With so much at stake in the coronavirus policy debate, and many research papers quickly lost in the flood of pandemic-related literature, getting your position noticed has never been more important for scientists. Some academics have tried to cut through the noise with open letters, which have been used to demonstrate the weight of scholarly opinion behind a particular viewpoint on聽Covid-19.
For example, more than 6,900 scientists, researchers and healthcare professionals have so far signed the 鈥溾 (JSM), originally published in 罢丑别听尝补苍肠别迟 on 14聽October, which calls for 鈥渃ontrolling community spread of Covid-19鈥ntil safe and effective vaccines and therapeutics arrive within the coming months鈥.
Meanwhile, more than 12,000 medical and public health scientists and 36,000 medical practitioners have signed the 鈥溾 (GBD), which argues that 鈥渇ocused protection鈥 for vulnerable groups would allow others 鈥渢o聽resume life as normal鈥. Maintaining lockdowns until a聽vaccine arrives will, it聽argues, 鈥渃ause irreparable damage, with the underprivileged disproportionately harmed鈥.
The main point of divergence for the two communities is on herd immunity; the GBD argues those at 鈥渕inimal risk of聽death [should] live their lives normally to build up immunity to the virus鈥 and create population-level immunity, while the JSM brands this notion a聽鈥渄angerous fallacy unsupported by scientific evidence鈥.
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While many have welcomed the opportunity to make their voices heard, the rise of these open letters and scientific petitions has faced criticism. In a letter to the , Stanford University medicine professor John Ioannidis says recent scientific petitions had created a聽鈥渇alse sense of聽certainty during a new pandemic where uncertainty unavoidably exists鈥.
Signatories may lack expertise in key dimensions of the issue in question, and 鈥渁bsolute knowledge that can be summarised with a聽few paragraphs鈥s almost non-existent across science鈥, he writes.
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Petitions can also create 鈥渃overt coercion鈥 if聽junior academics fail to sign position papers supported by more senior colleagues, while such documents can 鈥渆asily fall prey to political ideology鈥, often being used as 鈥渨eapons of scientific argumentation鈥, Professor Ioannidis says.
鈥淪cientific truth is not a聽matter of zealotry and is聽not decided by the bulk of signatories,鈥 he concludes.
However, academics involved in the two declarations argue that they have played an important role during the pandemic. Deepti Gurdasani, senior lecturer in machine learning at Queen Mary University of London and corresponding author for the JSM, said it was 鈥渋mportant to relay the scientific consensus, where it exists, as we did with the聽JSM鈥.
More than 25 public health bodies and the World Health Organization agree with the JSM鈥檚 message that 鈥渘aturally acquired herd immunity is an聽unethical and dangerous strategy that is聽not grounded in evidence鈥, she added.
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鈥淐ontrary to a lot of reports in the media about their being divisions among scientists, the fact is that almost all scientists unanimously agree on a聽consensus, while a fringe faction in the community鈥ost with not much expertise in epidemiology and public health, deny the threat posed by Covid-19 and propagate what can only be described as pseudoscience,鈥 said Dr Gurdasani, comparing the situation to the consensus around human-driven climate change.
In the case of both climate change and Covid, 鈥渟cientific letters should not be judged on the number of signatories, but rather on the quality of evidence presented on which the views are based鈥, argued Dr Gurdasani.
On climate change, she said, 鈥渢he media has over the past few decades manufactured the idea of a 鈥榙ebate鈥 between two sides when 97聽per cent of the scientific community [is聽on one side] while 3聽per cent [is聽on the other], with the evidence overwhelmingly supporting one聽side鈥.
Sunetra Gupta, professor of theoretical epidemiology at the University of Oxford and co-creator of the GBD, said the declaration had served a聽different purpose from most scientific open letters. 鈥淚t was not just about expressing the opinion held by a group of people 鈥 it has opened the door for a聽lot of scientists who previously felt unable to bring their views to the table because their opinions were dismissed as聽heretical,鈥 she said.
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Publishing an open letter was necessary given journals鈥 reluctance to publish papers on herd immunity, she added. 鈥淲hen your views are repeatedly dismissed as fringe or pseudoscience, it makes it difficult to get heard, so what other route did we have?鈥 said Professor Gupta.
The declaration was 鈥渁聽structured response [to our position] rather than simply a聽barrage of diffuse insults鈥, she said, adding that the 鈥渙pen letter format has its limitations but it has been an important way to open up debate鈥.
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POSTSCRIPT:
Print headline:聽Let鈥檚 have it out in the open
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