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Pox parties, also known as flu parties, are social activities in which children are deliberately exposed to
infectious disease An infection is the invasion of tissue (biology), tissues by pathogens, their multiplication, and the reaction of host (biology), host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmis ...
s such as
chickenpox Chickenpox, also known as varicella ( ), is a highly contagious disease caused by varicella zoster virus (VZV), a member of the herpesvirus family. The disease results in a characteristic skin rash that forms small, itchy blisters, which ...
. Such parties originated to "get it over with" before vaccines were available for a particular illness or because childhood infection might be less severe than infection during adulthood, according to proponents. For example,
measles Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles v ...
is more dangerous to adults than to children over five years old. Deliberately exposing people to diseases has since been discouraged by
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the de ...
officials in favor of
vaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...
, which has caused a decline in the practice of pox parties, although
flu Influenza, commonly known as the flu, is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These sympto ...
parties saw a resurgence in the early 2010s. Another, more modern, method of intentional contagion involves shipping infectious material. In many parts of the world, shipping infectious items is illegal or tightly regulated.


Effectiveness and risk

Parents who expose their children to
varicella zoster virus Varicella zoster virus (VZV), also known as human herpesvirus 3 (HHV-3, HHV3), is one of nine known herpes viruses that can infect humans. It causes chickenpox (varicella) commonly affecting children and young adults, and shingles (herpes zos ...
in this manner often do so out of the belief that acquiring immunity to
chickenpox Chickenpox, also known as varicella ( ), is a highly contagious disease caused by varicella zoster virus (VZV), a member of the herpesvirus family. The disease results in a characteristic skin rash that forms small, itchy blisters, which ...
via infection is safer and more effective than receiving a vaccination. Similar ideas have been applied to other diseases such as
measles Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles v ...
. Pediatricians have warned against holding pox parties, however, citing dangers arising from possible complications associated with chickenpox, such as
encephalitis Encephalitis is inflammation of the Human brain, brain. The severity can be variable with symptoms including reduction or alteration in consciousness, aphasia, headache, fever, confusion, a stiff neck, and vomiting. Complications may include se ...
, chickenpox-associated
pneumonia Pneumonia is an Inflammation, inflammatory condition of the lung primarily affecting the small air sacs known as Pulmonary alveolus, alveoli. Symptoms typically include some combination of Cough#Classification, productive or dry cough, ches ...
, and invasive group A strep. These serious complications (e.g., brain damage or death) are vastly more likely than
vaccine adverse event A vaccine adverse event (VAE), sometimes referred to as a vaccine injury, is an adverse event believed to have been caused by vaccination. The World Health Organization (WHO) refers to Adverse Events Following Immunization (AEFI). AEFIs can be r ...
s. Before the chickenpox vaccine became available, 100 to 150 children in the U.S. died from chickenpox annually. In the UK, chickenpox vaccinations are not routine, and around 25 people die a year from the disease, with 80% of victims being adults, in the late 1990s. The chickenpox vaccine is now recommended by health officials, citing vastly superior safety when compared with infection. Some parents have attempted to collect infectious materials, such as
saliva Saliva (commonly referred as spit or drool) is an extracellular fluid produced and secreted by salivary glands in the mouth. In humans, saliva is around 99% water, plus electrolytes, mucus, white blood cells, epithelial cells (from which ...
, licked
lollipop A lollipop is a type of sugar candy usually consisting of hard candy mounted on a stick and intended for sucking or licking. Different informal terms are used in different places, including lolly, sucker and sticky-pop. Lollipops are avail ...
s, or other infected items from people who claimed to have children infected with chickenpox. Others use
social networking service A social networking service (SNS), or social networking site, is a type of online social media platform which people use to build social networks or social relationships with other people who share similar personal or career content, interest ...
s to make contact with these strangers. The unknown person then mails the potentially infectious matter to the parent, who would then give it to their child in the hope that the child will become infected. These practices are unlikely to reliably transmit the chickenpox virus because varicella zoster cannot survive for long on the surface of such items. Those items can, however, transmit other diseases, including
hepatitis B Hepatitis B is an infectious disease caused by the '' hepatitis B virus'' (HBV) that affects the liver; it is a type of viral hepatitis. It can cause both acute and chronic infection. Many people have no symptoms during an initial infection. ...
, group A streptococcal infection, and
staphylococcal infection A staphylococcal infection or staph infection is an infection caused by members of the ''Staphylococcus'' genus of bacteria. These bacteria commonly inhabit the skin and nose where they are innocuous, but may enter the body through cuts or abrasi ...
s — dangerous diseases to which the parents never intended to expose their children. Additionally, in the United States, deliberately sending infectious matter through the
U.S. Postal Service The United States Postal Service (USPS), also known as the Post Office, U.S. Mail, or simply the Postal Service, is an independent agencies of the United States government, independent agency of the executive branch of the federal governmen ...
is illegal. While chickenpox parties are still held today, they are far less common than before the chickenpox vaccine was introduced.


