2/ Studying other epidemic responses, such as Ebola, it took so much more than just epidemiologists, virologists or physicians. For instance, anthropologists played a significant role in understanding the cultural & social aspects of transmission dynamicshttps://journalofethics.ama-assn.org/article/how-should-public-health-officials-respond-when-important-local-rituals-increase-risk-contagion/2020-01 …
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3/ At times in the
#covid19 response, it has felt like we have so many experts (& sort of experts, and nonexperts etc as mentioned in original thread). But- how many *response* experts do we have? People who can understand enough about various fields to lead the response.1 reply 2 retweets 4 likesShow this thread -
4/ At
@WHO,@DrMikeRyan leads this role— with both on the ground experience & leadership;@RanuDhillon played a similar role in Guinea’s Ebola response. In the US, I’m not sure how many folks we have in the upper rungs of government who have experience *leading a response*1 reply 1 retweet 6 likesShow this thread -
5/ Perhaps we do— & hopefully we do. The CDC EIS officers and others are trained specifically for this purpose but haven’t heard much publicly from them (whether that is bc they aren’t allowed to, or bc they are busy doing the work)— either way, we need experts, also need leaders
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Replying to @AbraarKaran
IMO the public would *love* to be able to "trust the experts" but many experts are in denial about the reality. Which experts? CDC and WHO made baseless claims about sense of security for months. It took a rebellion of sorts to get WHO to even discuss ventilation.
@RanuDhillon1 reply 3 retweets 9 likes -
We have MDs and Ivy epidemiologists claiming everything is overblown. We have almost every top newspaper in the world stuck on beach pictures, many deliberately misleading. We have had no "shadow CDC or WHO formed by academics, to fill the void...
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The experts, as a group, needed to fight for and earn public trust; that's not what happened in this pandemic. I say this with enormous respect to many *individual* experts who are doing excellent work *and* fighting so hard, doing media, social media, etc. But that's not enough.
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The public cannot individually pick between experts making absolutely opposite claims who often have similar credentials. That's why we needed CDC and WHO to do a stellar job, to lead. Alas. A pandemic is a communication emergency. I wish it were as easy as "trust the experts."
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Replying to @zeynep @RanuDhillon
Not sure if this is in response to my tweets above or the original thread by Dr. Buckee about experts—but yes, I agree that “trust the experts” is a useless message when we don’t even have consensus on major issues such as better ventilation, rapid tests & more b/w “experts”
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Replying to @AbraarKaran @RanuDhillon
Just musing on the topic. I hear a lot about how the public isn’t trusting the right experts, are they in the field or not, the considerations in the original thread. I feel like we’re ten steps behind even having that problem. We need to work up to get to that point!
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Not having consensus is fine, and healthy even. The issue is our institutions that are supposed to be navigating this tension for us—between emerging and preponderance of evidence with sensible guidelines—aren’t. There’s very little ordinary person can do when that’s the reality!
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