excess of 15 cases per 100,000 people for two consecutive weeks is considered an epidemic.
A handshake is a globally widespread, brief greeting or parting tradition in which two people grasp one of each other's hands and in most cases accompanied by a brief up-and-down movement of the grasped hands. Customs surrounding handshakes are specific to cultures. Different cultures may be more or less likely to shake hands, or there may be different customs about how or when to shake hands.
Swine influenza is an infection caused by any of several types of swine influenza viruses. Swine influenza virus (SIV) or swine-origin influenza virus (S-OIV) refers to any strain of the influenza family of viruses that is endemic in pigs. As of 2009, identified SIV strains include influenza C and the subtypes of influenza A known as H1N1, H1N2, H2N1, H3N1, H3N2, and H2N3.
A fist bump (also known as a bro fist, power five, a spud or also commonly known as a safe is a gesture similar in meaning to a handshake or high five. A fist bump can also be a symbol of giving respect or approval, as well as companionship between two people. It can be followed by various other hand and body gestures and may be part of a dap greeting. It is commonly used in sports as a form of celebration with teammates and with opposition players at the beginning or end of a game. Fist bumps are often given as a form of friendly congratulation.
In virology, influenza A virus subtype H1N1 (A/H1N1) is a subtype of influenza A virus. Major outbreaks of H1N1 strains in humans include the 1918 Spanish flu pandemic, the 1977 Russian flu pandemic and the 2009 swine flu pandemic. It is an orthomyxovirus that contains the glycoproteins hemagglutinin (H) and neuraminidase (N), antigens whose subtypes are used to classify the strains of the virus as H1N1, H1N2 etc. Hemagglutinin causes red blood cells to clump together and binds the virus to the infected cell. Neuraminidase is a type of glycoside hydrolase enzyme which helps to move the virus particles through the infected cell and assist in budding from the host cells.
An influenza pandemic is an epidemic of an influenza virus that spreads across a large region and infects a large proportion of the population. There have been six major influenza epidemics in the last 140 years, with the 1918 flu pandemic being the most severe; this is estimated to have been responsible for the deaths of 50–100 million people. The 2009 swine flu pandemic resulted in under 300,000 deaths and is considered relatively mild. These pandemics occur irregularly.
The index case or patient zero is the first documented patient in a disease epidemic within a population, or the first documented patient included in an epidemiological study. It can also refer to the first case of a condition or syndrome to be described in the medical literature, whether or not the patient is thought to be the first person affected. An index case can achieve the status of a "classic" case study in the literature, as did Phineas Gage, the first known person to exhibit a definitive personality change as a result of a brain injury.
Globalization, the flow of information, goods, capital, and people across political and geographic boundaries, allows infectious diseases to rapidly spread around the world, while also allowing the alleviation of factors such as hunger and poverty, which are key determinants of global health. The spread of diseases across wide geographic scales has increased through history. Early diseases that spread from Asia to Europe were bubonic plague, influenza of various types, and similar infectious diseases.
This article covers the chronology of the 2009 novel influenza A (H1N1) pandemic. Flag icons denote the first announcements of confirmed cases by the respective nation-states, their first deaths, and relevant sessions and announcements of the World Health Organization (WHO), the European Union , and the U.S. Centers for Disease Control (CDC).
In public health, social distancing, also called physical distancing, is a set of non-pharmaceutical interventions or measures intended to prevent the spread of a contagious disease by maintaining a physical distance between people and reducing the number of times people come into close contact with each other. It usually involves keeping a certain distance from others and avoiding gathering together in large groups.
Richard E. Besser is an American doctor and executive who has served as president and CEO of the Robert Wood Johnson Foundation since April 2017. Besser served as the acting director of the Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR) from January to June 2009. He was ABC News' former chief health and medical editor. Besser is a brother-in-law to Scottish singer Annie Lennox.
