its remarkable how frequently garret gets shit wrong even by the low standards of science journalismhttps://twitter.com/zeynep/status/1359225865939406857 …
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I'm surprised you call it a public health approach though, since so much of Western public health has been lagging behind accumulating evidence while waiting for a moment of certainty. Isn't that what you're calling the "clinical" approach to evidence (e.g. wait for the RCT)?
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Well, okay, maybe an idealized public health approach where you do not necessarily pretend you can resolve every last intra-science disagreement, but work with preponderance of evidence and trade-offs? I've been reading Japan's epi documents since February and .. amazing.
End of conversation
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It will be very interesting to go back retrospectively, and to separate the clinical reflexes (valid in their domain: do no harm, null hypothesis) from public health approaches (trade-offs).