On the Relationship between Asymptomatic Infections and Diseases

Philosophy of Medicine 4 (1) (2023)
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Abstract

Many microbes responsible for infectious diseases are known to run an asymptomatic course in a significant portion of the population. By highlighting the conceptual complexities of host-microbe interactions, this paper elucidates the fact that while many infections remain asymptomatic, this does not necessarily mean that such infections are of no concern for health. The paper builds on the so-called damage-response framework and considers several developments required to gain a more comprehensive perspective on infections and their relationship to diseases. Irrespective of their (short-term) clinical manifestation, infections leave an imprint with consequences for health. Finally, these considerations regarding host-microbe interactions must be incorporated into policy decisions and public understanding of health if we hope to handle future pandemics such as Covid-19 better.

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Martin Zach
Czech Academy of Sciences

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References found in this work

Do we need a concept of disease?Germund Hesslow - 1993 - Theoretical Medicine and Bioethics 14 (1).
What are chronic diseases?Jonathan Fuller - 2018 - Synthese 195 (7):3197-3220.
Disease as a theoretical concept: The case of “HPV-itis”.Alex Broadbent - 2014 - Studies in History and Philosophy of Science Part C: Studies in History and Philosophy of Biological and Biomedical Sciences 48:250-257.

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