History

In the United States, chickenpox parties were popularized before the introduction of the
varicella vaccine Varicella vaccine, also known as chickenpox vaccine, is a vaccine that protects against chickenpox. One dose of vaccine prevents 95% of moderate disease and 100% of severe disease. Two doses of vaccine are more effective than one. If given to t ...
in 1995. Children were also sometimes intentionally exposed to other common childhood illnesses, such as mumps and measles. Before vaccines for these infections became available, parents regarded these diseases as almost inevitable.


Flu parties

During the
2009 swine flu pandemic in Canada The 2009 swine flu pandemic in Canada was part of an epidemic in 2009 of a new strain of influenza A virus subtype H1N1 causing what has been commonly called swine flu. In Canada, roughly 10% of the populace (or 3.5 million) has been infected ...
, doctors noted an increase in what was termed ''flu parties'' or ''flu flings''. These gatherings, as with the pox parties, were designed explicitly to allow a parent's children to contract the "swine flu" influenza virus. Researchers such as Dr. Michael Gardam noted that because the pandemic was caused by a flu subtype to which very few people were previously exposed, parents would be just as likely to contract the disease and further its spread. Although these events were heavily discussed in the media, very few were confirmed to have happened.


COVID-19 party

A COVID-19 party (also called coronavirus party, corona party, and lockdown party) is a gathering held with the intention of catching or spreading
COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by the coronavirus SARS-CoV-2. In January 2020, the disease spread worldwide, resulting in the COVID-19 pandemic. The symptoms of COVID‑19 can vary but often include fever ...
. It is a type of pox party where the intentional spread of disease is chosen to build up post-infection immunity. Parties have been reported to occur during the
omicron Omicron (, ; uppercase Ο, lowercase ο, ) is the fifteenth letter of the Greek alphabet. This letter is derived from the Phoenician letter ayin: . In classical Greek, omicron represented the close-mid back rounded vowel in contrast to '' o ...
wave, due to the belief that omicron causes only mild infection. Experts caution that infection with COVID runs the risk of hospitalization, and increasingly common side effects such as MIS-C and
long COVID Long may refer to: Measurement * Long, characteristic of something of great duration * Long, characteristic of something of great length * Longitude (abbreviation: long.), a geographic coordinate * Longa (music), note value in early music mens ...
. A number of news reports in the United States have suggested that parties have occurred with this intention early in the pandemic. However, such reports appear to involve sensational and unsubstantiated media coverage or misleading headlines which misrepresent the content of an article. Such stories have been compared to
urban legend Urban legend (sometimes modern legend, urban myth, or simply legend) is a genre of folklore concerning stories about an unusual (usually scary) or humorous event that many people believe to be true but largely are not. These legends can be e ...
s. In the Netherlands, the term "coronavirus party" and other similar terms may refer to a
party A party is a gathering of people who have been invited by a Hospitality, host for the purposes of socializing, conversation, recreation, or as part of a festival or other commemoration or celebration of a special occasion. A party will oft ...
that is organized during the
COVID-19 pandemic The COVID-19 pandemic (also known as the coronavirus pandemic and COVID pandemic), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), began with an disease outbreak, outbreak of COVID-19 in Wuhan, China, in December ...
but without any intention of spreading the virus. As the party occurs during the COVID-19 pandemic, it may involve breaking existing regulations and restrictions to prevent COVID-19 infections (i.e., on people gatherings).


