A consensus of evidence: The role of SPI-M-O in the UK COVID-19 response.
A consensus of evidence: The role of SPI-M-O in the UK COVID-19 response.
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DOI:
10.1016/j.jbior.2022.100918
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发表时间:
2022-12
影响因子:
--
通讯作者:
Medley, Graham F.
中科院分区:
文献类型:
--
作者:
Medley, Graham F.
The COVID-19 epidemic posed a set of challenges for the science-policy interface that were, at least initially, novel for most participants. In the UK, the scientific advisory group for emergencies (SAGE) committee system has been developed to collate and present evidence to policy-makers (ie civil servants) and decision-makers (ie elected representatives)(SAGE, 2022). I chair the sub-committee of SAGE focussing on transmission dynamics (SPI-MO), which is one of the streams of scientific evidence that is considered alongside other streams, such as virology, clinical medicine, behaviour and public health. Modelling of the transmission dynamics of infectious disease has special considerations in its relationship to policy development, and this commentary is a personal reflection on some of those issues and is not a group or official view. There is already much investigation and discussion about the performance and role of SAGE and modelling during the COVID-19 epidemic, including a public inquiry (UK Covid-19 Inquiry, 2022). I am also aware that SARS-CoV-2 continues to be transmitted at high levels, and that SAGE and SPI-MO might be asked to provide future evidence and advice.SPI-MO is composed of independent (ie non-government) academics, who work with a secretariat (ie government employees) to generate evidence based on modelling for input to SAGE and thence advice for policy development. SAGE does not advise which policies are developed, but rather the scientific evidence and advice which might be taken into account as policy is developed. There is a strong distinction between those within and without government in terms of sharing of information and required code of conduct, so that passing information freely between the two arenas is impossible: there is a fence that has to be worked through. The main output from SPI-MO is a consensus statement which addresses questions we were asked by policymakers, and issues that members raised as being potentially policy-relevant. The subject-specific content is from members, but it is largely written by civil servants for civil servants. The consensus statements are all available on the SAGE website. Note that research published by members of SPI-MO does not constitute SPI-MO output unless it is included in the consensus statements. My role has been largely three-fold. First, to understand what was being asked of the models and modellers, and to consider whether we had the resources and data to provide an answer. Second, to support the committee in coming to a consensus view which is useful, but which does not hide the inherent uncertainty. Third, to ensure that the consensus is understood by non-modellers. The first and third roles are largely translation between the different languages used on either side of the fence, whereas the second role was rife with jargon and subject specific shorthand.
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DOI:
10.1016/j.socscimed.2020.113423
发表时间:
2020-12
期刊:
Social science & medicine (1982)
影响因子:
--
作者:
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