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新出现的复杂性与日益增加的疏漏:巴西传染病社会生态背景、研究与政策之间的对比

Emerging complexities and rising omission: Contrasts among socio-ecological contexts of infectious diseases, research and policy in Brazil.

作者信息

Giatti Leandro Luiz, Ribeiro Ricardo Agum, Nava Alessandra Ferreira Dales, Gutberlet Jutta

机构信息

Universidade de São Paulo, Faculdade de Saúde Pública, Departamento de Saúde Ambiental, São Paulo, SP, Brazil.

Instituto Federal de Rondônia (IFRO), RO, Brazil.

出版信息

Genet Mol Biol. 2021 Mar 17;44(1 Suppl 1):e20200229. doi: 10.1590/1678-4685-GMB-2020-0229. eCollection 2021.

Abstract

In this article, we explore elements that highlight the interdependent nature of demands for knowledge production and decision-making related to the appearance of emerging diseases. To this end, we refer to scientific production and current contextual evidence to verify situations mainly related to the Brazilian Amazon, which suffers systematic disturbances and is characterized as a possible source of pathogenic microorganisms. With the acceleration of the Anthropocene's environmental changes, socio-ecological instabilities and the possibility of the emergence of infectious diseases merge into a background of a ´twin insurgency´. Furthermore, there is a tendency to impose economic hegemony in the current Brazilian context, corroborating discourses and pressures to a scientific simplification and denial. With this, we assert that developmental sectoral actions and monoculture of knowledge characterize an agenda of omission, that is, a process of decision making that indirectly reinforces ecological degradation and carelessness in the face of the possibility of the emergence and spreading of new diseases, such as COVID-19. Tackling the socio-ecological complexity inherent in the risk of the emergence of infectious diseases requires robust co-construction of scientific knowledge, eco-social approaches, and corresponding governance and sophisticated decision-making arrangements.

摘要

在本文中,我们探讨了一些要素,这些要素凸显了与新出现疾病的出现相关的知识生产需求和决策之间的相互依存性质。为此,我们参考科学成果和当前的背景证据,以核实主要与巴西亚马逊地区相关的情况,该地区遭受系统性干扰,被视为致病微生物的一个可能来源。随着人类世环境变化的加速,社会生态不稳定和传染病出现的可能性融入到 “双重叛乱” 的背景之中。此外,在当前巴西的背景下存在施加经济霸权的趋势,这证实了对科学简化和否定的论述及压力。据此,我们断言,发展部门的行动和知识的单一文化构成了一个忽视议程,也就是说,这是一个决策过程,它间接加剧了生态退化,并在面对新疾病(如新冠病毒)出现和传播的可能性时表现出疏忽。应对传染病出现风险所固有的社会生态复杂性,需要对科学知识、生态社会方法以及相应的治理和复杂决策安排进行有力的共同构建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a06e/7968145/0ed642a84c06/1415-4757-GMB-44-1-s1-e20200229-gf1.jpg

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