Garoon Joshua P, Duggan Patrick S
Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior & Society, Baltimore MD 21205, USA.
Soc Sci Med. 2008 Oct;67(7):1133-42. doi: 10.1016/j.socscimed.2008.06.020. Epub 2008 Jul 24.
Growing recognition of the threat of pandemic influenza to global health has led to increased emphasis on pandemic influenza preparedness planning. Previous analysis of national pandemic preparedness plans has revealed that those plans paid scant attention to the needs and interests of the disadvantaged. This paper investigates those findings via critical discourse analysis of the same plans as well as World Health Organization guidance documents. The analysis reveals that the texts operate within and as parts of an ordered universe of discourse. Among the six discourses which emerge from the analysis the scientific, political, and legal dominate the social, cultural, and ethical. This order of discourse delineates a specific regime of truths within which the lives, needs, and interests of the disadvantaged are masked or neglected. Unless the plans recognize their discursive construction, implementation of the policies and practices they prescribe runs the risk of further disadvantaging those very populations most likely to require protection.
对大流行性流感对全球健康构成的威胁的认识不断提高，这导致人们更加重视大流行性流感防范规划。先前对各国大流行防范计划的分析表明，这些计划很少关注弱势群体的需求和利益。本文通过对这些计划以及世界卫生组织指导文件进行批判性话语分析来研究这些发现。分析表明，这些文本在一个有序的话语世界中运作并作为其一部分。从分析中出现的六种话语中，科学、政治和法律话语主导着社会、文化和伦理话语。这种话语秩序划定了一种特定的真理制度，在这种制度下，弱势群体的生活、需求和利益被掩盖或忽视。除非这些计划认识到它们的话语建构，否则它们所规定的政策和做法的实施有可能进一步使那些最有可能需要保护的人群处于更不利的地位。
