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Can there be "an" "endemic"? (Can "endemic" legitimately be used as a noun?)

English Language & Usage Asked by Louise B. Andrew MD JD on May 1, 2021

A recent AMA headline shouts: “The Resident Depression Endemic—and Solutions Underway”.

Now, doctors are not known for their writing proficiency (self included here) but this seems to me to be a new or possibly just uninformed use of the word “endemic”.

Probably this was a staffer who wasn’t sure whether it was permissible to use the term “epidemic”…

3 Answers

I agree that this was likely an error for epidemic. However, in a biological context (different field of biology than medicine) "an endemic" is often used to refer to an organism that is endemic to a particular area. Thus, "Species X is an endemic here." Or, "This island has many endemics" as a shorthand for "...many endemic species."

Answered by KWinker on May 1, 2021

Endemic as an adjective means regularly found in a specified population. Its use as noun means an endemic disease. The OED finds this usage from 1662 and quotes The Saturday Review (1859) for a figurative use thusly:

Snobbishness in an insidious endemic.

For a literal use, we may consult An outline of the history and cure of fever, endemic and contagious by R Jackson (1798)

... while contagious fever, occasionally exposed to pure air often intermits or remits like an endemic;....

The noun usage seems as dated as Jackson's medical advice though.

One more example by request, from Medical Record, Volume 35 (April 6, 1889), G F Shrady and T L Stedman eds.

Only within the last twenty years, after the attention of medical men had been drawn to repeated observations of endemics and epidemics of pneumonia,....

Answered by deadrat on May 1, 2021

So, this site https://www.vocabulary.com/dictionary/endemic seems to offer a noun form that, albeit used infrequently, would fit the usage by the AMA author that first caught my eye.

I see that this was also explained by someone above, but somehow it didn't sound convincing given the context! This does:

"Endemic n a disease that is constantly present to a greater or lesser degree in people of a certain class or in people living in a particular location

Synonyms: endemic disease"

Ironically, the AMA writer copied the term directly from an editorial by a physician-writer and dean of a medical school, someone with whom I have worked on articles, and who seems to be a stickler for proper usage! Like me, probably had a schoolteacher mother...

Anyway, thanks everyone for considering with me!

Answered by Louise B. Andrew MD JD on May 1, 2021

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