1. The first casualty of an epidemic is evidence.
- Author
-
Hofmann B
- Subjects
- Betacoronavirus, COVID-19, Coronavirus Infections prevention & control, Coronavirus Infections therapy, Humans, Pandemics prevention & control, Pneumonia, Viral prevention & control, Pneumonia, Viral therapy, SARS-CoV-2, Coronavirus Infections epidemiology, Knowledge, Pneumonia, Viral epidemiology, Uncertainty
- Abstract
Background: The COVID-19 has posed a wide range of urgent questions: about the disease, testing, immunity, treatments, and outcomes. Extreme situations, such as pandemics, call for exceptional measures. However, this threatens the production and application of evidence., Methods: This article applies standard categories in epistemology to analyse the pandemic in terms of four kinds of uncertainty: Risk, Fundamental uncertainty, Ignorance, and Ambiguity., Results: Mapping the uncertainties of the pandemic onto the four types of uncertainty directs evidence production towards specific tasks in order to address the challenges of the pandemic: Eliminating ambiguity, being alert to the unknown, and gathering data to estimate risks are crucial to preserve evidence and save lives., Conclusion: In order to avoid fake facts and to provide sustainable solutions, we need to pay attention to the various kinds of uncertainty. Producing high-quality evidence is the solution, not the problem., (© 2020 The Author. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.)
- Published
- 2020
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