Concept:
Epidemiology deals with the distribution and determinants of diseases in populations. Terms like endemic, epidemic, and pandemic describe disease occurrence patterns.
Step 1: Meaning of epidemic.
An epidemic occurs when the number of disease cases in a population suddenly rises above the expected level.
Step 2: Comparison with endemic.
Endemic means constant presence of a disease in a particular population or geographic area.
Step 3: Comparison with pandemic.
Pandemic means worldwide spread of a disease across countries or continents.
Step 4: Checking other options.
Constant presence of disease is endemic.
Worldwide spread of disease is pandemic.
Occurrence of a rare disease alone does not define an epidemic.
Sudden increase above expected level defines an epidemic.
Step 5: Final answer.
Therefore, an epidemic is a sudden increase in disease cases above the expected level.
\[
\boxed{\text{Sudden increase in disease cases above expected level}}
\]