The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?

Abstract While the world was facing a rapidly progressing COVID-19 second wave, a policy paradox emerged. On the one side, much more was known by Autumn 2020 about the mechanisms underpinning the spread and lethality of Sars-CoV-2. On the other side, how such knowledge should be translated by policy...

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Main Authors: Federica Angeli, Silvia Camporesi, Giorgia Dal Fabbro
Format: Article
Language:English
Published: Springer Nature 2021-06-01
Series:Humanities & Social Sciences Communications
Online Access:https://doi.org/10.1057/s41599-021-00839-1
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author Federica Angeli
Silvia Camporesi
Giorgia Dal Fabbro
author_facet Federica Angeli
Silvia Camporesi
Giorgia Dal Fabbro
author_sort Federica Angeli
collection DOAJ
description Abstract While the world was facing a rapidly progressing COVID-19 second wave, a policy paradox emerged. On the one side, much more was known by Autumn 2020 about the mechanisms underpinning the spread and lethality of Sars-CoV-2. On the other side, how such knowledge should be translated by policymakers into containment measures appeared to be much more controversial and debated than during the first wave in Spring. Value-laden, conflicting views in the scientific community emerged about both problem definition and subsequent solutions surrounding the epidemiological emergency, which underlined that the COVID-19 global crisis had evolved towards a full-fledged policy “wicked problem”. With the aim to make sense of the seemingly paradoxical scientific disagreement around COVID-19 public health policies, we offer an ethical analysis of the scientific views encapsulated in the Great Barrington Declaration and of the John Snow Memorandum, two scientific petitions that appeared in October 2020. We show that how evidence is interpreted and translated into polar opposite advice with respect to COVID-19 containment policies depends on a different ethical compass that leads to different prioritization decisions of ethical values and societal goals. We then highlight the need for a situated approach to public health policy, which recognizes that policies are necessarily value-laden, and need to be sensitive to context-specific and historic socio-cultural and socio-economic nuances.
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spelling doaj.art-f330f3323fea47e8896266ccb1efab572022-12-21T22:06:56ZengSpringer NatureHumanities & Social Sciences Communications2662-99922021-06-01811810.1057/s41599-021-00839-1The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?Federica Angeli0Silvia Camporesi1Giorgia Dal Fabbro2University of York Management School, University of YorkDepartment of Global Health and Social Medicine, King’s College LondonSchool of International Studies, University of TrentoAbstract While the world was facing a rapidly progressing COVID-19 second wave, a policy paradox emerged. On the one side, much more was known by Autumn 2020 about the mechanisms underpinning the spread and lethality of Sars-CoV-2. On the other side, how such knowledge should be translated by policymakers into containment measures appeared to be much more controversial and debated than during the first wave in Spring. Value-laden, conflicting views in the scientific community emerged about both problem definition and subsequent solutions surrounding the epidemiological emergency, which underlined that the COVID-19 global crisis had evolved towards a full-fledged policy “wicked problem”. With the aim to make sense of the seemingly paradoxical scientific disagreement around COVID-19 public health policies, we offer an ethical analysis of the scientific views encapsulated in the Great Barrington Declaration and of the John Snow Memorandum, two scientific petitions that appeared in October 2020. We show that how evidence is interpreted and translated into polar opposite advice with respect to COVID-19 containment policies depends on a different ethical compass that leads to different prioritization decisions of ethical values and societal goals. We then highlight the need for a situated approach to public health policy, which recognizes that policies are necessarily value-laden, and need to be sensitive to context-specific and historic socio-cultural and socio-economic nuances.https://doi.org/10.1057/s41599-021-00839-1
spellingShingle Federica Angeli
Silvia Camporesi
Giorgia Dal Fabbro
The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
Humanities & Social Sciences Communications
title The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
title_full The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
title_fullStr The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
title_full_unstemmed The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
title_short The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
title_sort covid 19 wicked problem in public health ethics conflicting evidence or incommensurable values
url https://doi.org/10.1057/s41599-021-00839-1
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