The pandemic H1N1/09 virus is a swine origin influenza A virus subtype H1N1 strain that was responsible for the 2009 swine flu pandemic. This strain is often called swine flu by the public media. For other names, see the Nomenclature section below.
The 2009 flu pandemic was a global outbreak of a new strain of influenza A virus subtype H1N1, first identified in April 2009, termed Pandemic H1N1/09 virus by the World Health Organization (WHO) and colloquially called swine flu. The outbreak was first observed in Mexico, and quickly spread globally. On 11 June 2009, WHO declared the outbreak to be a pandemic. The overwhelming majority of patients experience mild symptoms", but some persons are in higher risk groups, such as those with asthma, diabetes, obesity, heart disease, or who are pregnant or have a weakened immune system. In the rare severe cases, around 3–5 days after symptoms manifest, the person's condition declines quickly, often to the point respiratory failure.
The 2009 flu pandemic was a global outbreak of a new strain of influenza A virus subtype H1N1, first identified in April 2009, termed Pandemic H1N1/09 virus by the World Health Organization (WHO) and colloquially called swine flu. The outbreak was first observed in Mexico, and quickly spread globally. On the 11th of June 2009, the WHO declared the outbreak to be a pandemic. The overwhelming majority of patients experience mild symptoms, but some persons are at higher risk of suffering more serious effects; such as those with asthma, diabetes, obesity, heart disease, or those who are pregnant or have a weakened immune system. In the rare severe cases, around 3–5 days after symptoms manifest, the sufferer's condition declines quickly, often to the point respiratory failure. Although Ukraine was not (very) affected at first there was on outbreak of the virus in Western Ukraine in early November 2009 that led to the closing of public buildings and cancellation of meetings for three weeks.
A public health emergency of international concern is a formal declaration by the World Health Organization (WHO) of "an extraordinary event which is determined to constitute a public health risk to other States through the international spread of disease and to potentially require a coordinated international response", formulated when a situation arises that is "serious, sudden, unusual, or unexpected", which "carries implications for public health beyond the affected state's national border" and "may require immediate international action". Under the 2005 International Health Regulations (IHR), states have a legal duty to respond promptly to a PHEIC. The declaration is publicized by an IHR Emergency Committee (EC) of international experts, which was developed following the 2002–2004 SARS outbreak.
Neil Morris Ferguson is a British epidemiologist and professor of mathematical biology, who specialises in the patterns of spread of infectious disease in humans and animals. He is the director of the Jameel Institute, and of the MRC Centre for Global Infectious Disease Analysis, and head of the Department of Infectious Disease Epidemiology in the School of Public Health and Vice-Dean for Academic Development in the Faculty of Medicine, all at Imperial College London.
Maimuna (Maia) Majumder is a computational epidemiologist and a faculty member at Harvard Medical School and Boston Children's Hospital's Computational Health Informatics Program (CHIP). She is currently working on modeling the spread of the COVID-19 pandemic.
Planning and preparing for pandemics has happened in countries and international organizations. The World Health Organization writes recommendations and guidelines, though there is no sustained mechanism to review countries' preparedness for epidemics and their rapid response abilities. National action depends on national governments. In 2005–2006, before the 2009 swine flu pandemic and during the decade following it, the governments in the United States, France, UK, and others managed strategic health equipment stocks, but they often reduced stocks after the 2009 pandemic in order to reduce costs.
Helen Branswell is a Canadian infectious diseases and global health reporter at Stat News. Branswell spent fifteen years as a medical reporter at The Canadian Press, where she led coverage of the Ebola, Zika, SARS and swine flu pandemics. She joined Stat News at its founding 2015, leading the website's coverage of the ongoing COVID-19 pandemic.
Sylvie Champaloux Briand is a French physician who is Director of the Pandemic and Epidemic Diseases Department at the World Health Organization. Briand led the Global Influenza Programme during the 2009 swine flu pandemic. During the COVID-19 pandemic, Briand launched the WHO Information Network for Epidemics which looked to counter the spread of COVID-19 misinformation.
