Elbow Bump
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The elbow bump is an informal greeting where two people touch
elbows The elbow is the region between the arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the media ...
. Interest in this greeting was renewed during the
avian flu Avian influenza, known informally as avian flu or bird flu, is a variety of influenza caused by viruses adapted to birds.
scare of 2006, the
2009 swine flu pandemic The 2009 swine flu pandemic, caused by the H1N1 influenza virus and declared by the World Health Organization (WHO) from June 2009 to August 2010, is the third recent flu pandemic involving the H1N1 virus (the first being the 1918–1920 Span ...
, the Ebola outbreak of 2014, and the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
when health officials supported its use as an alternative to hand-shaking to reduce the spread of germs. During the latter pandemic, authorities advised that even an elbow bump was too risky, and suggested greeting from a distance.


Urban youth

The elbow bump as a greeting is sometimes assumed to be derived from the more well known
fist bump A fist bump (also known as a bro fist or power five) is a gesture similar in meaning to a handshake or high five. A fist bump can also be a symbol of giving respect or approval, as well as companionship between two people. It can be followed ...
, beginning in the 1980s. The earliest written record of the elbow bump by David Grimes supports this hypothesis. More recently,
Shaquille O'Neal Shaquille Rashaun O'Neal ( ; born March 6, 1972), known commonly as "Shaq" ( ), is an American former professional basketball player who is a sports analyst on the television program ''Inside the NBA''. O'Neal is regarded as one of the greates ...
demonstrated the derivative nature of the elbow bump in relation to the fist bump in 2004, when he dismissed Kobe Bryant's greeting with a half-hearted elbow bump.


Popularity due to hygienic qualities


2006 avian flu outbreak

A recent advocate of the elbow bump is the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
. In 2006, due to fears of a possible avian flu pandemic, the WHO proposed using the elbow bump as a means of "keeping other people's cooties at arms length." Michael Bell has been a principal advocate for using the elbow bump, noting that it can also help constrain the spread of diseases such as Ebola, by modeling social behavior that limits physical contact.


2009 swine flu pandemic

The elbow bump got renewed interest when the 2009 swine flu pandemic in Mexico began growing into a worldwide pandemic. By 2009, the elbow bump had grown so large in popularity that people in Mexico had taken it upon themselves to utilize the elbow bump to reduce the spread of disease. As in 2006, the elbow bump was supported by a number of health officials, such as
Sanjay Gupta Sanjay Gupta (born October 23, 1969) is an American neurosurgeon, medical reporter, and writer. He serves as associate chief of the neurosurgery service at Grady Memorial Hospital in Atlanta, Georgia, associate professor of neurosurgery at t ...
, CNN's chief medical correspondent.


2012–2013 seasonal influenza epidemic

The Manhattan Soccer Club endorsed the elbow bump as the safe alternative to hand-to-hand contact.


Fall 2014 Ebola outbreak

In October 2014, an outbreak of the
Ebola disease Ebola, also known as Ebola virus disease (EVD) and Ebola hemorrhagic fever (EHF), is a viral hemorrhagic fever in humans and other primates, caused by ebolaviruses. Symptoms typically start anywhere between two days and three weeks after becom ...
revived interest in the greeting.


COVID-19 pandemic

During the early stages of the
COVID-19 pandemic in the United States The COVID-19 pandemic in the United States is a part of the COVID-19 pandemic, worldwide pandemic of COVID-19, coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In the Uni ...
, health officials advised people to avoid physical contact with others, including handshaking; the elbow bump was suggested as an alternative. At a 2 March press conference, U.S. Surgeon General
Jerome Adams Jerome Michael Adams (born September 22, 1974) is an American anesthesiologist and a former vice admiral in the U.S. Public Health Service Commissioned Corps who served as the 20th surgeon general of the United States from September 5, 2017 un ...
demonstrated the elbow bump to reporters, saying "We should probably rethink the handshake for a while." As the epidemic spread, the elbow bump was discouraged as advice was broadened to recommend
physical 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 ...
, such as staying at least 6 feet away from other people, as a way to lessen the risk of catching or spreading the disease. The
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
Director-General
Tedros Adhanom Ghebreyesus Tedros Adhanom Ghebreyesus ( ti, ቴዎድሮስ አድሓኖም ገብረኢየሱስ, sometimes spelt ti, ቴድሮስ ኣድሓኖም ገብረየሱስ, label=none; born 3 March 1965) is an Ethiopian public health official, researcher, and ...
advised that an elbow bump was too risky because it puts people too close to each other; he recommended using a non-contact greeting, such as putting one's hand on one's heart, from a separation distance of at least one meter.


In culture

By 2009, the elbow bump was endorsed by university officials and Nobel laureate
Peter Agre Peter Agre (born January 30, 1949) is an American physician, Nobel Laureate, and molecular biologist, Bloomberg Distinguished Professor at the Johns Hopkins Bloomberg School of Public Health and Johns Hopkins School of Medicine, and director o ...
. The
American Association for the Advancement of Science The American Association for the Advancement of Science (AAAS) is an American international non-profit organization with the stated goals of promoting cooperation among scientists, defending scientific freedom, encouraging scientific respons ...
joined the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
in endorsing the elbow bump. However, some of these endorsements were meant as much to elicit good humor as for purposes of good hygiene. The word "elbow bump" was considered for ''Word of the Year'' in 2006 by the New Oxford American Dictionary. At the open-air service of the
Greenbelt festival Greenbelt Festival is a festival of arts, faith and justice held annually in England since 1974. Greenbelt has grown out of an evangelical Christian music festival with an audience of 1,500 young people into its current form, a more inclusive f ...
of 2009, worshipers were encouraged to greet each other with the 'elbow bump of peace' instead of the more usual '
holy kiss The kiss of peace is an ancient traditional Christian greeting, sometimes also called the "holy kiss", "brother kiss" (among men), or "sister kiss" (among women). Such greetings signify a wish and blessing that peace be with the recipient, and be ...
' during the Christian rite of peace, because of concerns over swine flu. New York-based creative director Stephen Paul Wright launched an
emoji An emoji ( ; plural emoji or emojis) is a pictogram, logogram, ideogram or smiley embedded in text and used in electronic messages and web pages. The primary function of emoji is to fill in emotional cues otherwise missing from typed conversat ...
for the 'elbow bump' in response to the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identif ...
.


References

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