IAN WEBSTER. Too many experts at a time of crisis.

This is a time when advice needs to be considered, balanced, respectful and well-founded.

Anxiety in the community is palpable at the local supermarket. As the coronavirus epidemic evolves, people are focusing on their own needs and rejecting those of others. This is a time when we should be emulating the stories from the Great Depression of neighbours helping and feeding each other in a time of great poverty.

Everyone is searching for advice and there is a plethora of it; some well-founded and balanced, and some to attract attention and media space. I am loathe to say this, but even the ‘trusted’ and admired ABC has not always been helpful with interviewers’ hectoring questions and the flavour of “gotcha” moments, at these times.

It was distressing to read Everyone wants to be an expert: Health bodies call for support of the chief medical officer in the SMH 20th March with its criticism of our chief medical officers. We have all watched as they carefully respond to the relentless media questions and advocate the measures to be pursued by governments on their advice. They bear great responsibility and look tired and weary,

This is a time when advice needs to be considered, balanced, respectful and well-founded. And those in the best position to provide that advice are the leaders in public health who have the resources and capacity to draw together advice from a range of sources, especially the best epidemiological and biological evidence available, and to formulate policy and action. Experts in their special fields can contribute but it is important to have the different perspectives and evidence tested against each other, not only to defeat the virus, but also to maintain social cohesion and welfare of the community.

Public health was defined in W. Hobson’s famous Theory and Practice of Public Health (1951) as,

“Public health is the science and art of preventing disease, prolonging life and promoting physical health and efficiency through organised community efforts for sanitation of the environment, control of community infections, education of the individual in principles of personal hygiene, the organisation of medical and nursing service for the early diagnosis and preventive treatment of disease, and the development of the social machinery which will insure to every individual in the community the standard of living adequate for the maintenance of health.”

In the present crisis, governments with strong departments of public health linked to public policy, structures and funding will do well in managing the spread of this virus.

We must have well-resourced departments of public health and chief medical officers capable of providing independent and well-founded advice to their governments and the wider community. These are the institutions that need our support at this time.

Ian Webster AO is Emeritus Professor of Public Health and Community Medicine, UNSW and physician to the homeless at the Exodus Foundation, Ashfield, NSW.

print

This entry was posted in Health. Bookmark the permalink.

3 Responses to IAN WEBSTER. Too many experts at a time of crisis.

  1. Gavin O'Brien says:

    I would like to agree with Ian Webster that the Chief Medical Officer is able to act free of political restraint, but from the wide reading and listening I have been doing and the chaos evident between the advice from Federal and State and Territory governments about what we should be doing, the current arrangement of a so called ‘federal cabinet’ is only serving to increase confusion in the general public.
    As a “senor cit” with health issues, I have very good reason to be concerned . My wife is a secondary school teacher . She is exposed to 1,000+ students daily. I emailed the Principal expressing my fear that even if she showed no symptoms, I could contract the virus with potentially serious health outcomes. All I received was a kurt acknowledgement. Fortunately the Chief Minister of the ACT has acted by making the rest of the term, “pupil free”, markedly reducing the risk to myself, but potentially increasing the risk to elderly people, like me, who might have to mind the children as parents wont or are not allowed to take leave from work.
    WHY can’t this crazy system of government(s) speak with one voice? To have children at school in close proximity to each other and the staff, with the lax hygiene that teenagers have, is absolute lunacy! CLOSE the schools! With modern technology, distance education is now a reality. Pay one of the parents to be at home with their children . Maybe it’s time we reconsidered the way we work and raise families as this event may be a sign of worse to come.

  2. Geoff Upton says:

    Well balanced considered views of Ian Webster which others would do well to emulate

Comments are closed.