Science, Competing Values, and Trade-offs in Public Health — The Example of Covid-19 and Masking

Dupont, Sarah; Galea, Sandro

doi:10.1056/nejmp2207670

Cited by 16 publications

(9 citation statements)

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“…Our second recommendation is for researchers to bear in mind that there is considerable variation among policymakers and the public about whether the pursuit of good health and long lives should take priority in all decisions. Communicating research results in a manner that endorses a “health at all costs” approach is unlikely to be compelling to many policymakers and the public, as seen during the COVID‐19 pandemic 80,82 . It fails to recognize that policymakers must balance budgets and many critical priorities and that a “health at all costs” lifestyle may not be desirable for many Americans.…”

Section: Implications For Research Communication and Policy In The Ne...mentioning

confidence: 99%

“…Communicating research results in a manner that endorses a “health at all costs” approach is unlikely to be compelling to many policymakers and the public, as seen during the COVID‐19 pandemic. 80 , 82 It fails to recognize that policymakers must balance budgets and many critical priorities and that a “health at all costs” lifestyle may not be desirable for many Americans. During our meeting with state policymakers, one shared a baseball analogy that colorfully illustrated this point: they stated that their constituents want to run around the bases (i.e., life) at the pace they preferred and slide into home base (i.e., die) as soft or as hard as they want.…”

Section: Implications For Research Communication and Policy In The Ne...mentioning

confidence: 99%

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US State Policy Contexts and Population Health

Montez

Grumbach

2023

Milbank Quarterly

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This Perspective connects the dots between the polarization in US states’ policy contexts and the divergence in population health across states. Key interlocking forces that fueled this polarization are the political investments of wealthy individuals and organizations and the nationalization of US political parties. Key policy priorities for the next decade include ensuring all Americans have opportunities for economic security, deterring behaviors that kill or injure hundreds of thousands of Americans each year, and protecting voting rights and democratic functioning.

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Section: Implications For Research Communication and Policy In The Ne...mentioning

confidence: 99%

Section: Implications For Research Communication and Policy In The Ne...mentioning

confidence: 99%

US State Policy Contexts and Population Health

Montez

Grumbach

2023

Milbank Quarterly

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“…Only updating functions without innovative concepts may not be the real mask revolution in the digital age. Notwithstanding the strong resistance to masks by some pursuers of bodily autonomy [6], we still believe that masks are effective as a public health tool, but some improvements should be emphasized to better align with the current situation of global epidemic prevention.…”

Section: Introductionmentioning

confidence: 98%

A Digital Mask-Voiceprint System for Postpandemic Surveillance and Tracing Based on the STRONG Strategy

Pan,

Hounye,

Zhao

et al. 2023

J Med Internet Res

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Lockdowns and border closures due to COVID-19 imposed mental, social, and financial hardships in many societies. Living with the virus and resuming normal life are increasingly being advocated due to decreasing virus severity and widespread vaccine coverage. However, current trends indicate a continued absence of effective contingency plans to stop the next more virulent variant of the pandemic. The COVID-19–related mask waste crisis has also caused serious environmental problems and virus spreads. It is timely and important to consider how to precisely implement surveillance for the dynamic clearance of COVID-19 and how to efficiently manage discarded masks to minimize disease transmission and environmental hazards. In this viewpoint, we sought to address this issue by proposing an appropriate strategy for intelligent surveillance of infected cases and centralized management of mask waste. Such an intelligent strategy against COVID-19, consisting of wearable mask sample collectors (masklect) and voiceprints and based on the STRONG (Spatiotemporal Reporting Over Network and GPS) strategy, could enable the resumption of social activities and economic recovery and ensure a safe public health environment sustainably.

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“…There have been appeals for a coordinated system for organizing and financing global pandemic research and development [ 12 ], but no one has suggested a practical way to create such a system and make it accountable. In the meantime, important public health issues (e.g., masking) have become deeply polarizing and have led to highly politicized debate [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Treating COVID-19: Targeting the Host Response, Not the Virus

Fedson¹

2023

Life

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In low- and middle-income countries (LMICs), inexpensive generic drugs like statins, ACE inhibitors, and ARBs, especially if used in combination, might be the only practical way to save the lives of patients with severe COVID-19. These drugs will already be available in all countries on the first pandemic day. Because they target the host response to infection instead of the virus, they could be used to save lives during any pandemic. Observational studies show that inpatient statin treatment reduces 28–30-day mortality but randomized controlled trials have failed to show this benefit. Combination treatment has been tested for antivirals and dexamethasone but, with the exception of one observational study in Belgium, not for inexpensive generic drugs. Future pandemic research must include testing combination generic drug treatments that could be used in LMICs.

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Science, Competing Values, and Trade-offs in Public Health — The Example of Covid-19 and Masking

Cited by 16 publications

References 1 publication

US State Policy Contexts and Population Health

US State Policy Contexts and Population Health

A Digital Mask-Voiceprint System for Postpandemic Surveillance and Tracing Based on the STRONG Strategy

Treating COVID-19: Targeting the Host Response, Not the Virus

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