Sevalho Gil
Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480 Manguinhos, 21041-210. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2021 Nov;26(11):5629-5638. doi: 10.1590/1413-812320212611.10442021. Epub 2021 Aug 12.
This paper makes a critical assessment of epidemiology with the COVID-19 pandemic as a social event. It examines the philosophical reflection in which Agamben defines as contemporary those able to stand back to see the dark side of their own era. In the light of decolonial criticism, the concept of "epidemiological transition," with its theory of transcendence of "social determinants of health" and binarism of epidemiological variables as supports of the biomedical and quantitative structuring of the epidemiology of risk factors is queried. The scientific ambition to dominate nature and the engendering of a linear and evolutionary historical time, beginning in western modernity, contextualizes the epistemicides of popular wisdom and the coloniality of epidemiological knowledge. The theoretical constitution of decolonial thought is historically analyzed, highlighting its greater critical potential to reveal the structural colonization of epidemiological knowledge. The post-pandemic future is considered and Prigogine's idea of bifurcation - as elaborated by Sousa Santos - and Paulo Freire's untested feasibility are related with the concept of time as the creation and expectation of social transformation.
本文以新冠疫情这一社会事件为背景，对流行病学进行了批判性评估。它审视了一种哲学反思，在这种反思中，阿甘本将那些能够退后一步审视自身时代阴暗面的人定义为当代人。从去殖民化批评的角度来看，“流行病学转变”的概念受到了质疑，该概念以“健康的社会决定因素”的超越理论以及流行病学变量的二元论为支撑，这些支撑着风险因素流行病学的生物医学和定量结构。自西方现代性开始以来，主宰自然的科学抱负以及线性和进化历史时间的产生，将大众智慧的认知灭绝和流行病学知识的殖民性置于具体情境之中。对去殖民化思想的理论构成进行了历史分析，强调了其在揭示流行病学知识的结构性殖民方面具有更大的批判潜力。文章还探讨了疫情后的未来，并将索萨·桑托斯阐述的普里戈金的分岔思想以及保罗·弗莱雷未经检验的可行性与作为社会变革创造和期望的时间概念联系起来。
