Rethinking Disease Preparedness: Incertitude and the Politics of Knowledge.

Rethinking Disease Preparedness: Incertitude and the Politics of Knowledge.
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DOI:
10.1080/09581596.2021.1885628
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发表时间:
2022
影响因子:
2.8
通讯作者:
Wilkinson A
Wilkinson A
中科院分区:
医学3区
文献类型:
--
作者:
Leach M;MacGregor H;Ripoll S;Scoones I;Wilkinson A

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本文主张重新思考疾病防范,将不确定性和知识政治置于中心位置。通过审查埃博拉、尼帕病毒、霍乱和COVID-19在多种情况下的经验,强调了当前方法的局限性。传统方法假设未来是可控的、可预测的,并通过一系列标准干预措施予以应对。这种应急准备规划方法承担风险——未来的结果可以预测——并且无法解决不确定性、模糊性和无知——结果或其概率未知。通过考察这四个案例的疫情规划和应对经验,本文主张采用一种突出知识政治、时间和空间结构、对机构和行政管理的要求以及道德和正义挑战的方法。因此,接受疾病防范反应中的不确定性意味着将背景社会、政治和文化层面放在中心位置。
This paper argues for a rethinking of disease preparedness that puts incertitude and the politics of knowledge at the centre. Through examining the experiences of Ebola, Nipah, cholera and COVID-19 across multiple settings, the limitations of current approaches are highlighted. Conventional approaches assume a controllable, predictable future, which is responded to by a range of standard interventions. Such emergency preparedness planning approaches assume risk – where future outcomes can be predicted – and fail to address uncertainty, ambiguity and ignorance – where outcomes or their probabilities are unknown. Through examining the experiences of outbreak planning and response across the four cases, the paper argues for an approach that highlights the politics of knowledge, the constructions of time and space, the requirements for institutions and administrations and the challenges of ethics and justice. Embracing incertitude in disease preparedness responses therefore means making contextual social, political and cultural dimensions central.
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