School of Public Health and Administration, Center for Interdisciplinary Studies in Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Lima, Peru.
Glob Public Health. 2022 Apr;17(4):622-640. doi: 10.1080/17441692.2022.2036219. Epub 2022 Feb 15.
The COVID-19 health crisis has so far involved enormous consequences in human pain, suffering and death. While biomedical science responded early, its response has been marked by several controversies between what appeared to be mainstream perspectives, and diverse alternative views; far from leading to productive debate, controversies often preceded polarisation and, allegedly, exclusion and even censorship of alternative views, followed by the pretense of scientific consensus. This paper describes and discusses the main controversies in the production of COVID biomedical knowledge and derived control measures, to establish if alternative positions are also legitimate from a 'normal science' perspective (rather than comparing them for superiority); explores potential non-scientific explanations of the alleged exclusion of certain views; and analyzes ethical issues implied. The operation of non-scientific factors in scientific and regulatory processes (e.g. various forms of subtle corruption) has been documented in the past; the intervention of such influences in the mishandling of controversies (i.e. on early management, non-pharmacological prevention and vaccination) cannot be ruled out and deserves further investigation. Some of these controversies, increasingly visible in the public domain, also involve ethical challenges that need urgent attention. Polarisation, censorship and dogma are foreign to true science and must be left behind.
到目前为止,COVID-19 健康危机给人类带来了巨大的痛苦、苦难和死亡。虽然生物医学科学很早就做出了反应,但它的反应却存在着几个主流观点与不同的替代观点之间的争议;这些争议不仅没有导致富有成效的辩论,反而常常导致两极分化,据称还排除甚至审查替代观点,然后假装达成了科学共识。本文描述和讨论了 COVID 生物医学知识的产生和衍生的控制措施中的主要争议,以确定从“常规科学”的角度来看,替代立场是否也是合理的(而不是比较它们的优越性);探讨了某些观点被排除的潜在非科学解释;并分析了所涉及的伦理问题。过去已经记录了非科学因素在科学和监管过程中的运作(例如各种形式的微妙腐败);不能排除这些影响在争议处理中的干预(即早期管理、非药物预防和疫苗接种),值得进一步调查。其中一些争议在公众领域越来越明显,也涉及需要紧急关注的伦理挑战。两极分化、审查和教条与真正的科学格格不入,必须被摒弃。