Power, Knowledge, and Covid-19: The Making of a Scientific Orthodoxy

Delighted to announce the publication of this book, available open access here:
https://www.routledge.com/Power-Knowledge-and-Covid-19-The-Making-of-a-Scientific-Orthodoxy/Broadbent-Streicher/p/book/9781041224822

This book is an attempt to make sense of what happened at the science-policy interface during the Covid-19 pandemic. It asks not only what scientific claims were made, but how certain positions came to acquire exceptional authority, to stand for “the science”, and to shape policy on that basis. Through a series of case studies on modelling, lockdowns, masks, vaccines, dissent, and the politics of “following the science”, it argues that a scientific orthodoxy emerged during the pandemic.

A scientific orthodoxy is a dynamic arising at the science-policy interface in which some parts of science come to stand for the whole, and to wield outsized authority. The book analyses scientific orthodoxy into five elements: methodological rigidity, scientific dogma, suppression of dissent, illegitimate indirect political authority, and scientific injustice. For each, it offers a set of criteria – or tests – and shows how they were satisfied during the pandemic. The aim is not retrospective score-settling, but explanation: to understand clearly enough what happened that similar failures might be avoided in future crises.

The book’s approach aligns closely with CPEMPH’s commitment to philosophically serious, empirically engaged inquiry into questions in epidemiology, medicine, and public health that matter beyond the academy. It also reflects an international partnership. One of its distinctive features is that it does not treat Covid-19 simply as a story about Britain or the United States. It draws on material from a range of settings and argues that one-size-fits-all scientific and policy frameworks often obscured local realities, especially in lower-resource contexts. Global South perspectives are not an optional supplement to the analysis, but part of what makes better sense of the pandemic possible.

The wider questions raised here extend well beyond Covid-19. How should expertise function in emergencies? What happens when scientific disagreement is narrowed too quickly? Under what conditions does scientific advice properly guide policy, and under what conditions does it harden into something more like orthodoxy? These are not questions confined to one pandemic. They are likely to recur wherever scientific authority and political decision-making converge under pressure.

Power, Knowledge, and Covid-19 is published by Routledge. Its open-access publication was supported by the Discovery Research Platform for Medical Humanities at Durham, funded by Wellcome.

‘Can you lock down in a slum?’ published in Global Epidemiology

Delighted that this paper co-authored with Pieter Streicher has now been published in Global Epidemiology.

Broadbent A, Streicher P. Can you lock down in a slum? And who would benefit if you tried? Difficult questions about epidemiology’s commitment to global health inequalities during Covid-19. Global Epidemiology. 2022;4:100074. doi:10.1016/J.GLOEPI.2022.100074 (https://www.sciencedirect.com/science/article/pii/S2590113322000049)

Was lockdown racist?

Delighted to be giving a new talk this week in Cambridge and Utrecht.

Tuesday 17 May, 2.30pm BST: Cambridge Moral Sciences Club, Newnham College

Friday 20 May, 16.15 CET: Conference, Covid-19 and Public Policy, Utrecht University

Abstract

In 2016, South African learner Zulaikha Patel argued that a school rule requiring hair to be neat was racist. Even though the rule applied equally to everyone, public opinion swung behind Patel: a rule that imposed a disproportionate burden on Black learners could be racist even if it applied equally to all. The school suspended the rule. Basing itself on this case, this paper argues that global lockdowns in the first half of 2020 were racist. The paper focuses on Africa, arguing first that the lockdown strategy of implementing stringent stay-at-home regulations was externally imposed upon Africa, tracing the origins of this policy to the way that modelling results were presented so as to make just one option feasible. The resulting recommendations were promulgated globally by the World Health Organisation, and geopolitical power relations placed huge pressures on African states to comply. Next, the paper argues that locking down placed a disproportionate burden on Africa, whose population is the poorest in the world and for whom no work often means no food. At the same time, the potential benefit of the policy was small. With a median age of 19.7, much of the population was just too young for Covid ever to be a serious public health problem, and by the same token other threats to life compete for attention. Slum-dwellers cannot reduce their social contact by 75%, which is the figure used in the model upon which the recommendations were based. Most states in the region are unable to afford or implement meaningful food or grant schemes to compensate. Many African countries have no ventilators and low access to health care, so protecting the healthcare system was not a meaningful goal. And the strategy of locking down until a vaccine was available could never have been credible in a region where millions of children die annually from diseases treatable by penicillin. Where a policy originates in Europe and has disproportionate negative effect in Africa, it is impossible to ignore racial dynamics. “Black” is a colonial vestige that does not do justice to the ethnic diversity in Africa. Yet it can be legitimately used as Patel used it: for purpose of internal critique, and as an adjunct identity that does not negate other identities. Lockdown had a disproportionate negative effect on a very large number of Black people, and it was externally imposed. Therefore lockdown was racist.

Great piece from @JonathanJFuller ‘What’s Missing in Pandemic Models: Philosophy is needed to put the science of COVID-19 in perspective.’ In @NautilusMag #epitwitter

http://nautil.us/issue/84/outbreak/whats-missing-in-pandemic-models

Jonathan Fuller writes: “In the COVID-19 pandemic, numerous models are being used to predict the future. But as helpful as they are, they cannot make sense of themselves. They rely on epidemiologists and other modelers to interpret them. Trouble is, making predictions in a pandemic is also a philosophical exercise. We need to think about hypothetical worlds, causation, evidence, and the relationship between models and reality.”

