Seems to me that the "Pandemic" definition used to contain something about fatality rate. COVID didn't meet that, and they needed a pandemic, so they changed the definition. Now anything in multiple countries can be called a "pandemic;" we could have a pandemic of the common cold! The pox is, indeed, in multiple countries, but not really all that many cases, and we know how it is spread, so it doesn't seem a "pandemic" to me. But, maybe I'm unsympathetic because I'm too cis-normal.