History

In March 2020
Andy Beshear Andrew Graham Beshear ( ; born November 29, 1977) is an American attorney and politician serving as the 63rd governor of Kentucky since 2019. A member of the Democratic Party (United States), Democratic Party, he served as the 50th attorney gen ...
, the
governor of Kentucky The governor of the Commonwealth of Kentucky is the head of government of the Commonwealth (U.S. state), Commonwealth of Kentucky. Sixty-two men and one woman have served as governor of Kentucky. The governor's term is four years in length; sinc ...
, reported that young people were taking part in parties and later testing positive for COVID-19. "The partygoers intentionally got together 'thinking they were invincible' and purposely defying state guidance to practice
social distancing In public health, social distancing, also called physical distancing, (NB. Regula Venske is president of the PEN Centre Germany.) is a set of non-pharmaceutical interventions or measures intended to prevent the spread of a contagious dise ...
," he said. A
CNN Cable News Network (CNN) is a multinational news organization operating, most notably, a website and a TV channel headquartered in Atlanta. Founded in 1980 by American media proprietor Ted Turner and Reese Schonfeld as a 24-hour cable ne ...
headline on 25 March 2020 stated, "A group of young adults held a coronavirus party in
Kentucky Kentucky (, ), officially the Commonwealth of Kentucky, is a landlocked U.S. state, state in the Southeastern United States, Southeastern region of the United States. It borders Illinois, Indiana, and Ohio to the north, West Virginia to the ...
to defy orders to socially distance. Now one of them has coronavirus." On the same day
NPR National Public Radio (NPR) is an American public broadcasting organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It serves as a national Radio syndication, syndicator to a network of more ...
published the headline "Kentucky Has 39 New Cases; 1 Person Attended A 'Coronavirus Party. Both headlines misrepresented the content of the article and the quotes they used from Beshear, who did not mention intentional parties for catching COVID-19 but rather that young people were attending parties and becoming sick with COVID-19. On 6 May, ''
The Seattle Times ''The Seattle Times'' is an American daily newspaper based in Seattle, Washington. Founded in 1891, ''The Seattle Times'' has the largest circulation of any newspaper in the state of Washington and the Pacific Northwest region. The Seattle Time ...
'' reported that Meghan DeBold, director of the Department of Community Health in
Walla Walla, Washington Walla Walla ( ) is a city in and the county seat of Walla Walla County, Washington, United States. It had a population of 34,060 at the 2020 United States census, 2020 census, estimated to have decreased to 33,339 as of 2023. The combined populat ...
, said that contact tracing had revealed people wanting to get sick with COVID-19 and get it over with had attended COVID parties. DeBold is quoted as saying, "We ask about contacts, and there are 25 people because: 'We were at a COVID party. An opinion piece for ''
The New York Times ''The New York Times'' (''NYT'') is an American daily newspaper based in New York City. ''The New York Times'' covers domestic, national, and international news, and publishes opinion pieces, investigative reports, and reviews. As one of ...
'' by epidemiologist Greta Bauer on 8 April 2020 said she had heard "rumblings about people ... hosting a version of 'chickenpox parties'... to catch the virus". ''
Rolling Stone ''Rolling Stone'' is an American monthly magazine that focuses on music, politics, and popular culture. It was founded in San Francisco, California, in 1967 by Jann Wenner and the music critic Ralph J. Gleason. The magazine was first known fo ...
'' states that Bauer did not cite "direct evidence of the existence of these parties." ''The New York Times'' reported on 6 May 2020 that stories such as the Walla Walla Covid Party "may have been more innocent gatherings" and county health officials retracted their statements. On 23 June, Carsyn Leigh Davis was said to have died from COVID-19 at the age of 17 after her mother took her to a COVID party at her church, despite Carsyn having a history of health issues, including
cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...
. However, according to the coroner's report, there is no mention of a COVID party but rather a church function with 100 children where she did not wear a mask and where social distancing protocols were not followed. According to
David Gorski David Henry Gorski is an American surgical oncologist and professor of surgery at Wayne State University School of Medicine. He specializes in breast cancer surgery at the Karmanos Cancer Institute. Gorski is an outspoken skeptic and critic ...
, writing for ''
Science-Based Medicine ''Science-Based Medicine'' is a website and blog with articles covering issues in science and medicine, especially medical scams and practices. Founded in 2008, it is owned and operated by the New England Skeptical Society, and run by Steve ...
'', the church party was called a "Release Party" and there is no evidence that the party was held so that people could intentionally catch COVID-19.