Read more…

Boston Review: ‘COVID-19 has revealed a contest between two competing philosophies of scientific knowledge. To manage the crisis, we must draw on both’ says @JonathanJFuller #epitwitter

http://bostonreview.net/science-nature/jonathan-fuller-models-v-evidence

‘How do the coronavirus models generating these hypothetical curves square with the evidence? What roles do models and evidence play in a pandemic? Answering these questions requires reconciling two competing philosophies in the science of COVID-19.’ Great piece which will still be interesting a week, month, year and decade from now, unusually at present.

Thinking rationally about Coronavirus

I have written an op ed which can be found here:

https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/country-readiness

There is also a very good (in my opinion) peace in the Lancet which emphasizes the importance of rate of spread and anticipates public health measures as an inevitability, better embraced sooner than later.

https://doi.org/10.1016/ S0140-6736(20)30567-5

Events like this really make me feel that epidemiology must be much more widely understood in the contemporary world. Debates about red meat do the same, but less dramatically. This is such a stark case. Epidemiological expertise must guide us and basic comprehension of epidemiology – even as basic as just knowing that there is such a thing and that there are Experts in it, and that they are not necessarily doctors – would help so much. Politicians aren’t better educated than the rest of the educated public. I’m not critiquing any particular decision – so far, things have mostly been sensible, I think – but the sense of not knowing could be greatly alleviated. How about just a short module on epidemiology as part of high school biology?…

M, PhD and PostDoc opportunities at UJ

The University of Johannesburg has released a special call offering masters, doctoral and postdoctoral fellowships, for start asap, deadline 8th Feb 2020.

These are in any area, but I would like to specifically invite anyone wishing to work with myself (or colleagues at UJ) on any of the areas listed below. From May 2020, I will be Director of the Institute for the Future of Knowledge at UJ (a new institute – no website yet – but watch this space!), and being part of this enterprise will, I think, be very exciting for potential students/post-docs. I would be delighted to receive inquiries in any of the following areas:

  • Philosophy of medicine
  • Philosophy of epidemiology
  • Causation
  • Counterfactuals
  • Causal inference
  • Prediction
  • Explanation (not just causal)
  • Machine learning (in relation to any of the above)
  • Cognitive science
  • Other things potentially relevant to the Institute, my interests, your interests… please suggest!

If you’re interested please get in touch: abbroadbent@uj.ac.za

The call is here, along with instructions for applicants:

2020 Call for URC Scholarships for Master’s_Doctoral_Postdoctoral Fellowships_Senior Postdoctoral fellowships

Call for Papers: Philosophy of Epidemiology, a Special Issue of Synthese

 

Guest Editors: Sean A. Valles (Michigan State University, USA) and Jonathan Kaplan (Oregon State University, USA)

Special Issue Description: Philosophy of epidemiology is a burgeoning subfield within the philosophy of science and medicine. This special issue will provide philosophy of epidemiology with a forum to develop this area and expand its boundaries. The guest editors seek both to help develop philosophy of epidemiology’s existing lines of research (e.g., models of causal analysis) and expand philosophy of epidemiology to include a broader community of contributors (e.g., philosophers of race) and a wider array of lines of research (e.g., concepts of epidemiological risk and human-ecosystem dynamics).

Appropriate topics for submission include, but are not limited to: the role(s) of values in epidemiology; the role(s) of formal models in epidemiology; concepts of risk in epidemiology; the relationship between philosophy of epidemiology and philosophy of ecology (and other branches of philosophy); the metaphysical and causal repercussions of epidemiological data on the environmental and social determinants of health.

For further information, please contact the guest editors:

  • valles@msu.edu
  • kaplanj@oregonstate.edu

Deadline for submissions is: October 9, 2017

African Centre for Epistemology and Philosophy of Science (ACEPS): launch announced

The African Centre for Epistemology and Philosophy of Science (ACEPS) is housed in the Department of Philosophy at the University of Johannesburg. ACEPS fosters intra-African and global conversation in the areas of Epistemology and Philosophy of Science by bringing African insights, questions and values into meaningful conversation with other philosophical traditions. ACEPS was founded in 2016 by co-directors Professor Alex Broadbent and Professor Veli Mitova, and Dr Mongane Wally Serote, Dr Ben Smart, Chad Harris and Zinhle Mncube. ACEPS’s groundbreaking philosophical work is organised around three umbrella projects:

• Indigenous Knowledge Systems;
• Health and Medicine in Africa; and
• Rationality and Power.

Kindly diarise the following date for the Centre’s launch:
• Date: Friday, 19 May 2017
• Time: 15:00-17:30
• Venue: Humanities Common Room, C-Ring 319, Auckland Park Campus, University of Johannesburg

The launch will take the format of a public forum where panelists will exchange their opinion and ideas on the following topic: “Why an African Centre for Epistemology and Philosophy of Science?” A formal invitation will be sent out soon with all the details.

Anyone interested in attending from further afield is welcome to contact me. There will be a larger conference event organised in due course, with more lead time.

Website: https://www.uj.ac.za/faculties/humanities/aceps/Pages/default.aspx