Segmenting communities as public health strategy: a view from the social sciences and humanities.
Identifieur interne : 002240 ( Main/Corpus ); précédent : 002239; suivant : 002241Segmenting communities as public health strategy: a view from the social sciences and humanities.
Auteurs : Agomoni Ganguli-Mitra ; Ingrid Young ; Lukas Engelmann ; Ian Harper ; Donna Mccormack ; Rebecca Marsland ; Lotte Buch Segal ; Nayha Sethi ; Ellen Stewart ; Marlee TichenorSource :
- Wellcome open research [ 2398-502X ] ; 2020.
Abstract
On the 5th of May 2020, a group of modellers, epidemiologists and biomedical scientists from the University of Edinburgh proposed a "segmenting and shielding" approach to easing the lockdown in the UK over the coming months. Their proposal, which has been submitted to the government and since been discussed in the media, offers what appears to be a pragmatic solution out of the current lockdown. The approach identifies segments of the population as at-risk groups and outlines ways in which these remain shielded, while 'healthy' segments would be allowed to return to some kind of normality, gradually, over several weeks. This proposal highlights how narrowly conceived scientific responses may result in unintended consequences and repeat harmful public health practices. As an interdisciplinary group of researchers from the humanities and social sciences at the University of Edinburgh, we respond to this proposal and highlight how ethics, history, medical sociology and anthropology - as well as disability studies and decolonial approaches - offer critical engagement with such responses, and call for more creative and inclusive responses to public health crises.
DOI: 10.12688/wellcomeopenres.15975.1
PubMed: 32587904
PubMed Central: PMC7309410
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Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Harper, Ian" sort="Harper, Ian" uniqKey="Harper I" first="Ian" last="Harper">Ian Harper</name><affiliation><nlm:affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Mccormack, Donna" sort="Mccormack, Donna" uniqKey="Mccormack D" first="Donna" last="Mccormack">Donna Mccormack</name><affiliation><nlm:affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>School of Literature and Languages, University of Surrey, Guildford, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Marsland, Rebecca" sort="Marsland, Rebecca" uniqKey="Marsland R" first="Rebecca" last="Marsland">Rebecca Marsland</name><affiliation><nlm:affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Buch Segal, Lotte" sort="Buch Segal, Lotte" uniqKey="Buch Segal L" first="Lotte" last="Buch Segal">Lotte Buch Segal</name><affiliation><nlm:affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Sethi, Nayha" sort="Sethi, Nayha" uniqKey="Sethi N" first="Nayha" last="Sethi">Nayha Sethi</name><affiliation><nlm:affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Stewart, Ellen" sort="Stewart, Ellen" uniqKey="Stewart E" first="Ellen" last="Stewart">Ellen Stewart</name><affiliation><nlm:affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Tichenor, Marlee" sort="Tichenor, Marlee" uniqKey="Tichenor M" first="Marlee" 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Donna" uniqKey="Mccormack D" first="Donna" last="Mccormack">Donna Mccormack</name><affiliation><nlm:affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>School of Literature and Languages, University of Surrey, Guildford, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Marsland, Rebecca" sort="Marsland, Rebecca" uniqKey="Marsland R" first="Rebecca" last="Marsland">Rebecca Marsland</name><affiliation><nlm:affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Buch Segal, Lotte" sort="Buch Segal, Lotte" uniqKey="Buch Segal L" first="Lotte" last="Buch Segal">Lotte Buch Segal</name><affiliation><nlm:affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Sethi, Nayha" sort="Sethi, Nayha" uniqKey="Sethi N" first="Nayha" last="Sethi">Nayha Sethi</name><affiliation><nlm:affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Stewart, Ellen" sort="Stewart, Ellen" uniqKey="Stewart E" first="Ellen" last="Stewart">Ellen Stewart</name><affiliation><nlm:affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Tichenor, Marlee" sort="Tichenor, Marlee" uniqKey="Tichenor M" first="Marlee" last="Tichenor">Marlee Tichenor</name><affiliation><nlm:affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Wellcome open research</title><idno type="ISSN">2398-502X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">On the 5th of May 2020, a group of modellers, epidemiologists and biomedical scientists from the University of Edinburgh proposed a "segmenting and shielding" approach to easing the lockdown in the UK over the coming months. Their proposal, which has been submitted to the government and since been discussed in the media, offers what appears to be a pragmatic solution out of the current lockdown. The approach identifies segments of the population as at-risk groups and outlines ways in which these remain shielded, while 'healthy' segments would be allowed to return to some kind of normality, gradually, over several weeks. This proposal highlights how narrowly conceived scientific responses may result in unintended consequences and repeat harmful public health practices. As an interdisciplinary group of researchers from the humanities and social sciences at the University of Edinburgh, we respond to this proposal and highlight how ethics, history, medical sociology and anthropology - as well as disability studies and decolonial approaches - offer critical engagement with such responses, and call for more creative and inclusive responses to public health crises.