Endemic

A Post-Pandemic Playbook

"Endemic" refers to the features of a virus that make it either eradicable or controllable. SARS-CoV-2’s features make it non-eradicable. However, if we use tools we already have, living with an endemic virus is possible and does not have to be disruptive to society. This book is a clarion call for reason while also assessing the story, science, and politics thus far with its hits and misses, and providing a roadmap for the future of COVID-19 variants and future epidemic crises. Dr. Gandhi’s 10-point plan is the center of this book and will serve to guide us today and into our future. Her roadmap includes:

  • Expanding equitable vaccine distribution
  • Easing restrictions
  • Emphasizing harm reduction over coercive or punitive measures
  • Encouraging outdoor activities
  • Avoiding school closures
  • Understanding the long-term economic and psychological consequences of sustained lockdowns
  • Eliminating ineffective measures
  • Reassessing testing policies and practices
  • Increasing access to outpatient therapies and prophylactics
  • Focusing on better preparation for future pandemics

Dr. Gandhi brings her unique blend of professional history, training and experience, academic authority, accessibility for general readers, and recognized role as expert commentator for general audiences to bear.

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Endemic

Endemic aims squarely at reckoning with our present condition: comprehending and living with a new respiratory disease and how to face the coming variants and next pandemic with reason, science, understanding, courage, and compassion. It does not shy from rigorous scrutiny, and it pulls no punches about where we have been, where we find ourselves now, and how we ought to manage the virus in the coming years.

About the Author

Monica Gandhi, M.D., is Professor of Medicine and Associate Division Chief of the Division of HIV, Infectious Diseases, and Global Medicine at UCSF/San Francisco General Hospital. She also serves as the Director of the UCSF Center for AIDS Research and the Medical director of the HIV Clinic at SFGH ("Ward 86"). Dr. Gandhi completed her M.D. at Harvard Medical School and then came to UCSF in 1996 for residency training in Internal Medicine.

After her residency, Dr. Gandhi completed a fellowship in Infectious Diseases and a postdoctoral fellowship at the Center for AIDS Prevention Studies, both at UCSF. She also obtained a master's in public health from the University of California, Berkeley in 2001 with a focus on Epidemiology and Biostatistics. Dr. Gandhi is arguably among the most distinguished infectious disease experts practicing today as well as being one of the few women with such a recognized platform. She supervises many predoctoral students, fellows, residents, and faculty at UCSF and has co-authored or contributed to 18 scholarly books. She is overseeing 11 ongoing research awards and grants from the NIH and the NIAID.

Dr. Gandhi has received dozens of awards, spoken at hundreds of conferences, keynoting many, held a handful of prestigious leadership positions, performed thousands of hours of public service, and served as a mentor and advisor to women in global health research studies. During the COVID-19 pandemic, she has contributed more than 20 original, peer-reviewed research articles and written more than 40 editorial and opinion pieces for media outlets including The New York Times, NPR, NBC News, BBC, Atlantic, Washington Post, New Yorker, Los Angeles Times, San Francisco Chronicle, The Guardian, Vox News, WIRED, and more. 

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Endemic

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A thoughtful and well-reasoned plan for future.

It would be a grave error to respond to a new pandemic without applying lessons from the current one.


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