Prof Maria Frahm Arp interviewed me for a podcast put out by the UJ Library and Information Centre. It’s now available here: https://podlink.to/fc45
Tag Archives: COVID-19
Is lockdown right? Bioethics, global health, and COVID-19
I gave a public lecture at Virginia Commonwealth University, and it’s up on YouTube here. Bear in mind it was midnight my time… surreal but enjoyable experience.
In this talk I argue for these five claims:
- Several common arguments for lockdowns fail
- Many actual lockdowns have been unjustified and wrong: other measures would have been better
- Globally, lockdowns shift the burden of disease from the powerful and wealthy to the less powerful and poor
- The global preference for lockdowns is due to their favoring the interests of the rich and powerful
- Optional extra: the favoring of lockdowns by the “left” and rejection by the “right” has nothing to do with their intrinsic character: they are as much right as left and vice versa
How Should We Evaluate Lockdowns? Disentangling Effectiveness, Context, and Politics
Very pleased to share a new blog post I’ve written with Herkulaas Combrink, Benjamin Smart and Damian Walker for the Center for Global Development’s commentary and analysis section.
Is lockdown right? Bioethics, global health and COVID-19. Talk I’m giving for PhilHEAD workshop https://philhead.org/events/ 17 Oct, 3pm SA/EU
Excited to be giving these thoughts their first outing, in what I hope will be my considered philosophical paper on the thoughts I’ve been having during 2020. The event is open and you can join here: https://bit.ly/3lnxPci
Interview – why lockdowns didn’t work in South Africa – Radio 702 https://omny.fm/shows/early-breakfast-with-abongile-nzelenzele/why-lockdown-didnt-work
https://omny.fm/shows/early-breakfast-with-abongile-nzelenzele/why-lockdown-didnt-work
Commenting on a recent piece in The Conversation, related to a paper published in Global Epidemiology recently, indicating no obvious effect of lockdown over and above mitigation in South Africa.
Lockdown didn’t work in South Africa https://theconversation.com/lockdown-didnt-work-in-south-africa-why-it-shouldnt-happen-again-147682https://theconversation.com/lockdown-didnt-work-in-south-africa-why-it-shouldnt-happen-again-147682
Latest from our ongoing research project at the Institute for the Future of Knowledge with the Center for Global Development. We are looking at indirect health effects of lockdown, meaning the effects on things other than COVID-19. But in the process, we couldn’t help but notice the direct effects too – or rather, their absence…
https://theconversation.com/lockdown-didnt-work-in-south-africa-why-it-shouldnt-happen-again-147682
Paper just out in Global Epidemiology: COVID-19 in South Africa https://doi.org/10.1016/j.gloepi.2020.100034 #epitwitter @CGDev @besmart
https://www.sciencedirect.com/science/article/pii/S2590113320300183
With Herkulaas Combrink and Benjamin Smart.
Part of a project at the Institute for the Future of Knowledge funded by the Center for Global Development. The project looks at the indirect health effects of lockdown in multiple countries.
Standard-issue corruption as well as misguided policy has caused plenty of deaths in South Africa https://www.bbc.co.uk/news/world-africa-53862407
Lots of people in Africa have already been infected with SARS-Cov-2. Good news, if frustrating for those of us predicting this since March https://www.sciencemag.org/news/2020/08/pandemic-appears-have-spared-africa-so-far-scientists-are-struggling-explain-why
Lockdown was never right for Africa. Half the population is 19 or under, highlighted in this report; and known prior to COVID, of course. On the cost side of the balance sheet, other risks are massively dominant over that posed by COVID-19. Living conditions mean that suppression was never achievable in any case. Costs of lockdown were obviously going to be horrific, because recession means starvation in contexts of poverty. What a mess for those countries that did lock down. And those that didn’t seem to be doing fine, COVID-wise: e.g. Malawi, whose supreme court prevented the government from locking down.
Aside from all that, it’s clear that there’s a great deal of uncertainty about why some places get hit so much harder than others by COVID-19. Sweden is held up as being hit hard, and blamed; but that ignores the fact that many other European countries that did lock down were hit a lot harder. Why? I favour the following theory: we don’t know.
Epistemic humility in all matters relating to medicine is always appropriate.
I think Sweden handled this pandemic better than any other country. Here’s Anders Tegnell explaining the Swedish stance, again: https://unherd.com/2020/07/swedens-anders-tegnell-judge-me-in-a-year/
If I guess the time, and get it right, do I know the time? No, says common sense, and nearly all theoretical and formal epistemology. If I guess that it will rain tomorrow, am I any better off? Presumably not. Yet we assess predictions almost entirely by whether they are right.
I do think Swedish predictive work was broadly accurate, compared to, for example, the models produced by Imperial College London. But more importantly, I think their stance was rational. They did what was right given the evidence. That isn’t the same as being right in the sense of landing on the truth. But there’s nothing either epistemically or morally significant about the latter. The former, however, is both. Sweden behaved more reasonably than any other country, or perhaps at least as reasonably as the most reasonable, given that there was room for reasonable disagreement.
The stance on Sweden is another version of the intellectual intolerance of the age. And it ignores the evidence. Sweden has done well: not perfectly, but no country has, that I can think of. Whether it comes out tops long-term is up in the air. But there is good reason to think it will – at least as good as the reasons to think it won’t.