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Reaffirming the Foundations of Public Health in a Time of Pandemic
Reaffirming the Foundations of Public Health in a Time of Pandemic
Journal Article

Reaffirming the Foundations of Public Health in a Time of Pandemic

2021
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Overview
Public health has been through an extraordinary period over the past two years. The novel coronavirus infection that became the COVID-19 global pandemic was first diagnosed on December 31, 2019. The pandemic spread rapidly, with much of the world affected by mid-2020. The contours of 2020 and 2021 globally were shaped almost entirely by the pandemic. Millions of people died, economies slowed, and unemployment reached record levels in many countries, all stemming from a pandemic that had been unknown two years ago. In the United States, COVID-19 was the third leading cause of death in 2020 and resulted in a downturn in life expectancy unprecedented since World War II.Coincident with the overwhelming role that COVID-19 has played in shaping public life, the visibility of the public health field has skyrocketed in the time of the pandemic, with public health occupying the front pages of newspapers worldwide. This visibility for public health was long overdue and welcome. It also of course should create an opportunity for reflection and self-examination. Much remains to be written about the burden of COVID-19, about our response to it, and about what public health stands to learn from the moment. We look forward to those conversations emerging. In this editorial, the last of what has been a five-year series of Public Health of Consequence commentaries, we wanted, however, to pause and reflect less on how public health might wish to evolve in the aftermath of COVID-19 and more on the foundations of public health that remain central to the aspirations of the field despite and perhaps because of COVID-19. Four articles in this issue of AJPH serve to illustrate three core points that lie at the heart of public health.