Response

Some news agencies consider COVID-19 parties to be a myth. ''
Rolling Stone ''Rolling Stone'' is an American monthly magazine that focuses on music, politics, and popular culture. It was founded in San Francisco, California, in 1967 by Jann Wenner and the music critic Ralph J. Gleason. The magazine was first known fo ...
'' called "shaming people on the internet for not properly socially distancing" the favorite new American pastime. They state that these headlines are meant to be virally shared, and they considered the reality to be that young people had simply attended parties where they caught COVID-19, rather than deliberately attending them to contract COVID-19. ''Rolling Stone'' attributed the popularity of the stories to "generational animosity" and said that the coronavirus party stories "gives people cooped up in their homes a reason to pat themselves on the back and congratulate themselves for their own sacrifices". The ''Seattle Times'' article from Walla Walla backtracked the day after publishing their COVID-19 party story by stating they may not have been accurate. ''
Wired Wired may refer to: Arts, entertainment, and media Music * ''Wired'' (Jeff Beck album), 1976 * ''Wired'' (Hugh Cornwell album), 1993 * ''Wired'' (Mallory Knox album), 2017 * "Wired", a song by Prism from their album '' Beat Street'' * "Wired ...
'' criticized reports on CNN and others of supposed college students in
Tuscaloosa, Alabama Tuscaloosa ( ) is a city in and the county seat of Tuscaloosa County, Alabama, Tuscaloosa County in west-central Alabama, United States, on the Black Warrior River where the Gulf Coastal Plain, Gulf Coastal and Piedmont (United States), Piedm ...
throwing parties with infected guests then betting on the contagion that ensues. "They put money in a pot and they try to get Covid," said City Council member Sonya McKinstry, who was the story's lone source. "Whoever gets Covid-19 first gets the pot. It makes no sense." ''Wired'' says that these stories spread like a
game of telephone A game is a structured type of play usually undertaken for entertainment or fun, and sometimes used as an educational tool. Many games are also considered to be work (such as professional players of spectator sports or video games) or art (such ...
with "loose talk from public officials and disgracefully sloppy journalism". "It is, of course, technically impossible to rule out the existence of Covid-19 parties. Maybe somewhere in this vast and complex nation, some foolish people are getting infected on purpose. It is also possible that the miasma of media coverage will coalesce into a vector of its own, inspiring Covid parties that otherwise would not have happened. But so far there's no hard evidence that even a single one has taken place—just a recurring cycle of breathless, unsubstantiated media coverage." Investigator
Benjamin Radford Benjamin Radford (born October 2, 1970) is an American writer, investigator, and skeptic. He has authored, coauthored or contributed to over twenty books and written over a thousand articles and columns on a wide variety of topics including urb ...
researched the claims from the media and stated that there was nothing new to these stories, and that the folklore world has seen stories of people believing that being inoculated against
smallpox Smallpox was an infectious disease caused by Variola virus (often called Smallpox virus), which belongs to the genus '' Orthopoxvirus''. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (W ...
may turn people into cows. These stories cycle through social media, and include " poisoned Halloween candy, suicide-inducing online games,
Satanists Satanism refers to a group of Religion, religious, Ideology, ideological, or Philosophy, philosophical beliefs based on Satan—particularly his worship or veneration. Because of the ties to the historical Abrahamic religions, Abrahamic reli ...
, caravans of diseased migrants,
evil clowns Evil, as a concept, is usually defined as profoundly immoral behavior, and it is related to acts that cause unnecessary Suffering, pain and suffering to others. Evil is commonly seen as the opposite, or sometimes Absence of good, absence, of g ...
, and many others." Other childhood diseases such as
chickenpox Chickenpox, also known as varicella ( ), is a highly contagious disease caused by varicella zoster virus (VZV), a member of the herpesvirus family. The disease results in a characteristic skin rash that forms small, itchy blisters, which ...
and
measles Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles v ...
in years before vaccines to prevent these illnesses, some parents would hold 'pox parties' which Radford claims are still "often promoted by
anti-vaccination Anti-vaccine activism, which collectively constitutes the "anti-vax" movement, is a set of organized activities expressing opposition to vaccination, and these collaborating networks have often sought to increase vaccine hesitancy by dissem ...
groups". "Assuming you have a willing and potentially infectious patient (who's not bedridden or in a hospital)" holding a COVID-19 party would be problematic for many reasons, including not knowing if someone has COVID-19 or the flu as well as not knowing a person's
viral load Viral load, also known as viral burden, is a numerical expression of the quantity of virus in a given volume of fluid, including biological and environmental specimens. It is not to be confused with viral titre or viral titer, which depends on the ...
, according to Radford. He described the entire premise of the parties as "dubious". All stories reported in the media had "all the typical ingredients of unfounded moral panic rumors", according to Radford. This includes teachers, police, school districts, governors "who publicize the information out of an abundance of caution. Journalists eagerly run with a sensational story, and there's little if any sober or skeptical follow-up". On 10 July 2020, a
WOAI-TV WOAI-TV (channel 4) is a television station in San Antonio, Texas, United States, affiliated with NBC and The CW. It is owned by Sinclair Broadcast Group alongside Fox affiliate KABB (channel 29); Sinclair also provides certain services to ...
station from
San Antonio San Antonio ( ; Spanish for " Saint Anthony") is a city in the U.S. state of Texas and the most populous city in Greater San Antonio. San Antonio is the third-largest metropolitan area in Texas and the 24th-largest metropolitan area in the ...
, Texas ran a story interviewing the Chief Medical Officer of Methodist Healthcare, Dr. Jane Appleby, who according to WOAI said she had heard from someone that a patient told their nurse right before dying that they had attended a COVID party to see if the virus was real or not, and now they regretted attending the party. Radford considers the stories "classic folklore (a friend-of-a-friend or FOAF) tale presented in news media as fact", noting that they were often anonymous third-hand story with no verifiable names or other details. He described the "deathbed conversation" ending to the story as being a "classic legend trope".


