Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
J Eval Clin Pract. 2020 Aug;26(4):1070-1077. doi: 10.1111/jep.13415. Epub 2020 May 26.
Background This article responds to one by Graham Martin and colleagues, who offered a critique of my previous publications on face coverings for the lay public in the Covid-19 pandemic. Their paper reflects criticisms that have been made of face coverings policies more generally. Method Narrative rebuttal. Results I address charges that my coauthors and I had misapplied the precautionary principle; drawn conclusions that were not supported by empirical research; and failed to take account of potential harms But before that, I remind my critics that the evidence on face coverings goes beyond the contested trials and observational studies they place centre stage. I set out some key findings from basic science, epidemiology, mathematical modelling, case studies, and natural experiments, and use this rich and diverse body of evidence as the backdrop for my rebuttal of their narrowly framed objections. I challenge my critics' apparent assumption that a particular kind of systematic review should be valorised over narrative and real-world evidence, since stories are crucial to both our scientific understanding and our moral imagination. Conclusion I conclude by thanking my academic adversaries for the intellectual sparring match, but exhort them to remember our professional accountability to a society in crisis. It is time to lay straw men to rest and embrace the full range of evidence in the context of the perilous threat the world is now facing.
本文回应了 Graham Martin 及其同事的一篇文章,他们对我之前在新冠疫情期间为公众撰写的有关面部遮盖物的出版物提出了批评。他们的论文反映了更广泛的对口罩政策的批评。方法:叙述性反驳。结果:我回应了对我的合著者和我错误应用预防原则的指控;对没有得到经验研究支持的结论进行了反驳;并且没有考虑到潜在的危害。但在此之前,我提醒我的批评者,关于口罩的证据不仅仅局限于有争议的试验和观察性研究,这些研究是他们关注的焦点。我列出了一些来自基础科学、流行病学、数学模型、案例研究和自然实验的关键发现,并以这些丰富多样的证据为背景,反驳他们狭隘的反对意见。我质疑批评者的一个明显假设,即应该重视某种系统评价而不是叙述性和真实世界的证据,因为故事对我们的科学理解和道德想象力都至关重要。结论:我感谢学术对手的思想碰撞,但我告诫他们要记住我们对处于危机中的社会的职业责任。现在是时候摒弃稻草人,在这个世界面临的危险威胁的背景下,接受全面的证据。