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32587904</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2398-502X</ISSN><JournalIssue CitedMedium="Print"><Volume>5</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Wellcome open research</Title><ISOAbbreviation>Wellcome Open Res</ISOAbbreviation></Journal><ArticleTitle>Segmenting communities as public health strategy: a view from the social sciences and humanities.</ArticleTitle><Pagination><MedlinePgn>104</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.12688/wellcomeopenres.15975.1</ELocationID><Abstract><AbstractText>On the 5th of May 2020, a group of modellers, epidemiologists and biomedical scientists from the University of Edinburgh proposed a "segmenting and shielding" approach to easing the lockdown in the UK over the coming months. Their proposal, which has been submitted to the government and since been discussed in the media, offers what appears to be a pragmatic solution out of the current lockdown. The approach identifies segments of the population as at-risk groups and outlines ways in which these remain shielded, while 'healthy' segments would be allowed to return to some kind of normality, gradually, over several weeks. This proposal highlights how narrowly conceived scientific responses may result in unintended consequences and repeat harmful public health practices. As an interdisciplinary group of researchers from the humanities and social sciences at the University of Edinburgh, we respond to this proposal and highlight how ethics, history, medical sociology and anthropology - as well as disability studies and decolonial approaches - offer critical engagement with such responses, and call for more creative and inclusive responses to public health crises.</AbstractText><CopyrightInformation>Copyright: © 2020 Ganguli-Mitra A et al.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ganguli-Mitra</LastName><ForeName>Agomoni</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Young</LastName><ForeName>Ingrid</ForeName><Initials>I</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1242-5992</Identifier><AffiliationInfo><Affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Engelmann</LastName><ForeName>Lukas</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Harper</LastName><ForeName>Ian</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McCormack</LastName><ForeName>Donna</ForeName><Initials>D</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-2852-2180</Identifier><AffiliationInfo><Affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Literature and Languages, University of Surrey, Guildford, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marsland</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buch Segal</LastName><ForeName>Lotte</ForeName><Initials>L</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-9996-3189</Identifier><AffiliationInfo><Affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sethi</LastName><ForeName>Nayha</ForeName><Initials>N</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-2782-5382</Identifier><AffiliationInfo><Affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stewart</LastName><ForeName>Ellen</ForeName><Initials>E</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-3013-1477</Identifier><AffiliationInfo><Affiliation>Centre for Biomedicine, Self & Society, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tichenor</LastName><ForeName>Marlee</ForeName><Initials>M</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-6434-9795</Identifier><AffiliationInfo><Affiliation>School of Social and Political Sciences, University of Edinburgh, Edinburgh, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Wellcome Open Res</MedlineTA><NlmUniqueID>101696457</NlmUniqueID><ISSNLinking>2398-502X</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">disability</Keyword><Keyword MajorTopicYN="N">equity</Keyword><Keyword MajorTopicYN="N">ethics</Keyword><Keyword MajorTopicYN="N">ethnicity</Keyword><Keyword MajorTopicYN="N">inclusion</Keyword><Keyword MajorTopicYN="N">public health response</Keyword><Keyword MajorTopicYN="N">social justice</Keyword></KeywordList><CoiStatement>No competing interests were disclosed.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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