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Pandemic vs. Epidemic: What's the Difference?

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Read the comparison below, or explore it visually. Create a visual lesson comparing pandemic and epidemic using available credits or plan allowance.

An epidemic is a rise in cases of a disease well above the normal level within one community or region, while a pandemic is an epidemic that has spread across many countries or continents. The difference is about geographic reach, not how deadly the disease is. A pandemic always begins as a local outbreak that keeps spreading from person to person beyond borders.

At a glance

PandemicEpidemic
Geographic spreadMany countries or continents at onceOne community, city, country or region
Scale of casesVery large numbers worldwideFar above the usual level, but locally
How it startsUsually grows out of an epidemic that crosses bordersOften grows out of a local outbreak
Typical causeOften a new germ few people are immune toNew or familiar germ in a favourable setting
Examples1918 influenza, 2009 H1N1 flu, COVID-19West Africa Ebola 2014-2016, seasonal dengue surges

Which should you use?

Pandemic

Use "pandemic" when sustained person-to-person spread is happening in many parts of the world at once, as with COVID-19 after it moved from China to nearly every country in 2020.

Epidemic

Use "epidemic" when cases jump well above normal in a limited area, for example a monsoon-season dengue surge in an Indian city or the 2014-2016 Ebola epidemic in West Africa.

Frequently asked questions

Who declares a pandemic?
The World Health Organization (WHO) usually makes the call that the world accepts. It judges how widely a disease is spreading between people across different regions, as it did when it described COVID-19 as a pandemic in March 2020. Countries declare their own local emergencies separately.
Does pandemic mean a disease is more deadly?
No. The word describes how far a disease has spread, not how severe it is. The 2009 H1N1 influenza was a pandemic yet caused mild illness in most people, while some regional epidemics, such as Ebola, have had far higher death rates.
What does endemic mean compared with epidemic?
An endemic disease is constantly present in a region at a fairly steady, expected level, such as malaria in parts of India and Africa. It becomes an epidemic in that region only when cases rise clearly above that usual baseline.