Cultural depictions

The TV series ''
South Park ''South Park'' is an American animated sitcom created by Trey Parker and Matt Stone, and developed by Brian Graden for Comedy Central. The series revolves around four boysStan Marsh, Kyle Broflovski, Eric Cartman, and Kenny McCormickand the ...
'' ("
Chickenpox Chickenpox, also known as varicella ( ), is a highly contagious disease caused by varicella zoster virus (VZV), a member of the herpesvirus family. The disease results in a characteristic skin rash that forms small, itchy blisters, which ...
") and ''
The Simpsons ''The Simpsons'' is an American animated sitcom created by Matt Groening and developed by Groening, James L. Brooks and Sam Simon for the Fox Broadcasting Company. It is a Satire (film and television), satirical depiction of American life ...
'' ("
Milhouse of Sand and Fog "Milhouse of Sand and Fog" is the third episode of the seventeenth season of the American animated television series ''The Simpsons''. It originally aired on Fox network in the United States on September 25, 2005. The episode was written by Pat ...
") each aired an episode featuring a pox party intended to spread varicella.Nicolae Sfetcu, ''Health & Drugs: Disease, Prescription & Medication'' (2014), p. 1573.


See also

*
Intentional contagion of infection Intentional contagion of infection, also called voluntary contagion, conscious contagion, or intentional transmission is the act by which a human being deliberately infects another with a pathogen knowing that they will be infected. In some legisl ...
*
Bugchasing ''Bugchasing'' (alternatively'' bug chasing'') is the rare practice of intentionally seeking human immunodeficiency virus (HIV) infection through sexual activity. Bugchasers—those who eroticize HIV—are a subculture of barebackers, men ...
* Digital contact tracing to verify adherence to COVID-19 restrictions


References

{{DEFAULTSORT:Pox Party Chickenpox Measles Mumps Rubella Smallpox vaccines Self-harm Disease transmission